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Accomplishments

Federal EHR Growth by the Numbers

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 healthcare 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 War (DOW), 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 healthcare on an even broader scale.

Along with federal partners, the FEHRM also:

  • Supported Federal EHR deployments, resulting in 216,000+ end users at 138 parent military treatment facilities (MTFs), including 3,638 DOW locations; 10 VA medical centers, including 55 associated clinics and 116 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 8.7 million unique patients are in the system. In 2019, there were only 11,000 end users at 18 MTFs.
  • Adjudicated 12,406+ configuration changes through joint governance to optimize the Federal EHR.
  • Hosted four record-breaking Federal EHR Annual Summits, growing from 500+ to 1,750+ end-user attendees and collecting a total of 300+ actionable items from 6,050+ end users to enhance the Federal EHR.
  • Expanded the number of Federal EHR sites that can exchange immunization data through the Centers for Disease Control and Prevention’s (CDC) Immunization Gateway to benefit patients and providers.
  • Increased data exchange with U.S. hospitals from 14% to more than 90% via the joint health information exchange (HIE).
  • Deployed Longitudinal Natural Language Processing to improve the ability of clinical staff to find targeted data, decreasing workflow time dramatically.
  • Enabled 29 Health Data Intelligence (HDI) registries with 299 measures to better inform decision making in healthcare.
  • Managed risks, issues, and opportunities and lessons learned to enhance deployments, including collecting 395 lessons learned to provide a roadmap for future Federal EHR site deployments and troubleshooting, especially at joint sharing sites (JSS).
  • Executed an integrated master schedule to coordinate Federal EHR deployment activities across Departments.
  • Analyzed 179 JSS supported by 190 resource-sharing agreements offering 3,436 shared services nationwide.
  • Created 15 Federal EHR video testimonials of Service members, Veterans, and leaders talking about the benefits of the Federal EHR.
  • Added 50 new terms related to military toxic exposure for clinicians to use worldwide, enhancing exposure-related care and research.
  • Provided 1,900+ reports requested by end users on issues like bed inventory, COVID-19 biosurveillance, and more.
  • Served as lead integrator for the migration of the Federal EHR to the Oracle Cloud Infrastructure, leading to enhanced performance, security, stability, and innovation of the federal government’s healthcare solutions.
  • Made 606 catalog updates to streamline change management processes.
  • Streamlined the software development lifecycle for 505 content developers.
  • Formed a diverse workforce of 150 military, civilian, and contractor personnel to support the FEHRM mission.

See the following additional accomplishments by year.

2019/2020 Accomplishments

  • Established the FEHRM, finalized its charter, and selected permanent leadership—while operationalizing the FEHRM's mission to deliver common capabilities that enhance healthcare and enable federal partners to implement a single, common Federal EHR.
  • Deployed the joint HIE, allowing clinicians to quickly and securely access patient electronic health information, enhancing clinical decision making.
  • Stood up federal governance bodies and workgroups to promote convergence.
  • Chartered federal working groups to standardize domain-specific issues.
  • Enabled HDI registries.
  • Created an onboarding process for new agencies to join the Federal EHR and onboarded USCG.
  • Oversaw shared system configuration and enclave management through the Joint Sustainment and Adoption Board (JSaAB), established the e-JSaAB process for urgent and emergent issue resolution during off-hours to simulate real-world scenarios, and collected lessons learned and improved processes for EHR deployment.
  • Identified and championed joint opportunities to deliver telehealth solutions.
  • Created an integrated master schedule and the Risk, Issue, and Opportunity Process.

