DOD's health data exchange running on bridge contract

The system that allows the Department of Defense to share health data across multiple legacy platforms and with outside providers is running on a sole-source bridge contract while a bid protest is being resolved.

health data (Supphachai Salaeman/Shutterstock.com)
 

The system that allows the Department of Defense to share health data across multiple legacy platforms and with outside providers is running on a sole-source bridge contract while a bid protest is being resolved.

In June 2018, DOD awarded a five-year contract with a $90 million ceiling for sustainment services for the Defense Medical Information Exchange (DMIX) system to ASRC Federal Data Solutions. But a protest by incumbent ActioNet looks to delay the start of the new contract.

DMIX is a core component of the Defense Department's ongoing health record modernization effort. Although it was created before the DOD acquired a commercial health record capability and began plans to implement it, DMIX is now managed by the same office that handles the implementation of MHS Genesis -- the Cerner-based system it acquired in 2015.

DMIX supports sharing of health data in standardized formats across multiple current and legacy DOD systems, including MHS Genesis system and the Joint Legacy Viewer, which connects DOD and Veterans Affairs systems. The DMIX system is busy, supporting between 60,000-70,000 data exchanges just between DOD and VA every day. DMIX also links the DOD health IT system with 53 external health information exchanges.

According to contracting documents signed in late December but just posted publicly on Jan. 11, the Program Executive Office Defense Healthcare Management Systems (DHMS) authorized a six-month sole-source extension to ActioNet to continue work on the DMIX system, citing the need to implement needed patches and upgrades. One upgrade, scheduled for May, has been in the works for almost a year and involves coordination with multiple legacy vendors, according to contracting documents.

"The longer the systems remain offline, the larger the risk of patient misdiagnosis, missed allergies alerts, duplicative procedures, increased overlook of 'drug seeking' behavior, and missed negative medicine interactions," contracting officials wrote in a document justifying the sole-source extension.

The dollar amount of the extension, which covers two months base and four one-month options, was redacted in contracting documents. ActioNet's protest is due to be resolved at the Government Accountability Office by the end of February.

The DMIX program has had problems in the past. According to an internal oversight report from the Office of the Director of Operational Test and Evaluation, DMIX release 5 "is not survivable against cyber-attacks." A pair of tests conducted between May and September 2017 discovered "several vulnerabilities that could allow an adversary to compromise patient data," according to the DOTE report. Those vulnerabilities were exploited an "adversarial assessment."

A DHMS spokesperson told FCW those vulnerabilities had been mitigated in a subsequent DMIX release.

The contracting documents justifying the sole source extension don't explicitly mention cybersecurity vulnerabilities. In addition to the needed updates, officials cited "network latency (local or enterprisewide),miscommunicated systems patches that bring systems down, corrupted databases, a blade being pulled out of a storage network" as examples of everyday problems that demand a contractor stay on the job while the protests are being resolved. "Without this contract action, DMIX will not have insight into critical systems, which could result in more frequent outages of longer duration that directly impact patients and providers," the justification states.

X
This website uses cookies to enhance user experience and to analyze performance and traffic on our website. We also share information about your use of our site with our social media, advertising and analytics partners. Learn More / Do Not Sell My Personal Information
Accept Cookies
X
Cookie Preferences Cookie List

Do Not Sell My Personal Information

When you visit our website, we store cookies on your browser to collect information. The information collected might relate to you, your preferences or your device, and is mostly used to make the site work as you expect it to and to provide a more personalized web experience. However, you can choose not to allow certain types of cookies, which may impact your experience of the site and the services we are able to offer. Click on the different category headings to find out more and change our default settings according to your preference. You cannot opt-out of our First Party Strictly Necessary Cookies as they are deployed in order to ensure the proper functioning of our website (such as prompting the cookie banner and remembering your settings, to log into your account, to redirect you when you log out, etc.). For more information about the First and Third Party Cookies used please follow this link.

Allow All Cookies

Manage Consent Preferences

Strictly Necessary Cookies - Always Active

We do not allow you to opt-out of our certain cookies, as they are necessary to ensure the proper functioning of our website (such as prompting our cookie banner and remembering your privacy choices) and/or to monitor site performance. These cookies are not used in a way that constitutes a “sale” of your data under the CCPA. You can set your browser to block or alert you about these cookies, but some parts of the site will not work as intended if you do so. You can usually find these settings in the Options or Preferences menu of your browser. Visit www.allaboutcookies.org to learn more.

