About this file

This file is an appendix (Appendix A) to an Area of Interest (AOI) application for the End User Services (EUS) Acquisition, Workflow, Adoption, and Change Support (AWACS) initiative under the Defense Health Agency's Portfolio Acquisition Executive for Medical Digital Solutions (PAE MDS). The solicitation (HT003826SC005-AOI0001) seeks to establish a unified, outcome-based end user services delivery model to support 11 distinct user domains across DHA's health technology ecosystem, including point-of-care clinicians, combat medics, beneficiary portal users, system administrators, biomedical engineers, and IT support personnel. The contract will be awarded as a FAR-based contract (potentially under FAR Part 12) or a Prototype Project Other Transaction Agreement (pOTA) under 10 U.S.C. 4022, with an anticipated 12-month base period plus four 12-month option periods.

The requirement emphasizes flexibility and scalability to accommodate diverse workflows, connectivity constraints, and organizational priorities across different user communities and federal partners, including expansion capabilities for new entities, enterprise workflows (such as MEPCOM), and tailored enablement for components like the National Guard. The solution explicitly excludes direct patient-facing digital engagement, which is reserved for Pillar 8 and future AOIs. The EUS ecosystem is structured around eight integrated service pillars, with this AOI specifically supporting DHA and Military Service staff interactions rather than beneficiary-facing services. The spreadsheet file itself appears to be a supporting document template or data reference for the application process.

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File Type Posted
HT003826SC005-AOI0001_EUS_AWACS_Question_Log.xlsx XLSX spreadsheet
EUS_AOI1_AWACS_090926.pdf PDF
EUS_AOI1_AWACS.pdf PDF
EUS AWACS AOI 1 Appendix B.pdf PDF

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Day 1

IDDay 1 Continuity
1Receiving account request, ensure all information and prerequisite are met, identifying and assigning user system roles, delivering training, provision account (when applicable access is given by the Government) or submit request to appropriate Solution Provider.
2Deliver virtual led and onsite training for new and existing staff; role-based and tailored to the specific workflows and responsibilities.
3Coordinate user assignment and track completion in the Government Learning Management System (LMS).
4Develop and maintain basic and advanced competency lists aligned to the applicable workflows for each role/position.
5Develop, manage, and maintain a formal instructor certification program ("train-the-trainer") to certify and recertify subject matter experts and government staff.
6Develop, update, and maintain computer-based training (CBT), facilitator guides, and other training and adoption materials designed to accommodate different learning styles and levels of computer proficiency.
7Conduct monthly and annual review of training materials and validation with Government SMEs.
8Team Responsiveness - Required team arrives to designated site to provide enablement support w/in timeframe allotted from gov't tasking.
9Conduct impact analysis to workflows and trainings, assess how application changes affect existing operational/clinical workflows, roles, associated enablement/training.
10Supporting data staging, user access, and management support of production and non-production hosting domains and/or “sandbox(es)”.
11Develop, update, and maintain optimal enterprise workflows as changes occur and ensure at minimum annual review and validation with Government SMEs
12Analyze and visualize usage data (E.g. Lights On , Advance, Discern, Splunk, etc.) to monitor, identify, and elevate successes and opportunities with workflow compliance.
13Track and manage known defects, approved workarounds, configuration changes, adoption impacts and communication of changes.
14Provide application/functional and technical SME support remotely to address Workflow and Training inquiries within the Government ITSM process.
15Develop and maintain a comprehensive change management and strategic communications plans, change enablement programs, engagement campaigns to impact stakeholders. Must support a government infrastructure of local super users/peer experts, regional trainers, and local health informatics steering committees, and communities of practice.
16Conduct surveys to capture experience with training, adoption, change management, communication services as well as product usability and sentiment. at minimum twice a year and after each training session.
17Develop and distribute materials to staff that support patient portal or other patient-facing applications.
18Maintain and modernize scheduled and unscheduled downtime notifications.
19Maintain and modernize Government various SharePoint and End user-centric website (e.g. EHRu, Adoption central, JOMIS Connect, JTS Deployed Medicine Partner Page).
20Design and execute communication and campaign-style readiness initiatives that ensure the workforce is culturally and operationally prepared for system upgrades before they deploy, eliminating day-one transition shock.
21Ensure the data collection team includes a baseline task for: "Manage and sustain training program accreditation requirements to ensure clinical staff receive applicable Continuing Medical Education (CME) credits.
22Ensure the data collection matrix captures the volume of "complex role evaluations" versus "standard account requests.
23List these specific ServiceNow groups and Visual Task Boards in the baseline data, including the average number of tickets sitting in them at any given time.
24Document the historical monthly volume of Major Incidents and the average hours spent on MIM bridge calls
25Document the historical annual frequency and locations of required physical site visits so vendors can accurately build their travel budgets

