Military Health System Information Management

1. Military Health System Information Management Nancy.Orvis@tma.osd.mil Chief, Health Data Management Program & Operational Architecture Development Information Management Office of the Chief Information Officer Assistant Secretary of Defense (Health Affairs)

2. MHS Central IM/IT Program Portfolio Development Organization Senior Military Medical Advisory CouncilASD,SGs, DASDs, JS • Set strategic direction • Approve POM/BES/PresBud • Approve IT Capital Investment Plan • Ensure alignment with strategic objectives • Oversee IM/IT Program MHS Portfolio Management Oversight Committee (PMOC) (O-8/SES)Dep. SGs,, JS Surgeon HA DASDs, MHS CIO Functional Integration Work Group (05-06/GS-15)Army, Navy, Air Force, JS, HA, TMA MHS Integrated Portfolio Management Board (GS-15/06)Army, Navy, Air Force, HA, JS, MHS CIO/CAM&O • Evaluate and integrate functional requirements • Recommend a prioritized IT Investment Portfolio to the IMPC • Oversee IT programs—funding, schedule, deliverables Chief Information Officer,Military Health System • Manage the execution of Tri-Service IT Acquisition programs IAW DoD Regulations Program Executive Officer,Joint Medical Information Systems Office Director, Information Management • Definitize functional requirements • Serve as liaison between Functional and Technical communities • Manage Tri-Service Functional IPTs • Manage the MHS functional requirements repository • Manage the MHS IT Capital Investment Process Chief Enterprise Architect Theater Medical Program Office Medical Readiness ClinicalProgram Office Access to Care • Manage technical design, acquisition, testing, fielding, and sustainment in accordance with approved IT program funding and schedule Medical LogisticsProgram Office Provision of Care Resources Management Program Office Population Health Improvement Executive Information/Decision SupportProgram Office Manage the Business Tri-Service Infrastructure Program Office Information Management Information Technology

3. Strategic Planning Mission Vision Goals, Objectives,and Strategies Business Process Information Management Requirements Detailed Functional Requirements Information Technology Solutions

4. Health Functional Proponent “Assigned primary responsibility for the business process supported by a given information system or initiative.”

5. The Military Health Information Management • Begins With Senior Leadership and Functional owners defining the core business processes • Serves as a blueprint to improve, reengineer, and integrate Health Care best business practices • Military Health Business Processes • Systems Supporting Business Processes • Rules and Standards Governing eBusiness Systems and Operations • Represents essential building blocks of the business in accordance with business requirements, processes, information exchanges, and data.

6. Information Management Provides a Framework …that details Military Health business processes and requirements…to… …focus on the individual service member …ensure sophisticated medical treatment forward in the theater supported with a rapid evacuation system …ensure a healthyforce prior to deployment …provide combat health support

7. Military Health Information Management Components Military Health Business Processes Systems Supporting Business Processes • Defense Medical Logistics Standard Support • Composite Health Care System II • Resource/Manpower Allocation Systems • Executive Information/Decision Support • Theater Medical Information Program • Access to Care • Provision of Health Services • Population Health Management • Manage the Business Rules and Standards Governing eBusiness Systems and Operations • DoD Joint Technical Architecture • Information Assurance Standards • Guidance and Common Patterns • ANSI ASC X12N and Health Level 7

8. Military Health System Information Management

9. Total IM/IT Program(Central & Service Other) Investment and Sustainment FY04/05 FY04 DHP Central & Service Other IM/IT Programs$983.763M Sustainment(O&M)$734.882M74.70% Investment(PROC)$188.085M19.12% Total DHP$22,264M* Total Program 4.42% (All Apps.) Investment 1.12% (RDT&E/PROC) Investment(RDT&E)$60.796M6.18% FY05 DHP Central & Service Other IM/IT Programs$1,024.241M Sustainment(O&M)$795.271M77.65% Total DHP$23,686M* Investment(PROC)$164.399M16.05% Total Program 4.32% (All Apps.) Investment 0.97% (RDT&E/PROC) Investment(RDT&E)$64.571M6.30% * FY04 PresBud - includes MILPERS

10. Total IM/IT Program (Central & Service Other) Distribution by Program Area/Service FY04 -- $983.763M FY05 -- $1,024.241M Logistics$35.843M3.64% Logistics$32.087M3.13% EI/DS$33.881M3.31% Theater$25.986M2.64% EI/DS$29.579M3.01% Resources$59.716M5.83% Infrastructure $168.507M16.45% Infrastructure $157.297M15.99% Resources$77.777M7.91% TRAC2ES$10.506M1.02% TRAC2ES$6.494M0.66% Theater$44.624M4.36% FHIE$5.202M0.51% FHIE$5.219M0.53% InformationMgmt.$10.898M1.06% InformationMgmt.$10.892M1.11% Clinical$243.823M24.78% Clinical$261.984M25.58% Other$9.945M1.01% Other$9.925M0.97% Army$154.672M15.72% Army$157.587M15.39% Navy$114.703M11.66% Air Force$111.533M11.34% Air Force$112.183M10.95% Navy$117.141M11.44%

11. Build a Better Financial and Military Health System