HCDS EHR Industry Day Slides_5NOV2025.pdf

November 5, 2025

DOD Healthcare Management System Modernization (DHMSM) Program Management Office (PMO)

HEALTH CARE DELIVERY SOLUTIONS (HCDS)

MHS GENESIS INDUSTRY DAY

Sonya Edom Procuring Contracting Officer

Ms. Edom serves as a Contracting Officer supporting PEO DHMS and its Program Offices.

Dr. Christina Sheets DHMSM Program Manager (PM)

Dr. Sheets is the DHMSM PM, overseeing the cost, schedule, and performance of MHS GENESIS. A retired Air Force Colonel, Dr.

Sheets previously held various roles within DHMSM and served in dental leadership positions, bringing extensive experience to her current role.

Meet Our Hosts

Email: Sonya.m.edom.civ@health.mil

Submitting Input and/or Questions Refer to Next Steps section

Listening Mode Only We’ll explain how to engage and provide feedback later in the briefing.

Presentation Materials Available These slides are available on SAM.gov for your reference.

This session is being recorded and made available after today.

Purpose of Today’s Session Ensure high quality on the first submission – helping us move faster and respond more efficiently. Your input will support a more streamlined acquisition process from the outset.

Ground Rules

Purpose

• Promote early industry understanding of mission, priorities, and constraints

• Enable meaningful vendor collaboration and informed proposal development

• Solicit feedback to strengthen acquisition outcomes and reduce delivery risk

• Foster a competitive environment that delivers value, innovation, and accountability

• Gather market insights to inform refinements prior to RFP release

• Clarify planned contracting approach and milestones

• Support industry readiness to respond with compliant, high-quality proposals

Agenda

MHS GENESIS History & Background Acquisition Strategy Industry Input Key Takeaways Next Steps

In 2015, the Government awarded a ten-year contract to implement MHS GENESIS. DHMSM designed, configured, and tested MHS GENESIS prior to deployment.

Features

• Proven commercial EHR facilitates the continuum of care across garrison, operational, and enroute care

• Provides world class healthcare delivery solutions for Service

Members, their families, and our Allies across the globe

Benefits

• Enables critical information sharing across health care providers such as the DOW, VA, and private sector healthcare

• Utilizes industry-standard longitudinal health care tracking to assist healthcare providers in making high-quality, responsive, and personalized healthcare decisions

• Allows greater access to personal healthcare information for patients and support increased engagement in health-related activities

Active projects in flight 41

DoW Military Medical Treatment Facility (MTF) Commands 138

Provisioned MHS GENESIS users

194K

Beneficiaries Served 9.6M

Total Locations 4386

As of October 2025

Moving towards Capability Support Phase

MHS GENESIS History & Background Overview

DHA Priorities

• Assure the force is medically ready

• In partnership with the Joint Staff and Military Departments, assure our ability to generate and sustain the medical force Increase operational clinical readiness (ready medical force) Reattract beneficiaries to MTFs

• As a combat support agency, optimize support of the Joint Staff, Combatant Commands, and Military Departments

PEO Priorities

• Enhance patient care through continued evolution of MHS GENESIS and delivery of innovative health IT solutions

• Advance healthcare technology by implementing new capabilities and software releases that improve system performance and interoperability

• Sustain readiness and reliability through proactive technology refreshes and infrastructure optimization

DHMSM Priorities

• Field & optimize products that address and anticipate customer needs

• Accelerate productivity and effectiveness using the product platform model (people, process, tools, data)

• Shape and scale the innovation to enable the future now

• Partner with Industry, Federal Partners, stakeholders, and users to deliver value

• Invest in our people

MHS Priorities

• Support the warfighter, ensures fitness and access to care

• Sustain clinical skills by increasing volume and complexity of care in our hospitals

• Strengthen our force generation platform with advanced training in our hospitals

DOW Priorities

• Revive the warrior ethos and restore trust in our military

• Rebuild our military by matching threats to capabilities

• Reestablish deterrence by defending our homeland–on the ground and in the sky

Priorities

RESERVES

• Locations: 562

• Users: 5113

DOW/NSA

MTF Commands: 184 Locations: 3,628 Users: 176,391

USCG

• Locations: 118

• Users: 954

US MEPCOM

• Locations: 70

• Users: 2,786

NOAA

• Locations: 7

• Users: 17

USNS Mercy, San Diego, CA - MHS GENESIS Segment 2

• Locations: 1

• Users: 47

• Messaging:

– 23M Daily

– 65 external interfaces

– 976 endpoints

• Provisioned Users: 194K

• Beneficiaries: 9.6M

USNS Comfort, Norfolk, VA - MHS GENESIS Segment 2 Deployment to Theater • USCG Afloat System • Armed Forces Retirement Home

