Integrated Electronic Health Record (iEHR)
Abstract
In March 2008, the MHS embarked upon Electronic Health Record (EHR) modernization planning, establishing the initial Electronic Health Records Way Ahead (EHRWA). In March 2011, the Program was expanded to include the Department of Veterans Affairs (VA) in a joint initiative to implement a new, integrated electronic health record for both Departments, called the Integrated Electronic Health Record (iEHR) program. Secretary Hagel’s Memorandum titled “Integrated Electronic Health Records,” dated May 2013, provided additional direction to the program: •DoD shall continue near-term coordinated efforts with VA to develop data federation, presentation, and interoperability. This near-term goal shall be pursued as a first priority separately from the longer-term goal of health record information technology (IT) modernization. •DoD shall pursue a full and open competition for a core set of capabilities for EHR modernization. To fulfill Secretary Hagel’s directive, parallel programs have been defined, splitting the original iEHR program into two distinct areas. In the Under Secretary of Defense for Acquisition, Technology and Logistics (USD (AT&L)) Acquisition Decision Memorandum (ADM), dated June 21, 2013 and an ADM providing direction and guidance for PEO DHMS issued on January 2, 2014, the former joint DoD and Department of Veterans Affairs (VA) Integrated Electronic Health Record (iEHR) program has been restructured to pursue two separate but related healthcare information technology efforts, the DoD Healthcare Management System Modernization (DHMSM) program and a newly defined iEHR program focused on providing seamless integrated sharing of electronic health data between the DoD and VA (renamed Defense Medical Information Exchange (DMIX)). iEHR RDT&E is reported under the program element (PE) 0605013 through FY 2013 inclusive, but iEHR, VLER Health and DHMSM will be reported under new program element 0605023 for FY 2014. In FY 2015 and out, PE 0605023 will report only iEHR and VLER Health since DHMSM will have its own PE starting in FY 2015.
Document Details
- Document Type
- R2 Budgetary Justification
- Publication Date
- Oct 01, 2015
- Source ID
- 0605023HP_2_0130_PB_2015
- Change Summary Explanation
- FY 2013: No Change. FY 2014: Realignment from DHP RDT&E, PE 0605013-Information Technology Development (-$64.100 million) to DHP RDT&E, PE 0605023-Integrated Electronic Health Record (iEHR) (+$64.100 million) for Integrated Electronic Health Record (iEHR). FY 2014: Departmental Fiscal Guidance adjustment (-$43.614 million). FY 2014: Realignment from Defense Health Program, Research, Development, Test and Evaluation (DHP RDT&E), PE 0605023-Integrated Electronic Health Record (iEHR) (-$0.574 million) to DHP RDT&E PE 0605502-Small Business Innovation Research (SBIR) Program (+$0.574 million). FY 2015: Departmental Fiscal Guidance Additions to DHP RDT&E, PE 0605023-Integrated Electronic Health Record (iEHR) (+$43.701 million).
- Service Agency Name
- Defense Health Program
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