School project, enjoy :)

1. Practicum Presentation
Phuong Le
HIT170
Session A
Walter Reed National Military Medical Center

2. Table of Contents
 Overview of facility
 Organizational structure
 Community it serves
 Visions and Missions
 Accreditation & JCAHO
 Medical Services
 Hospital Employs
 How records are handled
 Composite Health Care System (CHCS)
 CHCS features
 Armed Forces Health Longitudinal Technology Application (AHLTA)
 AHLTA features
 Privacy
 Security
 What I’ve learn in practicum?
 Bibliography

3. Overview of facility
Walter Reed National Military Medical
Center is the Navy’s third largest health system
with total budget of $12.8 billion dollar annually.
Over 1.8 billion service men, women and their
families are served at the facility. Walter Reed
National Military Medical Center is the
headquarters for the regional health care
system. It is best known for its history of
providing care to war heroes and presidents
alike for the past 65 years.
U.S. Navy. (2011, 04). About Us Walter Reed National Military Medical Center. Retrieved 11 12,
2011, from Welcome to the Walter Reed National Military Medical Center (WRNMMC):
http://www.bethesda.med.navy.mil/Visitor/About_Us/index.aspx

4. Overview Continue…
• Location:
– Walter Reed National Military Medical Center
8901 Rockville Pike
Bethesda, MD 20889-5600
(301) 295-4611; toll-free 1-800-526-7101
www.bethesda.med.navy.mil
• 243 Acres
• 88 Buildings
• 257 Total Beds
U.S. Navy. (2011, 04). About Us Walter Reed National Military Medical Center. Retrieved 11
12, 2011, from Welcome to the Walter Reed National Military Medical Center (WRNMMC):
http://www.bethesda.med.navy.mil/Visitor/About_Us/index.aspx

5. Illustration
http://www.usuhs.mil/usuhs/images/future.jpg

6. Organizational Structure

7. Community it serves
It covers different facilities in five
different states, Northern Virginia, Maryland,
Pennsylvania, West Virginia, New Jersey,
and the District of Columbia.
U.S. Navy. (2011, 04). About Us Walter Reed National Military Medical Center. Retrieved 11 12,
2011, from Welcome to the Walter Reed National Military Medical Center (WRNMMC):
http://www.bethesda.med.navy.mil/Visitor/About_Us/index.aspx

8. Visions and Missions
Vision
• We are the epicenter of change in military medicine, leading the way to an integrated
continuum of world-class patient and family-centered care.
Mission
• As the Flagship of Navy Medicine:
• We provide the nation's best Warrior care.
• We value our patients and staff.
• We maximize readiness and promote wellness for our Uniformed Services.
• We provide quality patient and family-centered care.
• We develop and export innovation through research in healthcare.
• We lead the way in integration for the National Capital Area healthcare system.
• We provide robust education and professional development programs.
• We serve as a resource for homeland defense and humanitarian assistance.
• We care for the President and the Nation's leaders
U.S. Navy. (2011, 04). About Us Walter Reed National Military Medical Center. Retrieved 11 12, 2011,
from Welcome to the Walter Reed National Military Medical Center (WRNMMC):
http://www.bethesda.med.navy.mil/Visitor/About_Us/index.aspx

9. Accreditation & JCAHO
•JCAHO is
an independent, not-forprofit organization.
• The Joint Commission
accredits and certifies
more than 19,000 health
care organizations and
•Ranked superior in ratings programs in the United
received from the Joint
States.
Commission on the
• Their certification is a
Accreditation of Healthcare symbol of quality
Organizations (JCAHO).
performance standards
that is recognized
nationwide .
HONcode standard for trustworthy health information. (2011, 12). About The Joint
Commission. Retrieved 12 01, 2011, from The Joint Commission:
http://www.jointcommission.org/about_us/about_the_joint_commission_main.aspx

10. Medical Services
Scope of care includes:
–
–
–
–
–
–
–
Cardiology
Immunology
Gastroenterology
Dermatologic
General medicine
Hematology
Oncology
–
–
–
–
–
–
–
–
Nephrology
Optometry
Psychiatric
Rheumatology
Infectious disease
Endocrinology
Pulmonary
Pediatric services
U.S. Navy. (2011, 04). About Us Walter Reed National Military Medical Center. Retrieved 11 12,
2011, from Welcome to the Walter Reed National Military Medical Center (WRNMMC):
http://www.bethesda.med.navy.mil/Visitor/About_Us/index.aspx

11. Hospital Employs
Employees
• Federal and military
active duty health care
professionals.
• The medical team
include a
physician, RN, LPN and
medical technicians.
Patient support services
includes
• Medical Record Technicians
• Admissions and disposition
clerks
• Arts and recreation
• Housing and finance
U.S. Navy. (2011, 04). About Us Walter Reed National Military Medical Center. Retrieved 11
12, 2011, from Welcome to the Walter Reed National Military Medical Center (WRNMMC):
http://www.bethesda.med.navy.mil/Visitor/About_Us/index.aspx

12. How records are handled
– EHR systems:
• Composite Health Care System
(CHCS)
• Armed Forces Health Longitudinal
Technology Application (AHLTA).
U.S. Navy. (2011, 04). About Us Walter Reed National Military Medical Center. Retrieved 11 12,
2011, from Welcome to the Walter Reed National Military Medical Center (WRNMMC):
http://www.bethesda.med.navy.mil/Visitor/About_Us/index.aspx

