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Holly Joers, the program executive officer for the Program Executive Office, Defense Healthcare Management Systems (PEO-DHMS), said DoD’s Cerner-based EHR, is now live at 75% of DoD’s clinics and hospitals, with 160,000 users and 6.1 million beneficiaries in the system so far. Joers said DoD’s experience has been that the deployment process works much, much better once it’s moved beyond the first few sites. After that, a lot of lessons have been learned, and the institution can start to converge around change management and IT deployment practices that make sense for the whole enterprise. “I can’t comment specifically on VA, but when I look at where they are now, I’m taken back to where DoD was in the 2017-2018 timeframe,” she said. “There were challenges with the network, and so we made rules about what infrastructure had to be in place before a go-live, and how long it needed to be stable before we went live. We looked at our governance and management process to hear different inputs. When you’re only deali