Composite Health Care System Manual
- Provider Essentris User Manual
- Clinicomp Essentris User Manual
- Essentris User Manual User
- Essentris User Manual
Essentris ® is accessible to other providers across the continuum of care, ensuring continuity of care for service members returning to the U.S. For additional care in the Departments of Defense and Veterans Affairs facilities. Essentris ® helps reduce the majority of paper-based inpatient documentation at DOD military treatment facilities. Essentris® ED™, CliniComp's clinician documentation and electronic medical record (EMR) system for the emergency room, helps hospitals and health systems address pressing concerns about patient safety. Indeed, Essentris is the most reliable clinical information system of its type. And its broad, deep clinical functionality now serves all acute care settings throughout the enterprise. Groundwork For Community Based Conservation Strategies For Social Research Camilla Harshbarger.pdf groundwork for community-based conservation: strategies groundwork for community-based conservation is a long-awaited book. ESSENTIAL Accessibility for Windows User Manual. Much of what you do with eSSENTIAL Accessibility™ can be done using specific voice commands. You can retrieve the voice commands list by clicking on the “show commands” button in the voice commands settings.
Details: Details: The Composite Health Care System (CHCS) is an automated medical information system being developed by the Department of Defense for use in 664 military medical treatment facilities worldwide. composite health care system chcs
› Verified 2 days ago
› Url: https://www.healthlifes.info/composite-health-care-system-manual/ Go Now
› Get more: Composite health care system chcsShow List Health
COMPOSITE HEALTH
Details: The Honorable Les Aspin Chairman, Committee on Armed Services House of Representatives The Composite Health Care System (CHCS) is an automated medical information system being developed by the Department of Defense for use in 664 military medical treatment facilities worldwide. how to use chcs
› Verified 17 days ago
› Url: https://www.healthlifes.info Go Now
› Get more: How to use chcsShow List Health
Composite Health Care System (CHCS)
Details: The Composite Health Care System (CHCS) is a mainframe-based system that was developed using the Massachusetts General Hospital Utility Multi-Programming System (MUMPS) language. This technology allows clinicians to electronically perform patient appointment processes and scheduling, order laboratory tests, authorize radiology procedures, and ... chcs military medical system
› Verified 4 days ago
› Url: https://www.oit.va.gov/Services/TRM/ToolPage.aspx?tid=14496 Go Now
› Get more: Chcs military medical systemShow List Health
CHCS/CHCS II
Details: Creating New Composite Health Care System (CHCS) and AHLTA Accounts This section provides procedural instruction for using the CHCS Account Creation Process (ACP) to create a new user in CHCS and the creation of the user’s AHLTA account. It is imperative that you follow the steps in the appropriate order. chcs user guide
› Verified 9 days ago
› Url: http://www.mhsinformatics.org/AHLTA-Files/HowTos-FAQs/AHLTA-Account-Creation-Procedures-v3.0.doc Go Now
› Get more: Chcs user guideShow List Health
The Procedure Worksheet - Composite Health Care System
Details: The Composite Health Care System (CHCS) is a hospital information system adopted by the tri-services (Army, Navy, and Air Force) and used to automate the entire realm of patient care and administrative activities within a medical treatment facility. composite health care system navy
› Verified 4 days ago
› Url: http://armymedical.tpub.com/MD0961/The-Procedure-Worksheet-Composite-Health-Care-System-Standards-Positioning-Techniques-I-157.htm Go Now
› Get more: Composite health care system navyShow List Health
DOD INSTRUCTION 6040
Details: Enclosure 3, Paragraph1.b.16 of Volume 1 of DoD Manual 8910.01. DoDI 6040.40 December 27, 2019. S ECTION 2: R ESPONSIBILITIES 4 . S ECTION 2: R ESPONSIBILITIES 2.1. ASSISTANT SECRETARY OF DEFENSE FOR HEALTH AFFAIRS (ASD(HA)). ... (such as Composite Health Care System, AHLTA, Essentris, MHS GENESIS) and internal review offices. 3.5. DQMC PROGRAM ... chcs user manual
› Verified 6 days ago
› Url: https://www.healthlifes.info Go Now
› Get more: Chcs user manualShow List Health
United States Coast Guard Composite Health Care System
Details: The Composite Health Care System (CHCS) is owned and operated by the United States Coast Guard (USCG). CHCS is a fully integrated health care information system that connects USCG medical clinics to computerized patient records that are created and maintained for the purposes of providing health care services to patients. chcs tutorial
› Verified 9 days ago
› Url: https://www.healthlifes.info Go Now
› Get more: Chcs tutorialShow List Health
Tools for Success in Implementation and Use of CHCSII
Details: BACKGROUND The Composite Health Care System II (CHCS II) is the enterprise-wide solution for an electronic health records system for the Department of Defense (DoD) Military Health System (MHS). As a result of a Presidential Executive Order and Congressional Mandate, the Assistant Secretary of Defense (Health Affairs) approved the Mission Need ...
› Verified 16 days ago
› Url: https://www.healthlifes.info Go Now
› Get more: Health LifeShow List Health
Capturing Ancillary Documentation using CHCS | Health.mil
Details: The Composite Health Care System (CHCS) allows clinicians to electronically perform patient appointment processes and scheduling, order laboratory tests, authorize radiology procedures and prescribe medications. CHCS serves as the foundation for the Department of Defense's electronic health record, AHLTA.
› Verified 2 days ago
› Url: https://health.mil/Military-Health-Topics/Technology/Military-Electronic-Health-Record/Garrison/Capturing-Ancillary-Documentation Go Now
› Get more: Health LifeShow List Health
MEDICAL RECORD TRACKING, RETIREMENT AND RETRIEVAL (MRTR
Details: An automated tool will supplement current MTF medical records retrieval activities. The Composite Health Care System (CHCS) Medical Records Tracking functionality was revised with Medical Record Retirement and Retrieval Enhancements (MRRRE) to augment existing manual medical record retirement activities.
› Verified 2 days ago
› Url: https://www.healthlifes.info Go Now
› Get more: Health LifeShow List Health
Garrison-based Electronic Health Record | Health.mil
Details: The military’s garrison-based electronic health record (EHR) system is comprised of a variety of comprehensive health information technology solutions, AHLTA, the military’s outpatient EHR documentation solution; Composite Health Care System (CHCS), the military’s health IT solution for managing laboratory, radiology and pharmacy orders, as well as scheduling appointments; and, the ...
› Verified 3 days ago
› Url: https://health.mil/Military-Health-Topics/Technology/Military-Electronic-Health-Record/Garrison Go Now
› Get more: Health LifeShow List Health
Composite Health Care System - Wikipedia
Details: The Composite Health Care System (CHCS) is a medical informatics system designed by Science Applications International Corporation (SAIC) and used by all United States and OCONUS military health care centers. In 1988, SAIC won a competition for the original $1.02 billion contract to design, develop, and implement CHCS.
› Verified 8 days ago
› Url: https://en.wikipedia.org/wiki/Composite_Health_Care_System Go Now
› Get more: Health LifeShow List Health
Composite Health Care System (CHCS) | Open Health News
Details: Home Page Composite Health Care System (CHCS) - is a comprehensive medical informatics system designed, developed and deployed by Science Applications International Corporation (SAIC) for use by all U.S. Department of Defense (DoD) military health care facilities. CHCS shares its original codebase with the VA VistA system.
› Verified 4 days ago
› Url: https://www.openhealthnews.com/content/composite-health-care-system-chcs Go Now
› Get more: Health LifeShow List Health
Health & Safety Management System | Composites UK
Details: Managing health and safety is an integral part of managing your business. You need to do a risk assessment to find out about the risks in your workplace, put sensible measures in place to control them, and make sure they stay controlled. Composites UK members click on the red box 'Health and Safety Made Simple' to work through the online tool.
› Verified 6 days ago
› Url: https://compositesuk.co.uk/health-safety-management-system Go Now
› Get more: Health LifeShow List Health
OPM Part Three TRICARE Prime Remote - TRICARE Manuals
Details: Addendum G COMPOSITE HEALTH CARE SYSTEM (CHCS) AND TELECOMMUNICATIONS INTERFACE II. Composite Health Care System - Managed Care Program Module (CHCS-MCP) A. Purpose 1. The purpose of this addendum is to assist the Managed Care Support (MCS) contractor in the use of the Composite Health Care System (CHCS), Managed Care
› Verified 17 days ago
› Url: https://www.healthlifes.info Go Now
› Get more: Health LifeShow List Health
DEPARTMENT OF THE NAVY
Details: Health Record. At present, these systems include, but are not limited to paper copy, Essentris (inpatient electronic medical record (EMR)), Armed Forces Health Longitudinal Technology Application (AHLTA) (outpatient EMR), Composite Health Care System (CHCS) (order entry and results retrieval), Innovian (anesthesia EMR), Relay Health, and Health ...
