eScreening

Last updated 2024-04-15T18:07:55Z

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

Origin:

June 2012, Jennifer Moreno Department of Veterans Affairs Medical Center (San Diego, California)

Adoptions:

42 successful, 30 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, VHA Shark Tank ... 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, VHA Shark Tank Winner

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

Overview

The 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 ... 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 providers have reported spending 50% of their time on mandatory documentation during new patient appointments, when they could be spending 100% of their time addressing the Veterans clinical needs. See more

The 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 ... 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 the information available to address the Veterans individual health needs. See more

The 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 ... • 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 another study involving Veteran focus group and survey feedback, the majority of veterans interviewed stated that they strongly preferred eScreening to paper-based assessment and 90% of Veterans felt comfortable entering personal information (Almklov et al., 2020).
• Staff feedback about eScreening was positive.
• Nearly all staff felt eScreening would fit well into their clinical setting at pre-implementation. See more

Files

2017 study on Veteran satisfaction, clinical processes, and screening differences using eScreening VA eScreening Program: Technology to Improve Care for Post 9/11 Veterans

2019 study on effective implementation strategies for using new technology in varied clinical settings Implementing eScreening technology in four VA clinics: a mixed-method study

2020 study on Veteran satisfaction using eScreening Post 9/11 Veteran Satisfaction with the VA eScreening Program

Diffusion tracker

Does not include Clinical Resource Hubs (CRH)

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
Adaptive sports
Addiction and substance abuse treatment
Nursing services
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

Training, Documentation, and News Updates eScreening Sharepoint

Contact

Comment

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

VA User (Registered Nurse) Innovation adopter posted 2023-02-01T14:50:40Z

e are interested in adopting at Dallas VA. Thank you!

VA User (Physician) posted 2022-11-30T14:03:46Z

We are interested in adopting at VACIHCS. Thank you!

VA User (Registered Nurse) posted 2022-09-07T17:38:27Z

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

VA User (Housekeeping Aid) posted 2022-06-24T17:53:19Z

VA User (Housekeeping Aid) posted 2022-06-24T17:53:06Z

not sure

VA User (Housekeeping Aid) posted 2022-06-24T17:52:25Z

none

VA User (STS Program Coordinator and Supervisor) posted 2022-03-01T14:58:46Z

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

VA User (Psychologist) posted 2022-02-01T18:26:22Z

I am interested in getting this started at South Texas VA

Email

Email john.gault@va.gov 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 categories

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

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eScreening

Origin:

Adoptions:

Awards and Recognition:

Partners:

CATEGORIES:

Overview

The problem

The solution

The results

Files

Diffusion tracker

Successful adoptions (42)

In-progress adoptions (30)

Unsuccessful adoptions (0)

Implementation

Timeline

Pre-implementation

Implementation

Sustainment

Departments

Core Resources

PEOPLE

PROCESSES

Support Resources

PEOPLE

PROCESSES

TOOLS

Files

Links

Contact

Comment

Email

About

Origin story

Original team

Search categories