My Care Guide for Veterans

iOS app for person-centered care planning

We are committed to supporting and improving the personal health journeys of Veterans. Providing seamless care for Veterans is especially challenging because it often includes many healthcare providers, both within and outside of the VA healthcare system. Our My Care Guide mobile app was developed to support Veterans with a person-centered care plan that adopts a broader, long-term view for wellness that is guided by a Veteran’s personal team of doctors, therapists, family caregivers, and supportive friends. The Iraq and Afghanistan Veterans of America (IAVA), a non partisan advocacy organization with over 400,000 members worldwide, published a statement about VA Secretary Shulkin’s 2017 “State of VA” address regarding the need to improve healthcare for our women veterans:

It was disappointing to see so little focus on women veterans today. Not only absent in the Secretary’s remarks, but largely overlooked in his plan, were the disparity in services and cultural issues women face at the VA. Women are the fastest growing segment of the veterans population, and more than 345,000 women have deployed since 9/11. Women veterans must begin to be a stated priority of this Administration.

My Care Guide app

Person-Centered Care – Veteran Journeys

These personas are fictional characters distilled from user research that represent the needs of larger groups of veterans. The descriptions (but not the specific sample data) were created by VHA Human Factors Engineering and intended to aid in the development of usable and useful healthcare systems that improve care for Veterans.

For each of these veteran journeys, we are creating sample data using the HL7 FHIR®© standard and using those data to develop, test, and demonstrate the capabilities of My Care Guide to support person-centered care. The sample data are a work-in-progress that evolve with our work on defining and aligning with best practices for standards-based care planning. The app screen images included below will be updated as the best practice and sample data continue to evolve.

Meghan’s Journey

Meghan is 33 years old and a post-9/11 Veteran who served in Afghanistan and is recovering from a Traumatic Brain Injury (TBI) and PTSD. Meghan recently became pregnant with her third child and is coordinating care plans between her primary care provider at VA and a community provider outside of VA for her maternity care. Meghan has concerns about possible negative effects of her PTSD anti-anxiety medication on her new baby.

Read Meghan’s Life Story for more detail on her military and medical history.

Dan’s Journey

Dan is 69 years old and a Vietnam Veteran who continues to struggle with the effects of PTSD and Diabetes (resulting from Agent Orange exposure). He is being treated for hypertension, and also smokes an occasional cigarette, a habit that he has not been able to break, despite several attempts.

Read Dan’s Life Story for more detail on his military and medical history.

Byron’s Journey

Byron is 36 years old and deployed to Iraq three times as a member of the Marine Corps. He earned the Purple Heart for a leg injury received in an IED attack. His PTSD and anxiety led him to develop a problem with alcohol. His wife and VA care team are concerned about Byron’s risk for suicide.

Read Byron’s Life Story for more detail on his military and medical history.

Philip’s Journey

Philip is 90 years old and lives with his daughter, Joyce, who is his primary family caregiver. He has numerous health issues and is nearing the end of his life. He lives to share his experiences and memories with those close to him. Joyce uses the My Care Guide app to help manage her father’s care planning and treatment with emphasis on his personal goals.

Read Philip’s Life Story for more detail on his military and medical history.