› Verified 12 days ago
› Url: https://www.healthlifes.info Go Now
› Get more: Health LifeShow List Health
CHCS-LAB sop_cap.htm
Details: The Composite Health Care System is homed on Ward 9D (Bldg 3767) of LRMC, in an especially prepared and maintained environmental room. Environmental controls include access control, carefully defined and monitored air-conditioning (temperature and humidity), and routine cleaning and tidying.
› Verified 6 days ago
› Url: http://www.korbo.com/labhelp/sop_cap.htm Go Now
› Get more: Health LifeShow List Health
U.S. GAO - Composite Health Care System: Outpatient
Provider Essentris User Manual
Details: Pursuant to a legislative requirement, GAO reviewed the adequacy of the Department of Defense's (DOD): (1) Composite Health Care System (CHCS) operational test and evaluation (OT&E) results; (2) CHCS cost/benefit analysis; and (3) plan for full production and deployment of CHCS.GAO found that: (1) the outpatient portion of CHCS is not ready for worldwide deployment, since DOD has not performed ...
› Verified 2 days ago
› Url: https://www.gao.gov/products/IMTEC-93-11 Go Now
› Get more: Health LifeShow List Health
Composite health care system manual' Keyword Found
Details: FACT SHEET Composite Health Care System. Health.mil The Composite Health Care System (CHCS) allows clinicians to electronically perform patient appointment processes and scheduling, order laboratory tests, authorize radiology procedures and prescribe medications. CHCS serves as the foundation for AHLTA, the Department of Defense’s (DoD) current electronic health record.
› Verified 2 months ago
› Url: https://www.keyword-suggest-tool.com/search/composite+health+care+system+manual/ Go Now
› Get more: Health LifeShow List Health
EMR Data Workflow
Details: The premier enabler for improved tactical health care and better decision making through the power of information technology ... Composite Health Care or TC2 ,to the JMeWS (MSAT 2) server where the records can be accessed via MSAT 2 and TMDS. The records are also ... system is fielded to a unit, Soldiers, leaders and medical
› Verified 4 days ago
› Url: https://www.healthlifes.info Go Now
› Get more: Health LifeShow List Health
Composite Health Care System (CHCS) - Clinfowiki
Details: Introduction. The Composite Health Care System (CHCS) is one of the largest medical information systems in the world. CHCS is the mainstay medical information system for the Department of Defense (DoD).CHCS supports 63 military hospitals, almost 800 military clinics, 77,000 active users, 134,000 daily encounters, and 9.4 million beneficiaries with clinical data.(1)
› Verified 18 days ago
› Url: https://clinfowiki.org/wiki/index.php/Composite_Health_Care_System_(CHCS) Go Now
› Get more: Health LifeShow List Health
COMPOSITE HEALTH CARE SYSTEM II (CHCS II) - FY98 Activity
Details: SYSTEM DESCRIPTION & CONTRIBUTION TO JOINT VISION 2010. First introduced in 1989, the Composite Health Care System (CHCS) is a tri-Service, medical management automated information system now used ...
› Verified 4 months ago
› Url: http://www.globalsecurity.org/military/library/budget/fy1998/dot-e/other/98chcs.html Go Now
› Get more: Health LifeShow List Health
IMTEC-93-11 Composite Health Care System: Outpatient
Details: The Composite Health Care System (CHCS) is an automated medical information system being developed by the Department of Defense for use in 664 military medical treatment facilities worldwide. The ultimate purpose of the system is to improve the quality and reduce the cost of
› Verified 7 days ago
› Url: https://www.healthlifes.info Go Now
› Get more: Health LifeShow List Health
IMTEC-90-42 Medical ADP Systems: Composite Health Care
Details: The Composite Health Care System (CHCS) is a state-of-the-art, inte- grated medical information system the Department of Defense is consid- ering for its 767 medical treatment facilities worldwide. As required by the National Defense Authorization Act for Fiscal Years 1988 and 1989,
› Verified 15 days ago
› Url: https://www.healthlifes.info Go Now
› Get more: Health LifeShow List Health
WHO | Manuals and handbooks
Details: Manual for the health care of children in humanitarian emergencies pdf, 564kb; These guidelines are to assist in the care of children in emergencies. They are designed to serve as a reference manual for the evaluation and management of children in emergencies, and as the basis for the training of healthcare workers.