2021 Accomplishments

  • Created the Interoperability Strategy Supporting Plan, compiling DOW and VA initiatives that support Interoperability Modernization Strategy objectives, providing a framework for the Departments’ approach to interoperability initiatives, and improving how medical data is exchanged and used.
  • Convened more than 500 DOW, VA, and USCG clinical staff; community providers; and other leading clinical experts for the Federal EHR Annual Summit to assess the Federal EHR.
  • Launched FEHRM.gov.
  • Established the Federal Health Information Technology (IT) Systems Workgroup to advance federal agency health IT collaboration.
  • Launched a new interface between the Joint Longitudinal Viewer and Individual Longitudinal Exposure Record enabling the exchange of exposure data as part of the EHR.
  • Collaborated with DOW and VA to establish instruments and methodologies to measure satisfaction with the Federal EHR.
  • Created a dental data exchange guide to improve care coordination.
  • Executed the Enterprise Operations Center (EOC) to prepare Federal EHR system owners and partners for go-live activities and give insights into IT production events.
  • Expanded and enhanced the joint HIE by adding the CommonWell Health Alliance and implementing data standards.
  • Supported EHR deployments and created deployment map dashboards to show DOW, VA, and USCG deployment data in real time.
  • Conducted an end-to-end assessment at Lovell FHCC to gather current-state clinical and business process workflows.

2022 Accomplishments

  • Monitored and integrated independent incident processes and improved database performance for the EOC to drive operational efficiencies as well as provided actionable, executive-level insight into IT production events.
  • Enhanced the joint HIE by applying data-sharing standards to improve the quality, visibility, and relevance of the data.
  • Led efforts to create a common approach for deploying the Federal EHR at JSS, including supporting seven sites impacted by Wave JACKSONVILLE/EGLIN, and built a path forward for JSS by categorizing sites by level of integration and impact of the Federal EHR deployment to their operations and completing site engagements that provide critical information for deployments.
  • Established an Enterprise Requirements Adjudication process at Lovell FHCC to prioritize topics requiring deconfliction.
  • Advanced information sharing by developing and adopting national standards for data encoding and formatting, including mobile health data.
  • Supported implementation of Individual Longitudinal Exposure Record by refining functional requirements, national standards, and performance measures.
  • Approved 1,699 Federal EHR content and configuration changes impacting the baseline.
  • Monitored performance and progress of deployments, conducted trend analysis, and enhanced domain management of the Federal Enclave.
  • Oversaw data management activities impacting the Federal Enclave.
  • Improved database performance to drive operational efficiencies.
  • Established a single authority for interfaces, formalizing architecture, modeling tools, and application program interfaces.
  • Deployed surveys across DOW, VA, and USCG.
  • Completed the assessment plan for evaluating the Federal EHR.

2023 Accomplishments

  • Convened more than 1,000 DOW, VA, and USCG clinical staff who engaged in more than 19 sessions during the Federal EHR Annual Summit, addressing opportunities for enhanced continuous learning, change management, and best practices.
  • Onboarded NOAA to the Federal EHR.
  • Drove convergence of data and analytics through joint governance, resulting in publication of 1,000 reports serving both DOW and VA end users.
  • Adjudicated 1,035 configuration changes through JSaAB, 441 of which were identified as converged configuration changes to promote a more streamlined DOW/VA end-user experience.
  • Advanced data standards to better prepare for public health emergencies.
  • Expanded the joint HIE by participating in Carequality, increasing data sharing with participating provider organizations.
  • Deployed a Longitudinal Natural Language Processing capability to boost clinician efficiency and an immunization data exchange capability.
  • Supported planning, execution, and analysis activities for the unique operational, clinical, and business needs of nine JSS impacted by four different DOW waves.
  • Implemented the Enterprise Requirements Adjudication process for Lovell FHCC to drive joint decision making toward enterprise convergence and implemented 12 sub-working groups for joint decision making leading up to the deployment.
  • Conducted the first pharmacist-led pharmacy knowledge transfer series for Lovell FHCC pharmacy operations staff, covering inpatient and outpatient workflows ranging from order entry to queue management.
  • Incorporated new pharmacy capabilities and enhancements to better serve patients and providers.
  • Standardized guidance on ordering and receiving lab and radiology orders and results, and the process to schedule and document the information in the Federal EHR.
  • Evaluated Patient Care Location decision-making processes and their impact to EHR deployment at multiple JSS.

