Watchdog: Defense health IT upgrade risks delays

The huge DHMSM electronic health records push could be in danger of delays, according to an inspector general report that looks at cybersecurity, training and legacy system interoperability.

Shutterstock image: monitoring factors of healthcare.

The Defense Healthcare Management System Modernization program could miss its first operational deadline.

"The DHMSM program mandated execution schedule may not be realistic for meeting the required initial operational capability date of December 2016," the Defense Department's inspector general said in a May 31 audit report.

In July 2015, DOD signed a $4.3 billion deal for a health records modernization push to the team of Leidos, Accenture and Cerner. The contract is expected to cost $11 billion over its life cycle. The losing bidders did not protest the award.

The IG report notes that DOD conducted a risk mitigation sweep, but the project could still be delayed by security concerns, the need for user training and the challenge of getting new interfaces working properly with legacy systems.

The Leidos team touted interoperability and familiarity with military health IT ahead of last year's contract award. In its former incarnation as part of SAIC, Leidos designed the Composite Health Care System now in use at military hospitals and treatment centers. Leidos also runs one of the military's current electronic health records, the Armed Forces Health Longitudinal Technology Application.

"We're very well acquainted with the infrastructure that exists," Jerry Hogge, deputy group president at Leidos Health Solutions Group, told FCW in 2014.

The DOD IG recommended that the Program Executive Office for Defense Healthcare Management Systems conduct a schedule analysis to assess DHMSM's potential for setbacks.

Officials did not agree or disagree with that recommendation, the IG said.

"The program office is confident that it will achieve initial operational capability later this year in accordance with the National Defense Authorization Act," the IG's report states. "However, the program executive officer did not provide documentation to support his statement."

DOD officials did not immediately return a request for comment.

The full IG report is a limited-distribution document designated as "for official use only." FCW has filed a Freedom of Information Act request for the full report.