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 What is MyHealthatVanderbilt 
 Provider and clinic benefits 
 Patient benefits 
 Features 
 Limited and Full Access 
 Sign-up process (remote) 
 In clinic sign up ( Screen savers / KIOSK) 
 What patients have message capability to message
 Increase access level 
 Increase access level in StarPanel 
 Messaging 
 Initiating messages 
 Receiving messages 
 Future reminders 
 Patient notification 
 Bounce back feature 
 Patient letter 
 Test results available for patients 
 Lab view for patients 
 Graph Labs for patients 
 Radiology results view for patients 
 Future enhancements 
 Comments or questions 
What is MyHealthatVanderbilt
is a web-based patient portal that:
 Allows patients and their doctor’s offices to communicate
 Allows patients to access their test results
 Allows patients to research and learn about their health
 Allows patients to check schedules
 Allows patients to pay bills online
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Provider and Health Care System Goals/Benefits
 Decrease burden on phone system
 Optimize staff resources by eliminating manual processes
 Electronic log of patient’s communications in their chart
 Secure electronic information exchange with patients
 Monitor patient conditions remotely
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Patients Benefits
 Patients will be involved in managing their own health
 Health information available through MyHealthatVanderbilt can
be readily accessed from anywhere
 Patients can communicate remotely across a secure portal
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My HealthatVanderbilt
This new service called “MyHealthatVanderbilt”
will offer patients the following features
 Message provider practices with whom the patients have had, or are
scheduled to have, an appointment.
 Request prescription refills
 Request non-urgent appointments
 View test results online
 View appointments, past and future
 Pay bills on-line
 Patient specific educational material customized based on individual
demographics, past medical problems, medications and seasonality.
 Complete patient history forms in advance of annual physicals or new patient
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Patients can sign up themselves for Limited Access
(messaging only—no access to privileged health information):
 Patients are able to sign up remotely for level I access
by going to
 They can be anywhere—they do not have to be at
Vanderbilt to sign up for this service
 The signup program will ask them to enter
information about themselves and will then match
their information and identify their medical record
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Increase Access Level
Converting from limited to full access
 Once patients have Limited Access, they are able to message but
do not have access to personal information or the ability to pay bills
 Patients will need to show proper identification in the clinic to
obtain Full Access
 Posters will be placed strategically throughout the clinics inviting
them to sign up for limited access before they leave and to request
full access
 Before they leave the staff are able to confirm their identity and
then bump up their level of access to Full Access in StarPanel
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Increase Access Level
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Screensaver / KIOSK Sign-up
My HealthatVanderbilt will be advertised on clinical workstations in
each of the exam rooms allowing patients to sign up while waiting
without any staff having to log them on
This is complete autopilot signup!
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Who Can Message
 The computer looks at their past and future appointments and
identifies the providers throughout VUMC that the patients have seen or
are scheduled to see
 The patients will then immediately have access to message only those
doctors with whom they have a relationship
 Since this has been in the pilot mode there have been very few clinics
We are now in the process of rolling out to all of the Medical Center
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It is very important that you understand how patient messaging
works because it is a little different than regular messaging
 Patients are able to log on to My HealthatVanderbilt remotely and send a message
to their provider’s office
 These messages always go to a designated message basket (secretary or nurse’s
basket) , mimicking what would happen if they had called on the telephone, and
should be handled in the same way
They do not go directly to the doctor’s basket
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Message From Patient
Saved to chart
To Doctor
To Nurse
To Secretary
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Initiating messages
 Patient
messages should be handled as you would handle ANY other
 Be sure to save them when complete, just like you would any other
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Initiating messages
 The only part of a message that the patient will see is when you intentionally hit the
green button. Then it ONLY sends what is currently in the text box, nothing prior to it
 The provider can dialogue back and forth with the nurse about an issue and the patient is not
able to see anything until it is finally typed into a message to the patient and sent with the green
The button . Then, only the most recent message that you type into the text box goes to the patient
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Initiating messages
 At any point when you open up a new message on a patient who
has signed up for My Health at Vanderbilt you will be able to see the
familiar green link on the right side of the message, indicating that
this is a patient you can message, and allowing you to send a
message to them
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When you send a message to the patient, the message is now
saved to the chart right away
Messages in the same thread are grouped by date in the All view. For
example, if you send 4 messages to a patient using the same thread in one
day, there will only be one entry in the All view
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 Though you may save a message to the chart, the patient can
later add to the message and it will reappear in the designated
message basket with the old text and whatever new the patient
Please remember that every time the patient sends a message to us,
even if they are responding to a question, the message goes to a
designated message basket. This prevents messages from being lost in
a basket that is not being covered if, for instance, the physician is out of
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Initiating messages to be sent in the future
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Initiating a future message
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Initiating a reminder
Future messages in the same thread can be seen when you
open the past message from the All view. For example, if
there are 2 messages in the same thread, one sent last week,
and one sent today, there will be 2 entries of that thread in the
All view. If you click on the last week message, you'll see a
button that says "Click to see all messages in this thread".