› Verified 4 days ago
› Url: https://www.who.int/hac/techguidance/tools/manuals/en/ Go Now
› Get more: Health LifeShow List Health
Composite Health Care System II (CHCS II) | Medgadget
Details: Composite Health Care System II (CHCS II) ... You might think this scenario is a long way off, but the U.S. military health system is already putting these concepts into practice. Advances that ...
› Verified 1 months ago
› Url: https://www.medgadget.com/2005/02/composite_healt.html Go Now
› Get more: Health LifeShow List Health
COMPOSITE HEALTH CARE SYSTEM II (CHCS II) - FY01 Activity
Details: COMPOSITE HEALTH CARE SYSTEM II (CHCS II) The Composite Health Care System II (CHCS II) is a tri-Service, medical management automated information system (AIS) that will be used in all military...
› Verified 5 days ago
› Url: https://www.globalsecurity.org/military/library/budget/fy2001/dot-e/other/01chcs.html Go Now
› Get more: Health LifeShow List Health
TRICARE OPERATIONS MANUAL 6010.51-M, A 1, 2002 APPENDIX A
Details: TRICARE OPERATIONS MANUAL 6010.51-M, AUGUST 1, 2002 APPENDIX A ACRONYMS AND DEFINITIONS 6 NOTE: Unless a specific action is deemed gross and flagrant, a pattern of inappropriate practice will normally be required to find that abuse has occurred. Also, any practice or action that constitutes fraud, as defined by this Regulation, would also be abuse
› Verified 3 months ago
› Url: https://www.healthlifes.info Go Now
› Get more: Health LifeShow List Health
CHCS II is dead; long live AHLTA! | Healthcare IT News
Details: The Defense Department's $1.2 billion health care information system got a new name Monday. From now on, the Composite Health Care System II (CHCS II) is to be called AHLTA. DOD officials said AHLTA stands for Armed Forces Health Longitudinal Technology Application, however, the system should simply be known by the acronym.
› Verified 7 days ago
› Url: https://www.healthcareitnews.com/news/chcs-ii-dead-long-live-ahlta Go Now
› Get more: Health LifeShow List Health
Combining Healthcare Quality Measures Into Composites or
Details: Using 'roll-up' measures in healthcare quality reports: perspectives of report sponsors and national alliances. Am J Manag Care 2017; 23: e202-e207. Categories as an Alternative to Combining Scores. The use of composite and summary scores can encourage more consumers to use quality information and reduce information overload.
› Verified 3 months ago
› Url: https://www.ahrq.gov/talkingquality/translate/scores/combine-measures.html Go Now
› Get more: Health LifeShow List Health
APLIS - armymedicine.health.mil
Details: Health System. APLIS is hosted at seven regionally aligned Military Application Access Gateways (MAAG) sites located within the United States and internationally. APLIS currently interfaces with the Composite Health Care System (CHCS) and MHS GENESIS allowing providers to order lab results from legacy and future systems. Key Benefits
› Verified 2 days ago
› Url: https://armymedicine.health.mil/MHSHome/Reference-Center/Fact-Sheets/2019/04/12/APLIS Go Now
› Get more: Health LifeShow List Health
Uniform Assessment System for New York
Details: Welcome to the Uniform Assessment System for New York (UAS-NY), a Medicaid Redesign Team (MRT) project. The UAS-NY is a secure, web-based software application housed in the New York State (NYS) Department of Health’s (DOH) Health Commerce System (HCS).
› Verified 1 days ago
› Url: http://www.leadingageny.org/linkservid/EF08BF37-CB52-806D-CF6B7DE84054719A/showMeta/0/ Go Now
› Get more: Health LifeShow List Health
CDC Z4A051 Vol 2 URE Flashcards | Quizlet
Details: A Composite Health Care System (CHCS) admission notification letter is generated each time an active duty patient is admitted to the MTF. The admissions and dispositions report is a daily report of admissions, dispositions, change of status, newborns, and interward transfers.
