The Defense Health Agency (DHA) is a joint, integrated agency with a global workforce of almost 130,000 civilians and military personnel committed to medical excellence, healthcare improvement, and ensuring Army, Navy, and Air Force military personnel are ready to perform combat operations and humanitarian missions at home and abroad in both peacetime and wartime. As part of its mission, the DHA manages the Military Health System (MHS), which provides health services to approximately 9.6 million uniformed service members, military retirees, and family members. The MHS is also responsible for modernizing and enhancing the MHS Information Platform (MIP) by creating a more robust, resilient, and innovative health information system. The Defense Healthcare Management System (DHMS) was chartered to transform healthcare delivery and advance data sharing through a modernized electronic health record for service members, veterans, and their families. The mission of the Enterprise Intelligence and Data Solutions (EIDS) program as part of DHMS is to support the strategic goals of the MHS and facilitate informed decision-making through the delivery of robust information services and data in a timely, relevant, and actionable manner. The Naval Information Warfare Center Atlantic (NIWC) is home to the DoD’s top scientists, engineers, and technicians in the information warfare battlespace. It is forward-based, forward-deployed, and globally positioned to drive innovation and warfighter information advantage. In partnership with NIWC, TIAG supports EIDS, leveraging cutting-edge technology and expertise to enhance data-driven solutions and streamline processes critical to mission success. Together, we ensure robust, secure, and innovative capabilities for the warfighter.
EIDS, a leader in centralized secondary data management and seamless data services for DHMS, faced a critical data analytics challenge. Their system for processing System Authorization Access Requests (SAARs) was experiencing extensive delays, taking over two months to complete each request. This inefficiency created a substantial backlog, preventing authorized users—including industry partners, DHA, NIWC, and military and government members—from accessing crucial technical assets via the MIP, MHS GENESIS. As a result, this bottleneck jeopardized all projects within the FY21 scope of work, threatening the mission’s success. Despite advanced capabilities, EIDS struggled to process and manage SAAR documents efficiently. The lack of an effective structure to shepherd these documents through the approval process was a significant data analytics problem, impacting the ability of employees and contractors to accomplish work supporting the mission.
To address the significant backlog and inefficiencies in processing System Authorization Access Requests (SAARs) for the DHMS, NIWC contracted TIAG to develop a comprehensive solution for EIDS. This partnership aimed to streamline the SAAR processing workflow, ensure timely access to necessary technical assets, and enhance overall project performance within the Military Health System’s Information Portal.
The new eSAAR application developed by TIAG reduced the average time to complete new MIP requests by more than 75% and significantly enhanced the SAAR processing workflow. TIAG addressed the existing SAAR backlog, processed all pending requests, and implemented a new training program for Facility Security Officers and Government Supervisors, cutting review time by 50%. These efforts received consistent verbal praise and appreciation from stakeholders, highlighting the positive impact of TIAG’s solutions.
The Defense Health Agency (DHA) ensures the medical readiness of nearly 130,000 civilian and military personnel across the Army, Navy, and Air Force, enabling them to execute combat operations and humanitarian missions worldwide. Managing the Military Health System (MHS), the DHA delivers healthcare to 9.6 million service members, retirees, and families while advancing medical excellence and system modernization. As part of this effort, the Defense Healthcare Management System (DHMS) modernizes healthcare delivery and enhances data sharing through an advanced electronic health record system. Within DHMS, the Enterprise Intelligence and Data Solutions (EIDS) program strengthens decision-making across the MHS by providing timely, relevant, and actionable data. Naval Information Warfare Center Atlantic (NIWC) leads the Department of Defense’s information warfare capabilities, driving innovation and ensuring a warfighter information advantage. In partnership with NIWC, TIAG supports EIDS by integrating cutting-edge technology and expertise to optimize data-driven solutions and streamline mission-critical processes.
MTFs struggled with managing patient appointments and generating real-time reports, leading to scheduling inefficiencies that affected patient care and operational performance. They needed a system that provided real-time data, managed provider schedules, and optimized appointment bookings based on historical patient flow and patterns. Additionally, MTFs had to comply with the Interim Procedures Memorandum 18-001, which specifies standard appointing processes, procedures, hours of operation, productivity, performance measures, and appointment types for primary, specialty, and behavioral healthcare. Lacking real-time reporting capabilities, MTFs required a solution to continuously monitor provider schedules and ensure availability for patient bookings within the Composite Health Care System.
