www'TRICAREOnline'com

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www.TRICAREOnline.com
Connecting Communities for Better Health
26 May 2005
Robert Wah, MD
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Agenda

• Military Health System eHealth Requirements
• Activities to Date
• Usage Metrics
• Challenges
• Best Business Practices
• Collaboration Efforts
• Summary

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Military Health System eHealth Requirements
Requirements defined and validated by an
overarching group

• Beneficiaries
• Surgeon Generals of Army, Navy and Air Force
• TRICARE Management Activity
• Information Management Technology and
  Reengineering
• Operations
• Chief Medical Officer
• Communications Customer Service
• Office of General Council
• Resource Management

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Military Health System eHealth Requirements
Military Health System Secure Portal (TOL)
Common Web Services
Access to Care

• Online Appointing
• Secure Messaging
• eConsultations

• Eligibility Check
• Secure Messaging
• Single Sign On / Context Management
• eLearning

Access to Information Systems
Health Resources

• Health Content
• Education Programs
• Clinic Provider Info
• Tools Calculators
• Benefits Info

Clinical Info

• Secure Provider Access to CHCS
• Secure Web Access to CHCS II
• Enterprise LMS

• Personal Health Journal
• Integration with EHR
• Health Enrollment Assessment Report (HEAR)
• Pre/Post Deployment Assessments

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Activities to Date

• 2000 Initial eHealth requirements defined
• 2001 Limited deployment to Alpha sites
• 4 hospitals
• Focus group validation of capability
• 2002 Limited deployment to Beta sites
• April 2003 Worldwide deployment begins,
  connecting 500 plus hospitals and clinics
• 2003 Present Incremental deployment of
  additional capabilities

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eHealth Usage Metrics

• Over 260,000 registered users
• Over 1,700 online appointments
  booked weekly
• Average savings of
  7 an appointment
• Reduction in No Show rate
• 2 via online appointing
• 8 all booking means

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eHealth Challenges

• First information system designed deployed to
  empower our beneficiaries
• New strategic paradigm
• New implementation processes
• New marketing challenges
• Field support / buy in
• System availability / reliability
• Graphical User Interface design
• Responsiveness of Configuration Management
  processes

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Best Business Practices

• Engage the entire enterprise
• Correct functional stakeholders need to be
  identified engaged
• Market to hospital commanders and providers
• Local support is critical to adoption
• Parity with other service options
• Online users must have access to same services
  (e.g. appointment availability)
• The system must be available 24x7
• Graphical User Interface must be easy to use
• Collaborate with industry government partners

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Collaboration Activities

• Appointing Centers of Excellence
• Implement best business practices
• Maximize online appointment access
• DoD / VA
• Unity of purpose effort
• Portability between healthcare systems
• Healthcare Informatics Testbed
• Congressionally funded project with Conemaugh
  Health System (Johnstown, PA)
• Focus group testing and usability analysis
• Pre-Concept exploration of eHealth requirements

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Summary

• Military Health System eHealth requirements are
  driven by the stakeholders
• Initial capability deployed worldwide in 2003
• First capability designed deployed
  to empower our beneficiaries
• Best business practices are
  employed to overcome
  challenges
• Collaboration with industry
  and government partners
  ensures unity of purpose effort