Current State Execution

Product FamilyTask CategorySpecific Task / MetricAnnual/Monthly VolumeCurrent Actual SLACurrent Actual XLANotes
DHMSMProvisioningAccount Request through Provisioning34041 / year14 DaysSecurity clearance validation requires an external government dependency and contributes approximately 1.5 days processing time.
EnterpriseCommsDowntime Notifications15/month1 hourCurrent process requires manual posting to three separate SharePoint sites.
DHMSMOnboarding TimeCurrent Average Completion Time (Request to Resolution)101:13 hoursMeasured from initial user engagement through submission to Tier 3.
DHMSMAdoption Materials (DHMSM + DHA)319 total/ 120 product updates annually100% Reviewed120+ products updated and mapped to EHRu annually.
DHMSMTrainingTraining Materials (DHMSM + DHA)1625 total / 165 updates annually
JOMISTrainingAdoption Materials
JOMISTrainingTraining Materials
DHMSMProvisioningList of All Required Roles275 Current RolesRoles can be further categorized by track.
DHMSMProvisioningAccount Modifications37,922 / year
DHMSMProvisioningTraining Domain Access Requests3,383 / year
DHMSMProvisioningAccount-Related Incidents9,533 / year
DHMSMProvisioningMonthly Workflow / Training Ticket Volume1,196April - June 2026
DHMSMTrainingILT Courses Delivered| Learners Trained12,629 / year | 22,944 / year96.70%All trainings are assigned and hosted in JKO.
DHMSMTrainingVILT Sessions Throughput (Courses) | Learners Trained4,172 / year | 12,233 / year84.00%All trainings are assigned and hosted in JKO.
DHMSMTrainingCBT Courses Available| Learners Trained (Unique) | Average CBT per User79 | 101,172 / year | 2.8All trainings are assigned and hosted in JKO.
DHATrainingNon-MTF Account Training1,115 requests received and completed for CY2025
DHATrainingCompetency Password Updates52/ year (weekly updates)
DHMSMTrainingUser sentiment Survey (twice annually)Semi Annual

52k responses (August 2025)

35k responses (April 2026)3.54 (Likert Scale)
DHMSMTrainingAdoption Events123
DHMSMTrainingTrain-the-Trainer Certification305 Trainees
EnterpriseShare Point Site: Adoption Central | | EHRu110,000 visit annually

