Table 3.
Comparison of Healthcare Elements and Functionality of CCHT and MHV
| Healthcare Elements | CCHT Functionality | MHV Functionality |
|---|---|---|
| Target population | Veterans with one or multiple chronic conditions | All veterans |
| Equipment/technologies | In-home: messaging/monitoring devices, biometric devices such as blood pressure cuffs and glucose meters, videophones, telemonitors, interactive voice response, digital cameras | Internet web portal |
| Access to Care | Frequent input of key vital signs and information, available for viewing at any time by the care coordinator, including viewing during patient clinic visits | Online prescription refills |
| Appointment requests (through secure messaging) | ||
| Laboratory results (in field testing) | ||
| View VA appointments and notifications (in field testing) | ||
| Secure messaging (non-urgent requests) | ||
| Advanced clinic check-in (future development) | ||
| Coordination of care | Frequent information regarding vital signs and other clinical information sent from patient to care coordinator; coordinator intervenes if data indicate patient is at risk | Store and maintain information regarding providers, treatment facilities and locations, and insurance coverage |
| Documenting test results Health calendar | ||
| VA Blue Button | ||
| My Complete Medications (both VA and self-entered medication history) | ||
| Communication (between providers and patients) | Frequent transmission of patient data to coordinator | Secure messaging between patient and health care providers |
| Coordinator contacts patient if there is a need; may also interact with provider | ||
| Disease Prevention & Health Promotion | Regular monitoring of health-related data | Wellness reminders |
| Can provide education and information on health lifestyle, and customized messages on select devices | Health risk assessments (in development) Screening tools Health education resources | |
| Self management (patient takes responsibility for care) | Reduce/avoid hospitalizations and ER visits by identifying and intervening on adverse events, knowledge deficits and negative health related behaviors | Condition-specific and Healthy Living Centers |
| Medical databases | ||
| Mental health resources Online courses and learning center My Health Goals (in development) Personal health history | ||
| Military health history | ||
| Family health history | ||
| Personal health summary | ||
| Allergies, immunizations | ||
| Food and activity journals | ||
| Medications, over the counter dugs, herbals, and supplements records, my complete medications | ||
| Veteran delegation of MHV access to family members, healthcare providers, or others of their choosing (future development) | ||
| Self monitoring | Patient information sent to care coordinator over telehealth system (patient typically does not see or have access to data) | Health eLogs (blood pressure, blood sugar, cholesterol, body temperature, weight, heart rate, pain, pulse oximetry) (only accessible to patients unless hard copy printed and shared with provider) |
| (patient records vital status over time) | ||
| Medical events log | ||
| VA prescription history |