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Major Automated Information System 
Annual Report 

Joint Operational Medicine Information Systems (JOMIS) 

Defense Acquisition Management 
Information Retrieval 



2016 MAR 

Table of Contents 

Common Acronyms and Abbreviations for MAIS Programs 3 

Program Information 4 

Responsible Office 4 

References 4 

Program Description 5 

Business Case 6 

Program Status 7 

Schedule 8 

Performance 9 

Funding 10 




2016 MAR 

Common Acronyms and Abbreviations for MAIS Programs 

Acq O&M - Acquisition-Related Operations and Maintenance 

ADM - Acquisition Decision Memorandum 

AoA - Analysis of Alternatives 

ATO - Authority To Operate 

APB - Acquisition Program Baseline 

BY - Base Year 

CAE - Component Acquisition Executive 

CDD - Capability Development Document 

CPD - Capability Production Document 

DAE - Defense Acquisition Executive 

DoD - Department of Defense 

DoDAF - DoD Architecture Framework 

FD - Full Deployment 

FDD - Full Deployment Decision 

FY - Fiscal Year 

IA - Information Assurance 

IATO - Interim Authority to Operate 

ICD - Initial Capability Document 

IEA - Information Enterprise Architecture 

IOC - Initial Operational Capability 

IP - Internet Protocol 

IT - Information Technology 

KPP - Key Performance Parameter 

$M - Millions of Dollars 

MAIS - Major Automated Information System 

MAIS OE - MAIS Original Estimate 

MAR - MAIS Annual Report 

MDA - Milestone Decision Authority 

MDD - Materiel Development Decision 

MILCON - Military Construction 

MS - Milestone 

N/A - Not Applicable 

O&S - Operating and Support 

OSD - Office of the Secretary of Defense 

PB - President’s Budget 

RDT&E - Research, Development, Test, and Evaluation 

SAE - Service Acquisition Executive 

TBD - To Be Determined 

TY - Then Year 

U.S.C- United States Code 

USD(AT&L) - Under Secretary of Defense for Acquisition, Technology, & Logistics 




2016 MAR 

Program Information 

Program Name 

Joint Operational Medicine Information Systems (JOMIS) 

DoD Component 


The acquiring DoD Component is Program Executive Office (PEO) Department of Defense (DoD) Healthcare Management 
Systems (DHMS) for Defense Health Agency (DHA). 

Responsible Office 

Program Manager 

Ms. Claire Evans 
1501 Wilson Blvd. 
Suite 6000 
Rosslyn, VA 22209 

Phone: 703-588-5813 


DSN Phone: 

DSN Fax: 

Date Assigned: August 24, 2015 


MAIS Original Estimate 

This investment does not have an approved program baseline; therefore, no Original Estimate has been established. 




2016 MAR 

Program Description 

The JOMIS Program will modernize, deploy, and sustain the Department of Defense’s (DoD’s) operational medicine 
information systems by fielding the DoD Modernized Electronic Health Record (EHR) solution while developing and fielding 
new theater capabilities to enable comprehensive health services to deployed forces across the range of military 
operations. The JOMIS Program is under the executive management and oversight of the Office of the Under Secretary of 
Defense for Acquisition, Technology and Logistics (OUSD (AT&L)) and the Program Executive Office (PEO) Defense 
Healthcare Management Systems (DHMS). 

Operational medicine is the application of routine and emergency medical practices in complex dynamic environments, 
such as U.S. Navy ships, hospital ships, submarines, theatre hospitals, and forward resuscitative sites worldwide in order to 
maintain the health of military personnel. Operational medicine services include, but are not limited to, preventive, routine, 
emergency, surgical, en-route care, and diagnostic care. Operational medicine systems provide Commanders and medical 
professionals with integrated, timely, and accurate information to make critical decisions. When implemented, the systems 
are intended to function in constrained, intermittent, and non-existent communications environments while providing access 
to authoritative sources of clinical data. JOMIS will provide an end-to-end software solution to support the medical business 
practices and operational medicine capabilities in deployed environments. 

Today, operational medicine capabilities in deployed environments are supported by the Theater Medical Information 
Program - Joint (TMIP-J) Program. TMIP-J is a systems framework that integrates components of the Military Health 
System (MHS) sustaining base systems and the Services' medical information systems to ensure timely interoperable 
medical support for mobilization, deployment, and sustainment of all Theater and deployed forces. TMIP-J consists of 11 
software components and is planned to transition into sustainment in early 2016. The current footprint of the TMIP-J 
software is: Army - 493 deployed sites; Air Force - 30 deployed sites; Navy - 51 deployed sites; Marine Corps - 6 deployed 

The operating environment for the JOMIS Program includes an estimated 450+ Forward & Resuscitative Sites, 300+ Ships, 
2 Hospital Ships, 6 Theater Hospitals and 3 Aeromedical Staging units. There is often low/intermittent or no communications 
in this operating environment. 

