DoD makes case for modification to DoD/VA EHR Modernization (EHRM)/JEHR Initiatives task

An existing task award to Perspecta is being modified to support emerging EHRM requirements

Limited-Sources Justification”

“1. Identification of Requiring Activity and Contracting Activity: The requiring activity is the Defense Manpower Data Center located at Seaside, California, and the Mark Center, Alexandria, Virginia. The contracting activity is the GSA Federal Acquisition Service (FAS), Mid-Atlantic Region – Philadelphia, PA.

This document is hereby identified as a Limited-Sources Justification.

  1. Nature and/or Description of Action Being Approved:

The action being approved is a modification to Electronic Health Record Modernization (EHRM) Initiatives order number 47QFMA18F0058 under the Enterprise Services LLC GSA MDC ITPS Multiple Award BPA contract GS03Q17DSA0008. The action is necessary to  comply with the recently mandated Veterans’ Electronic Health Record (EHR) Modernization  Oversight Act of 2017 (H.R. 4245) to support the implementation of an electronic health or  medical record system to replace any or all of the Veterans Information Systems and  Technology Architecture, the Computerized Patient Record System, the Joint Legacy  Viewer, or the Enterprise Health Management Platform. In September 2018, U.S.  Secretaries of Veterans Affairs (VA) and Department of Defense (DOD) signed a joint statement pledging to achieve interoperability between the two agencies by implementing a single, seamlessly integrated electronic health record (EHR). This action is to implement the VA’s transition to adopting the same EHR system as the Department of Defense (DoD).

EHRM was competitively awarded on 09/24/2018 with a base period of 26 September 2018 through 25 September 2019 with two (2) one-year option periods. This action is required from 01 April 2019 through 25 September 2019, as well as during each of the two (2) one­-year option periods.

  1. Description of Supplies/Services Required to Meet the Agency’s Needs:

The Program Executive Office, Defense Healthcare Management Systems (PEO DHMS)  was chartered by the Secretary of Defense on May 21, 2013 to improve the healthcare of  the  active duty military, Veterans, and their beneficiaries by modernizing the Military Health  System (MHS) electronic health record (EHR) and establishing seamless medical data  sharing between the Department of Defense  (Do  the Department  of  Veterans  Affairs (VA),  and the private sector. This approach will support service members as they transition from military service, drive better clinical outcomes by giving health care providers a full picture of patient medical history, and enhance collaboration with community care partners.

In September 2018, the Government announced that the VA had decided to migrate their hospitals to the same electronic health record platform that the DoD was migrating to as part of the work being performed under the EHRM Call. This resulted in mandates for DoD and VA to share the same physical central platforms for their patient data and that patient   identity management for both DoD and VA would be under the EHRM identity management system. This combined DoD/VA system is called the Joint Electronic Health Record (JEHR) management system. DMDC determined that some of the EHRM processes and data need to be enhanced, as well as new processes developed, to support the seamless interoperability between the VA’s Master Veteran Index (MVI) and the current EHR platform. This requirement has introduced new use cases and functionality to existing EHRM services based on the VA requirements for JEHR. This new work essentially brings the VA  data and functionality up to speed with the current DoD EHR system; once this is  accomplished and the VA requirements are fully integrated into the current EHR system,  the overall enhancements to modernize the current EHR to the JEHR can resume…” Read the full J&A here.

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