› Verified 7 months ago
› Url: https://quizlet.com/303344411/cdc-z4a051-vol-2-ure-flash-cards/ Go Now
› Get more: Health LifeShow List Health
Professional Resources on Myasthenia Gravis
Details: Myasthenia Gravis: A Manual for the Health Care Provider. In 2008, MGFA published the first comprehensive manual on myasthenia gravis specifically for health care professionals. This handbook is written as an aid for health care personnel who are involved in the care and management of MG patients.
› Verified 2 days ago
› Url: https://myasthenia.org/Professionals/Resources-for-Professionals Go Now
› Get more: Health LifeShow List Health
Design for Nursing Home Compare - Home - Centers for
Details: Rating System: Technical Users’ Guide–State-Level Cut Point Tables) provides the data for the state-level cut points for the health inspection star ratings. The data table in the companion document is updated monthly. The cut points for the staffing ratings are included in Tables 3 and 4 in this Technical Users’ Guide.
› Verified 2 days ago
› Url: https://www.healthlifes.info Go Now
› Get more: Health LifeShow List Health
MHS Genesis: Background and Issues for Congress
Details: Composite Health Care System (CHCS) CHCS is a medical information system that has been in operation since 1993. 8 CHCS primarily functions as the outpatient component of the EHR, with additional capabilities to order, record, and archive data for laboratory, radiology, and pharmacy services.
› Verified 3 days ago
› Url: https://www.everycrsreport.com/reports/R45987.html Go Now
› Get more: Health LifeShow List Health
TRICARE Access Standards at CRDAMC
Details: The services of health care finders are available 24 hours a day, seven days a week. Urgent care is provided in one day or less. Routine Care - is medical care for symptoms-such as colds and flu or low-back pain, for which intervention is required, but is not urgent. The maximum waiting time for routine care is one week. Well Care - is medical ...
› Verified 1 days ago
› Url: https://www.crdamc.amedd.army.mil/TRICARE/tri-access.aspx Go Now
› Get more: Health LifeShow List Health
4A051 CDC Volume 2 Flashcards | Quizlet
Details: What information does the Composite Health Care System (CHCS) record when using the check-in record option? Date and time of record being returned Which Composite Health Care System (CHCS) component is a pattern of time slots that is specific to a provider but is not linked to any particular date?
› Verified 10 months ago
› Url: https://quizlet.com/257879823/4a051-cdc-volume-2-flash-cards/ Go Now
› Get more: Health LifeShow List Health
Composite Health Plan Quality Scales
Details: This study employs exploratory factor analysis and scale construction methods with commercial Health Plan Employers Data Information Set (HEDIS ®) process of care and outcome measures from 1999 to uncover evidence for a unidimensional composite health maintenance organization (HMO) quality scale.Summated scales by categories of care are created and are then used in a factor analysis that has ...
› Verified 3 years ago
› Url: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194991/ Go Now
› Get more: Health LifeShow List Health
Combining Quality Measures Into Composites | Agency for
Details: Composite scores represent small sets of data points that are highly related to one another, both conceptually and statistically. Combining and presenting these items as a single score reduces the potential for information overload. Learn more about Combining Measures Into Composites or Summary ...
› Verified 12 days ago
› Url: https://www.ahrq.gov/talkingquality/translate/organize/composites.html Go Now
› Get more: Health LifeShow List Health
5.1.5 Level of Care Utilization System (LOCUS)
Details: Optional reporters must complete all LOCUS fields (Composite score, Assessment date, Level of Care match) if electing to report. · A LOCUS assessment completed by another provider, agency or county can be used under select circumstances as outlined in the MHCP Provider Manual.
› Verified 7 days ago
› Url: http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=MHIS_050105 Go Now
› Get more: Health LifeShow List Health
Composite Rate: What Is It?
Details: Under the Affordable Care Act, health insurance providers for small group markets (businesses with 1-50 employees, or up to 100 employees depending on state) must provide per-member pricing, but they can also provide composite premiums if they wish.If so, they must divide the covered members into two tiers—younger than 21 and older than 21—for compositing purposes.
› Verified 2 days ago
› Url: https://www.thebalancesmb.com/what-is-a-composite-rate-4164552 Go Now
› Get more: Health LifeShow List Health
Level of Care Utilization System For Psychiatric and
Details: Level of Care Utilization System For Psychiatric and Addiction Services Adult Version 2010 Author: Wesley Sowers M.D. on behalf of American Association of Community Psychiatrists Subject: LOCUS ADULT - March 2009 Created Date: 9/9/2011 12:37:29 PM
› Verified 3 days ago
› Url: https://www.healthlifes.info Go Now
› Get more: Health LifeShow List Health
CALOCUS User's Manual
Details: The need for the Child and Adolescent Level Of Care Utilization System (CALOCUS) stems from the progressive development since the mid-1980’s of Systems of Care for children and adolescents with serious emotional disturbances. These systems have been further impacted by the development of managed care principles during the 1990’s.
