VACO UpdateInformatics Section

Kathleen Lysell, Psy.D.

May 19, 2007

VA Psychology Leadership Conference

• Graphical User Interface (GUI) for the Mental Health testing package.

• Originally released 2002• Provides secure computer environment for

patient administered testing• Only VistA application currently available that

stores survey/self report information as data• 2,498,520 assessments using MHA

instruments completed in FY06

• Enhancements, restructuring of associated files, MHA3

• Completing beta testing at 4 test sites

• Significantly strengthens ties to clinical reminders, CPRS

• Passes progress note to CPRS• Creates national testing database

MHA3 and Clinical Reminders

• Clinical Reminders will work with all MHA3 instruments

• Instrument results, scale scores, or individual item responses from MHA instruments can be used in reminder logic

MHA3 and Clinical Reminders

• What percentage of patients in PTSD program present with binge drinking patterns?

• What is the severity of depression seen in patients enrolled in the pain clinic?

• How many patients over the age of 65 endorsed suicidal ideation on depression screen?

My Healthe VetMental Health Portal• Goal: Promote active participation of veterans

with mental illness in their health care• 3 Major Components in Project:

1)Education and Resource Information for Veterans/Family members/Care Givers

2)Self-Assessment screening tools tied to online educational information

3)Recovery management/self monitoring for patients currently involved in mental health treatment

Phase 1: Information & Education

Goal: To provide current information to veterans and family members on health, wellness and recovery in a comprehensive but easy to understand web based format as it relates to:

Common mental health disorders Successfully coping with psycho-social stressors Partnering with health care providers Taking responsibility for ones own recovery

Working with Healthwise to create content libraryPTSD Materials to be included in My Healthe Vet Memorial Day Release

Screening Instruments (Phase 2)

• Screening for common MH issues:– PTSD– Depression– SUD

• Accessible at top level

• No results stored, feedback directly to user

• Currently deployed

Disorder Screening Instrument

Post Traumatic Stress Disorder PTSD Checklist (PCL)

Depression Patient Health Questionnaire (PHQ-9)

Alcohol problems Alcohol Use Disorders Identification Test (AUDIT-C)

Drug problems Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST)

MHV Mental Health Screening Tools

My Recovery Plan(Phase 3)

An online component of My HealtheVet that will help veterans seeking treatment:

• Take an active, collaborative role in their treatment

• Take increased responsibility for monitoring and tracking:

• the type and degree of mental health symptoms,

• medication adherence and side effects,

• progress towards recovery goals,

• as well as relapse triggers & coping plans. 

My Recovery Plan Activities Current Year Funding

• Contract for application design for My Recovery Plan

• 4 existing workgroups, Depression, SUD, Schizophrenia, PTSD

• Technical contractors meeting with workgroups to map current care processes and desired processes for MRP

Create Recovery Plan

Sample Domains

My Recovery PlanCPRS, Patient 1

My Schedule TODAY is Tuesday January 3rd, 2006

Today, I have been clean and sober for 25 DAYS!

My Medications •1 pink round tablet (Acamprosate) •1 white triangular tablet (Lexapro)

My Schedule •Appointment with CPRS, Provider 1 at 2PM•AA Meeting at Trinity Church TODAY at 7PM

My Tasks•Call Bob (Sponsor) at 555-555-5555•Look at Classified Ads for apartment rental

NOTES:Medications, schedule and tasks for TODAY in center box update daily. My Schedule is a link to a detailed monthly calendar. My Goals are links to corresponding pagesMy Care is a link to that function on the larger MHV websiteMy Messages is link to the secure provider messaging feature

My Goals

Staying Clean & Sober

Housing and Transportation

Employment

Relationships

My Care

Prescription refillsSchedule an appointmentPersonal Health Record

My Messages

InboxSentDeleted