Health Care Delivery Solutions (HCDS) Electronic Health Record Follow-on (MHS GENESIS)

The document is a Q&A log for the Healthcare Delivery Solution (HCDS) Electronic Health Record (EHR) Follow On (MHS GENESIS) procurement (HT003826X0000), updated December 4, 2025. It addresses prospective vendors' questions regarding the Department of Defense (DoD) and Department of Veterans Affairs (VA) contract coordination, system integrator (SI) model, transition periods, retained functions, sustainment baseline review, vendor licensing, transaction fee assessment, Oracle Cloud Infrastructure (OCI) migration, help desk support, DHA leverage and control, scope differences between "System Integration" and "Deployment," AI + DevSecOps implementation, incumbent contractors, timing and dollar size of procurements, governance structures, effectiveness measurement, third-party integration validation, workflow standardization, and KPIs for EHR optimization. The DoD is still formulating approaches for many aspects, often requesting industry feedback, with a tight timeline for all HCDS EHR Follow-on requirements to be awarded by July 2026.

The Defense Healthcare Management Systems (DHMS) Program Executive Office has released a draft contract strategy for the HCDS EHR follow-on effort, seeking industry feedback to refine its approach. The strategy, informed by market research and an Industry Day, outlines plans for technical integration, human-centered design, product management, and product and service support. Key areas include system integration, end-user experience (training, change management, user adoption), Help Desk Tier 1/Tier 2, and deployment services. The document poses numerous questions to industry stakeholders regarding consolidated solutions, first-call resolution, self-help portals, training requirements, data analytics, testing responsibilities, software asset management for SaaS, and risks associated with cloud migration and contractual constructs. Feedback is due by January 9, 2026, and will be used solely for planning purposes, as this is an RFI and not a solicitation.

The Healthcare Delivery Solution (HCDS) Electronic Health Record (EHR) Follow On (MHS GENESIS) Q&A Log, dated November 19, 2025, addresses key questions from prospective vendors regarding the future of the DoD and VA's healthcare contract activities. A Memorandum of Understanding (MOU) between the Secretaries of Defense and Veterans Affairs aims to strengthen their partnership and explore inter-agency cooperation, possibly including joint contracts. The DoD's structure and resourcing for a new System Integrator (SI) model are not yet finalized, with industry feedback requested on the necessity and configuration of SIs. The government also seeks industry input on a mandated overlap period during transitions and the functions the DoD intends to retain. A comprehensive sustainment baseline review is ongoing. The government is exploring the best approach for vendor management and will seek information on the impact of OCI migration on the procurement scope, noting that the current Service Provider Integrator (SPI) should maintain the system until migration completion.

The document summarizes a Q&A log from the Healthcare Delivery Solution (HCDS) Electronic Health Record (EHR) Follow On (MHS GENESIS) Industry Day on March 31, 2026. It addresses various vendor questions regarding contract extensions, pricing, ATOs, purchasing models, funding, upgrade protocols, compensation, SBIR technologies, product evaluation, knowledge transfer, and contract strategies. Key points include the government's negotiation approach with prime contractors, the stability of current ATOs unless delivery methods change, and the evaluation of a 1-year base with four 1-year options for solution-based contracts. The government will also provide data sharing and interoperability, and each requirement will have its own contracting strategy, with postings on sam.gov. Additionally, the QASP will formally define performance measurement, including metrics for the integrated team.

The Defense Healthcare Management Systems (DHMS) Industry Day on March 31, 2026, outlined a contract strategy for healthcare delivery solutions, focusing on standardization, patient-centric design, and interoperability across the Military Health System (MHS). The strategy emphasizes a flexible contracting framework to enhance service delivery, reduce costs, and foster outcome-based relationships. It details a three-pillar integrated model: Solutions (Best of Suite and Best of Breed), Services (Help Desk, Deployment, End-User Support), and Program Office Support (Technical Integration, Human-Centered Design, Product Management). A planned bridge period with the incumbent ensures a seamless transition. The governance model stresses collaboration and accountability, with integrated teams overseeing day-to-day operations and contract performance through defined processes and metrics. The document also addresses Organizational Conflict of Interest to prevent biased judgments and unfair competitive advantages.

The MHS GENESIS Industry Day, held on November 5, 2025, focused on modernizing the DOD Healthcare Management System. The event aimed to enhance understanding, foster collaboration, and gather feedback for a streamlined acquisition process. MHS GENESIS, a decade-old electronic health record system, has 9.6 million beneficiaries and 194,000 users. Key priorities include optimizing patient care, advancing health IT, and ensuring interoperability. The government plans a new, competitive contract, seeking industry input on transition strategies, organizational structures, compensation models, and the role of system integrators to achieve cost-efficiency, performance, and innovation. The timeline anticipates a draft RFP in Q1 FY26 and contract award by Q4 FY26, with official information provided via SAM.gov.