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MHS GENESIS EHR System at Oak Harbor Care Site Passes Inspection

The MHS GENESIS EHR system at Naval Health Clinic Oak Harbor successfully completed an accreditation survey and inspection.

The MHS GENESIS EHR system at Naval Health Clinic Oak Harbor passed inspection and earned JC Survey accreditation.

Source: Thinkstock

By Kate Monica

- Naval Health Clinic Oak Harbor (NHCOH) is the first MHS GENESIS EHR system user to successfully complete a Joint Commission (JC) and Navy Medicine Medical Inspection General (Med IG) accreditation survey and inspection process.

In addition to being the first Department of Defense (DoD) care site to complete a JC accreditation survey and pass inspection, the naval clinic is also the first to successfully complete and pass a Primary Care Medical Home (PCMH) survey.

“The fact that we had no high risk findings at the conclusion of several years of significant Information Technology (IT) changes, the most obvious being the fielding of MHS GENESIS, along with multiple departmental moves, construction noise/delays, leadership changes and rebranding with the new name, is truly incredible,” wrote NHCOH Commanding Officer Captain Christine Sears.

“Our dedication to each other and our patients shone through as we welcomed the JC Surveyors and the MED IG inspectors and showed them how we keep our patients and ourselves safe every day,” Sears continued.

Notably, surveyors did not find any significant problems with leadership, administration, infection control, emergency management, or provision of high quality care at the naval clinic.

These findings stand in stark contrast to an Initial Operational Test and Evaluation (IOT&E) report released in April that deemed the MHS GENESIS system “not operationally effective” due to problems with clinical documentation and management. 

IOT&E Director Robert F. Behler also determined MHS GENESIS was not operationally suitable because of poor EHR system usability, insufficient training, and inadequate help desk support.

Furthermore, officials found problems with physician workflows, poorly defined user roles, and insufficient EHR system training.

The report emphasized the need for strict oversight to ensure federal EHR implementations run smoothly.

On June 21, House Veterans Affairs Committee Chairman Phil Roe (R-TN) formally announced the formation of a new oversight panel to track the VA Cerner EHR implementation process.

The oversight panel will help to ensure VA’s Cerner EHR implementation benefits from lessons learned during DoD’s MHS GENESIS deployment. MHS GENESIS is also supported by a Cerner EHR platform.

By passing JC and Med IG inspections, NHCOH demonstrated its compliance with nationally established JC and Navy standards and provided assurance that MHS GENESIS can facilitate safe, quality care delivery.

As an accredited care facility, the naval clinic is equipped to carry out quality improvement efforts. The accreditation also serves as an objective evaluation of the care site’s high level of performance to instill confidence among NHCOH patients about the quality of care delivery at the naval clinic.

Several NHCOH programs and staff received recognition and praise from inspectors for high performance. 

“I'd like to thank everyone who helped make this space shine, both physically, and with your warm welcoming attitude,” said Command Master Chief Stanley Kaneshiro. “It set the tone for learning and collaboration, rather than adversarial inspection. From the moment we greeted the team, the surveyors were smiling because of your dedication and positive first impression.”

The JC Survey is administered every three years by a civilian organization. The hospital accreditation survey is based on high patient safety and quality standards. Survey standards address areas related to organizational quality of care and environmental safety.

The survey helps NHCOH providers to identify problem areas and educate staff members about ways to improve hospital operations.

Likewise, the Med IG inspection occurs once every three years and assesses the effectiveness, efficiency, readiness, capability, and quality of care services in accordance with Secretary of the Navy, Office of the Chief of Naval Operations, and the Navy’s Bureau of Medicine and Surgery (BUMED) directives and instructions.

Med IG also assesses EHR interoperability, integration, and collaboration with other DoD care sites, as well as care sites part of other federal and civilian organizations.

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