Despite the significant challenges of designing an interoperable EHR system, four teams of vendors have responded to the DoD’s request:
- Leidos, Accenture Federal, and Cerner
- Computer Sciences Corporation, Hewlett Packard, and Allscripts
- IBM and Epic Systems
- PricewaterhouseCoopers with General Dynamics Information Technology, DSS Inc. and Medsphere
The IBM-Epic bid was the first team to respond, and indicated their interest back in June of 2014. The team has subsequently created an advisory board consisting of reputable EHR experts drawn from the Duke University Health System and School of Medicine, Mercy Health, American Medical Informatics Association, Yale-New Haven Hospital, and Sentara Healthcare (Konkel, 2015). The IBM-Epic team has made significant process in the development of their EHR submission to DHMSM, “IBM and Epic have also built a working and interoperable system at its data center in West Virginia in order to test capabilities and make sure the group of companies had a system that could be deployed quickly if it won the contract. The early version being tested by IBM is already successfully connecting to partner organizations across the country” (Medici, 2015). The Hewlett Packard, Allscripts, and Computer Sciences Corporation will provide a strong source of competition to the IBM-Epic team, as collectively the team has extensive experience with Federal IT projects and EHR systems (McCann & Sullivan, 2014). Relevant experience of other vendors includes Leidos' (as SAIC) work as one of the major contractors on the TIMP-J program, and Accenture's efforts to improve Healthcare.gov.
It remains to be seen if DHMSM will meet the DoD's ambitious objectives, as previous measures to overhaul the DoD's EHR systems have resulted in few tangible improvements. The DoD had previously sought to integrate its EHR systems with the VA, but the initiative was canceled in 2013 after the program costs were projected to reach nearly $30 billion (Konel, 2014).
- DoD opens bidding for massive EHR and IT, Erin McCann, & Tom Sullivan, 2014.
- IBM preps for DoD health management modernization contract, Andy Medici, 2015. http://www.federaltimes.com/story/government/it/health/2015/01/07/ibm-defense-dhmsm-health-contract/21401461/
- Coming Soon: Pentagon’s Multi-Billion Dollar Health Records Contract, Frank Konkel, 2014.
- Possible $11 Billion Contract At Stake for the Pentagon’s Digital Health Records, Frank Konkel, 2015.
- Race is On for Defense Health Record – but VA Backs Out of Competition, Bob Brewin, 2014.
- Theater Medical Information Program – Joint (TMIP-J), 2013. http://www.dote.osd.mil/pub/reports/FY2013/pdf/dod/2013tmip.pdf