~10 web design changes / new pages monthly

JOMISProvisioningList of All Required Roles24 (OpMed)
JOMISCommsDevelop and maintain strategic commsAnnually
JOMISCommsDashboard Training / Adoption Experience SurveyMonthly and Event Driven
JOMISCommsMaintain distribution planMonthly
JOMISCommsDesign and execute Enablement CampaignAnnually
JOMISCommsMaintain and execute comms planAnnually
JOMISCommsChange Enablement Program "What's New" managementQuarterly
JOMISTrainingForce Multiplier T3 Trainers Trained - BATDOK-JQuarterly
JOMISTrainingFull Suite Training and Provisioning SupportDaily
JOMISTrainingForce Multiplier T3 Trainers Trained - CDPQuarterly
JOMISTrainingForce Multiplier T3 Trainers Trained - TBLDQuarterly
JOMISTrainingForce Multiplier T3 Trainers Trained - Med HUBQuarterly
JOMISTrainingVILT Sessions (Courses) - BATDOK-J4 / month
JOMISTrainingVILT Sessions (Courses) - CDP5 / month
JOMISTrainingVILT Sessions (Courses) - TBLD2 / month
JOMISTrainingVILT Sessions (Courses) - Med HUB4 / month
JOMISTrainingVILT / ILT Events & Conferences25 / month
JOMISTrainingGlobally Integrated / Service Exercises6 / month
JOMISTrainingTechnical support for exercisesevent driven
JOMISTrainingLogistical support for hardware iso exercisesevent driven
JOMISSharePoint / WebUpdate Central Repository (JOMIS Connect)Monthly (Curriculum, QRG's)
JOMISSharePoint / WebJTS Deployed Medicine JOMIS Partner PageMonthly
JOMISTraining DomainManagement of non-production sandbox environmentsWeekly
JOMISDefect ManagementIncident Report (JIRA) Update and ReviewWeekly
JOMISGovernanceDevelop, coordinate, maintain, and finalize the Training Plan and StrategyMonthly & Event Driven; Annual once finalized
JOMISContent ReviewCurricula and artifactsMonthly
JOMISTrainingJKO LMS System Administration CBTAnnually
JOMISTrainingSys Admin Training3 / month
JOMISWorkflow AnalyticsWorkflow Compliance Metrics from Lights On / Advance / DiscernSummary of reports
JOMISCompetencyDevelop and maintain competency requirements aligned with application workflows and user rolesMonthly & Event Driven
JOMISWorkflow AnalyticsVolumeBATDOK -J – 4 workflows

CDP – 20 workflows TBLD – 6 workflows

JOMISContent ReviewMonthly Content ReviewsAll application materials & artifacts
JOMISTraining DomainActive Non-Prod / Sandbox EnvironmentsUp to 500 users
JOMISDeployment DomainActive Prod Environment Managementevent driven
JOMISLMSLMS Assignment / Completion1 TBLD JKO CBT (Annually)
JOMISLMSLMS Assignment / Completion19 CDP JKO CBTs (Bi-Annually)
DHMSMTraining QualityTraining Material Acceptance Rate218 (out of 232)94%
DHMSMCompetencyCompetency List Aligned to Workflow54 Competencies100% Reviewed Annually
DHMSMWorkflowsEnterprise Workflows803 (1DoD - Garrison MHS GENESIS)

130 (2DoD - OpMed MHS GENESIS)