TIAG created the Direct Access Reporting Tool (DART), a web-based application designed to enhance access to care for the DHA and address the challenges MTFs face by integrating several access-related activities and serving as a robust reporting tool. This comprehensive approach leveraged the InterSystems CACHE interface to Military Health Systems globally. It used SQL Open queries and CACHE system connections to continuously monitor provider schedules and ensure appropriate slots are open for patient bookings. Critical features developed include:
DART revolutionized how the DHA manages Access to Care-related activities by integrating multiple operations into a streamlined, near real-time reporting system that empowers MTFs with actionable insights. By providing decision-makers with up-to-date data every 60 minutes, DART enhances the ability to assess and improve scheduling efficiency at the clinic level. Key benefits include:
The Defense Health Agency (DHA) is a joint, integrated agency with a global workforce of almost 130,000 civilians and military personnel committed to medical excellence, healthcare improvement, and ensuring Army, Navy, and Air Force military personnel are ready to perform combat operations and humanitarian missions at home and abroad in both peacetime and wartime. As part of its mission, the DHA manages the Military Health System (MHS), which provides health services to approximately 9.6 million uniformed service members, military retirees, and family members. The MHS is also responsible for modernizing and enhancing the Military Health System (MHS) Information Platform (MIP) by creating a more robust, resilient, and innovative health information system. The Defense Healthcare Management System (DHMS) was chartered to transform healthcare delivery and advance data sharing through a modernized electronic health record for service members, veterans, and their families. The mission of the Enterprise Intelligence and Data Solutions (EIDS) program as part of DHMS is to support the strategic goals of the MHS and facilitate informed decision-making through the delivery of robust information services and data in a timely, relevant, and actionable manner. The Naval Information Warfare Center Atlantic (NIWC) is home to the DoD’s top scientists, engineers, and technicians in the information warfare battlespace. It is forward-based, forward-deployed, and globally positioned to drive innovation and warfighter information advantage.
EIDS faced a significant challenge in conducting comprehensive Operational Test & Evaluation (OT&E) and Independent Verification & Validation (IV&V) testing to ensure its software systems met stringent Department of Defense (DoD) standards. The primary goal was to validate and verify all requirements using advanced tools like Azure DevOps and Selenium, focusing on operational readiness and cybersecurity in compliance with the DoD Risk Management Framework (RMF). This robust IV&V process was essential due to the complexity of requirements validation and the need for rigorous cybersecurity evaluations. Additionally, EIDS needed to manage multiple projects under the Carepoint program, such as the DoD Trauma Registry (DODTR) and MHS Dashboards. These projects required consistent and reliable testing protocols to identify and manage defects, ensuring high-quality software performance and security. EIDS contracted NIWC to address this challenge due to its expertise in secure, data-driven technology solutions. NIWC, recognizing the need for a trusted partner with a proven track record in delivering high-quality testing and data solutions, partnered with TIAG to support the effort.
NIWC’s technical prowess in delivering cutting-edge information warfare solutions was critical in safeguarding and enhancing the Navy’s strategic communications and data integrity across various platforms. TIAG’s private sector expertise prioritized modernization to ensure hardware, software, and interfaces complied with industry standards.
TIAG deployed highly skilled functional testers who validated and verified requirements using advanced tools like Azure DevOps and Selenium for functional script generation and automated testing. This approach was successfully applied to many projects under Carepoint, including the DoD Trauma Registry (DODTR) and Military Health System (MHS) Dashboards, ensuring that software was thoroughly tested and that defect management processes were meticulously followed. Our approach included:
TIAG’s IV&V services enhanced software quality and reduced defect rates through rigorous testing, security compliance, and streamlined project execution. Automated testing and defect management ensured all software met operational and security requirements, minimizing errors. Cybersecurity IV&V processes enabled NIWC to achieve and sustain full DoD RMF compliance, strengthening system security. A standardized IV&V approach across Carepoint projects improved execution efficiency, reduced timelines, and increased customer satisfaction. Thorough validation and verification reinforced system reliability, ensuring software functioned as intended under all conditions.
The collective mission of the Defense Health Agency (DHA), and the Naval Information Warfare Center Atlantic’s (NIWC) Defense Health IT Division is to modernize and enhance the Military Health System (MHS) Information Platform (MIP) and work together to enhance the overall health and well-being of service members and their families by creating a more robust, resilient, and innovative health information system.
NIWC and its industry partners faced significant hurdles in ramp-up time for developers, particularly during the initial creation of an application within the MHS MIP environment. The excessive lag time between application creation and subsequent development presented a critical issue that NIWC needed to address. NIWC aimed to automate and standardize application development to accelerate project timelines and improve access to patient-centric data. The goal was to enable developers to quickly and efficiently create applications from the ground up, ensuring they were set up for success when starting development within the MIP.
TIAG leveraged its proven DevSecOps approach to revolutionize application development by creating the Software Development Kit (SDK). The SDK streamlined and standardized the tech stack, solutions, and methodologies for real-time data connectivity and continuous improvement across all aspects of NIWC’s application development to ensure efficient delivery of high-quality, patient-centric applications while prioritizing security, continuous integration, and deployment by developing. Many initiatives and tools were leveraged throughout the SDK’s development lifecycle including:
By encouraging and supporting frequent code check-ins, version control, sensible test automation, continuous low-risk releases, and feedback, TIAG achieved substantial gains in security issue detection through threat modeling, code reviews, and red teaming.
“WOW, I am really impressed. I am just amazed at what the team has been able to accomplish in this Fiscal Year.” Lt Col Easter, Major Constantine, DHA
TIAG’s implementation of the SDK transformed the development and deployment of applications within the MIP environment, resulting in key wins for NIWC:
The SDK provided NIWC with the tools and resources needed to transform the MIP development process. The approach not only facilitated faster timelines and improved efficiency but also set the stage for sustained success and growth across the DHA’s MIP environment.
