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The Defense Department wants to develop a dynamic health and wellness assessment application that is accessible online to all service members to encourage behaviors that help them stay healthy, avoid chronic conditions, and result in lowering care costs.
The feature, which would be available through a patient portal, will have a standardized, evidence-based, core question set to enable the Military Health System (MHS) to assess the health, wellness and at-risk behaviors of its members, according to a recent Federal Business Opportunities announcement.
DOD is gauging vendor expertise on development or adoption of such an application and said it hopes to do feasibility testing in 2013 and roll out the app in 2014.
Information sources for a health assessment will include self-reported and biometric data from the DOD’s Armed forces Health Longitudinal Technology application (AHLTA), its electronic health record system, and eventually from its integrated electronic health record (iEHR) with the Veterans Affairs Department, along with potentially other sources, such as mobile apps and data captured from members’ purchased private sector care.
Following evaluation of health data, DOD members would receive an online "Well-Being Plan," in addition to a medical team, which has not only been specifically designated to them but which would also receive the plan at the point of care.
The Well-Being Plan consists of a personalized summary of the overall health of each beneficiary and offers steps they can take to improve their future status.
“Moving from health care to health requires a baseline assessment of health and wellness to enable data-driven decisions,” DOD said in the request for information.
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Currently, health assessments are stove-piped within DOD and cannot provide aggregate data or risk assessments at the point of care, and so they are unable to result in a personal prevention plan. They also cannot provide summary data for population health studies. Health screenings are required only for active duty service members, according to the document.
Incorporating predictive and system-based simulation models into the health assessment process will enable evaluation of individual health risks and their consequences, resulting in the generation of a personal prevention plan for each member.
The Well-Being Plans will ultimately support service workflows through their delivery to beneficiaries, their primary care providers and the patient-centered medical home team with summary risk assessment data at the point of care, DOD said.