Future Deployment Sites

Operations

Across the Federal Space

10The Med-COI network provides a secure connection framework from MHS GENESIS to DOW facilities and external interfaces

Medical Community of Interest (Med-COI) Network

Configuration Facts:

• 975 number of workflows

• 211 number of user roles

• 3000+ change requests annually

Government requirements:

MHS GENESIS satisfies some or all of the 60 capabilities

Federal EHR Capability to MHS GENSIS mapping underscores the complexity and depth of the system of systems

Major solution components:

• Oracle Health Millennium – EHR

• Cerner Patient Accounting –

Revenue Cycle

• Dentrix – Dental

• Rhapsody – Integration Engine

• Phillips eCare – Virtual Health

Delivery

• Amwell Converge – Virtual Health

• Health Data Intelligence – Population health management and analytics

• Solventum Health Information

Systems – AI and Integrated solution interoperability between DOW and VA

• Artera – On-demand pharmacy refills

Capability Mapping

MHS GENESIS History & Background Acquisition Strategy Industry Input

Standardization of clinical and business processes across the Services and the Military Health System (MHS)

Design a patient-centric system focusing on quality, safety and patient outcomes that meet readiness objectives

Flexible, open, and interoperable system of enterprise solutions that support the full patient continuum of care

Maximizing value through business process reengineering, adoption, and implementation over technology

Leverage transformative technology advancements to provide continuous improvement and state-of-the-art patient care

Decision-making and design will be driven by frontline care delivery professionals

Decisions shall be based on doing what is best for the MHS as a whole – not a single individual area

Drive towards rapid decision making to keep the program on time and on budget

Provide timely and complete communication, training and tools to ensure optimal Stakeholder Experience

Build collaborative partnerships outside the MHS to advance national interoperability

Enhance patient safety through solutions that reduce harm, improve care, reduce waste, and improve efficiency

Enable full patient engagement in their health by prioritizing their User Experience

Acquisition Strategy DHMSM Guiding Principles

Initiative Requirements Key Considerations

System Integration

• Operate and maintain system, including configuration, patches, system security, & cybersecurity compliance

• Provide the supported solutions and maintain licenses

• Manage sub-contractor performance

• Focus on optimization and efficiency

Due to complexity of MHS GENESIS and the on-going hosting transition from on-premises to cloud, the risk associated with transitioning contractors was significantly high and would impact the success of cloud transition

End User Experience

• Training, Change Management and user adoption

• Tier 1/ Tier 2 help desk support

• Routine fixes and user-centric EHR configurations.

Competition introduces low risk and allows for tailored vendor selection

New / Enhanced Capabilities

• Deliver new capabilities or solutions to meet requirements

• Implement new capabilities to enterprise to include other Federal Partners (not Deployment)

Competition introduces low risk and allows for tailored vendor selection

Deployment • On-board new Federal Partners Competition introduces low risk and allows for tailored vendor selection

Initial Strategy

The Government is conducting additional market research and industry engagement to inform a revised approach that reflects emerging requirements and priorities.

Acquisition Strategy Update

• Strategic Alignment Opportunity The Department is exploring a joint DOW/VA contract for the EHR system, signaling a move towards tighter

Federal integration.

• Value Optimization Focus Drive value optimization by aligning investments and capabilities to measurable mission outcomes, eliminating low-yield activities, and accelerating delivery of impactful solutions at reduced total cost of ownership.

• Prioritize Innovation Shift value optimization approach to embrace calculated risk, enabling faster innovation and unlocking higher-return opportunities.

• Leveraged IDIQ for MHS GENESIS Sustainment Notwithstanding the publication of a notice of intent to sole source, the Government awarded Stage

11 to continue “mostly as-is” sustainment support for 12 months (29 July 2025 – 28 July 2026).

Awarded an additional Product Improvement Engineering Task Order to support emerging new requirements for completion by 28 July 2026.

• Planning for a new, competitive contract Develop and align the acquisition strategy, launch RFP development, and coordinate organizational readiness in parallel.

Acquisition Strategy Update The Government is conducting additional market research and industry engagement to inform a revised approach that reflects emerging requirements and priorities.

• Accelerating healthcare innovation reshapes deployment and value.

• Vendor relationships with shared outcomes and accountability with measurable Key Performance Indicators (KPIs).

• Emphasis on speed-to-delivery, interoperability, and incremental adoption of modular capability.

• A defined Target State Architecture (TSA) to inform decisions.

• Balancing “optimize today” versus “transform for tomorrow” mindset.

