Back to Top Skip to main content

MHS GENESIS improves patient experience for military families

Image of a military doctor and a family Air Force Maj. (Dr.) Joseph Migliuri and the Doberman family pose for a photo after the pediatrician used MHS GENESIS, the new electronic health record, to condense their scheduled appointments. [Note: Migliuri was a captain at the time of this photo.](Courtesy Photo.)

Recommended Content:

MHS GENESIS | Coronavirus

In 2017, Air Force Maj. (Dr.) Joseph Migliuri, a pediatrician at Fairchild Air Force Base in Spokane, Washington, became an early adopter of the Department of Defense’s new, modern electronic health record—MHS GENESIS.

Looking back, Migliuri acknowledges the initial rollout carried with it a steep learning curve. Now, more than three years into the integration, he sees dividends from the time and investment made by staff, especially during the current pandemic.

When COVID-19 led the governor of Washington to issue a stay-at-home order in March, Migliuri’s practice quickly adapted and moved to nearly 100% virtual visits using MHS GENESIS. As the state progressed into the first phase of reopening, his office adjusted to around 80% virtual care for nearly two months.

Using the scheduling feature to triage necessary in-person clinical care and visits that could take place transformed his practice. About half of his patient visits are now virtual. “It eliminates access issues and allows for safer care for families and staff,” he said. “It has really shifted our clinic workflow.”

Recently, when a military parent called about her child’s sore throat, Migliuri consulted using video telemedicine and confirmed a likely diagnosis of bacterial strep. “I was able to determine there were enough features of strep that we could proceed with treatment without an in-person clinic visit and swab,” he said. “To maintain social distancing and limit exposure, I e-prescribed amoxicillin through MHS GENESIS to a civilian drive-thru pharmacy near the patient's home.”

The ability to seamlessly prescribe medications electronically and send them to civilian pharmacies, which often have drive-thru windows, has been a benefit of using MHS GENESIS during COVID-19, Migliuri said. But the biggest benefit for his practice has been scheduling functionality that allows his office to take ownership of patient schedules and flex within the system.

“MHS GENESIS allows us to control the chaos of what is going to come in that day and make it manageable,” said Migliuri. “The extra autonomy gained by the provider and staff trickles down to the families and patients and allows for happier staff and families.”

That same autonomy thanks to MHS GENESIS—providers managing schedules with an easy click of a button—helped a military family with nine children. A year ago, Migliuri’s office rescheduled separate visits for the family’s children when the familiar calendar-like view within MHS GENESIS allowed a staff member to see the family had been booking up to three different appointments at a time to bring in all nine children for a visit.

“Within minutes, we rescheduled them all into one morning,” he said. “MHS GENESIS provides a lot of flexibility with our schedule to provide better care for our families.”

Watching the siblings interact in his office was a priceless moment giving Migliuri better insight into the family under his care. “This family has been in the military their entire lives and has never been able to come into a pediatric clinic all together,” he said. “I saw the interactions of all the siblings that day, and as their pediatrician, I feel more of a link to the whole family now. That was a morning I would never even have imagined before MHS GENESIS.”

Using a wireless workflow and the ability to be in multiple charts at once also helped ensure accuracy when ordering medications and referrals during the family’s visit.

As a pediatrician, Migliuri considers continuity of care for children to be top of mind as they grow up within the MHS amid permanent change-of-station moves that are a normal part of military life. A single electronic health record that stays with the child regardless of location and physician can only benefit the patient’s point of care, he said.

“Continuity of care helps us better know our patients right away. The faces may change for our patients every summer as they move to a new base or our doctors move to a new base, but the record system is continuous,” he added.

You also may be interested in...

COVID-19 amplifies importance of Trusted Care culture

Article
10/29/2020
Image of soldier holding up a badge that says "Trusted Care."

The goal is to create a team of innovators focused on patient safety.

Recommended Content:

Coronavirus

JBLM hosts vital blood drive during COVID-19

Article
10/29/2020
Soldier giving blood

To maintain social distancing requirements, all blood drives are by appointment only.

Recommended Content:

Armed Services Blood Program | Public Health | Coronavirus

MHS GENESIS, DoD’s new EHR system, lands at Edwards AFB

Article
10/27/2020
Military personnel standing and sitting at a desk with multiple computer screens

MHS GENESIS is being implemented at DOD hospitals and clinics in a phased approach over the next several years.