31 workflow updates annually

DHMSMWorkflow OptimizationConduct impact analysis to workflows and trainings30 |13 (2025|2026)
DHMSMTraining DomainActive Non-Prod / Sandbox Environments3 total domains - T0630, A0630, and S0630; 585 tickets submitted for CY202598%GSC bridge line support is currently available Monday - Friday, 0800 - 1700 CT.
DHMSMWorkflow AnalyticsWorkflow Compliance Metrics from Lights On / Advance / DiscernCompliance Metrics (Lights On / Advance/Discern)NLT 5th Business Day4.2 / 5.0Requires data pulls from Cerner Lights On, Discern and Cerner Advance.
DHMSMDefect ManagementKnown Defects Backlog99 per yearDefects currently in open status as of August 2026.
DHMSMDefect ManagementAverage Days Open188 days
DHMSMSharePoint / WebSharePoint: EHRu2005 (unique users)
DHMSMGovernanceCadence and Material Volume for JSaAB276 Config Changes / Yr100% Submission88%Includes UIS slide development and executive briefs.
DHMSMGovernanceChange Requests Analyzed1,478 (FY26 Q1-Q3)
DHMSMContent Development / CommsTip Sheets12 released per month (158 / year baseline)7–10 Days94%Requires clinical SME review and annual template updates (250+ files).
DHMSMContent Development / CommsUser Guides & Workflow Manuals30+ in-progress; ~15 / year releasedCompliant94%Requires multi-specialty clinical stakeholder sign-off.
DHMSMContent Development / CommsFlashes & Urgent System Alerts35 urgent alerts / year< 30 MinutesN/AEvent-driven; impacts 10,600+ DoD and VA positions across enclaves.
DHMSMContent Development / CommsInfo Papers & One-Pagers10–12 / year3–5 Days4.5 / 5.0Tailored for senior leadership and MTF executive briefs.
DHMSMContent Development / CommsEUE Weekly Updates (Email & PDF)4–5 / month (50+ / year)100% On-Time4.5 / 5.0Centralized, single authoritative source for enterprise changes.
DHMSMContent Development / CommsMHS GENESIS Announcement Tool Posts3 / month (average)< 24 HoursN/AIn-app system notifications within Cerner/Millennium.
DHMSMContent Development / CommsTeams Announcements & Notifications2 / month (average)Compliant83%Posted directly to 16+ Communities of Practice (13.3K members).
DHMSMContent Development / CommsUser Impact Series (UIS) Slide Decks4–5 / month (50+ sessions / year)100% Executed4.6 / 5.0Communicates 1,107 config changes/yr (366 high-impact); 1,612 avg monthly attendees.
DHMSMContent Development / CommsPatient Education & Portal Guides (Day 1 #17)12 / year14–21 Days4.2 / 5.0 CSATRequires DHA Comms & Clinical SME sign-off; distributed via MTFs & portal.
JOMISGovernance / Content ReviewJSaAB & OpMed Governance Packages (Day 1 #20)276 Config Changes / yr (38 Content Reviews)3–5 Days88%Supports JSaAB and OpMed functional/technical governance; requires multi-service consensus.
DHAIssue ResolutionTicket Queue ManagementTraining Queue - 75 tickets for CY202596% of tickets have initial response or acknowledgement within 24 hoursTickets may come in over the weekend or outside of business hours.

