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eScreening

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eScreening is a web based tool which allows Veterans to complete clinical screenings remotely at their convenience. Veteran submitted data can satisfy clinical reminders, generate health factors, create an unsigned editable note, and satisfy measurement based care for mental health. eScreening can be used to complete standardized national measures and customizable assessments. eScreening was developed by the Center of Excellence for Stress and Mental Health (CESAMH) at VA San Diego in 2012. Learn more at https://dvagov.sharepoint.com/sites/vhaescreening

This innovation is replicating across multiple facilities as its impact continues to be validated. See more replicating innovations.

Adoptions:

19 successful, 18 in-progress

Awards and Recognition:

Named Gold Standard Practice by Under Secretary of Health, 2016, Diffusion of Excellence Promising Practice, 2021 Under Secretary for Health’s Robert L. Jesse Award

Partners:

Care Management and Social Work Services, Diffusion of Excellence, Health Services Research & Development, Office of Primary Care, Patient Centered Care and Cultural Transformation, VHA Innovators Network

Tags:

Access to Care Community Care Information Technology Mental Health Outpatient Care Primary Care Specialty Care Telehealth Veteran Experience Whole Health
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Overview

Problem

Veterans and clinicians are often burdened by mandatory documentation during face-to-face appointment times. While this time could be used for high-quality individualized care at the top of clinicians license, it is often being used to check boxes and complete screens that are often unrelated to the Veterans reason for their visit. Nurses and primary care pr ... See more

Solution

eScreening allows Veterans to submit health data remotely and at their convenience so they can get the most out of their face-to-face time with clinicians. By satisfying clinical reminders, generating health factors, and creating notes, eScreening enables clinicians to be prepared at the time of appointment with critical documentation needs completed, and th ... See more

Results

• Veterans are highly satisfied with eScreening, including its usability, information security, and impact on health services
• 90% of Veterans aged 20 to 70 were satisfied or very satisfied with their eScreening experience.
• Except for alcohol use, paper and eScreening veterans had similar rates of positive screens for TBI, depression, and PTSD. In an ... See more

Diffusion tracker

Does not include Clinical Resource Hubs (CRH)

Statuses

AZ: Carl T. Hayden Veterans' Administration Medical Center (Phoenix, Arizona) CA: Jennifer Moreno Department of Veterans Affairs Medical Center (San Diego, California) CA: Jerry L. Pettis Memorial Veterans' Hospital (Loma Linda, California) CA: Palo Alto VA Medical Center (Palo Alto, California) CA: San Francisco VA Medical Center (San Francisco) CA: Tibor Rubin VA Medical Center (Long Beach) CO: Grand Junction VA Medical Center (Grand Junction, Colorado) CO: Rocky Mountain Regional VA Medical Center (Aurora Rocky Mountain) FL: Orlando VA Medical Center (Orlando) FL: West Palm Beach VA Medical Center (West Palm Beach) GA: Joseph Maxwell Cleland Atlanta VA Medical Center (Atlanta, Georgia) MA: Edith Nourse Rogers Memorial Veterans' Hospital (Bedford) OH: Chillicothe VA Medical Center (Chillicothe) OK: Oklahoma City VA Medical Center (Oklahoma City) SC: Ralph H. Johnson Department of Veterans Affairs Medical Center (Charleston, South Carolina) TX: Audie L. Murphy Memorial Veterans' Hospital (San Antonio, Texas) UT: George E. Wahlen Department of Veterans Affairs Medical Center (Salt Lake City) WA: Seattle VA Medical Center (Seattle) WI: Tomah VA Medical Center (Tomah)