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Future Messages
 Future
messages in the same thread can be seen when you open the
past message from the All view
 For example, if there are 2 messages in the same thread, one sent last
week, and one sent today, there will be 2 entries of that thread in the All
If you click on the last week message, you'll see a button that says
"Click to see all messages in this thread".
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Patient Notification
 Every time you send a message to the patient through their My
HealthatVanderbilt account, an email will be sent to their regular email
account, notifying them that they have a message from their provider
and allowing them to click on a link that takes them to My
HealthatVanderbilt home page
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No email address listed
You will receive a message notifying you if the patient does
not have an email address listed
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Bounce Back Feature
 In the event that the patient does not check their email or if they
have not opened the message in five (5) days, the message will
“bounce back” to you notifying you of this
 Then you can mail them or call them as you normally would have
done before My HealthatVanderbilt
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Sending a Patient Letter
Yes, there is also the ability for providers who use Patient Letter to directly send
these letters to patients by the web interface with a click of the button instead of
mailing. This should reduce phone calls and typing.
It is important to understand how the system works, as you will increasingly
begin receiving patient messages into the PSR or nurse baskets, and patients
will be signing up for this service and may ask you questions.
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Lab Test For Patient View
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Test Results Available For Patient View
Laboratory and radiology results are organized into
three groups:
 Group A consists of a limited group of tests with results that have high
value for immediate patient viewing with low risk of untoward reaction to
the information (cholesterol, diabetes tests, and glucose results)
 Group B consists of the largest number of lab and x-ray result- labs will
have a 7 day delay, x-rays will have a 14 day delay allowing for the
provider to confirm the accuracy and communicate the result to the
 Group C consists of labs and x-rays that will not be released through
MyHealthatVanderbilt (e.g. HIV results, cancer pathology results, urine
 Labs immediately and never available
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Graph Labs For Patient View
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Radiology Results For Patients View
 All radiology reports will have a 14 day delay to allow for the provider
to confirm accuracy and relay explanation of test results to patients
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Future Enhancements
Coming soon…
 Accounts for minors
 Surrogate and delegate accounts
 Online forms for patients to fill out before visit
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Special acknowledgement is extended to the following members of the
team for their hard work, dedication and innovative performance
In Alphabetical Order
Julie Beauregard, Health Information Analyst
Eric Boehme, Manager, Application Development Projects
Jason Coles, Creative Web Developer
Susan Conner, Manager, Health Information Systems Projects
Jonathan Dees, Web Applications Designer
Josh Denny, Clinical Fellow, Dept Biomedical Informatics
Fern FitzHenry , Information Services Consultant
Dario Giuse, System Architect
Susan Hannasch, University Counsel
Jim Jirjis, Chair
Mark Johnson, Chief Information Security Officer
Jonquil Kelley, Patient Representative, Patient Accounting
Taneya Koonce, Assistant Director, Eskind Library
Jun Kunavut, Health System Analyst Programmer
Julia Morris, Deputy General Counsel
Irish Park, Editor
Shannon Potter, Librarian
Sue Muse, Project Coordinator
Gaye Smith, Privacy Official
Terry Smith, Director VUMC Web Development
Chenchal Subraveti, Health System Software Engineer
Michele Toungette, Marketing Manager
Jim Weaver, Project Manager
Ellen Yan, Health System Software Engineer
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Questions or Comments Contact
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