Sale of Personal Data, Targeting & Social Media Cookies

Under the California Consumer Privacy Act, you have the right to opt-out of the sale of your personal information to third parties. These cookies collect information for analytics and to personalize your experience with targeted ads. You may exercise your right to opt out of the sale of personal information by using this toggle switch. If you opt out we will not be able to offer you personalised ads and will not hand over your personal information to any third parties. Additionally, you may contact our legal department for further clarification about your rights as a California consumer by using this Exercise My Rights link

If you have enabled privacy controls on your browser (such as a plugin), we have to take that as a valid request to opt-out. Therefore we would not be able to track your activity through the web. This may affect our ability to personalize ads according to your preferences.

Targeting cookies may be set through our site by our advertising partners. They may be used by those companies to build a profile of your interests and show you relevant adverts on other sites. They do not store directly personal information, but are based on uniquely identifying your browser and internet device. If you do not allow these cookies, you will experience less targeted advertising.

Social media cookies are set by a range of social media services that we have added to the site to enable you to share our content with your friends and networks. They are capable of tracking your browser across other sites and building up a profile of your interests. This may impact the content and messages you see on other websites you visit. If you do not allow these cookies you may not be able to use or see these sharing tools.

If you want to opt out of all of our lead reports and lists, please submit a privacy request at our Do Not Sell page.

Save Settings
Cookie Preferences Cookie List

Cookie List

A cookie is a small piece of data (text file) that a website – when visited by a user – asks your browser to store on your device in order to remember information about you, such as your language preference or login information. Those cookies are set by us and called first-party cookies. We also use third-party cookies – which are cookies from a domain different than the domain of the website you are visiting – for our advertising and marketing efforts. More specifically, we use cookies and other tracking technologies for the following purposes:

Strictly Necessary Cookies

We do not allow you to opt-out of our certain cookies, as they are necessary to ensure the proper functioning of our website (such as prompting our cookie banner and remembering your privacy choices) and/or to monitor site performance. These cookies are not used in a way that constitutes a “sale” of your data under the CCPA. You can set your browser to block or alert you about these cookies, but some parts of the site will not work as intended if you do so. You can usually find these settings in the Options or Preferences menu of your browser. Visit www.allaboutcookies.org to learn more.

Functional Cookies

We do not allow you to opt-out of our certain cookies, as they are necessary to ensure the proper functioning of our website (such as prompting our cookie banner and remembering your privacy choices) and/or to monitor site performance. These cookies are not used in a way that constitutes a “sale” of your data under the CCPA. You can set your browser to block or alert you about these cookies, but some parts of the site will not work as intended if you do so. You can usually find these settings in the Options or Preferences menu of your browser. Visit www.allaboutcookies.org to learn more.

Performance Cookies

We do not allow you to opt-out of our certain cookies, as they are necessary to ensure the proper functioning of our website (such as prompting our cookie banner and remembering your privacy choices) and/or to monitor site performance. These cookies are not used in a way that constitutes a “sale” of your data under the CCPA. You can set your browser to block or alert you about these cookies, but some parts of the site will not work as intended if you do so. You can usually find these settings in the Options or Preferences menu of your browser. Visit www.allaboutcookies.org to learn more.

Sale of Personal Data

We also use cookies to personalize your experience on our websites, including by determining the most relevant content and advertisements to show you, and to monitor site traffic and performance, so that we may improve our websites and your experience. You may opt out of our use of such cookies (and the associated “sale” of your Personal Information) by using this toggle switch. You will still see some advertising, regardless of your selection. Because we do not track you across different devices, browsers and GEMG properties, your selection will take effect only on this browser, this device and this website.

Social Media Cookies

We also use cookies to personalize your experience on our websites, including by determining the most relevant content and advertisements to show you, and to monitor site traffic and performance, so that we may improve our websites and your experience. You may opt out of our use of such cookies (and the associated “sale” of your Personal Information) by using this toggle switch. You will still see some advertising, regardless of your selection. Because we do not track you across different devices, browsers and GEMG properties, your selection will take effect only on this browser, this device and this website.

Targeting Cookies

We also use cookies to personalize your experience on our websites, including by determining the most relevant content and advertisements to show you, and to monitor site traffic and performance, so that we may improve our websites and your experience. You may opt out of our use of such cookies (and the associated “sale” of your Personal Information) by using this toggle switch. You will still see some advertising, regardless of your selection. Because we do not track you across different devices, browsers and GEMG properties, your selection will take effect only on this browser, this device and this website.