2024 Accomplishments

  • Deployed the Federal EHR at Lovell FHCC, a historic deployment reflecting cross-agency accomplishments that can be leveraged by other healthcare organizations looking to integrate and streamline care.
  • Collected and shared nearly 182 successes and lessons learned—most of which related to the Federal EHR deployment at Lovell FHCC—that will be leveraged for other JSS and beyond.
  • Hosted the record-breaking fourth Federal EHR Annual Summit, where more than 1,700 Federal EHR end users shared feedback on their experiences in more than 35 sessions.
  • Delivered Federal EHR updates in response to end-user feedback, enhanced existing capabilities, introduced new interfaces, and remained current on software code.
  • Expanded the number of Federal EHR sites that can exchange immunization data through the CDC Immunization Gateway.
  • Enabled 27 HDI registries with 299 measures, which help drive availability and usability of data to improve patient outcomes—In 2024, 72.4k end users took an action on an HDI-powered recommendation, and 4.9M total actions were taken in the Federal EHR on HDI measures.
  • Identified significant gaps in data availability and standardization related to military service-related toxic exposures and added 27 new related terms for clinicians to use worldwide, enhancing exposure-related care and research.
  • Continued to drive joint decision making through the JSaAB, adjudicating 1,249 Federal EHR changes that improved the user experience.
  • Implemented a printing solution for interim sites that reduces staff processing time associated with lab orders, which saved labor hours per week and reduced turnaround time for results.
  • Ensured that military service history and Veteran status are listed in the national data standards reference that certifies EHRs known as United States Core Data for Interoperability.

2025 Accomplishments

  • Supported VA in their pre-deployment activities of the Federal EHR.
  • Received the award for Government Team Project of the Year in Healthcare by Washington Exec, recognizing the FEHRM-led multi-agency Lovell FHCC Federal EHR Implementation Team for the highly successful Federal EHR deployment at Lovell FHCC.
  • Served as lead integrator for the migration of the Federal EHR to the Oracle Cloud Infrastructure, leading to enhanced performance, security, scalability, stability, and innovation of the federal government’s healthcare solutions.
  • Led DOW, VA, USCG, NOAA, and other Federal EHR partners to launch a new Federal EHR logo to name and brand the single, common Federal EHR together—streamlining and integrating communications—and assembled logo files, branding guidelines, and templates for partners to use.
  • Worked with VA to release Seamless Exchange, a data reconciliation and advanced interoperability solution, to all live sites resulting in improved accuracy and efficiency of patient care.
  • Led a Dental-Medical Data Exchange and Interoperability initiative to drive interoperability between medical and dental clinicians to improve a patient’s overall health.
  • Identified significant gaps in data availability and standardization related to military-service-related toxic exposures and increased from 27 to 50 new related terms for clinicians to use worldwide, enhancing exposure-related care and research.
  • Hosted a record-breaking event, The State of the Federal EHR, where more than 900 Federal EHR end stakeholders gathered to hear the latest Federal EHR progress from FEHRM, DOW, VA, and USCG leaders as well as panel discussions focused on topics of particular interest to upcoming VA end users to help prepare them for acceleration.
  • Assessed, analyzed, and outlined the strategy, approach, plans, and supporting schedule to accomplish the deployment of the Federal EHR, ensuring achievement of key milestones, on-track priorities, and established processes to identify and mitigate site concerns where necessary.
  • Developed and led a Cyber Tabletop exercise to produce actionable information on potential cyber threats for the joint/shared health record environment and assessed the resiliency and readiness of the Departments to respond to a cyber attack.
  • Participated in joint HIE efforts to create efficiencies while maintaining access to multiple private-sector networks and frameworks, including support of the transition of CommonWell Health Alliance’s platform from Change Healthcare to ELLKAY.
  • Developed 15 video testimonials of Service members, Veterans, and leaders talking about the benefits of the Federal EHR that Federal EHR partners have used to highlight the system, including VA in their pre-deployment activities.