• Collaborative partnerships with shared accountability and transparency.

• Transitioning requires a rigorous knowledge transfer, deep and broad expertise, and a well-managed transition period.

• Shift towards performance-based compensation models that share risk and reward.

Key Takeaways from Existing Market Research

Future State & Priorities

Continuous Capability Delivery Competitive landscape (cost, technical, and return on investment)

Performance

Cost Efficiency

MHS GENESIS History & Background Acquisition Strategy Industry Input

The Government is seeking industry feedback on the contracting approach on how to best optimize a transition to mitigate impact to operations and cost:

Are there other major solution components the Government should consider? If so, explain how they meet the Strategic Alignment Opportunity while maintaining performance, cost, and competition goals.

Given the Government’s constraints, how would you best manage the existing major solution components?

In order to create a more competitive environment, should there be a transition from the existing prime contractor structure into multiple contracts?

Industry Input Transition Strategy

Group capabilities together for performance, cost, efficiency, and to optimize competition

Build organizational structures that allows for informed decision-making and maximum efficiency.

Organizational Construct

Mitigate Risk for limitations of the Government

Sustain competition throughout the portfolio1 Organize to maximize value and performance

• What is the ideal relationship among contractors/vendors

• Vendor integration models2

Is there a value proposition for a System Integrator(s)4

Role and Value of a System Integrator(s)

Healthcare Outcomes

Technology as a Value Instrument

Establish KPIs

Near Term Outcomes

In a resource constrained environment, the Government seeks an approach to compensation that drives value, performance and outcomes

Compensation based on results, not labor

Model should account for:

Objectively measured outcomes Priority alignment Maintaining competition

Is there a process that objectively measures the value of capabilities and leverages modular capability to drive outcomes and performance?

Compensation Plan

MHS GENESIS History & Background Acquisition Strategy Industry Input

• Mutually Beneficial Partnership

• Industry Engagement Drives Refinement Feedback from today informs the Government’s approach, acquisition strategy, and RFP

• Drive Value Optimization by Aligning Investments to Mission Priorities Eliminate low-yield activities and accelerate delivery of impactful solutions at reduced total cost

• Focus on Federal Partner Synergy Greater interoperability, strategy, and cost efficiencies

• Optimize Competition Structure work to balance cost, performance, and innovation

Q1 FY26 Q2 FY26 Q3 FY26 Q4 FY26

Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug

Industry Day

Final

RFP

Draft RFP

Proposals Due

Source Selection

Contract Award

Weekly Q&A’s

Industry Engagement & Market Research

Key Takeaways Estimated Timeline

As of September 30, 2025

• Official Information Only If you're not hearing it directly from the Contracting Officer or SAM.gov, consider it speculation.

• Transparency Commitment We are committed to providing clear and timely information.

• No "Inside Track“ There are no shortcuts to accessing legitimate contract details. All information will be disseminated fairly and openly.

• "Ask, Don't Assume“ If anything is unclear, please use the official Q&A channels provided. Don't rely on unverified sources.

• We Are Your Source We are working diligently to finalize details and will be your definitive source of information for this contract.

• Be Patient We understand the eagerness for information and appreciate your patience as we work through the process.

Guidance from Contracts

MHS GENESIS History & Background Acquisition Strategy Industry Input

Provide Feedback

• Industry Input Please provide feedback to dha-dhms-cd@health.mil no later than Monday, November 17th (sooner is preferred) Multiple e-mails are okay

• If you provide feedback in multiple emails, please indicate pertinent information on the Subject line

• Questions Submit questions in writing via Bidscale (see next slide) Questions must be within scope of the material covered at Industry Day Copies of all pertinent questions and answered will be posted on Sam.gov weekly The questions and answers will inform the development of the RFP.

• Today’s presentation and video recording link will be posted to SAM.gov mailto:dha-dhms-cd@health.mil mailto:dha-dhms-cd@health.mil mailto:dha-dhms-cd@health.mil mailto:dha-dhms-cd@health.mil mailto:dha-dhms-cd@health.mil

Instructions to Submit Questions and/or Feedback

• Request User Account (only one request per vendor) Send an email to customersuccess@bidscale.com. The email must include the following information:

• Subject Line: Submission Portal Account Creation

• First Name

• Last Name

• Email Address

• Company Name

• HCDS EHR Follow-on (MHS GENESIS)

• Confirm Email & Login Once the account is created, vendors will receive a confirmation email

(within one business day) with login instructions.

• Submit Questions and/or Feedback File names must be lowercase alphanumeric only and include the date of submission formatted DDMMYYYY.

Submit only when ready; files may be immediately distributed to the government.

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THANK YOU