Recommended Content:

MHS GENESIS

WRNMMC expands innovation and opens new, permanent drive-thru pharmacy

Article
10/23/2020
Military pharmacist, wearing a mask, looking at bags of prescriptions

The new Prescription Drive-Thru Pick-up will operate similarly as the curbside pharmacy pick-up.

Recommended Content:

Research and Innovation | Combat Support | Public Health | Coronavirus | Health Literacy Month 2020

Updated Guidance for Performing Temperature Checks at Military MTFs and DTFs

Publication
10/21/2020

This guidance is an update to Defense Health Agency Return to Full Operations Concept of Operations, V5.0 (June 12, 2020) as it pertains to temperature checks in MTFs and DTFs. Based on recommendations from the Centers for Disease Control (CDC), previous guidance directed MTFs to take the temperature of all individuals entering the facility. Effective immediately, temperature checks are not required; however, screening of individuals entering MTFs and DTFs and healthcare personnel on duty in the MTF or DTF is to continue.

Recommended Content:

Coronavirus

Fort Irwin DENTAC strives to reach readiness perfection

Article
10/21/2020
Image of patient getting a dental exam

To accommodate an entire installation, the dental clinic extended its hours.

Recommended Content:

Public Health | Coronavirus | MHS GENESIS | Combat Support

Specialized robots used to disinfect NH TwentyninePalms

Article
10/21/2020
Hospital personnel standing with a cleaning robot

The robotic units are designed to complement manual cleaning.

Recommended Content:

Public Health | Coronavirus

Navy pharmacy techs support COVID-19 and MHS GENESIS efforts

Article
10/20/2020
Navy personnel in a pharmacy

Hospital Corpsman 1st Class Aaron Souders is highlighted for his work as a Navy pharmacy technician.

Recommended Content:

Coronavirus | MHS GENESIS | Combat Support

Navy tele-health supports Guam civilian hospital during COVID-19

Article
10/19/2020
Woman sitting in front of several computer monitors

[T]his is the first-ever DoD tasking for telemedicine support in response to a request from civil authorities for aid.

Recommended Content:

Coronavirus | Combat Support | Global Health Engagement

Navy unit provided COVID-19 support to Peruvian First Responders

Article
10/16/2020
Fireman getting COVID test in firehouse garage

The province of Callao has the second highest number of COVID-19 cases in Peru.

Recommended Content:

Coronavirus | Global Health Engagement

COVID-19 Social Media Toolkit

Publication
10/16/2020

These messages are provided for you to use on your platforms with any of the images from the COVID-19 Toolkit.

Recommended Content:

Coronavirus

DoD COVID-19 Practice Management Guide Version 6

Technical Document
10/16/2020

This Practice Management Guide does not supersede DoD Policy. It is based upon the best information available at the time of publication. It is designed to provide information and assist decision making. It is not intended to define a standard of care and should not be construed as one. Neither should it be interpreted as prescribing an exclusive course of management. It was developed by experts in this field. Variations in practice will inevitably and appropriately occur when clinicians take into account the needs of individual patients, available resources, and limitations unique to an institution or type of practice. Every healthcare professional making use of this guideline is responsible for evaluating the appropriateness of applying it in the setting of any particular clinical situation. The Practice Management Guide is not intended to represent TRICARE policy. Further, inclusion of recommendations for specific testing and/or therapeutic interventions within this guide does not guarantee coverage of civilian sector care. Additional information on current TRICARE benefits may be found at www.tricare.mil or by contacting your regional TRICARE Managed Care Support Contractor.

Recommended Content:

Coronavirus

DHA Director outlines how MHS standardization bolsters reform

Article
10/15/2020
Two soldiers in masks, talking

How COVID-19 repositioned the best laid plans of the DoD.

Recommended Content:

Coronavirus | Joint Health Information Exchange | MHS GENESIS | MHS Transformation

Annual flu vaccine remains a health priority during COVID-19 era

Article
10/13/2020
Military personnel getting flu shot

Annual vaccine is a covered TRICARE benefit.

Recommended Content:

Immunization Healthcare | Vaccine-Preventable Diseases | Public Health | Coronavirus

Pilot DoD/VA hearing program virtually trains technicians

Article
10/9/2020
Military personnel sitting in front of laptop

HCE virtually trains hearing technicians during COVID-19.

Recommended Content:

Coronavirus | Hearing Loss
<< < 1 2 3 4 5  ... > >> 
Showing results 1 - 15 Page 1 of 23

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or learn more about PDFs.