BUMED 033301Z JUN 2004

FM BUMED WASHINGTON DC//alt="NEHC Index"//
TO AIG 7783
NAVENVIRHLTHCEN PORTSMOUTH VA//PH//
INFO BUMED WASHINGTON DC//M3M/MF3/M6//
UNCLAS //N00000//
MSGID/GENADMIN/BUMED WASHINGTON DC/alt="NEHC Index"/JUN//
SUBJ/MEDICAL IMPLEMENTATION OF POPULATION HEALTH NAVIGATOR AND
/METRICS//
REF/A/DOC/DOD-TMA/YMD:20011211//
REF/B/DOC/CDC-DOD/YMD:20030822//
REF/C/DOC/BUMED WASHINGTON DC/YMD:20031223//
REF/D/DOC/DOD-ASD(HA)/YMD:20030124//
REF/E/DOC/BUMED WASHINGTON DC/YMD:20031105//
NARR/REF A IS DOD POPULATION HEALTH IMPROVEMENT PLAN AND GUIDE.
REF B IS DODD 1010.10 HEALTH PROMOTION AND DISEASE/INJURY
PREVENTION DOD DIRECTIVE.  
REF C IS LTR SER M09B4/3U090106/23DEC03
THAT TASKS THE NAVY ENVIRONMENTAL HEALTH CENTER (NEHC) TO LEAD
IMPLEMENTATION OF POPULATION HEALTH NAVIGATOR (PHN).  
REF D IS DOD 6025.18-R DOD HEALTH INFORMATION PRIVACY REGULATION.  
REF E DIRECTS ALL MEDICAL TREATMENT FACILITIES (MTFS) TO DEVELOP AN ANNUAL
COMPREHENSIVE BUSINESS PLAN AND TRACK SPECIFIC POPULATION HEALTH
METRICS.  REF E IS AVAILABLE AT WEBSITE
NHSO.MED.NAVY.MIL/NEWIMAGE/QUICK/BBPT/SG%20BUSINESS%20PLANNING%20LETTER.PDF//

RMKS/1.  THIS MSG AMPLIFIES REFERENCES A AND B, AND PROVIDES
GUIDANCE ON IMPLEMENTING POPULATION HEALTH METRICS FOR NAVAL MTFS.

2.  THE POPULATION HEALTH NAVIGATOR (PHN) PROGRAM WAS DESIGNATED BY
THE POPULATION HEALTH INTEGRATED PROCESS TEAM (IPT) (PER REF C) AS
THE WEB-BASED MEDICAL INFORMATICS TOOL TO BE UTILIZED BY NAVAL MTFS.

   A.  PHN PROVIDES STANDARDIZED METRICS AND DISEASE/CONDITION
MANAGEMENT QUERIES FOR 6 PREVENTIVE SERVICES AND 10 DISEASES OR
CONDITIONS TO ASSIST WITH PATIENT TRACKING AND POPULATION HEALTH
INITIATIVES.

   B.  IT ALSO PROVIDES ACTION LISTS WITH PATIENT SPECIFIC
INFORMATION THAT CAN BE DOWNLOADED INTO EXCEL AND ACCESS PROGRAMS.

   C.  PHN METHODOLOGY, USERS GUIDES, AND OTHER DOCUMENTATION ARE
AVAILABLE WITHIN THE PHN PROGRAM OR BY CONTACTING NEHC STAFF.

   D.  METRICS ARE BASED ON HEALTH PLAN EMPLOYER DATA AND
INFORMATION  STANDARDS  (HEDIS) AND METHODOLOGY PUBLISHED BY THE
NATIONAL CENTER FOR QUALITY ASSURANCE.  HEDIS STANDARDS ARE USED BY
LARGE HEALTHCARE DELIVERY ORGANIZATIONS, CONGRESS AND DOD HEALTH
AFFAIRS TO MEASURE MTF PERFORMANCE.

   E.  TRICARE MANAGEMENT ACTIVITIES (TMA) HAS PURCHASED 33 SITE
LICENSES OF THE HEDIS METHODOLOGY FOR DISTRIBUTION TO EACH NAVAL MTF
PARENT COMMAND.  COPIES REQUIRE STRICT LICENSING AGREEMENTS AND CAN
BE OBTAINED BY CONTACTING NEHC STAFF.

