It allegedly has an integrated anesthesia EMR, so I expect Innovian will go away. I've used the Cerner anesthesia EMR in the past, and it was pretty good, so I'm cautiously optimistic that this particular module won't suck.
Knowing how the government works, the last 15 years of case data in the Innovian database will be deleted and lost, or at least functionally impossible to access for any data mining, QA, or PI projects. I mean, it's always been functionally impossible to do any of that kind of work, but I fear the data itself will be just lost when the switch happens.
Nope. No command prompt system. There is not way to put in orders without some sort of documentation. And any order, other than medications, requires an actual encounter created by a corpsman/nurse. For anyone that enjoys efficiency and getting things done, be prepared for your workflow to be hindered.
Balboa transitions in January. Hope you aren't there during the transition, it's pretty brutal. I think they'll benefit from learning from Pendleton's transition, but still, it's tough.We have to do MHS Genesis training in January before we go to clerkships in San Diego. Is it being used there now? When I was enlisted there it was still Essentris, etc.
I get there mid Feb. Hope they’re done by then.
I had really high hopes for this, as I was expecting it to be like Epic. But it is most definitely no where near as good as Epic (while there are no good EMR systems, Epic probably is the best in my opinion).
To be fair, I haven't been using it very long and maybe once I learn more on how to use it, it'll make more sense
I feel bad for your wife. All our super users are hating their lives right now. But I think a lot of my complaints are more problematic with the operational side - specifically a Marine Centered Medical Home that doesn't have the resources or training to actually be a MCMH.My wife just went through super user training at Balboa so she can probably assist if needed.
I'm enjoying Epic during my one year "as a civilian"....then I'll be welcomed back to MilMed with Genesis in full swing. That being said, I have been using Epic for 4 months now and still feel slightly less efficient than I was with AHLTA/Essentris but only because I spent 8+ years mastering efficiency with the latter. I'm sure by the end of this year I'll be 2x faster than I was with AHLTA/Essentris and then hit a wall trying to figure out Genesis back in MilMed land. Oh well, such is life.
Makes sense. I'm just surprised at how little customization was done for the DoD (at least from my limited perspective). I'm sure a lot was done behind the scenes to get it to communicate immunizations to MRRS and things like that, but the workflow things just don't make sense. The ability for a corpsman to sit down and crank through mass orders with CHCS was great. We recently had 9 corpsmen take 2 hours to input 300 COVID swabs for a deploying unit. That could've been done by two corpsman in less than 2 hours, or one corpsman if they knew how to use macros.But, I understand why the DoD didn't select epic, and it has nothing to do with cost. Epic is fraught with IT vulnerabilities; a 13-yo Russian hacker would have a field day with it. So how do other hospital networks deter the hackers? They do so with very tight security measures that are easy to maintain on a small, local network (very unlike the DoD network, which is global, and gets pinged by said hackers 100 times per minute). Epic, like most civilian software (Zoom, etc, etc) can't meet the DoDs standards for security.
Instead of Genesis, I just wish they had fixed the glitches in AHLTA and made is more use friendly. It's already coded in visual basic, would have been very easy to do.
To be fair, I haven't been using it very long and maybe once I learn more on how to use it, it'll make more sense. And I'm not like one of those people that's constantly complaining saying we need to switch back, I'm trying to learn how to use what we've got, but I'm just making you all aware that this is a BAD system. Whoever decided to pick this probably works in some ivory tower somewhere and hasn't been a junior medical officer in an operational setting, or even an outpatient clinic.
Please hook me up with the knowledge when you get the chance.Dang, I wish I wasn’t on my phone so I could address some of the items you listed in your post. I’m not a huge fan of genesis, but I’ve been using it for almost three years and our team RN is a superuser. Believe it or not, there are solutions to many of the issues you mentioned. Much trial and error, and many fu€ks were given to figure them out. Ordering labs, xrays, meds, etc. can easily be done outside of an encounter and there’s also a tcon function that works decently and none of it involves sending yourself a message. Frustrating? Oh hell yes. Somewhat manageable so you don’t go completely insane? Close to yes.
GAO wants the VA to stop the rolloutAny updates on the rollout of Genesis? I haven’t heard anything in months