CSO Amendment 0002 - Responses to Questions.pdf

CSO Amendment 0002 - Responses to Potential HCD CSO Applicant Questions

Question # Ref. Doc Section Question/Comment Government Response

1 N/A N/A What is your current EHR user interface? Please provide an example.

The Armed Forces Health Longitudinal Technology Health Application-Theater (AHLTA-T) and Maritime

Medical Module (MMM) are the current EHR user interfaces (UI) used at role 1 and role 2. However, because the USG is intentionally avoiding prescriptive guidance that may constrain Applicant ingenuity, sharing the “current state” is NOT intended to stifle Applicant ingenuity. Should an Applicant’s proposed solution including any related assumptions prove to be an impossibility or not in the USG’s best interest to accommodate, but the proposed solution otherwise be evaluated as meritorious, the USG may determine an Applicant’s Abstract worthy of continuation to the Pitch

Phase of the Commercial Solutions Opening.”

2 N/A N/A In Role 1 and 2 of the Attachment 1 OpMed Information, loss of patient files is a concern in several use cases. How are the current documents managed?

The USG is intentionally avoiding prescriptive guidance that may constrain Applicant ingenuity, specifying specific requirements MAY stifle Applicant ingenuity. Should an Applicant’s proposed solution including any related assumptions prove to be an impossibility or not in the USG’s best interest to accommodate, but the proposed solution otherwise be evaluated as meritorious, the USG may determine an

3 N/A N/A How are the medical encounters being handled/documented in the current state?

Currently, Electronically via AHLTA-T in most cases at Role 1 and Role 2, but the majority of documentation at Point of Injury/Illness is done on paper. However, because the USG is intentionally avoiding prescriptive guidance that may constrain Applicant ingenuity, sharing the “current state” is NOT intended to stifle Applicant ingenuity. Should an Applicant’s proposed solution including any related assumptions prove to be an impossibility or not in the USG’s best interest to accommodate, but the proposed solution otherwise be evaluated as meritorious, the USG may determine an

4 N/A N/A Is there a Master Patient Index (MPI) currently in place that can be queried?

For the purposes of the prototype, the Government will provide simulated data to ingest. However, because the USG is intentionally avoiding prescriptive guidance that may constrain Applicant ingenuity, utilizing simulated data is NOT intended to stifle

Applicant ingenuity. Should an Applicant’s proposed solution including any related assumptions prove to be an impossibility or not in the USG’s best interest to accommodate, but the proposed solution otherwise be evaluated as meritorious, the USG may determine an

5 N/A N/A If there is an MPI in place, what fields are required in order to create a request/response on a unique patient?

There is a single field that is the unique identifier per patient. However, because the USG is intentionally avoiding prescriptive guidance that may constrain

Applicant ingenuity, the use of a unique identifier is NOT intended to stifle Applicant ingenuity. Should an Applicant’s proposed solution including any related assumptions prove to be an impossibility or not in the USG’s best interest to accommodate, but the proposed solution otherwise be evaluated as meritorious, the USG may determine an Applicant’s Abstract worthy of continuation to the Pitch Phase of the Commercial Solutions Opening.”

6 N/A N/A Is there any current Clinical Decision Support (CDS) solution already in place?

The current AHLTA-T CDS solution should not inform the proposed solution. However, because the USG is intentionally avoiding prescriptive guidance that may constrain Applicant ingenuity, sharing the “current state” is NOT intended to stifle Applicant ingenuity.

Should an Applicant’s proposed solution including any related assumptions prove to be an impossibility or not in the USG’s best interest to accommodate, but the proposed solution otherwise be evaluated as meritorious, the USG may determine an Applicant’s

7 N/A N/A If there is a CDS solution in place, what is it?

See above.

8 N/A N/A Is there any interest in having an analysis and reporting tool that allows internal government users to understand how treatment is being provided?

specifying specific requirements MAY stifle Applicant ingenuity. Should an Applicant’s proposed solution including any related assumptions prove to be an impossibility or not in the USG’s best interest to accommodate, but the proposed solution otherwise be evaluated as meritorious, the USG may determine an

9 N/A N/A If so, what instances of care are most important?

specifying specific requirements MAY stifle Applicant ingenuity. Should an Applicant’s proposed solution including any related assumptions prove to be an impossibility or not in the USG’s best interest to accommodate, but the proposed solution otherwise be evaluated as meritorious, the USG may determine an

10 N/A N/A What is the current EHR training processes?

“The current EHR training process is currently conducted outside the JOMIS Program Office, and is the responsibility of the Service’s Product Support Integrator (PSI). However, because the USG is intentionally avoiding prescriptive guidance that may constrain Applicant ingenuity, sharing the “current state” is NOT intended to stifle Applicant ingenuity.

Should an Applicant’s proposed solution including any related assumptions prove to be an impossibility or not in the USG’s best interest to accommodate, but the proposed solution otherwise be evaluated as meritorious, the USG may determine an Applicant’s

11 N/A N/A Based on the fact that this will be a new solution, what type of help/service desk support is anticipated to meet the needs of the solution users?

specifying specific requirements MAY stifle Applicant ingenuity. Should an Applicant’s proposed solution including any related assumptions prove to be an impossibility or not in the USG’s best interest to accommodate, but the proposed solution otherwise be evaluated as meritorious, the USG may determine an

12 N/A N/A How many systems are being used for documenting a medical encounter?

In the deployed environment, Armed Forces Health Longitudinal Technology Application –Theater

(AHLTA-T), Theater Composite Healthcare System (TC2), Maritime Medical Module (MMM) are the current systems being used to document healthcare.

