The Perfect Visit: A Nurse’s View 219
Presented by: Jacqueline Tatum, RN, MSN
PHE Coordinator, Durham VAMCCo-Chair VISN 6 My HealtheVet POC
Sharon L. Durio, MS EdPHE Coordinator, Hampton VAMC
Co-Chair VISN 6 My HealtheVet POC
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Learning Objectives
1. Understand how My HealtheVet can be incorporated into the clinical setting.
2. Demonstrate from a nurse’s perspective how My HealtheVet may be used from intake to home.
3. Identify the educational opportunities in My HealtheVet.
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My HealtheVet: An Overview
An online environment where veterans, family and clinicians can come together to optimize veterans’ health care.
Utilizes web-based technology that combines essential patient record information and online health resources to foster patient/clinician collaboration and shared decision making.
Gives veterans access to information on health, VA benefits, special programs, online services and tracking tools.
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Clinical Visit Characteristics
• Promotes continuity of care in most venues
• Maximizes time and education opportunity
• Fosters self-care and decision making
• Adapts to diverse learning styles
• Enhances communication
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The Personal Health Record
Compliments of: Kim M. Nazi, FACHE Veterans Informatics Resource Office , VHA Clinical Health Informatics Office
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Patient Education Checklist
Environment– Privacy and security – Access to a computer and printer
Process– Assessment of understanding– A focused education plan– Content review and return
demonstration – Plan follow-up and document
Teamwork– Attitudes and skills– Recognition of a common goal
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3 - Tier: Information Access Levels
Level One Description of Features and Functions
Not Registered
RestrictedAccess(Information only)
Home Page - VA Facility Locator, About MHV, Frequently Asked Questions (FAQs), Contact MHV, and Search
MHV Community – Get Involved, Events/Programs, VA Honor Vets, News
Research Health – Medical Library, Healthy Living Centers, Disease + Condition Centers, Mental Health
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Level Two Description of Features and Functions
Registered User
Limited Access
All of Level One, Plus:Personal Information – In Case of Emergency, Profiles, Account
Get Care – Caregivers, Treatment Facilities, My Coverage and Health Calendar
Pharmacy - Prescription (Rx) Refill – Ability to refill medications(only prescription refill numbers are shown)
Track Health – Self-entered data, tracking and graphing; vital signs, weights, lab values, medical history, etc.
3 - Tier: Information Access Levels
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Level Three Description of Features and Functions
Registered IPA User
Full Access
All of Levels One and Two, Plus: Names of prescribed VA medications along with prescription refill number
Blended view of medications (VA and non VA medications)
New features as they become available
3 - Tier: Information Access Levels
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Video- The Perfect Visit: A Nurse’s View
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Relax!
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Log on! www.myhealth.va.gov
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Introduction Page
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Navigating Your Way To The Perfect Visit
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Meet Joe Veteran
65-year-old white male with a medical history of diabetes type 2, hyperlipidemia, and osteoarthritis. Recent visit showed onset of borderline hypertension.
Veteran currently weighs 175lbs and smokes. He reports allergies to penicillin, bees and fish.
Veteran has been asked to track blood pressure, weight and diet using MHV.
Sample
card
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Let’s Login
mhvuser
mhvdemo#1
www.myhealth.va.gov
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Refill Prescription
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Refill Prescription
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Patient Scenario
Vital Signs: BP = 145/98 Weight = 135 lbs Temperature =
98.6 Pain = 3 Active Med –
Lisinopril (40mg – take 1 tablet by mouth daily for HBP)
Sample
card
38-year-old African American female. History of HTN. Follow-up visit after medication change.
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Challenges to the Perfect Visit
• Low interest and computer literacy
• In-Person Authentication participation
• Ability to navigate MHV site and maintain health logs and tracking tools
• Time
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KSA’s For the Perfect Visit
Knowledge in principles of patient education
Skilled in the navigation of MHV portal
Ability to describe features in simple terms and document
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MHV Clinical Reminder
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MHV Clinical Reminder
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MHV Clinical Reminder
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MHV Clinical Reminder
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MHV Clinical Reminder
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Summary
This session has illustrated how My HealtheVet:
• Can be incorporated into the clinical setting
• Is used by a nurse from intake to home
• Provides diverse education opportunities and fosters self-management skills
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Questions?
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Contact Information
Jacqueline Tatum Durham VA Medical [email protected]
Sharon Durio Hampton VA Medical Center
