- Interoperability and Integration
- System Modernization
- Medical Logistics
- Informatics and Data Analytics
- Healthcare Training and Education
- Department of Veteran's Affairs (VA)
- Centers for Medicare and Medicaid Services (CMS)
- Tricare Management Activity
- Department of Health and Human Services (HHS)
- National Institutes of Health (NIH)
- Centers for Disease Control and Prevention (CDC)
Bidirectional Health Information Exchange (BHIE)
The BHIE has been the primary interoperability platform between the Department of Defense (DoD) and the Department of Veterans Affairs (VA) for many years. Used daily by thousands of providers, it is one of the world's most comprehensive and highest volume Health Information Exchanges (HIEs).
As with any large program, BHIE has had some significant challenges. Historically, the legacy BHIE system was so successful that demands placed on the system outgrew its original design. Based on limitations of the legacy BHIE system, the DoD defined a strategy to improve BHIE's performance that required a major redesign.
ManTech helped migrate the system toward modern health IT standards by adopting the Nationwide Health Information Network and associated standards wherever possible. This brought with it an immediate two-pass capability that provided an important performance benefit: large data types (e.g., documents, notes, reports) could now be represented by their metadata instead of being retrieved in their entirety in a single pass.
Virtual Lifetime Electronic Record (VLER)
In 2009, the President directed the DoD and the VA to "work together to define and build a seamless system of integration with a simple goal: When a member of the Armed Forces separates from the military, he or she will no longer have to walk paperwork from a DoD duty station to a local VA health center; their electronic records will transition along with them and remain with them forever."
The VLER effort, which is being carried out in conjunction with the BHIE upgrade project, enables sharing not only between DoD and VA, but also between the government and civilian provider networks and local Health Information Exchanges. VLER relies on the Nationwide Health Information Network as the mechanism through which to share standards-based health data between DoD, VA, and private sector partners.
ManTech has developed VLER-Health on behalf of the DoD in conjunction with its work to upgrade the BHIE. Functional domain content for BHIE and VLER-Health overlaps significantly; ManTech is integrating these two projects to share data-access methods and use DoD's Nationwide Health Information Network gateway.
Neurocognitive Assessment Tool (NCAT)
The DoD needed a solution to better screen for, diagnose, and treat mild Traumatic Brain Injury (TBI). The DoD requires pre-deployment NCAT for all service members prior to their next deployment. NCAT measures cognitive performance areas most likely affected by mild TBI including attention, judgment, memory, and thinking ability. The ultimate goal is the capability to compare assessment results before and after a service member suffers a blast event, in order to improve the accuracy of mild TBI screening and to provide proper treatment to service members. The tool also provides a mechanism to track progress post-injury.
ManTech developed the NCAT solution, which provides a software system to enhance neurocognitive assessment capabilities for the MHS. The completed system operates on hardware/software architectures available on standard MHS workstations as well as Medical Communications for Combat Casualty Care (MC4) workstations in-theater. This solution will empower the MHS provider to more easily detect TBI in their patients and make better-informed healthcare management decisions, positively impacting the health outcomes of our service members.
Healthcare Artifact and Image Management Solution (HAIMS), Military Health System (MHS)
The HAIMS program is the MHS's scalable, maintainable, efficient, and robust enterprise-wide image-sharing solution. HAIMS provides awareness of and access to patient artifacts and images (A&I) around the world.
ManTech designed and developed HAIMS using a commercial-off-the-shelf/government-off-the-shelf (COTS/GOTS)–based federated architecture to provide access to A&I where needed, leveraging national interoperability standards to enable robust connectivity with existing and future systems. HAIMS ingests A&I along with metadata information from MHS A&I repositories worldwide, providing global access to MHS clinicians for search and retrieval of this data.
This solution provides clinicians a logical extension to the MHS electronic health record, Armed Forces Health Longitudinal Technology, and newer web-based user interface platforms so that the presence of A&I will be made apparent in the proper clinical context, including associated encounters, radiological and other specialty reports, and dental documentation.