JOMIS Raw Metrics

Tracker: Metrics
Jan-26Feb-26Mar-26Apr-26May-26Jun-26
Metric NameWBS ElementStatusHealthCategoryUnit of MeasureDescriptionEscalation FlagBaselineTargetActualBaselineTargetActualBaselineTargetActualBaselineTargetActualBaselineTargetActualBaselineTargetActual
MedHUB
14. Number of Total UsersJ.1.8 TrainingOpenOn-TrackUsageInteger (Whole)This data represents the 'Total Number of CustomerX Pod2 JOMIS Products New Users Trained'.135135135505050311311311949494144144144322322322
19. Number of Users TrainedJ.1.8 TrainingOpenOn-TrackDeliveryInteger (Whole)Number of end users trained for the following Training Events. (See comment in Actual column for breakdown of end users trained at each site).135135135505050306306306949494144144144322322322
20. Number of Trainers TrainedJ.1.8 TrainingOpenOn-TrackDeliveryInteger (Whole)Number of trainers trained (train-the-trainer paradigm).000000000000000000
21. Number of Sites Training CompletedJ.1.8 TrainingOpenOn-TrackDeliveryInteger (Whole)Number of sites that training has been completed within a specific organization. (See comment in Actual column for a breakdown of training completed within specific organization (i.e., unit, command, etc.)333444444444111111131313
10. DeploymentsJ.1.12.4 Site ActivationOpenOn-TrackDeliveryInteger (Whole)The number of software deployments and the frequency of releases, including minimum viable products and minimum viable change requests.000000000000000000
Care Delivery Platform (CDP)
14. Number of Total UsersJ.1.8 TrainingOpenOn-TrackUsageInteger (Whole)This data represents the 'Total Number of CustomerX Pod2 JOMIS Products New Users Trained'.155155155545454797979225225225302302302266266266
19. Number of Users TrainedJ.1.8 TrainingOpenOn-TrackDeliveryInteger (Whole)Number of end users trained for the following Training Events. (See comment in Actual column for breakdown of end users trained at each site).155155155545454797979225225225302302302266266266
20. Number of Trainers TrainedJ.1.8 TrainingOpenOn-TrackDeliveryInteger (Whole)Number of trainers trained (train-the-trainer paradigm).000000121212000000000
21. Number of Sites Training CompletedJ.1.8 TrainingOpenOn-TrackDeliveryInteger (Whole)Number of sites that training has been completed within a specific organization. (See comment in Actual column for a breakdown of training completed within specific organization (i.e., unit, command, etc.)333555444555101010111111
10. DeploymentsJ.1.12.4 Site ActivationOpenOn-TrackDeliveryInteger (Whole)The number of software deployments and the frequency of releases, including minimum viable products and minimum viable change requests.020002444221224000
15
10
Battlefield Assisted Trauma Distributed Observation Kit-Joint (BATDOK-J)
14. Number of Total UsersJ.1.8 TrainingOpenOn-TrackUsageInteger (Whole)This data represents the 'Total Number of CustomerX Pod2 JOMIS Products New Users Trained'.828282202020637637637128128128134134134221221221
19. Number of Users TrainedJ.1.8 TrainingOpenOn-TrackDeliveryInteger (Whole)Number of end users trained for the following Training Events. (See comment in Actual column for breakdown of end users trained at each site).828282202020637637637128128128134134134221221221
20. Number of Trainers TrainedJ.1.8 TrainingOpenOn-TrackDeliveryInteger (Whole)Number of trainers trained (train-the-trainer paradigm).000000000000000000
21. Number of Sites Training CompletedJ.1.8 TrainingOpenOn-TrackDeliveryInteger (Whole)Number of sites that training has been completed within a specific organization. (See comment in Actual column for a breakdown of training completed within specific organization (i.e., unit, command, etc.)333222333444666666
10. DeploymentsJ.1.12.4 Site ActivationOpenOn-TrackDeliveryInteger (Whole)The number of software deployments and the frequency of releases, including minimum viable products and minimum viable change requests.121334334446334334
Critical Clinical Data Completeness
Patient Handoff Completeness
Battlefield Assisted Trauma Distributed Observation Kit-Joint iPhone Operating System (BATDOK-J iOS)
14. Number of Total UsersJ.1.8 TrainingOpenOn-TrackUsageInteger (Whole)This data represents the 'Total Number of CustomerX Pod2 JOMIS Products New Users Trained'.000000000000000000
19. Number of Users TrainedJ.1.8 TrainingOpenOn-TrackDeliveryInteger (Whole)Number of end users trained for the following Training Events. (See comment in Actual column for breakdown of end users trained at each site).000000000000000000
20. Number of Trainers TrainedJ.1.8 TrainingOpenOn-TrackDeliveryInteger (Whole)Number of trainers trained (train-the-trainer paradigm).000000000000000000
21. Number of Sites Training CompletedJ.1.8 TrainingOpenOn-TrackDeliveryInteger (Whole)Number of sites that training has been completed within a specific organization. (See comment in Actual column for a breakdown of training completed within specific organization (i.e., unit, command, etc.)000000000000000000
10. DeploymentsJ.1.12.4 Site ActivationOpenOn-TrackDeliveryInteger (Whole)The number of software deployments and the frequency of releases, including minimum viable products and minimum viable change requests.000000000000000000
Critical Clinical Data Completeness
Patient Handoff Completeness
Health Care Delivery (HCD)

(CDP & BATDOK-J combined)