13. Composite Health Care System (CHCS)
• Definition: an intergraded system to
unite different departments in the facility,
such as, medical departments, hospital
wards, clinics, labs and pharmacies
records together.
DHIMS Program Office. (2011). The Theater Medical Information Program Composite Health Care
System Cache allows military health care providers to access and document inpatient health care, order
ancillary services and view results in the deployed environment. Retrieved 11 21, 2011, from TC2
DEPLOYED INPATIENT DOCUMENTATION SOLUTION: http://dhims.health.mil/docs/factsheetTMIP_Composite_Health_Care%20System_Cache.pdf

14. CHCS Features
• Manages inpatient
• Schedules outpatient clinic
functions including
and radiology procedures
pharmacy, laboratory and Supports documentation of
•
radiology activities
clinical medicine (inpatient
• Uploads monthly inpatient care)
data record reports
• Provides database
• Uploads real-time
administration option and
admissions, transfers and patient administration
discharges.
• Allows for order
• registration procedures entry/results retrieval
• indexing procedures • Provides
• billing
clinical, surgical, progress, dis
charge, dietetics, pre- and
post-operative notes
DHIMS Program Office. (2011). The Theater Medical Information Program Composite Health Care System
Cache allows military health care providers to access and document inpatient health care, order ancillary
services and view results in the deployed environment. Retrieved 11 21, 2011, from TC2 DEPLOYED
INPATIENT DOCUMENTATION SOLUTION: http://dhims.health.mil/docs/factsheetTMIP_Composite_Health_Care%20System_Cache.pdf

15. Armed Forces Health Longitudinal
Technology Application (AHLTA)
• Definition: software program to access
electronic health record data stored in the
central repository system.
AHLTA.us. (2006-2011). Armed Forces Health Longitudinal Technology Application. Retrieved 11 20, 2011, from
AHLTA: http://www.ahlta.us/about.php

16. AHLTA features
• Useful:
– Registration procedures
– Indexing procedures
– Billing
• Powerful: available 24/7.
• Legible: records are complete, accurate and clear.
• Secure: Only authorized users can access records and they
are protected from natural or man-made disasters.
• Easy Access: 25 months of laboratory, anatomic pathology,
pharmacy and radiology data is pre-entered.
• Knowledgeable: Offers healthcare providers wellness
reminders for their patients.
• Efficient: ensures that costly tests, labs and scans are not
needlessly duplicated.
• Proactive: AHLTA provides critical information that lets
healthcare providers know about disease outbreaks, allowing
early intervention in targeted populations.
AHLTA.us. (2006-2011). Armed Forces Health Longitudinal Technology Application. Retrieved 11 20, 2011, from
AHLTA: http://www.ahlta.us/about.php

17. Privacy
• Protects the privacy of individually identifiable
health information by :
– Provide information to patients about their privacy
rights and how their information can be used.
– Clear privacy procedures.
– Train employees so that they understand the privacy
procedures.
– Designate an individual to be responsible for ensuring
that the privacy procedures are adopted and followed.
– Secure patient records containing individually
identifiable health information so that they are not
readily available to those who do not need them.
U.S. Navy. (2011, 04). About Us Walter Reed National Military Medical Center. Retrieved 11 12,
2011, from Welcome to the Walter Reed National Military Medical Center (WRNMMC):
http://www.bethesda.med.navy.mil/Visitor/About_Us/index.aspx

18. Security
• CHCS and AHLTA use reliable methods for
identifying who is authorized to look at what data
and to modify clinical documents.
• Control access by users through authentication:
– Series of passwords
– Authorizations
– Identifications
DHIMS Program Office. (2011). The Theater Medical Information Program Composite Health Care System
Cache allows military health care providers to access and document inpatient health care, order ancillary
services and view results in the deployed environment. Retrieved 11 21, 2011, from TC2 DEPLOYED
INPATIENT DOCUMENTATION SOLUTION: http://dhims.health.mil/docs/factsheetTMIP_Composite_Health_Care%20System_Cache.pdf

19. What I’ve learn in practicum?
• I have learn to:
– Analyze, and create the End-of-Day Medical Discharge
Summary Report
– Identify duplicate records in the Master Patient Index
– Enter medical records into Practice Fusion
– Create a deficiency slip
– Evaluate Medical Systems
– Develop an organization chart in Power Point
– Keep a Practicum Journal
– Practice RHIT exam questions
• I have learn about:
–
–
–
–
Ethical Standards in Practice
The HIM Department and Medical Records Systems
EHR systems
Data integrity
• My practicum experience was pleasant and informative.

20. Bibliography
AHLTA.us. (2006-2011). Armed Forces Health Longitudinal Technology Application.
Retrieved 11 20, 2011, from AHLTA: http://www.ahlta.us/about.php
Biohealthmatics.com. (2006, 04). CLINICAL INFORMATION SYSTEM. Retrieved 11
28, 2011, from Biohealthmatics.com:
http://www.biohealthmatics.com/technologies/his/cis.aspx
DHIMS Program Office. (2011). The Theater Medical Information Program Composite
Health Care System Cache allows military health care providers to access and
document inpatient health care, order ancillary services and view results in the
deployed environment. Retrieved 11 21, 2011, from TC2 DEPLOYED
INPATIENT DOCUMENTATION SOLUTION:
http://dhims.health.mil/docs/factsheetTMIP_Composite_Health_Care%20System_Cache.pdf
HONcode standard for trustworthy health information. (2011, 12). About The Joint
Commission. Retrieved 12 01, 2011, from The Joint Commission:
http://www.jointcommission.org/about_us/about_the_joint_commission_main.asp

21. The End