Abstract: The Veterans Health Administration has undertaken two projects to improve the documentation and tracking of care for Women Veterans: The Teratogenic Drugs project and the System for Mammography Results Tracking (SMART). These projects improve the ability to record and store discretely a woman’s ability to conceive, and pregnancy and lactation status. Refinement of order checks and alerts around known or potentially unsafe medication or imaging use in reproductive aged or breast feeding women increases the clinical relevancy and mitigates alert fatigue. Clinical reminders are used to increase conversations around family planning, preconception planning, and contraception use. SMART introduces the ability to track the management of a mammogram from the point of ordering, through additional testing and treatment, to a return to routine age-based mammogram screening. In combination, these projects will improve the efficiency in documenting care to women Veterans, as well as improve the quality and safety of that care. This system demonstration will highlight features of these projects.

Learning Objective 1: Improve clinical relevancy of order checks and alerts of medications and images with reproductive health implications by utilizing reproductive health data elements.

Learning Objective 2: Improve management of abnormal test results by linking results notifications to context-specific templates that incorporate next steps in management and patient notifications.

Learning Objective 3: Formulate a strategy to track results notifications to patients following an abnormal test.

Learning Objective 4: Reduce the numbers of abnormal tests without follow up actions by capturing next steps as discrete data, making the identification of those without follow up easy to track.


Caitlin Cusack (Presenter)
Veterans Health Administration

Presentation Materials: