1. MHS GENESIS: The DoD’s Modern Electronic Health Record
15 November 2016
Colonel Pat Flanders
Deputy Program Executive Officer
Defense Healthcare Management Systems

2. What You Really Want To Know …
Emerging Timeline For Contract Opportunities:
Services/Capability
RFI/Draft RFP
Final RFP
Award
DTRS Theater Services
10 JAN 2017
1 MAR 2017
31 AUG 2017
TMIP Sustainment
27 FEB 2017
3 APR 2017
1 OCT 2017
JOMIS Increment 1 Enterprise Training and Fielding Services
Q2 FY17 - 3Q FY17
Q1 FY18
Q1 FY19
MSAT/TMDS Repository
Q4 FY17
Q3 FY18
All questions and comments should be directed to the Contracting Officer:
Ms. Lisa Eckard

3. Our Mission
To transform the delivery of healthcare and advance data sharing through a modernized electronic health record for service members, veterans, and their families.
Data sharing
Modernization

4. Military Health System

5. PEO DHMS Alignment

6. Continuum of Care
PMO JOMIS Products
PMO DHMSM
Products
MHS GENESIS will be leveraged across the continuum of care—from point of injury (even in austere environments) to the MTFs
Includes garrison, operational, & en route care
PMO DMIX Products
IPO Standards
(VA and Commercial)
Four Program Management Offices (PMO):
PMO DHMSM - PM DoD Healthcare Management System
PMO JOMIS - Joint Operational Medicine Information Systems
PMO DMIX - Defense Medical Information Exchange
IPO - Interagency Program Office

7. PEO Systems Four Program Offices:
PMO DoD Healthcare Management System Modernization® (PMO DHMSM)
Main Focus Area: Software for fixed based hospitals
New System Name: “Military Health System GENESIS” (MHS GENESIS)
Systems Being Replaced: AHLTA, CHCS, Essentris…and others…
PMO Joint Operational Medicine Information Systems (PMO JOMIS)
Main Focus Area: Software for deployed forces
Systems Being Replaced: Components of the “Theater Medical Information Program – Joint” (TMIP-J) suite of systems … as required
PMO Defense Medical Information Exchange (PMO DMIX)
Main Focus Area: Software & data for seamless visibility across the DoD, Veterans Administration (VA), and commercial providers
System Name: “Joint Legacy Viewer” (JLV)
Interagency Program Office (IPO)
Main Focus Area: Development of data standards between the DoD, VA, and commercial sector
PMO DHMSM
Fixed Base Hospitals – Roles 4
PMO JOMIS
Operational Medicine – Roles 1 - 3
PMO DMIX
DoD / VA / Commercial Interoperability
MHS GENESIS will be leveraged across the continuum of care—from point of injury (even in austere environments) to the MTFs
Includes garrison, operational, & en route care
IPO

8. What Comprises The TMIP-J Suite Of Systems?
Description
Mobile Computing Capabilities (MCC)
First Responder/Field Medical Care: Point of initial care documentation; health history information; medical readiness information; automated medical coding; medical references; clinical decision support
AHLTA-Theater
Outpatient: treatment documentation; aeromedical evacuation capability; limited ancillary services and inpatient hold capabilities for forward resuscitative medical units
TMIP Composite Health Care System Caché (TC2)
Inpatient: healthcare and ancillary services documentation; interface for order entry/results retrieval with Deployed Tele-Radiology System (DTRS)
TMIP Reporting
Reporting capabilities on patient demographics, clinical and other pertinent data utilizing the information residing in the AHLTA-T database
TMIP-Framework
Data Messaging: store and forward messaging service that allows information to transmit from the operational medicine locations to home-based repositories
Theater Medical Data Store (TMDS)
Data Repository: A web-based data repository/application used to view Service members’ medical treatment information recorded in the combat zone. TMDS views and tracks ill or injured patients as they move through operational levels of care, sustaining base medical treatment facilities (MTFs). Includes Theater Blood Capability
DTRS/Theater Image Repository (TIR)
Tele-Radiology: Local Picture Archiving and Communications System for Theater; Transfers the radiographic images via Very Small Aperture Terminals intra-theater and to the TIR at Landstuhl Regional Medical Center
Maritime Medical Modules (MMM)
Maritime Medical Modules: include TMIP Radiation Health; DMLSS Maritime; Health Services; Environment Health
Medical Situational Awareness in Theater (MSAT)
Medical Situational Awareness: A web-based application that aggregates information from multiple communities to provide decision support and a common operating picture
Defense Medical Logistics Standard Support (DMLSS) Customer Assistance Module (DCAM)
Medical Logistics: ordering tool that enables operational units to monitor medical supplies (class VIII) and replenish when required
Maritime Medical: Modules include: TMIP Radiation Health; DMLSS Maritime; Health Services; Environment Health
Transportation Command (TRANSCOM) Regulating and Command & Control Evacuation System (TRAC2ES)-Mobile
Patient Movement: Interface with TRAC2ES when communications become available (store and forward); provides Patient Movement Request data