› Verified 2 days ago
› Url: https://www.healthlifes.info Go Now
› Get more: Health LifeShow List Health
Quality of Care - VA.gov Home | Veterans Affairs
Details: Replaced PCMH Access composite score to scores for two Access composite questions about timeliness in getting urgent care and routine care appointments when needed. ORYX composites were replaced with three new Joint Commission composites: (1) Global, (2) Stroke and (3) Hospital-Based Inpatient Psychiatric Services (HBIPS).
› Verified 7 days ago
› Url: https://www.va.gov/QUALITYOFCARE/measure-up/SAIL_definitions.asp Go Now
› Get more: Health LifeShow List Health
CHCS - Composite Health Care System - All Acronyms
Details: related. The list of abbreviations related to CHCS - Composite Health Care System
Clinicomp Essentris User Manual
› Verified 4 months ago
› Url: https://www.allacronyms.com/CHCS/Composite_Health_Care_System Go Now
› Get more: Health LifeShow List Health
Armed Forces Health Longitudinal Technology Application
Details: AHLTA is an Electronic Health Record which was built to supplement the functionality in the Composite Health Care System (CHCS). CHCS is a practice management system (scheduling and finance) with Computerized Provider Order Entry. AHLTA allows providers to document clinical notes, place orders and select coding (ICD/CPT). ...
› Verified 3 days ago
› Url: https://en.wikipedia.org/wiki/Armed_Forces_Health_Longitudinal_Technology_Application Go Now
› Get more: Health LifeShow List Health
Essentris User Manual User
IMTEC-91-47 Medical ADP Systems: Changes in Composite
Details: The Composite Health Care System (CHCS) is a medical information system that the Department of Defense is developing for use in its more than 690 medical treatment facilities worldwide. The Congress has capped CIICS life-cycle costs at $1.6 billion. Defense is required by law to
› Verified 2 months ago
› Url: https://www.healthlifes.info Go Now
› Get more: Health LifeShow List Health
Composite Health Care System - How is Composite Health
Details: The scope of the agreement includes full integration of the 3M coding and reimbursement product suite and 3M Health Data Management System with both the Department of Defense Military Health System Composite Health Care System I (CHSC I) and Composite Health Care System II (CHCS II) the global computer-based patient record (CPR) system presently being developed within the DoD Military Health ...
› Verified 1 months ago
› Url: https://acronyms.thefreedictionary.com/Composite+Health+Care+System Go Now
› Get more: Health LifeShow List Health
New and Used Medical Equipment, Hospital Equipment
Details: DOTmed.com is a medical and hospital equipment classified advertising site for new and used medical equipment for sale or wanted, we also list refurbished medical equipment. We also offer a ...
› Verified 1 days ago
› Url: https://www.dotmed.com/ Go Now
› Get more: Health LifeShow List Health
The Composite Health Care System (CHCS) is a medical informatics system designed by Science Applications International Corporation (SAIC) and used by all United States and OCONUS military health care centers. In 1988, SAIC won a competition for the original $1.02 billion contract to design, develop, and implement CHCS.[1]
Components and characteristics[edit]
CHCS is module based: modules include RAD (radiology), LAB (Laboratory), PHR (Pharmacy), PAS (Patient Appointing & Scheduling), MCP (Managed Care Program; used to support TRICARE enrollees by enrolling them to Primary Care Managers), PAD (Patient Administration): MRT (Medical Records Tracking), MSA (Medical Service Accounting) medical billing, WAM (Workload Assignment Module), DTS (Dietetics), CLN (CLinical: Nursing, Physician, and Allied Health), DAA (Database Administration), ADM (Ambulatory Data Module) Medical Coding of outpatient visits, and TOOLS (FileMan).
