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Accomplishments

Since its beginning, the Federal Electronic Health Record Modernization (FEHRM) office continues to build partnerships and expand Federal Electronic Health Record (EHR) capabilities that support national and departmental health care priorities, including supporting Digital First, patient-centered efforts, tracking military toxic exposures, advancing interoperability, and enhancing the military-to-Veteran transition. Working side by side, the FEHRM, along with the Department of Defense (DOD), Department of Veterans Affairs (VA), and Captain James A. Lovell Federal Health Care Center (Lovell FHCC) deployed the Federal EHR at Lovell FHCC. The multi-agency Lovell FHCC Federal EHR Implementation Team received the WashingtonExec 2024 Pinnacle Award for Government Team Project of the Year in Healthcare in recognition of this landmark collaboration. The success of this first-of-its-kind deployment reflects many cross-agency accomplishments that can be leveraged by others looking to integrate and streamline care, transforming health care on an even broader scale.

Along with federal partners, the FEHRM also:

  • Supported Federal EHR deployments, resulting in 207,000 end users at 138 parent military treatment facilities (MTFs), including 3,638 DOD locations; six VA medical centers, including 25 associated clinics and 104 remote services; 110 Department of Homeland Security’s U.S. Coast Guard (USCG) sites; and seven Department of Commerce’s National Oceanic and Atmospheric Administration (NOAA) sites. More than 8.5 million unique patients are in the system. In 2019, there were only 11,000 end users at 18 MTFs.
  • Formed a diverse workforce of 150 military, civilian, and contractor personnel to support the FEHRM mission.
  • Increased data exchange with U.S. hospitals from 14% to more than 90% via the joint health information exchange (HIE).
  • Adjudicated 8,532 configuration changes through joint governance to optimize the Federal EHR.
  • Enabled 29 Health Data Intelligence registries with 299 measures to better inform decision making in health care.
  • Acquired 46,888 FEHRM.gov visits.
  • Shared 393 lessons learned to inform continuous improvement.
  • Hosted four annual summits, growing from 500+ to 1,750+ end-user attendees and collecting a total of 300+ actionable items to enhance the Federal EHR.
  • Added 27 new terms related to military toxic exposure for clinicians to use worldwide, enhancing exposure-related care and research.
  • Provided 1,500+ reports requested by end users on issues like bed inventory, COVID-19 biosurveillance, and more.

See below some additional accomplishments by year.

December 2019 to 2020

  • Established the FEHRM, finalized its charter, and selected permanent leadership-while operationalizing the FEHRM's mission to deliver common capabilities that enhance health care and enable federal partners to implement a single, common Federal EHR.
  • Deployed the joint HIE.
  • Stood up joint governance bodies to promote convergence.
  • Enabled Health Data Intelligence registries.
  • Chartered federal working groups to standardize domain-specific issues.
  • Identified and championed joint opportunities to deliver telehealth solutions.
  • Created an Integrated Master Schedule and the Risk, Issue, and Opportunity Process.
  • Onboarded USCG to the Federal EHR.

December 2020 to 2021

  • Published the DOD/VA Interoperability Modernization Strategy and Supporting Plan.
  • Launched FEHRM.gov.
  • Established the Federal Health Information Technology (IT) Systems Workgroup.
  • Deployed a new interface enabling exposure data exchange.
  • Created a dental data exchange guide.
  • Executed the Enterprise Operations Center to give insights into IT production events.
  • Expanded the joint HIE by adding the CommonWell Health Alliance.
  • Created a deployment map and joint HIE dashboards.
  • Created an onboarding process for new agencies to join the Federal EHR.

December 2021 to 2022

  • Improved database performance to drive operational efficiencies.
  • Enhanced the joint HIE by applying data-sharing standards.
  • Built a path forward for joint sharing site deployments.
  • Supported Individual Longitudinal Exposure Record implementation.
  • Created a single authority for interfaces.
  • Launched clinician and patient satisfaction surveys.
  • Established the Enterprise Requirements Adjudication Process.

December 2022 to 2023

  • Onboarded NOAA to the Federal EHR.
  • Established a joint data management and governance framework.
  • Adjudicated configuration changes.
  • Expanded the joint HIE by participating in Carequality.
  • Supported release of the first international public health emergency preparedness standard.
  • Implemented immunization exchange via the Centers for Disease Control and Prevention Immunization Gateway.
  • Continued to lead value-added activities for Federal EHR deployments.

December 2023 to 2024

  • Launched the Longitudinal Natural Language Processing capability.
  • Deployed the Federal EHR at Lovell FHCC.
  • Created the multi-agency Federal EHR Communications Workgroup.
  • Identified national standards for exposure exchange.
  • Hosted the record-breaking fourth annual summit with end users.
  • Continued to deploy capability blocks to enhance the Federal EHR.
  • Facilitated a joint cyber incident response framework.