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 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 Memoranda (ADM), dated June 21, 2013 and January 2, 2014, the former joint DoD and VA Integrated Electronic Health Record (iEHR) program was restructured to pursue two separate but related healthcare information technology efforts, the DoD Healthcare Management System Modernization (DHMSM) program and a newly defined iEHR focused on providing seamless integrated sharing of electronic health data between the DoD and VA to be called Defense Medical Information Exchange (DMIX). The remaining iEHR Increment 1 (iEHR Inc 1) was significantly de-scoped to only the Medical Single Sign-on/Context management (MSSO/CM) implemented at James A. Lovell Federal Health Care Center (JAL FHCC). 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, PE 0605023 will report only iEHR and VLER Health since DHMSM will have its own PE starting in FY 2015. In FY 2016 and out, only iEHR Increment 1 will be reported in PE 0605023. DHMSM will continue to be only initiative reported in PE 0605026. However, new PE 06050039 is established for DMIX for FY 2016 and out. DMIX will incorporate the previous VLER Health and JEHRI initiatives.

Document Details

• Document Type: R2 Budgetary Justification
• Publication Date: Oct 01, 2016
• Source ID: 0605023HP_2_0130_PB_2016
• Change Summary Explanation: 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 2014: Congressional Rescissions to DHP RDT&E, PE 0605013-Information Technology Development (-$43.614 million) FY 2016: Realignment from Defense Health Program, Research, Development, Test and Evaluation (DHP RDT&E), PE 0605023-Integrated Electronic Health Record Inc 1 / Defense Medical Information Exchange (DMIX) (-$25.344 million).
• Service Agency Name: Defense Health Program

Tags

DTIC Thesaurus Topics

• Acquisition
• Commerce
• Competition
• Directives
• Health Care
• Information Exchange
• Information Systems
• Interoperability
• Logistics
• Small Business
• Splitting
• Supply Chain Management
• Test And Evaluation

Readers

• Defense Acquisition Program Management
• Medical or Health Care Field.

Technology Areas

• Microelectronics