Hardware and Software Technical and Operational Support for the Joint Medical Logistics Functional Development Center (JMLFDC)
The JMLFDC is the development and support center for the Defense Medical Logistics Standard Support (DMLSS) Program Office applications. We support the development and operations of the JMLFDC. Our teams of software, database, network, and systems engineers maintain the JMLFDC products in the production environment, as well as support the development and testing environments for internal activities.
Clinical Health Data Repository (CHDR) Performance Monitoring
The CHDR is a production system that is a critical part of the overall Department of Defense (DoD) and Department of Veterans Affairs (VA) interoperability suite of systems. The CHDR system provides the capability to exchange critical patient data between the DoD’s Clinical Data Repository (CDR) and the VA’s Health Data Repository (HDR), and enables real-time, point-of-care clinical decision support for orders by sharing fully computable clinical data. CHDR required the development of a monitoring subsystem to track system performance for data sent from the DoD system and received and stored in the VA system, and vice-versa. This real-time, active monitoring capability was needed to be able to trace transactions across the multiple heterogeneous systems owned/operated by numerous independent organizations, identify failure points in the transaction, detect potential abnormalities that may impact reliable data transactions, and provide an analysis capability.
For the CHDR Performance Monitoring implementation, we leveraged a particularly innovative technology to seamlessly intercept and capture CHDR event and transaction data in a manner that did not require a single line of code modification to the existing CHDR code baseline. This solution significantly reduces the risk to the stability of the CHDR system and code base, while simultaneously reducing the cost of implementation.
IM/IT Support of the National Intrepid Center of Excellence (NICoE)
The NICoE is a treatment planning and research facility located in Bethesda, MD, at the Walter Reed National Military Medical Center. The NICoE is a center of excellence due to its unique capabilities and mission of providing cutting-edge treatment planning, diagnosis, research and education of service members and families dealing with the signature wounds from the Afghanistan and Iraq wars.
ManTech is designing, developing, implementing, and maintaining an integrated Information Management/Information Technology (IM/IT) solution for the NICoE. We provide the integration support to a suite of systems designed around an innovative approach to the treatment of traumatic brain injury and Post Traumatic Stress Disorder (PTSD) candidates and their family members. ManTech will provide the NICoE with the ability to link with internal and enterprise systems, as well as external partners to move data between organizations and systems.
Medical Evaluation Board (MEB)
The MEB application provides a web-enabled user interface to support the data collection, monitoring and reporting activities of the disability evaluation process for the wounded, ill, and injured patient community. The MEB User Interface provides a uniform procedure and an integrated platform which various actors involved in the care of a service member may work collaboratively to provide for the evaluation of a service member’s medical condition and ability to continue his or her military service. Service members referred for this process have historically often waited more than 300 days for this evaluation. We are responsible for developing Phase II of the MEB Information Technology Initiative (ITI), which attempts to improve upon historical methods, and the Phase I effort, by moving the baseline processing timetable to the left, as well as addressing solutions started by the service systems, and facilitating the smooth transition of a service member and his/her MEB case to the VA.
Knowledge Support Center (KSC) and Survey Data Repository (SDR)
The core objectives of the KSC and SDR program are to deliver data management and SAS business intelligence/decision support capabilities to the health scientists and their research associates at TMA/Health Program Analysis & Evaluation (HPA&E). The program provides access to HPA&E’s data assets for presenting dashboards, data exploration, and web reports (including drillable content).
ManTech's Evolvent built a web-based collaborative platform (KSC portal) for HPA&E researchers to share and explore their data and analysis. The KSC portal can also be used as a vehicle with which the research¬ers can “publish” their work through a web-based portal accessible to TMA leadership. We also built a targeted data mart for a very specific and highly focused analytical team, not to compete with the broad enterprise reporting platforms that have been created elsewhere. To support these scientists, the KSC program extracts elements from throughout the enterprise that are critical for program evaluation, and integrates those elements and capabilities with the statistical analysis performed by HPA&E and their research associates.