CA: Fresno VA Medical Center (Fresno) CA: West Los Angeles VA Medical Center (West Los Angeles) DC: Washington VA Medical Center (Washington, District of Columbia) FL: C.W. Bill Young Department of Veterans Affairs Medical Center (Bay Pines) FL: James A. Haley Veterans' Hospital (Tampa, Florida) FL: Malcom Randall Department of Veterans Affairs Medical Center (Gainesville) IL: Edward Hines Junior Hospital (Hines) MA: West Roxbury VA Medical Center (West Roxbury) MN: Minneapolis VA Medical Center (Minneapolis, Minnesota) MT: Fort Harrison VA Medical Center (Fort Harrison) OK: Jack C. Montgomery Department of Veterans Affairs Medical Center (Muskogee, Oklahoma) OR: Portland VA Medical Center (Portland, Oregon) OR: Roseburg VA Medical Center (Roseburg) PA: Pittsburgh VA Medical Center-University Drive (Pittsburgh) TX: Michael E. DeBakey Department of Veterans Affairs Medical Center (Houston) TX: Olin E. Teague Veterans' Center (Temple) WY: Cheyenne VA Medical Center (Cheyenne) WY: Sheridan VA Medical Center (Sheridan)

There are no unsuccessful adoptions for this innovation.

Implementation

Timeline

  • Pre-implementation
    Identify pilot programs and champions to implement eScreening. Check the eScreening Sharepoint for the current availability of eScreening for your facility. Ensure informatics provides MHE RPCS CONTEXT secondary menu option for users. Attend the trainings offered by the eScreening team. Establish proposed workflows for who will be using the software, and how they will collect and share Veterans data.
  • Implementation
    Launch an active pilot collecting data from Veterans. Consistently check in with Veterans completion rates and speak to them about their experiences. Status should be reported to staff and leadership, and adjustments to workflows made accordingly.
  • Sustainment
    Based on lessons learned in initial pilot, identify further programs to implement in and a facility coordinator to organize deployment. Institutionalize knowledge in SOPs, standard workflows, and widespread training. Attend eScreening community of practice meetings with national stakeholders to stay up to date on software capabilities and plans.

Departments

  • Mental health care
  • Social work
  • Addiction and substance abuse treatment
  • Nursing services
  • Telehealth
  • Primary care
  • PTSD treatment

Core Resources

Resource type Resource description
PEOPLE
  • Clinical leadership for authority and decision making. Program champion to move project forward. Clinicians willing and able to learn new processes. Health informatics for secondary menu option (one time process)
PROCESSES
  • Workflow planning can be aided by facility systems redesign teams.

Support Resources

Resource type Resource description
PEOPLE
  • eScreening national community of practice meetings
PROCESSES
  • eScreening training is available regularly from national team (see Sharepoint). Workflow consultation from national implementation manager.
TOOLS
  • eScreening software and Sharepoint

Files

  • For distribution and awareness at your facility One Pager

Links

Contact

Comment

Comments and replies are disabled for retired innovations and non-VA users.

VA User Innovation adopter posted

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VA User Innovation adopter posted

This is WASA test

VA User (Physician) posted

We are interested in adopting at VACIHCS. Thank you!

VA User (Registered Nurse) posted

I'm interested in learning more and how we can implement at VAPIHCS.

VA User (Housekeeping Aid) posted

no

VA User (Housekeeping Aid) posted

not sure

VA User (Housekeeping Aid) posted

none

VA User (STS Program Coordinator and Supervisor) posted

I would like information on adopting this application in the Syracuse VA

VA User (Psychologist) posted

I am interested in getting this started at South Texas VA

Email

Email with questions about this innovation.

About

Origin story

eScreening was developed around 2012 by the Center of Excellence for Stress and Mental Health based in San Diego. The tool was originally designed and implemented by clinicians for clinicians in the Military 2 VA care management program (formerly TCM). As the tool has been made available remotely, and the customization has found its way into creative hands, ... eScreening was developed around 2012 by the Center of Excellence for Stress and Mental Health based in San Diego. The tool was originally designed and implemented by clinicians for clinicians in the Military 2 VA care management program (formerly TCM). As the tool has been made available remotely, and the customization has found its way into creative hands, the tool has been applied across a variety of programs including primary care, mental health, research, specialty care programs, and more.

Original team

James Pittman, PhD, LCSW

eScreening Director

Angela Gant-Curtis

OIT Product Owner

John Gault

National Implementation Manager

Michael Lee

Subject Matter Expert

NIloo Afari, PhD

Creator

Elizabeth Floto

Creator

Search tags

Access to Care Community Care Information Technology Mental Health Outpatient Care Primary Care Specialty Care Telehealth Veteran Experience Whole Health