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Department Of Defense

Composite HealthCare System II

Description: In August of 2004, Unisys Corporation was awarded a contract with the Department of Defense (DOD) to provide worldwide implementation and training services to support the department's electronic medical records system. This system, known as the Composite Health Care System (CHCS II), provides electronic medical records for approximately nine million military healthcare beneficiaries, including active-duty military personnel, retirees, reservists and family members. It is being implemented at all of the Medical Treatment Facilities (MTFs) for the Navy, Army and Air Force worldwide. LSI, as a subcontractor to Unisys provides the following services on the CHCSII program: curriculum development, train-the-trainer development and delivery, and end-user training delivery.

Curriculum Development

Courseware Design
There are six distinct users of the CHCSII system: providers, nurses, clerks, records reviewer, support staff and super users. The first major curriculum development task for LSI was to examine and consolidate the service-specific training modules for all six audience types. This consolidation has simplified the courseware created by the previous contractor, which included service-specific training modules for each of the audience types. Having so many independent versions presented a challenge in maintaining and updating the courseware. LSI was able to successfully consolidate the courseware incorporating the requirements of all the services.

Courseware Maintenance
LSI is responsible for providing ongoing updates to the courseware. These updates are primarily based on updates and new versions of the CHCSII system including new builds and releases. LSI is also incorporating feedback from the field into the courseware for continual improvements in both content and format.

Site-specific Customized Training Plans
LSI utilizes site survey information to create site-specific training plans, which are presented to the trainers prior to arriving onsite. The site-specific training plans contain information about the unique processes and procedures of each MTF. This ensures that the training provided to each site is highly customized and relevant to their specific workflow.

Train-the-Trainer Program

LSI is also responsible for developing the train-the-trainer course and related materials. LSI developed and is currently delivering a trainer preparation workshop that familiarizes new trainers with the CHCS II system, as well as the Unisys approach for training the users.

Training Delivery

LSI is providing field trainers who are responsible for traveling to MTFs located worldwide to provide a combination of classroom and on-the-job training to all 6 of the discreet audiences who utilize the CHCS II system.

Instructor-led Classroom
Initial training at each MTF is conducted in a classroom setting. In the classroom, users are introduced to the system and are able to utilize a computer program which simulates the actual CHCS II system. This way, the users can experiment with the system without any risk of damaging live data. The users are able to gain hands-on practice with realistic scenarios to prepare them to enter actual data while seeing live patients.

On the Job Training
LSI recognizes that the primary goal of the CHCS II users is to provide quality patient care. In order to facilitate the achievement of that primary goal, LSI provides on-the-job training as a supplement to the classroom training. Providing some of the training on-the-job is a means of both minimizing the time that clinicians are pulled off of the floor, and it also helps to ensure that initial use of the system does not slow the amount of time it takes for a clinician to see a patient.

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