On April 9, 2018, the Department of Defense (DOD) announced its intent to partner with the Coast Guard to deploy its electronic health record (EHR) capability across the service’s clinics and sick bays. On June 7, 2018, the Coast Guard and the Defense Health Agency (DHA), the agency responsible for the DOD’s health care system, signed an Inter-Agency Agreement that formally established the partnership to deploy MHS GENESIS. Under this transition, the service will access the DOD-hosted MHS GENESIS that the DOD as well as the Department of Veterans Affairs (VA) are implementing enterprise-wide.
The Electronic Health Records Acquisition (eHRa) will modernize the Coast Guard’s health care data management by acquiring an EHR solution in place of its primarily paper-based health record system. Having an EHR capability will make patient record retrieval easier and faster; reduce administrative errors; and allow electronic information exchange with the DOD, the VA and commercial care providers. The Coast Guard’s EHR program, once fully implemented, will service all Coast Guard clinics and sick bays – ashore and afloat.
In September 2019, DHA awarded a task order to Leidos Partnership for Defense Health to deploy MHS GENESIS capabilities to four Coast Guard PACAREA pilot sites.
The Coast Guard deployed the MHS GENESIS electronic health records (EHR) system to four Coast Guard medical facility pilot sites Aug. 29, the first step toward service-wide adoption of an integrated EHR system.
The four medical facilities chosen as pilot sites – Training Center Petaluma, Base Alameda, Air Station Sacramento and Maritime Safety and Security Team 91105 in San Francisco -- were selected because they collectively possess the full range of Coast Guard medical facility capabilities and to leverage resources from the Department of Defense, which has been deploying MHS GENESIS since 2017 in the same regional area.
The eHRa Program has segmented the acquisition into three distinct segments: A, B, and C. Segment A begins with delivery of MHS GENESIS to all pilot sites. Once testing is complete, the program will begin roll-out of the system to all ashore clinics and sick bays. Deployment will occur in two waves: Pacific and Atlantic. Segment A is scheduled for completion by the end of fiscal year 2022.
Segment B will accomplish the uploading and transitioning away from paper records and integration of radiology capabilities, along with peripherals and preferred devices. Segment B is scheduled for completion by June 2024. Coast Guard personnel can continue to use their paper records throughout this time period.
Segment C will extend an EHR capability to all afloat sickbays; the schedule is to be determined.