Defense Healthcare Management Systems

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1 Defense Healthcare Management Systems Christopher Miller DHMS Program Executive Officer AFCEA Bethesda Health IT Day 13 Nov

2 What is a Program Executive Officer (PEO)? A key leader in the military acquisition process Currently acting in two roles: DHMS PEO and Interagency Program Office (IPO) Director Reporting Structure DHMS PEO reporting directly to Mr. Kendall, USD(AT&L) IPO reports through to USD (ALT&L) and to VA Two major programs DoD Healthcare Management System Modernization (DHMSM) DoD Health Data Interoperability (integrated Electronic Health Records) Partnerships DHA is the customer and the transition manager is DoD s counterpart to the Assistant Secretary of Information and Technology, VA 2

3 Our Mission Take key clinical information in DoD and VA health records and make it standardized, integrated and immediately available for clinicians so they have the information they need to make critical medical decisions. Modernize our EHR systems 3

4 What Are Our Objectives? Goals Create seamless integration of VA, DoD and private provider health data Field modernized software supporting DoD and VA clinicians by 2017 Be a technical leader and contribute to national standards for health data sharing Acquisition Strategy DoD fielding data accelerators for near-term effort to improve interoperability DoD will do a full and open competition to acquire a replacement system for DoD legacy Military Health System (MHS) clinical systems including by not limited to the Armed Forces Health Longitudinal Technology Application (AHLTA), Essentris, Composite Health Care System (CHCS), and the Electronic Health Record (EHR) components of the Theater Medical Information Program (TMIP) Moving Forward Together: VA Collaboration and Partnering Remain co-staffed on joint efforts Collaborate during DHMSM acquisition process Include VistA-based products when evaluating potential solutions 4

5 What Does Success Look Like? IPO Departments can successfully implement the technical data interoperability standards profile and processes to create seamless integration of health data Departments recognize IPO as the Technical and Data Governance Authority Successful partnerships with ONC and other health data standards organizations Interoperability (iehr) First iteration of computable data exchange (i.e., accelerators) delivered in DEC 2013 with additional capabilities through FY16 Electronic Health Record (DHMSM) Modernized system fielding by FY17 5

6 What We Are Looking To Buy? Patient-centric, point-of-care system including: EHR management & decision support Order management (Rx, Lab work) At least EHR Meaningful Use Stage 1 Criteria per ONC certification Clinical support in all environments (inpatient, outpatient, remote, etc.) System Functionality and Scalability Interoperability Key Attributes: Interoperability Customization/Configurability Customer Support Privacy and Security Standards Compliance System Technical Architecture Health Information Exchange Record and Archive Management Workflow Management Standards of Availability 6

7 Our Challenge: Deployment Breadth and Depth More than 9.7 million beneficiaries Integrated, global delivery network of approximately: 6 Major Medical Centers 8 Academic Tertiary Care Centers 45 Hospitals 364 Medical Clinics 282 Dental Clinics 300+ Ships Must integrate with purchased care providers In search of the right partnership for success! 7

8 How Can You Help? Feedback and Collaboration We value your opinion and will ask for targeted information Communication goes both ways Develop long-term working relationships Proactive Cost Control Effective and realistic pricing Think like a tax payer Innovation Embody creative technological solutions Strive for continuous process improvement Focus on the Mission Never lose sight why we are here Need real solutions for real people 8

9 Positively impacting the health outcomes of active duty military, Veterans and beneficiaries 9

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