The Defense Health Agency (DHA) ensures the medical readiness of nearly 130,000 civilian and military personnel across the Army, Navy, and Air Force, enabling them to execute combat operations and humanitarian missions worldwide. Managing the Military Health System (MHS), the DHA delivers healthcare to 9.6 million service members, retirees, and families while advancing medical excellence and system modernization. As part of this effort, the Defense Healthcare Management System (DHMS) modernizes healthcare delivery and enhances data sharing through an advanced electronic health record system. Within DHMS, the Enterprise Intelligence and Data Solutions (EIDS) program strengthens decision-making across the MHS by providing timely, relevant, and actionable data. Naval Information Warfare Center Atlantic (NIWC) leads the Department of Defense’s information warfare capabilities, driving innovation and ensuring a warfighter information advantage. In partnership with NIWC, TIAG supports EIDS by integrating cutting-edge technology and expertise to optimize data-driven solutions and streamline mission-critical processes.
The MHS Information Platform (MIP), a critical repository managing over 30 years of dispersed healthcare data from more than 35 sources and processing 60 billion records annually, had become increasingly inefficient. The aging data center infrastructure led to costly hardware and software refreshes, escalating security vulnerabilities, and an inability to scale to meet rapid data growth. Recognizing that cloud migration could address scalability, security, and cost challenges, the DHA tasked EIDS with modernizing the data framework and warehouse to facilitate this transition. The objective was to migrate the extensive healthcare data to the cloud while maintaining legacy operations. When the timeline accelerated from a year to mere months, EIDS contracted the Naval Information Warfare Center (NIWC) to drive innovation and expedite the migration process.
“Through this successful government cloud transformation, the team has contributed to the cloud as a fundamental component of the global infrastructure that will empower the warfighter with data and provide improved decision making at the highest levels of the DoD related to the operational readiness of the military forces.” Division director for the Defense Health Information Technology (DHIT) Division’s Health Systems Security Engineering
Working together with other industry partners, we spearheaded the largest data and Cloud migration in DoD history with a groundbreaking and collaborative “Team of Teams” approach referred to as the Accelerated Migration Project (AMP) team that consisted of three NIWC Integrated Product Teams, three DHA divisions, Program Executive Office (PEO) Defense Health Management Systems (DHMS), multiple solutions, and numerous industry partners. Our team brought together a wide range of expertise, including AWS cloud integration, MIP solution architecture, systems engineering, software development and testing, big data management, cybersecurity, communications, and DOD healthcare project management. Together, we delivered a transformative solutions with a strategic and systematic approach that included:
“The migration was the fastest move of an environment to the cloud in the federal government to date. No previous cloud migration efforts within the federal government have matched the enormous scope, scale, and complexities of the MHS Information Platform migration, making this effort an original pioneering effort in cloud transformation.” NIWC Atlantic AMP team project lead.
The MIP migration was a historic achievement, completing the transition to AWS GovCloud in just 93 days, more than a year ahead of schedule. The migration significantly reduced costs by eliminating reliance on legacy infrastructures while improving operational efficiency. The move to AWS EC2 instances led to a 61% reduction in infrastructure footprint, reducing the need for costly hardware refreshes and freeing up resources for more advanced capabilities. Additionally, by compressing and optimizing data, the team achieved an 85% reduction in storage requirements, ensuring that military healthcare data could be processed and stored more efficiently.
Ensuring a seamless transition was paramount, with over 20,000 users across 100+ military hospitals and clinics. The team provided Amazon Redshift training to over 120 users, developing custom training materials and post-assessment courses to equip military personnel with the knowledge necessary to navigate the new system. Extensive collaboration with global military leadership ensured users had the tools and support to adapt to the modernized platform without disrupting critical healthcare operations.
Security and compliance efforts resulted in a first-of-its-kind cloud environment accredited to operate at the highest levels of DoD cybersecurity standards. The successful accreditation of four Rapid ATOs within four months established MIP as a secure and resilient platform for defense healthcare analytics and decision-making. The transition from a CapEx to an OpEx funding model further optimized operational costs, allowing DHA to invest in next-generation solutions, including natural language processing, semantic analysis, and AI-driven insights.
This transformation has strengthened warfighter readiness by ensuring decision-makers at the highest levels of the DoD have access to real-time, data-driven insights on military forces’ operational readiness. The successful cloud migration of MIP has set a new standard for government cloud transformation, demonstrating how a strategic, coordinated approach can rapidly modernize mission-critical systems without compromising security, compliance, or operational continuity.
The team was nominated for the 2020 DoD Software Innovation Team Award and received the following awards: the Naval Information Warfare Systems Command (NAVWAR) Innovation Award for Business Model or Process; NIWC Atlantic Lightning Bolt Award for Team Excellence; sponsor-funded NIWC Atlantic You Made A Difference Award; FedHealthIT100 Award; and the 2020 G2Xchange Disruptive Tech Award, recognizing federal leaders, innovators, game changers and disruptors who are leading and transforming federal information technology.