The first release of the JOMIS software, “JOMIS Release 1”, comprises of the testing and fielding of the Cerner Millennium 
Best of Suite (BoS) EHR solution and the Henry Schein’s Dentrix Best of Breed (BoB) solution acquired by the DoD 
Healthcare Management System Modernization (DHMSM) program for Health Care Delivery (HCD) capabilities. JOMIS 
future release(s) will acquire software to meet operational medicine requirements capabilities in the following areas: Medical 
Logistics, Medical Situational Awareness, Medical Command and Control, and Patient Movement. 

The goals of the program are to: 

• Meet existing and emerging operational medicine requirements in the theater 

• Fully leverage the EHR solution configuration for care in theater 

• Provide two way information flow between garrison and theater 




2016 MAR 

Business Case 

Business Case Analysis, including the Analysis of Alternatives: The DoD medical mission, executed by the MHS, is 
designed to provide a continuum of health services across the full range of military operations to create and sustain a 
healthy, fit, and protected force, and care for ill and injured warriors. Specifically, the MHS desires an EHR and health 
information exchange (HIE) that facilitates an evolving integrated healthcare delivery network and grows stronger 
partnerships with the Department of Veterans Affairs (VA) and healthcare partners in the civilian sector, both national and 
international. As such, all partners in the healthcare delivery network must have access to longitudinal health records with 
relevant and accurate information, including semantically standardized and computable data elements and clinical decision 
support that are presented in meaningful ways to support clinical management of patients and populations. 

DoD provides and maintains readiness for medical services and support to: members of the Armed Forces across the full 
range of military operations; their family members; those held in the control of the Armed Forces; and others entitled to or 
eligible for DoD medical care and benefits in military treatment facilities and under the TRICARE Program. The MHS 
supports the operational mission by fostering, protecting, sustaining, and restoring health. The following approved 
documents provide the foundation for requirements: 

• The Health Readiness Concept of Operations, January 21,2010; 

• The Health Service Delivery Concept of Operations, February 22, 2011; 

• The Health System Support Concept of Operations, February 22, 2011; 

• The Force Health Protection Concept of Operations, November 17, 2011; and 

• Joint Publication 4-02, Health Service Support, July 26, 2012. 

The Analysis of Alternatives (AoA) was conducted in three phases. The Phase III analysis, conducted by the Office of Cost 
Assessment and Program Evaluation between February 2013 and March 2013, resulted in the decision to acquire a 
replacement for the DoD legacy healthcare systems, including but not limited to, AHLTA, CHCS, and the EHR component of 
TMIP-J. This analysis also informed the June 21,2013 SECDEF memorandum mandating that the DoD pursue the 
purchase of a competitive solution to meet the business need for an EHR System. The Phase III analysis validated that 
commercial EHR alternatives could offer reduced cost, schedule, and technical risks, and access to an increased current 
capability with the possibility of future growth of capabilities by leveraging ongoing advances in the commercial marketplace. 

Firm, Fixed-Price Feasibility: The determination of contract type will be based on risks associated with the estimated cost 
of satisfying the requirements. When making the selection of contract type to execute the program's next acquisition phase, 
the MDA will choose between fixed-price and cost-type contracts consistent with the level of cost and technical risk 
associated with the effort. 

Independent Cost Estimate: The program has not experienced a Critical Change which would induce the independent 
cost estimate required by 10 U.S.C. 2334(a)(6). 

Certification of Business Case Alignment; Explanation: The JOMIS program has just received MDA approval for its 
initial Acquisition Strategy. Therefore, it is premature to certify that the technical and business requirements have been 
reviewed and validated to ensure alignment with the JOMIS Acquisition Strategy and supporting acquisition documents. 




2016 MAR 

Program Status 

No Baseline: This Automated information System Investment has not yet been baselined. The information provided herein is 
appropriate to the current status of the program. No Original Estimate is being established by this report. 

On December 23, 2014: USD(AT&L) approved establishing the Joint Operational Medicine Information System Program 

On November 19, 2015: USD(AT&L) approved the JOMIS Acquisition Strategy (AS). 




2016 MAR 


This investment does not have an approved program baseline. Therefore, the information provided here does not constitute 
an Original Estimate. 





2016 MAR 


This investment does not have an approved program baseline. Therefore, the information provided here does not constitute 
an Original Estimate. 

No Key Performance Parameters have been approved for JOMIS. 




2016 MAR 


This investment does not have an approved program baseline. Therefore, the information provided here does not constitute 
an Original Estimate. The following funding data is extracted from the FY 2017 President's Budget documentation. 





Acq O&M 

riscai Year 

(TY $M) 

(TY $M) 

(TY $M) 

(TY $M) 





















1. The ACQ O&M reported in the table above does not include $68.2M of O&M for Operations & Sustainment across the 

2. TMIP-J FY16 RDT&E funding of $22.1 M and FY16 PROC funding of $1.5M will be reprogrammed to JOMIS.