Currently all appointments are booked in CHCS, except for Walk-Ins and Telephone Consults, which can now be booked in AHLTA. CHCS is a text based BBS/ANSI like display accessed via DEC VT320 terminal emulation. CHCS supports outpatient Order Entry (LAB, RAD, PHR, Consults (ancillary procedures), one-time and scheduled/multiple appointment consults. CHCS can also support Inpatient charting and Order Entry with multi-paging with a page for each ward the patient is transferred, but this feature is not fielded/enabled at many medical centers. Instead Clinicomp's Essentris product is deployed at all MHS hospitals and has replaced the use of CHCS Inpatient module for nurse charting. An interface solution to allow Essentris Orders to be transferred into CHCS order entry is being deployed.
AHLTA[edit]
Armed Forces Health Longitudinal Technology Application (commonly referred to as AHLTA) is the clinical documentation engine for the Physicians to write their notes, put in orders, document procedures performed and provide the basis of medical coding information. This information is then sent into CHCS and its subsystems (ADM - ambulatory data module) provide the official repository of the medical coding information and handle the transmission of those encounters via the Comprehensive Ambulatory Patient Encounter Record (CAPER) interface. The clinical data is brought into the M2 DataMart for use in research, operational metrics, trend analysis, and many other business intelligence processes/products. AHLTA information is also contained in a Central Data Repository (CDR). This CDR contains information from AHLTA, CHCS, and AHLTA-Theater. The AHLTA CDR is a comprehensive full scale world-wide EHR repository.
CHCS shares its original codebase with the VA's VistA system. Since its inception it has been customized for supporting the Military and their family members.
Security in CHCS works by a number of mechanisms and includes the concept of least privilege. You are assigned the minimum needed for your work duties. This limits your access to sensitive data both protected by the Privacy Act 1974 and PHI protected under HIPAA.
AdHoc reports can be written using the FileMan tools and can be quite powerful if the files are designed with that in mind. Many CHCS files are now more easily accessed with MUMPS routines that can make more efficient use of the internal data structures. More information about FileMan can be found at www.hardhats.org. CHCS, which now runs on InterSystems Caché with the MUMPS globals being converted into Caché objects and the MUMPS routines accessing them, now can be accessed with .NET tools to query the Caché database. Many facilities have developed special queries of CHCS or new tools to facilitate workflow and processes. One such tool is an intranet web application to facilitate printing of lab specimen labels to special printers with formats not possible with the regular CHCS print devices and label printing methods.
CITPO (now known as Defense Health Information Management Systems (DHIMS)) began the implementation of AHLTA, the DoD's Electronic Health Record (EHR) system, in January 2004. The system links the 481 Military Treatment Facilities (MTF) worldwide as well as service members deployed abroad to the EHR, ultimately supporting 9.2 million MHS beneficiaries. The introduction of AHLTA, previously known as the Composite Health Care System II, ushered in a significant new era in health care for the MHS and the nation. AHLTA Version 3.3.3.X with client update 9.1 currently fielded to physician and clinic staff workstations. DHIMS also manages the AHLTA-Theater program that provides EHR capabilities to deployed users with important store and forward capabilities when communications are unavailable.
AHLTA and a significant portion of CHCS are slated to be replaced by a VA/DoD interagency iEHR program. The iEHR will bring together the strong Health IT resources of both the VA and the DoD to acquire the next generation EHR capabilities for both departments.
Record Duplication[edit]
As with all large hospital information systems, there are occasions that despite training and best intentions, duplicate patient records are created. CHCS has a function to merge patients, but not to unmerge. AHLTA also has merges performed on patients in its Oracle database and successful attempts are made to un-merge patients and their associated medical/encounter data where diligent research has determined that mistakes were made with the identification of patients and to split off encounter records from patients that are blended into the single AHLTA record. Master Patient Indexing is a feature of the AHLTA Clinical Data Repository (CDR). Over 100 CHCS host systems, DEERS (Defense Enrollment Eligibility Reporting System), and AHLTA Theater (the version being used in Iraq and other areas) all contributed patients into the CDR when it was created from 25 month data pulls back in 2004. Each CHCS patient registration links into AHLTA, some link to existing patients, but others are newly created. Complexity with patient names and methods of identifying them with other demographics can lead to duplication, both in a local CHCS system and in the central AHLTA CDR. There is currently a DHIMS contract working on improving the processes and automating the routines to resolve duplicate patients and prevent their creation in future.
References[edit]
- ^Dr. J. Robert Beyster with Peter Economy, The SAIC Solution: How We Built an $8 Billion Employee-Owned Technology Company, John Wiley & Sons (2007) p.88
Essentris User Manual