   F.  ACCESS TO PHN IS LIMITED FOR EACH MTF.  MTF LEADERSHIP SHOULD
DESIGNATE REPRESENTATIVES WHO CAN OBTAIN AN ACCOUNT FROM BUMED.
BUMED POC IS MS. ELIZABETH RUSCHMEIER, /BUMED/TEL:
202-762-3139/EMAIL EMRUSCHMEIER@US.MED.NAVY.MIL.  PHN TECHNICAL
ASSISTANCE CAN BE OBTAINED BY CONTACTING:
PHN.TECH@NEHC.MAR.MED.NAVY.MIL.

   G.  PER REF D, ALL PHN USERS MUST ABIDE BY CURRENT PRIVACY ACT
AND HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA)
SECURITY MEASURES.  THIS INCLUDES LIMITED AND SECURE DISTRIBUTION OF
PATIENT INFORMATION AND SECURITY OF SHARE DRIVES OR PORTABLE MEMORY
STORAGE DEVICES.

3.  REF E DIRECTS ALL NAVAL MTFS TO REPORT FOUR SPECIFIC CLINICAL
METRICS THAT ARE CALCULATED FROM THE PHN TOOL.  THESE METRICS
REPRESENT OPPORTUNITIES FOR PRIMARY, SECONDARY AND TERTIARY
PREVENTION AND ARE CHARACTERISTIC OF PREVENTIVE, ACUTE AND CHRONIC
CARE CONDITIONS SEEN AT MOST MTFS.  THESE METRICS ARE SUPPORTED BY
THE EVIDENCE BASED HEALTHCARE ADVISORY BOARD, DIABETES ACTION TEAM,
AND ASTHMA ACTION TEAM.  THEY WILL ASSIST CURRENT EFFORTS TO PROVIDE
QUALITY HEALTHCARE AND REALIZE SHORT- AND LONG-TERM COST SAVINGS.
THE DESIGNATED METRICS ARE:
   A.  PERCENTAGE OF CONTINUOUSLY ENROLLED DIABETES PATIENTS AGE
18-75 WITH HEMOGLOBIN A1C LESS THAN OR EQUAL TO 9.5%.
   B.  PERCENTAGE OF CONTINUOUSLY ENROLLED DIABETES PATIENTS AGE
18-75 WITH LDL CHOLESTEROL LESS THAN 130MG/DL.
   C.  PERCENTAGE OF CONTINUOUSLY ENROLLED ASTHMA PATIENTS
AGE 5-56 PRESCRIBED LONG TERM MEDICATIONS.
   D.  PERCENTAGE OF CONTINUOUSLY ENROLLED FEMALE PATIENTS AGE 52-69
WITH CURRENT MAMMOGRAM.

4.  THE FOUR SELECTED METRICS ARE GRAPHICALLY DISPLAYED AS A
DASHBOARD TO ALLOW COMPARISONS WITH OTHER MTFS, NAVY AVERAGES AND
NATIONAL BENCHMARKS.  DRILLDOWN CAPABILITY IS PROVIDED TO BRANCH
CLINIC LEVEL.
   A.  GRAPHS WILL INITIALLY BE UPDATED QUARTERLY AND ARE AVAILABLE
AT WEBSITE: DATAUALITY.MED.NAVY.MIL/RECONCILE/POHEALTH/
   B.  GRAPHS ARE ALSO AVAILABLE VIA NMO AS PART OF A RESOURCE KIT.
THIS POPULATION HEALTH KIT CAN BE VIEWED BY CLICKING ON THE RESOURCE
KIT TOOL ICON UNDER THE "MY TOOL KITS" TAB.

5.  FOR ASSISTANCE WITH IMPLEMENTATION OF POPULATION HEALTH
INITIATIVES OR OTHER AVAILABLE RESOURCES CONTACT YOUR LOCAL
HEALTHCARE SUPPORT OFFICE (HLTHCARE SUPPO) REPRESENTATIVE OR NEHC
CLINICAL EPIDEMIOLOGY DEPARTMENT.  COMMENTS AND QUESTIONS SHOULD BE
ADDRESSED TO: NEHC LCDR A. M. VON THUN TEL: 757-953-0970/EMAIL:
VONTHUNA@NEHC.MED.NAVY.MIL  OR CDR J. E. LAMAR TEL: 757-953-0963,
EMAIL: JELAMAR@MAR.MED.NAVY.MIL.

6.  WE SOLICIT YOUR SUPPORT WITH IMPLEMENTATION OF PHN TO IMPROVE
MANAGEMENT OF POPULATION HEALTH WITHIN NAVY
MEDICINE.//