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www.MyHealthatVanderbilt. com 1 MyHealthatVanderbilt

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MyHealthatVanderbilt

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Contents (Click on the to navigate to the desired topic)

What is MyHealthatVanderbilt Provider and clinic benefits Patient benefits Features Limited and Full Access Sign-up process (remote) In clinic sign up ( Screen savers / KIOSK) What patients have message capability to message Increase access level Increase access level in StarPanel Messaging Initiating messages Receiving messages Future reminders Patient notification Bounce back feature Patient letter Test results available for patients Lab view for patients Graph Labs for patients Radiology results view for patients Future enhancements Comments or questions

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What is MyHealthatVanderbilt

MyHealthatVanderbilt is a web-based patient portal that: Allows patients and their doctor’s offices to communicate Allows patients to access their test results Allows patients to research and learn about their health

conditions Allows patients to check schedules Allows patients to pay bills online

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Provider and Health Care System Goals/Benefits

Decrease burden on phone system

Optimize staff resources by eliminating manual processes

Electronic log of patient’s communications in their chart

Secure electronic information exchange with patients

Monitor patient conditions remotely

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Patients Benefits

Patients will be involved in managing their own health

Health information available through MyHealthatVanderbilt can be readily accessed from anywhere

Patients can communicate remotely across a secure portal

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My HealthatVanderbilt

This new service called “MyHealthatVanderbilt” will offer patients the following features

Message provider practices with whom the patients have had, or are scheduled to have, an appointment. Request prescription refills Request non-urgent appointments View test results online View appointments, past and future Pay bills on-line Patient specific educational material customized based on individual demographics, past medical problems, medications and seasonality. Complete patient history forms in advance of annual physicals or new patient appointments.

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Sign-up

Patients are able to sign up remotely for level I access

by going to www.myhealthatvanderbilt.com They can be anywhere—they do not have to be at Vanderbilt to sign up for this service  The signup program will ask them to enter information about themselves and will then match their information and identify their medical record number 

Patients can sign up themselves for Limited Access (messaging only—no access to privileged health information):

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Increase Access LevelConverting from limited to full access

Once patients have Limited Access, they are able to message but do not have access to personal information or the ability to pay bills

Patients will need to show proper identification in the clinic to obtain Full Access

Posters will be placed strategically throughout the clinics inviting them to sign up for limited access before they leave and to request full access

Before they leave the staff are able to confirm their identity and then bump up their level of access to Full Access in StarPanel

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Increase Access Level

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Screensaver / KIOSK Sign-up

My HealthatVanderbilt will be advertised on clinical workstations in each of the exam rooms allowing patients to sign up while waiting without any staff having to log them on

This is complete autopilot signup!Back to Contents

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Who Can Message

The computer looks at their past and future appointments and identifies the providers throughout VUMC that the patients have seen or are scheduled to see  The patients will then immediately have access to message only those doctors with whom they have a relationship

Since this has been in the pilot mode there have been very few clinics participating

We are now in the process of rolling out to all of the Medical Center

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MessagingIt is very important that you understand how patient messaging

works because it is a little different than regular messaging

Patients are able to log on to My HealthatVanderbilt remotely and send a message to their provider’s office

These messages always go to a designated message basket (secretary or nurse’s basket) , mimicking what would happen if they had called on the telephone, and should be handled in the same way

They do not go directly to the doctor’s basket

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Message From Patient

Patient

To Secretary

To Nurse

To Doctor

Saved to chart

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Initiating messages Patient messages should be handled as you would handle ANY other message  Be sure to save them when complete, just like you would any other message 

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Initiating messages The only part of a message that the patient will see is when you intentionally hit the green button. Then it ONLY sends what is currently in the text box, nothing prior to it

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The provider can dialogue back and forth with the nurse about an issue and the patient is not able to see anything until it is finally typed into a message to the patient and sent with the green The button . Then, only the most recent message that you type into the text box goes to the patient

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Initiating messages At any point when you open up a new message on a patient who has signed up for My Health at Vanderbilt you will be able to see the familiar green link on the right side of the message, indicating that this is a patient you can message, and allowing you to send a message to them

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Messaging

When you send a message to the patient, the message is now saved to the chart right away

Messages in the same thread are grouped by date in the All view.  For example, if you send 4 messages to a patient using the same thread in one day, there will only be one entry in the All view

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Messaging Though you may save a message to the chart, the patient can later add to the message and it will reappear in the designated message basket with the old text and whatever new the patient typed

Please remember that every time the patient sends a message to us, even if they are responding to a question, the message goes to a designated message basket.  This prevents messages from being lost in a basket that is not being covered if, for instance, the physician is out of town.

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Initiating messages to be sent in the future

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Initiating a future message

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Initiating a reminder

Future messages in the same thread can be seen when you open the past message from the All view.  For example, if there are 2 messages in the same thread, one sent last week, and one sent today, there will be 2 entries of that thread in the All view.  If you click on the last week message, you'll see a button that says "Click to see all messages in this thread". 

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Future Messages Future messages in the same thread can be seen when you open the past message from the All view For example, if there are 2 messages in the same thread, one sent last week, and one sent today, there will be 2 entries of that thread in the All view

If you click on the last week message, you'll see a button that says "Click to see all messages in this thread". 

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Patient Notification Every time you send a message to the patient through their My HealthatVanderbilt account, an email will be sent to their regular email account, notifying them that they have a message from their provider and allowing them to click on a link that takes them to My HealthatVanderbilt home page 

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No email address listedYou will receive a message notifying you if the patient does not have an email address listed

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Bounce Back Feature In the event that the patient does not check their email or if they have not opened the message in five (5) days, the message will “bounce back” to you notifying you of this  Then you can mail them or call them as you normally would have done before My HealthatVanderbilt

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Sending a Patient LetterYes, there is also the ability for providers who use Patient Letter to directly send these letters to patients by the web interface with a click of the button instead of mailing. This should reduce phone calls and typing.

It is important to understand how the system works, as you will increasingly begin receiving patient messages into the PSR or nurse baskets, and patients will be signing up for this service and may ask you questions.

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Lab Test For Patient View

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Test Results Available For Patient View

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Laboratory and radiology results are organized into three groups: Group A consists of a limited group of tests with results that have high value for immediate patient viewing with low risk of untoward reaction to the information (cholesterol, diabetes tests, and glucose results) Group B consists of the largest number of lab and x-ray result- labs will have a 7 day delay, x-rays will have a 14 day delay allowing for the provider to confirm the accuracy and communicate the result to the patient Group C consists of labs and x-rays that will not be released through MyHealthatVanderbilt (e.g. HIV results, cancer pathology results, urine drug)

Labs immediately and never available

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Graph Labs For Patient View

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Radiology Results For Patients View

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All radiology reports will have a 14 day delay to allow for the provider to confirm accuracy and relay explanation of test results to patients

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Future Enhancements

Accounts for minors Surrogate and delegate accounts Online forms for patients to fill out before visit

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Coming soon…

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Questions or Comments Contact

[email protected]@[email protected][email protected]

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Special acknowledgement is extended to the following members of the team for their hard work, dedication and innovative performance

In Alphabetical OrderJulie Beauregard, Health Information Analyst Eric Boehme, Manager, Application Development ProjectsJason Coles, Creative Web Developer Susan Conner, Manager, Health Information Systems Projects Jonathan Dees, Web Applications DesignerJosh Denny, Clinical Fellow, Dept Biomedical InformaticsFern FitzHenry , Information Services ConsultantDario Giuse, System ArchitectSusan Hannasch, University CounselJim Jirjis, ChairMark Johnson, Chief Information Security OfficerJonquil Kelley, Patient Representative, Patient AccountingTaneya Koonce, Assistant Director, Eskind Library Jun Kunavut, Health System Analyst ProgrammerJulia Morris, Deputy General Counsel Irish Park, Editor Shannon Potter, Librarian Sue Muse, Project CoordinatorGaye Smith, Privacy Official Terry Smith, Director VUMC Web DevelopmentChenchal Subraveti, Health System Software Engineer Michele Toungette, Marketing Manager Jim Weaver, Project ManagerEllen Yan, Health System Software Engineer