National Council for Prescription Drug Programs (NCPDP)
The NCPDP is the national standard messaging format and protocol representing virtually every sector of the pharmacy services industry. The Military Health System (MHS) utilizes NCPDP messages for its pharmacy-related transactions. Similarly, the MHS utilizes Health Insurance Portability and Accountability Act (HIPAA)-required ANSI X12 messages for eligibility transactions. The versions of these transactions in use within the MHS, however, were outdated and thus the MHS needed to ensure that the pharmacy related transactions used current standards. ManTech's Evolvent has updated the HIPAA transactions to the 5010 standard, as well as NCPDP 5.1 transactions to the D.0 standard.
National Center for Telehealth and Technology (T2) Usability Labs
The T2 is working hard to improve the lives of our nation’s warriors, veterans, and their families through dedicated research. ManTech provides full-service, state-of-the-art experience labs, including personnel and technical resources to conduct a wide range of studies in psychology, customer behavior, usability testing, human-computer interaction research, and human factors. We are working to ensure that T2 interventions and technologies are seamlessly integrated with the environments and situations of the people they serve, so that the intervention has its intended effect. Our solution supports the development of services leveraging technology to educate, prevent, screen, assess, and treat PH and TBI care. We established an industry requirement for the systematic design of tools from the end-user perspective, testing measurement and analysis of the quality of a user’s experience using a website or a mobile device with a focus on user behavior.
Internal Classification of Diseases-10 (ICD-10) Analysis
The objective of the ICD-10 effort was to provide a comprehensive system gap analysis, implementation approach and impact assessment for over 30 of the MHS enterprise applications, systems, reports, interfaces and associated business processes to enable the full migration from ICD-9 code set to ICD-10 code set by 1 October 2013. ManTech's Evolvent performed the following functions in support of the ICD-10 program:
- Conducted a gap analysis for each system and application, documented the analysis results and wrote System Requirements Specifications
- Provided parameters to support independent cost estimates and level of efforts for migrating from ICD-9 to ICD-10 for each system and application
- Developed an overarching strategy, approach, sequencing plan covering all systems and applications, WBS and implementation approach to execute the migration from ICD-9 to ICD-10 by 1 October 2013
- Provided a measurement plan with pre-planned metrics to enable the capture of actual data during migration
Clinical Data Repository (CDR) Stabilization
The CDR is one of the world’s largest repositories of electronic health records. It is a real-time database that consolidates data from a variety of clinical sources to present a single, unified view of a patient. The objective of the CDR program was to stabilize the performance and address certain issues with this critical set of infrastructure. Our support included multiple initiatives such as:
- Designing changes and hardware/software upgrades consistent with large-scale database best practice standards to improve system availability and database performance
- Providing a replacement solution for problematic middleware components, which was successfully deployed to production within months of delivery to address CDR stability and performance issues
- Completing analysis, identification, SQL tuning, and resolution for a number of poorly performing and resource intensive SQL statements within Armed Forces Health Longitudinal Technology Application (AHLTA) to address poor performance and errors
- Developing and delivering Phase I of a real-time failover solution for the CDR database
- Preparing and submitting a solution for the upgrade of middleware and the elimination of the use of deprecated data types in the database
- Performing detailed analysis and delivering Concept of Operations (CONOPS) and Data Lifetime Management (DLM) strategy documents to the government to address long-term database and data management issues
Virtual Worlds
The National Center for Telehealth and Technology (T2) virtual Post-Traumatic Stress Disorder (PTSD) experience is an immersive, interactive learning experience designed to educate visitors about combat-related PTSD. It includes a simulation demonstrating how PTSD may be acquired during a combat-related traumatic event, including an explanation of the connections between danger cues and triggers, the role of avoidance in the development of PTSD, and how PTSD is a normal human response to traumatic events.
ManTech develops, designs, implements, expands and provides maintenance of the T2 Second Life virtual space dedicated to Behavioral Health (BH) care and services. We have established infrastructure and tool sets available in virtual worlds’ computing networks to design, improve, and implement telehealth technologies dedicated to service members’ psychological health. ManTech assists with immersive education assets, PTSD causes and acquisitions, symptoms, and available treatments. We also work to increase social interaction, reduce isolation, improve provider training and consultation, as well as support in-world psychotherapy interventions.