However, the USG is intentionally avoiding prescriptive guidance that may constrain Applicant ingenuity, sharing the “current state” is NOT intended to stifle Applicant ingenuity. Should an Applicant’s proposed solution including any related assumptions prove to be an impossibility or not in the USG’s best interest to accommodate, but the proposed solution otherwise be evaluated as meritorious, the USG may determine an Applicant’s Abstract worthy of continuation to the Pitch Phase of the Commercial Solutions Opening.

13 N/A N/A Please list those systems and their purposes/use cases.

AHLTA-T supports documenting care at Role 1 & 2, MMM supports Navy Role 2 and TC2 supports Role 3.

Specific use cases can be found in the CSO solicitation. However, the USG is intentionally avoiding prescriptive guidance that may constrain Applicant ingenuity, sharing the “current state” is NOT intended to stifle Applicant ingenuity. Should an Applicant’s proposed solution including any related assumptions prove to be an impossibility or not in the USG’s best interest to accommodate, but the proposed solution otherwise be evaluated as meritorious, the USG may determine an Applicant’s the Commercial Solutions.

14 N/A N/A In the use case examples, it states that hardware is not always available or reliable. Can the government provide any anticipated hardware upgrades or refreshing plans that will coincide with this program?

Each Services’ is responsible for fielding hardware to the field to support documenting care. The JOMIS

Program Office does not have visibility into that lifecycle refresh model. However, the USG is intentionally avoiding prescriptive guidance that may constrain Applicant ingenuity, sharing the “current state” is NOT intended to stifle Applicant ingenuity.

Should an Applicant’s proposed solution including any related assumptions prove to be an impossibility or not in the USG’s best interest to accommodate, but the proposed solution otherwise be evaluated as meritorious, the USG may determine an Applicant’s

15 N/A N/A Is the government open to hardware suggestions that will allow healthcare documentation in the disconnected, intermittent, and low-comms environment?

specifying specific requirements MAY stifle Applicant ingenuity. Should an Applicant’s proposed solution including any related assumptions prove to be an impossibility or not in the USG’s best interest to accommodate, but the proposed solution otherwise be evaluated as meritorious, the USG may determine an

Phase of the Commercial Solutions.

16 N/A N/A What type of access to the non-normalized data will be provided?

For the purposes of the prototype, the USG will provide simulated data including simulated normalized and non-normalized data. However, the USG is intentionally avoiding prescriptive guidance that may constrain Applicant ingenuity, sharing the “current state” is NOT intended to stifle Applicant ingenuity.

Should an Applicant’s proposed solution including any related assumptions prove to be an impossibility or not in the USG’s best interest to accommodate, but the proposed solution otherwise be evaluated as meritorious, the USG may determine an Applicant’s

17 N/A N/A What is happening currently with the non-normalized data?

sharing the “current state” is NOT intended to stifle Applicant ingenuity. Should an Applicant’s proposed solution including any related assumptions prove to be an impossibility or not in the USG’s best interest to accommodate, but the proposed solution otherwise be evaluated as meritorious, the USG may determine an

18 N/A N/A Is there a wish list of functionality actions that the government has in regards to transforming currently unusable data and making it usable?

specifying specific requirements MAY stifle Applicant ingenuity. Should an Applicant’s proposed solution including any related assumptions prove to be an impossibility or not in the USG’s best interest to accommodate, but the proposed solution otherwise be evaluated as meritorious, the USG may determine an

19 N/A N/A How are prescriptions, lab results, and imaging studies documented to patient profiles today?

specifying specific requirements MAY stifle Applicant ingenuity. Should an Applicant’s proposed solution including any related assumptions prove to be an impossibility or not in the USG’s best interest to accommodate, but the proposed solution otherwise be evaluated as meritorious, the USG may determine an

20 N/A N/A What is the current Consolidated Clinical Document (CCD) architecture?

The Current-state is custom and proprietary, and should not inform the proposed solution. However, the USG is intentionally avoiding prescriptive guidance that may constrain Applicant ingenuity, specifying specific requirements MAY stifle Applicant ingenuity.

Should an Applicant’s proposed solution including any related assumptions prove to be an impossibility or not in the USG’s best interest to accommodate, but the proposed solution otherwise be evaluated as meritorious, the USG may determine an Applicant’s

21 N/A N/A What are the expectations around the cadence of the bi-directional flow i.e. real time, batch, etc.?

specifying specific requirements MAY stifle Applicant ingenuity. Should an Applicant’s proposed solution including any related assumptions prove to be an impossibility or not in the USG’s best interest to accommodate, but the proposed solution otherwise be evaluated as meritorious, the USG may determine an

22 N/A N/A What is the current bi-directional flow process?

specifying “current state” MAY stifle Applicant ingenuity. Should an Applicant’s proposed solution including any related assumptions prove to be an impossibility or not in the USG’s best interest to accommodate, but the proposed solution otherwise be evaluated as meritorious, the USG may determine an

23 N/A N/A Are all the data inputs (medical files, claims, etc) in English? If not, what other languages could we expect?

For the purposes of the prototype English will be the standard language. However, the USG is intentionally avoiding prescriptive guidance that may constrain Applicant ingenuity, specifying specific requirements MAY stifle Applicant ingenuity. Should an Applicant’s proposed solution including any related assumptions prove to be an impossibility or not in the USG’s best interest to accommodate, but the proposed solution otherwise be evaluated as meritorious, the USG may determine an Applicant’s Abstract worthy of continuation to the Pitch Phase of the Commercial Solutions.

24 N/A N/A What metric system is used in the files?

specifying specific requirements MAY stifle Applicant ingenuity. Should an Applicant’s proposed solution including any related assumptions prove to be an impossibility or not in the USG’s best interest to accommodate, but the proposed solution otherwise be evaluated as meritorious, the USG may determine an