Ready Medical

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Augustus Anderson
5 years ago
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2 Ready Medical

3 Ready Medical

4 Medically Ready

6 DHA Presence Across the Globe Supporting COCOMs and Services 6

7 55 Hospitals 360 Outpatient Clinics

8 9.4M Beneficiaries 1.5M In Uniform

9 9.4M Beneficiaries 2.4M Families

10 9.4M Beneficiaries 5.4M Retirees/Families

11 Joint Concept for Health Services Chairman, Service Chief Endorsed Doctrine Concept encompasses the global employment of joint operational health services and the idea of interoperable Service capabilities guided by common standards and procedures The need for integrated medical support that keeps pace to support Globally Integrated Operations is clear. Chairman, Joint Chiefs of Staff 11

Today s DHA: How We Got Here DoD Task Force on MHS Governance

2013 September 2013 Dec 2016 Recommended DHA model for MHS

DHA and Shared Services implementation plan for DEPSECDEF

12 Today s DHA: How We Got Here DoD Task Force on MHS Governance DEPSECDEF Planning Memo DHA Planning WG Report DEPSECDEF Nine Commandments Memo DODD NDAA 2017 September 2011 March 2012 November 2012 March 2013 September 2013 Dec 2016 Recommended DHA model for MHS Governance Directed planning for DHA implementation Provided DHA and Shared Services implementation plan for DEPSECDEF approval Directed implementation of DHA Establishes the DHA Directed implementation of Broader Responsibilities 12

13 FY 17 National Defense Authorization Act The Why The conferees believe that the current organizational structure of the military health system essentially three separate health systems each managed by one of the three Services paralyzes rapid decision-making and stifles innovation in producing a modern health care delivery system that would better serve all beneficiaries. 13

14 FY 17 National Defense Authorization Act The Why a single agency responsible for the administration of all MTFs would best improve and sustain operational medical force readiness and the medical readiness of the Armed Forces, improve beneficiaries access to care and the experience of care, improve health outcomes, and lower the total management cost of the military health system. 14

15 FY 17 National Defense Authorization Act The What The Director of the Defense Health Agency, beginning October 1, 2018, to take responsibility for the administration of each MTF, including all matters with respect to: 1) budget; 2) information technology; 3) health care administration and management; 4) administrative policy and procedure; 5) military medical construction and 6) any other matters the Secretary determines appropriate...[and] would require the establishment of a professional staff within the Defense Health Agency to provide policy, oversight, and direction of all matters related to the administration of MTFs. 15

16 SECDEF Mattis Memo (17 Feb 2017) Department Leadership Weighs In Rebuild Reform DoD Deputy Chief Management Officer 16

17 SECDEF Mattis Memo (5 Oct 2017) Department Lines of Effort Restore Military Readiness as We Build a More Lethal Force Strengthen Alliances and Attract New Partners Bring Business Reforms to the Department of Defense budget discipline and effective resource management, develop a culture of rapid and meaningful innovation, streamline requirements and acquisition processes 17

18 $B % of DoD Topline Medical as Percent of DoD Budget MHS Cost Growth Has Slowed, But We Are Not Complacent $60 $45 8.9% 9.3% 9.4% 9.4% 9.3% 9.7% 9.5% 9.7% 9.7% 9.1% 9.2% 9.4% 9.3% 9.5% 9.7% 9.8% 10.0% 8.7% 8.1% 8.1% 7.5% 7.5% 5.9% $30 5.0% $15 2.5% $- 0.0% Unified Medical Budget Includes Normal Cost contributions to the Medicare Eligible Retiree Health Care Fund (MERHCF) % of DoD Topline 18

19 Enterprise Support Activities (ESA) 1 Pharmacy Programs 6 Facilities 2 TRICARE Health Plan 7 Procurement/Contracting 3 Health Information Technology 8 Research, Development & Acquisition 4 Budget & Resource Management 9 Public Health 5 Medical Logistics 10 Education & Training Directorate 19 10

20 Enterprise Support Activities Beat FY15 Expectations, Beat FY16 Expectations FY14-19 Net Savings ($M) $5,000 $4,500 $4,578 $4,000 $3,500 $3,370 $3,560 $3,000 $2,500 $2,262 $2,535 $2,311 $2,000 $1,649 $1,500 $1,709 $1,000 $1,004 $500 $242 $475 $- $147 FY14 FY15 FY16 FY17 FY18 FY19 Initial Cumulative Net Savings Projection (3rd RTC) Forecast (Cumulative) Actual (Cumulative) POM Booked Savings (Cumulative) 20

21 Net Savings ($M) Health IT Fewer Systems, Streamlined Management $700 Health IT (J-6) Shared Service Net Savings and Reductions ($M) $600 $500 $400 $300 $200 $100 $- FY14 FY15 FY16 FY17 FY18 FY19 $(100) Actual Savings FY14-17Q3 (Cumulative) POM Booked Savings FY15-19 (Cumulative) Initial Projections FY rd Report to Congress (Cumulative) Forecast (Cumulative) 21

22 [Use slide (pics) to answer question Why am I here?] $4.6B investment for DoD Talk to: Complex Acquisition, IT, and FUNCTIONAL transformation [DoD EHR in News]

23 MHS GENESIS Complex Change Effort Worldwide Deployment Many Stakeholders First Major Upgrade in > a Decade 50 System s 50+ legacy systems to 1 23

24 Zero Based Budget Review (ZBR) Overview In April/May 2015 DoD leadership directed a ZBR to evaluate the existing and planned MHS IT investments in FY16, FY17, and out years of the Future Year Defense Plan. Comprehensive examination of all IT investments used to support MHS functions, irrespective of funding source or implementation organization Definition: Zero-based budgeting starts from a zero base, every function within an organization is analyzed for its needs and costs 24

25 MHS IT Management Reform Additional Opportunities Further rationalization of the IT portfolio (applications) across the Services and DHA Continued implementation of the Medical Community of Interest (MED-COI) Continued implementation of NDAA 2017 further consolidation of MHS IT in support of managing the MTFs Support of MHS Genesis deployment and sustainment Cybersecurity implementation based on the DoD plan 25

26 Key Takeaways Organizational Big Rocks: TRICARE January 1, 2018 MHS GENESIS Deployment NDAA Implementation The Future Picture: Unwavering focus on improved Readiness Increased Quality and Safety Greater Efficiency without sacrificing effectiveness! 26

MHS GENESIS: EHR Modernization for Business Transformation Session 101, Tuesday, February 21, 2017

MHS GENESIS: EHR Modernization for Business Transformation Session 101, Tuesday, February 21, 2017 Ms. Stacy Cummings, Program Executive Officer, Program Executive Office, Defense Healthcare Management