HIT Enterprise Transformation: EHR Rollout...It's Happening Now! COL Nicole Kerkenbush Military...
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Transcript of HIT Enterprise Transformation: EHR Rollout...It's Happening Now! COL Nicole Kerkenbush Military...
HIT Enterprise Transformation:EHR Rollout...It's Happening Now!
COL Nicole KerkenbushMilitary Deputy Program Executive Officer, Program Executive Office
Defense Healthcare Management Systems
Disclosures
• The presenter has no financial relationships to disclose.
• This continuing education activity is managed and accredited by Professional Education Services Group in cooperation with AMSUS.
• Neither PESG, AMSUS, nor any accrediting organization support or endorse any product or service mentioned in this activity.
• PESG and AMSUS staff have no financial interest to disclose.
• Commercial support was not received for this activity.
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PEO DHMS Mission
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To efficiently improve healthcare for the active duty military, veterans, and beneficiaries by:•Establishing seamless medical data sharing between DoD, the VA and the private sector
•Modernizing the Electronic Health Record (EHR) for the Military Health System
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PEO DHMS OrganizationWhere We Fit
Department of Veterans Affairs Secretary of Defense
USD for Acquisition, Technology, and Logistics
Program Executive Office DoD Healthcare
Management Systems (PEO DHMS)
USD for Personnel and Readiness
ASD, Health Affairs
DoD/VA Interagency Program Office (IPO)
Standards
Defense Medical Information Exchange
(DMIX)
Information Exchange
DoD Healthcare Management System
Modernization (DHMSM)
Modernized EHR Acquisition
Defense Health Agency (DHA)
Office of Information Technology
Joint Operational Medicine Information
Systems (JOMIS)
Deployment of EHR to operational forces
A Common Goal
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“I walk slowly, but I never walk backward.”- President Abraham Lincoln
2009EHR Way
Ahead
2010iEHR
2013DHMSM Kick-Off
2015Contract Award
2006AHLTA Fielding
Complete
Why Modernize?
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Collaborative Delivery of a Modernized EHR
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To deliver a modernized EHR to the military garrison and operational points of care, and transform how the military health system provides healthcare, the Services, DHA and Acquisition Teams will collaboratively work with the care locations to configure, test, train and deploy the new solution
Conclusion
AcquisitionDHMS
Solution Delivery & InfrastructureDHA
Site PreparationServices
Modernized EHRBusiness Processes
& RequirementsFunctional Champion
Deploy to 1,200+ Care
Locations
& 205,000+ Providers
Across the World
EHR Modernization Guiding Principles
Approved by the ASD (HA) and Surgeons General
July 2014
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Standardization of clinical and business processes across the Services and MHS
Design a patient-centric system focusing on quality, safety and patient outcomes that meet readiness objectives
Flexible and open, single enterprise solution that addresses both garrison and operational healthcare
Clinical business process reengineering, adoption, and implementation over technology
Configure not customize
Decisions shall be based on doing what is best for the MHS as a whole – not a single individual area
Decision-making and design will be driven by frontline care delivery professionals
Drive toward rapid decision making to keep the program on time and on budget
Provide timely and complete communication, training, and tools to ensure a successful deployment
Build collaborative partnerships outside the MHS to advance national interoperability
Enable full patient engagement in their health
Enterprise EHR
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EHR Modernization Guiding Principle: A flexible and open, single enterprise solution for both garrison and operational healthcare
55 Military Medical Centers & Inpatient Hospitals352 Health Clinics282 Dental Clinics
450+ Forward & Resuscitative Sites300+ Ships2 Hospital Ships6 Theater Hospitals3 Aeromedical Staging unitsO
per
atin
g En
viro
nm
ent
Competitively acquire, test, deliver, and successfully transition to a state-of-the-
market EHR
Deployment of the new EHR and new theater capabilities to expeditionary
locations
EHR60+
Capabilities
JROC CDDRequirements
Small & Distributed Form Factor
Service Tactical Infrastructure
MHS Approved Requirements
DHMSM JOMIS
+ =Medical Command and Control (Med C2)
Medical Logistics (Med LOG)
Health Care Delivery (HCD)
Patient Movement
Medical Situational Awareness (Med SA)
DHMSM Configured EHR
++ Theater
Capabilities(Low to No
Communications)
Consolidated Data Center
MED COI Infrastructure
Industry Experience
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• Objectives:• Support coordination, communication, and
recommendations of EHR related activities• Provide agile O-5/O-6 decision making and
subject matter expertise• Maintain synchronization across multiple
organizations
• Objective is not to:• Direct the contractor• Replace existing organizational missions
or structure
EHR Modernization Synchronization Workstream Steering Committees (WSCs)
Workstream Steering Committee Descriptions and Leads
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PEO DHMS Lead – COL Nicole Kerkenbush DHA HIT Lead – LTC(P) Rich Wilson
Workstream Mission Leads
Data • Data management activities Patti Lothrop (DHMS)Andy Anderson (DHA HIT)
Technical & Configuration Management
• Technical & Environmental Configuration Management• Medical & End User Device Integration• Security• Interfaces/Conversion
Jim Bates (DHMSM)Nick Saund (DHA HIT)
Infrastructure • Hardware• Network
Heather Burke (DHMS)Dr. Pete Marks (DHA HIT)
Product Configuration Reconciliation of MHS workflows with EHR vendor-provided workflows COL Jacob Aaronson (DHMSM)FAC Chair (Services)
Test & Evaluation (T&E)
• Technical• Cyber Security• Operational
Dr. Greg Guernsey (DHMSM)Giancarlo Osorio (DHA HIT)*SDD Test Manager TBD
Training Initial and ongoing (sustainment) user training LCDR Kent Bui (DHMSM)Michele McCormick (DHA HIT)
Strategic Communications
Provide public affairs guidance, communications support, and COL Nicole Kerkenbush (DHMS)Tanya Bradsher (DHA—MHS Communications)
Deployment / Activation
Technical preparations, support plans and resources, and practice trials before executing the deployment of a new EHR system
Len Cayer (DHMSM)Dr. Brian Jones (DHA HIT)
Why Standardize?
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Standardization Supports:
Effectiveness
Agility
Cost Efficiency
Quality
EHR Configuration Management
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• DHMSM EHR program requirements have been formally established
• Changes will be addressed by a formal Configuration Steering Board (CSB)• Co-Chaired by USD, AT&L and ASD, HA
• Prevent unnecessary changes that could have an adverse impact on cost or schedule
• Functional requirement modifications will be handled and addressed by the FCLG
Multi-Service Market
Leadership
Medical Operations
Group
Medical Business
Operations Group
Manpower and Personnel
Operations Group
Functional Advisory Council
Service Deputy Surgeons General
EHR Functional Champions Leadership
Group (FCLG)
FCLGDHA: RADM (Ret) RobertsArmy: BG PlaceNavy: CAPT ZinderAir Force: Maj Gen Allen
FACDHA: CAPT MeierArmy: Ann Wolford-ConnorsNavy: CAPT EllzyAir Force: Col Jeter
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DHMSM Initial Operational CapabilityTimeline
DHMSM Initial Operational CapabilitySites
Madigan AMC
Washington
92ND Medical Group & Aeromedical DEN
SQ/SGD
Naval Hospital Oak Harbor
NHCL Everett
Naval Hospital Bremerton
NBHC Sub-base Bangor
Puyallup Medical Home
Madigan AMC
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Contact Us
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health.mil/dhms
@DoD_EHR
Defense Healthcare Management Systems