9. Our EHR Modernization Journey
Between Sept 2013-April 2014: PEO DHMS met with Congressional committees 27 times, facilitating release of all Congressionally imposed funding withholds.

10. MHS GENESIS
Prime Contractor: Leidos, Inc. Contract: $4.3 billion Teaming Name: Leidos Partnership for Defense Health (LPDH) Core Partners: Leidos Inc., Cerner Corporation, Accenture, and Henry Schein Inc.
Integrated inpatient and outpatient EHR

11. Single DoD Electronic Health Record
MHS GENESIS is an integrated system that will facilitate the safe transitions of care across the spectrum of military operations to include garrison, operational, & en route care
Utilizing MHS GENESIS in both garrison & operational care provides the benefits of bi-directional communication, to train like we fight, incorporate dental capability, & replace end-of-life TMIP-J components

12. What Gets Replaced? Systems Diagram Of The Military Health System
Integrated inpatient and outpatient EHR
Not really … but …

13. What Is JOMIS Increment 1?
Increment 1 Allows:
Integration of MHS GENESIS into operational medical systems
Two-way flow of information between garrison and theater
Sunset of AHLTA-T and TC2 legacy systems
Provides a dental capability
CONUS - Based
Components
Two-way
BEFORE
One-way
AFTER
TMIP-J Applications
TC2
AHLTA Theater
TMIP Reporting
TMIP Framework
MMM
DCAM
TRAC2ES Mobile
JOMIS Applications
MHS GENESIS
TMIP Framework
MMM
DCAM
TRAC2ES Mobile
MCC
MCC
MHS GENESIS is an integrated system that will facilitate the safe transitions of care across the spectrum of military operations to include garrison, operational, & en route care
Utilizing MHS GENESIS in both garrison & operational care provides the benefits of bi-directional communication, to train like we fight, incorporate dental capability, & replace end-of-life TMIP-J components

14. MHS GENESIS Activities (Already On Contract)
Command Executive Briefs
Model System Reviews
System Validation Sessions
Configuration and Integration Test
Developmental Test and Evaluation
System Verification Session
Develop Computer Based Training
Integration Validation
Developmental Test
End User Training
Operational Assessment
Go-Live at Initial Sites
Operational Test and Evaluation
Full Deployment Decision
First Site: Fairchild Air Force Base – February 2017

15. Not Yet On Contract … Emerging Timeline For Contract Opportunities:
Services/Capability
RFI/Draft RFP
Final RFP
Award
DTRS Theater Services
10 JAN 2017
1 MAR 2017
31 AUG 2017
TMIP Sustainment
27 FEB 2017
3 APR 2017
1 OCT 2017
JOMIS Increment 1 Enterprise Training and Fielding Services
Q2 FY17 - 3Q FY17
Q1 FY18
Q1 FY19
MSAT/TMDS Repository
Q4 FY17
Q3 FY18
All questions and comments should be directed to the Contracting Officer:
Ms. Lisa Eckard

16. Summary
MHS GENESIS integrates inpatient and outpatient health records
Provides data access and decision support across the spectrum of military operations
Health data shared across the VA and commercial providers to improve delivery of healthcare
Keep pace with innovation

17. The Future
Things I think might happen …
Questions?

18. More Information