14. Number of Total UsersJ.1.8 TrainingOpenOn-TrackUsageInteger (Whole)This data represents the 'Total Number of CustomerX Pod2 JOMIS Products New Users Trained'.220220220545454716716716263263263312312312000
19. Number of Users TrainedJ.1.8 TrainingOpenOn-TrackDeliveryInteger (Whole)Number of end users trained for the following Training Events. (See comment in Actual column for breakdown of end users trained at each site).220220220545454716716716263263263312312312000
20. Number of Trainers TrainedJ.1.8 TrainingOpenOn-TrackDeliveryInteger (Whole)Number of trainers trained (train-the-trainer paradigm).000000121212000000000
21. Number of Sites Training CompletedJ.1.8 TrainingOpenOn-TrackDeliveryInteger (Whole)Number of sites that training has been completed within a specific organization. (See comment in Actual column for a breakdown of training completed within specific organization (i.e., unit, command, etc.)444555777666141414000
10. DeploymentsJ.1.12.4 Site ActivationOpenOn-TrackDeliveryInteger (Whole)The number of software deployments and the frequency of releases, including minimum viable products and minimum viable change requests.000000000000000000
Theater Blood Mobile (TBLD-M)
14. Number of Total UsersJ.1.8 TrainingOpenOn-TrackUsageInteger (Whole)This data represents the 'Total Number of CustomerX Pod2 JOMIS Products New Users Trained'.121212444444315315315293293293888888198198198
19. Number of Users TrainedJ.1.8 TrainingOpenOn-TrackDeliveryInteger (Whole)Number of end users trained for the following Training Events. (See comment in Actual column for breakdown of end users trained at each site).121212444444315315315293293293888888198198198
20. Number of Trainers TrainedJ.1.8 TrainingOpenOn-TrackDeliveryInteger (Whole)Number of trainers trained (train-the-trainer paradigm).000000000000000000
21. Number of Sites Training CompletedJ.1.8 TrainingOpenOn-TrackDeliveryInteger (Whole)Number of sites that training has been completed within a specific organization. (See comment in Actual column for a breakdown of training completed within specific organization (i.e., unit, command, etc.)111333444444555555
10. DeploymentsJ.1.12.4 Site ActivationOpenOn-TrackDeliveryInteger (Whole)The number of software deployments and the frequency of releases, including minimum viable products and minimum viable change requests.000000222000000111
Enterprise
15. Number of User Stories CompletedJ.1.4 Program ManagementOpenOn-TrackDeliveryInteger (Whole)This data represents planned vs. actual sprint tasks completed.093125112112130848410275751831341341908282128
16 VelocityJ.1.4 Program ManagementOpenOn-TrackDeliveryInteger (Whole)This data represents the average number of IMS tasks completed within each two week sprint046.563565665424251383892676795414164
17. Story Completion RateJ.1.4 Program ManagementOpenOn-TrackDeliveryNumber (Percentage)Percentage planned vs. actual workstream IMS tasks completed.01001000100100010010001001000100100100100100
18. Cycle Time / ThroughputJ.1.4 Program ManagementOpenOn-TrackDeliveryNumber (Weeks)The average number of days taken to complete a User Story, from development start to deployment.000000000000000000
19. Globally Integrated Exercise Support (IPC, MPC, FPC/MESL, and Execution)OpenOn-TrackDeliveryNumber (Month)Total GIE planning and execution for exercises supported
20. Service Exercise SupportOpenOn-TrackDeliveryNumber (Month)Total service exercises supported
HCD Event SupportOpenOn-TrackDeliveryNumber (Month)Total intake events & conferences supported
User Experience / Satisfaction
Air Force
19. Number of Users TrainedJ.1.8 TrainingOpenOn-TrackDeliveryInteger (Whole)Number of end users trained for the following Training Events. (See comment in Actual column for breakdown of end users trained at each site).431252334317368378
Navy
19. Number of Users TrainedJ.1.8 TrainingOpenOn-TrackDeliveryInteger (Whole)Number of end users trained for the following Training Events. (See comment in Actual column for breakdown of end users trained at each site).10028321454

JOMIS Growth Drivers

1Events supported per month:
aVirtual: 15 per month (includes 3x per week training sessions)
bIn Person: 10 per month
2Exercises supported per month:
aGlobally Integrated Exercises – 5 per month (includes IPC, MPC, FPC/MESL, and Execution for JS GIE exercises – support for intake, med planning for events, logistics)
bService Exercises – Currently support 1 per month, anticipate increase once suite rolls out = 2 per month
3Growth Drivers (Product support leads to increased User Growth which leads to increased Technical/Functional support growth)
aMEDHUBIncreased user reporting and workflow activity upon adoption of HCD suite
bHCD SuiteExpansion to support service adoption and enablement for exercises, operational assessments, operational sustainment

File details come from the government source that posted it. Updated .