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2011 HSR&D National Meeting Abstract

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2011 National Meeting

2006 — Opportunities for the New eHealth QUERI: Developing Approaches to Increase Veteran Adoption and Use of My HealtheVet (MHV)

McInnes DK (Bedford VA Medical Center), Hogan TP (Hines VA Hospital, Chicago), Turvey CL (Iowa City VA Hospital), Nazi KM (Veterans and Consumers Health Informatics Office, Washington DC), Houston TK (Bedford VA Medical Center)

Workshop Objectives:
VA is launching a new QUERI center for eHealth with substantial focus on expanding My HealtheVet (MHV). MHV is integral to VA’s Transformation to New Models of Care. MHV features, e.g. secure messaging, prescription refilling, contribute to Patient-Aligned Care Team goals by facilitating patient communication with health care teams. Achieving these goals depends on increasing patient enrollment in MHV, including the registration and identity checking known as in-person authentication (IPA). Unfortunately, available evidence suggests that the IPA process itself may pose a barrier to MHV use for some VA patients. Additionally, many veterans lack awareness of MHV or lack skills in using computers and the Internet. Through brief presentations and a group activity, this workshop will explore interventions to overcome barriers to MHV use and promote rapid system adoption. Speakers will describe ongoing implementation research for enrolling and engaging veterans with MHV; breakout groups will be asked to brainstorm and develop novel, effective approaches to spread MHV adoption throughout VA.

Activities:
We will review MHV adoption and use statistics, and describe the broad goals of the eHealth QUERI. Three implementation research projects relating to MHV adoption will be presented: (1) Bedford and Boston VAs are conducting group trainings in Internet and MHV use for veterans with HIV and hepatitis, covering registration, evaluating online health information, and transacting with the MHV; (2) Hines (Chicago) VA is studying 792 patients and 26 providers, comparing “basic” to “enhanced” MHV promotional campaigns in two Spinal Cord Injury Centers; and (3) Iowa City VA is teaching rural veterans to maintain medication lists in MHV and to share them with VA and non-VA providers. After presentations, small groups will discuss and propose additional innovations for increasing MHV adoption, addressing questions such as: What methods work to encourage MHV use for older and less computer-savvy Veterans? What social marketing elements are feasible and effective in VAMCs? How can clinicians be engaged to help promote MHV to Veterans? Workshop results will be summarized and included in the annual eHealth QUERI report.

Target Audience:
Those interested in informatics to improve health care access, information, communication, and outcomes.

Assumed Audience Familiarity with Topic:
None


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