Black Book Research 发布《2026年美国军事与国防卫生IT现状报告》
Black Book Research Releases 2026 State of U.S. Military and Defense Health IT Report
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Black Book Market Research 发布了《2026年美国军事与国防卫生信息技术现状报告》，该报告基于1,037份调查回复，以及由813名联邦和国防卫生领域领导者组成的分析样本。
该报告在新奥尔良举行的2026年国防卫生信息技术研讨会（DHITS）期间同步发布，标志着在MHS GENESIS完成全球部署后进入“后EHR部署时代”。
FY2027国防卫生IM/IT预算申请达到约26亿美元（较FY2026已通过预算水平增长14.5%），其中超过2亿美元的增长资金将用于数字健康能力，包括环境临床文档、远程重症监护和全球远程会诊。
战略供应商机会正从核心EHR替换转向集成、临床AI、DevSecOps、数据溯源，以及在拒止、断联、间歇性连接和低带宽（DDIL）环境中的战术边缘运行。
退伍军人事务部的Oracle Health Federal EHR现代化项目仍是一个重要的服务与优化市场，涵盖数据协调、旧版VistA共存、自动化测试和排班控制。
26亿美元转向军事卫生AI与战备随着MHS GENESIS已完成在军事治疗机构（MTF）的全球部署，评估指标已从固定医院转向前沿部署作战环境中的临床生产力、部队医疗战备和医疗连续性。
Black Book报告详细介绍了塑造2028年前国防卫生技术发展的架构重点和预算走向：
扩大数字健康拨款：
FY2027国防卫生信息管理和信息技术（IM/IT）预算申请总额约为26亿美元，较FY2026增长14.5%。其中超过2亿美元的增长资金专门用于数字健康技术，包括环境临床记录员、远程重症监护平台、移动临床医生平板电脑和全球远程会诊网络。
大规模推进临床AI运营化：
临床人工智能正从孤立试点走向运营部署，重点应用于环境文档、纵向病历摘要、自动编码、转诊管理和医嘱闭环。
DDIL战术连续体：
作战医疗要求军事云基础设施与拒止、断联、间歇性连接和低带宽（DDIL）作战环境中的战术边缘系统实现无缝同步，确保跨梯次医疗体系的数据溯源和患者追踪。
VA Oracle Health优化：
VA Federal EHR部署代表着一个持续多年的实施与服务生态系统，推动对数据协调、旧版VistA退役策略、自动化回归测试、收入周期管理和基于角色的培训的需求。
复杂的多利益相关方买方版图：
该报告识别了国防卫生局（DHA）、PEO Defense Healthcare Management Systems（PEO DHMS）、PEO Medical Systems、联邦电子健康记录现代化（FEHRM）办公室、各军种医疗指挥机构（陆军、海军、空军）、USSOCOM以及VHA项目办公室对支出的影响力。
“军事卫生已经从数字现代化跨入任务执行阶段，”Black Book Research创始人Doug Brown表示。“对于国防部和战争部卫生体系而言，只有在安全实施并产生可衡量的战备成效时，创新才有意义：减轻临床负担、更快作出决策、弥合医疗服务缺口、加强从医院到战场的连续性，以及让更多军人重返岗位。”能够将专业化AI和具有韧性的边缘数据管道无缝集成至现有联邦健康记录中的技术提供商，将获得未来十年国防与军事卫生采购的机会。
未来将完全属于集成式智能网络：这类网络能够将原始的技术碎片化无缝转化为一个自动化、可审计且完全安全的终身人类照护系统。
What You Should Know
Black Book Market Research released the State of U.S. Military and Defense Health Information Technology 2026, drawing on 1,037 survey responses and an 813-respondent analytical cohort of federal and defense health leaders.
Released alongside the 2026 Defense Health Information Technology Symposium (DHITS) in New Orleans, the report marks the entry into a “post-EHR deployment era” following the completed worldwide rollout of MHS GENESIS.
The FY2027 defense health IM/ IT budget request reaches ~$2.6 billion (a 14.5% increase over FY2026 enacted levels), with over $200 million in growth targeted at digital health capabilities—including ambient clinical documentation, tele-critical care, and global teleconsultation.
Strategic vendor opportunities are shifting away from core EHR replacement toward integration, clinical AI, DevSecOps, data provenance, and tactical edge operations in denied, disconnected, intermittent, and low-bandwidth (DDIL) environments.
The Department of Veterans Affairs’ Oracle Health Federal EHR modernization continues as a major services and optimization market across data reconciliation, legacy VistA coexistence, automated testing, and scheduling controls.
$2.6B Shift Toward Military Health AI and Readiness
With the worldwide deployment of MHS GENESIS completed across military treatment facilities (MTFs), evaluation metrics have transitioned toward clinical productivity, force medical readiness, and continuity of care from fixed hospitals to forward-deployed operational environments.
The Black Book report details the architectural priorities and budget trajectories shaping defense health technology through 2028:
Expanding Digital Health Appropriations:
The FY2027 defense health information management and information technology (IM/IT) budget request totals approximately $2.6B, representing a 14.5% increase over FY2026. Over $200M of this growth is specifically allocated for digital health technologies, including ambient clinical scribes, tele-critical care platforms, mobile clinician tablets, and global teleconsultation networks.
Operationalizing Clinical AI at Scale:
Clinical artificial intelligence is moving beyond isolated pilots into operational deployment, prioritizing ambient documentation, longitudinal chart summarization, automated coding, referral management, and order-loop closure.
The DDIL Tactical Continuum:
Operational medicine mandates that military cloud infrastructure seamlessly synchronize with tactical edge systems in Denied, Disconnected, Intermittent, and Low-bandwidth (DDIL) operational environments, ensuring data provenance and patient tracking across echeloned care.
VA Oracle Health Optimization:
The VA Federal EHR deployment represents an ongoing multi-year implementation and services ecosystem—driving demand for data reconciliation, legacy VistA retirement strategies, automated regression testing, revenue cycle management, and role-based training.
Complex Multi-Stakeholder Buyer Map:
Identifies spending influence across the Defense Health Agency (DHA), PEO Defense Healthcare Management Systems (PEO DHMS), PEO Medical Systems, the Federal Electronic Health Record Modernization (FEHRM) office, individual service medical commands (Army, Navy, Air Force), USSOCOM, and VHA program offices.
“Military health has crossed from digital modernization into mission execution,” stated Doug Brown, Founder of Black Book Research. “For the Department of Defense and Department of War health enterprise, innovation only counts when it is implemented securely and produces measurable readiness: less clinical burden, faster decisions, closed care gaps, stronger continuity from hospital to battlefield and more service members returned to duty.” Technology providers that can seamlessly integrate specialized AI and resilient edge data pipelines into the installed federal health record will capture the next decade of defense and military health procurement.
The future belongs exclusively to integrated intelligence networks that can seamlessly transform raw technology fragmentation into an automated, auditable, and entirely secure system of lifelong human care.
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