Support & Care For the Wounded - ORGANIZING THE WORK -

1. Support & Care For the Wounded- ORGANIZING THE WORK -

2. Congress & Media The Structure Senior Oversight Committee (SOC) Co-Chairs: DEPSECDEF and DEPSECVA Incoming from other commissions Overarching Integrated Product Team (OIPT) Full-time staff and VA Detail Press Releases Carr & Pamperin Embrey & Sigford Davis & Day SJones & Tibbits Grone & Neary Dominguez & Cooper McGinn & Dunne 1 2 3 4 5 6 7 Installation Capability Committee TBI WorkingGroup Disability System Disability Advisory Council TBI/PTSD Case Management DoD/VA Data Sharing BEC/HEC Working Group Facilities ABC WIIP CPI Group Case Management Summit Legislation & Public Affairs

3. The Work • Senior Oversight Committee • Policy & Strategy • Oversight • Direction Full Time Staff • Legislative coordination • Prepare briefings • Respond to ad hoc actions (e.g., letters) • Coordinate reports and responses • Review “egregious cases” with MILDEPS • Create cross-cutting policy (e.g., case management • Create cross-cutting architecture to track progress • Prepare budget issues • Prepare legislative proposals • Synthesize; monitor the intersection of all reports and commitments, and work to rationalize • Manage a proactive public affairs campaign • OIPT • Coordinate, integrate, and synchronize • Problem solve • Approve LOA plans/timelines and report to SOC • Approve LOA proposed actions (inform SOC) or forward to SOC for action • Recommend sourcing solutions for resource needs • Lines of Action Owners • Set Plans to Achieve Goal • Set & Track Milestones • Identify and Enact Early Short Term wins • Develop Legislative Language • Identify Resource Needs

4. OIPT Members

5. Proposed Full Time Staffing Service/OrganizationGradeSpecialty TBD SES/GO Chief of Staff Military Services (5) O-4/O-5 Health Care Administrator Ops/Research Analyst JAG Social Worker Budget and Program Analysis &Eval OSD (3) O-4/O-5 Public Affairs/Legislative Liaison Policy Analysis Family Communication VA (4) GS-13/14 VBA (Benefits) GS-13/14 VHA (Health) GS-13/14 IT GS-13/14 Facilities Contractor (2) Admin/Office Management Microsoft Office Suite

6. Briefing Schedule OIPT SOC Disability Eval System 5/18 5/22 Data Sharing 5/24 5/29 Facilities 5/31 6/5 Case Management 6/7 6/12 TBI 6/14 6/19 Continuous Process Imp. 6/21 6/26 Public Affairs/Leg Affairs 6/28 7/3

7. Line of Action Approach • Spiral Development. • By December, assemble Lessons Learned, resource and legislative requirements. • By February, requirements incorporated into the President’s Budget.

8. Case Management Outcome Desired: Provide individualized, integrated, interagency and intergovernmental support for the wounded, injured, ill service member and his/her family throughout the process of treatment, rehabilitation and renewal to: minimize fragmentation of federal services, improve the coordination of medical and rehabilitative care, and ensure access to all needed resources. Charter: Build an integrated, comprehensive DOD/VA program to provide timely, proactive, longitudinal, seamless, collaborative, coordination of quality healthcare and social services to meet specific needs of individual service member and their families in a manner that promotes positive outcomes and quality of life. Key Players: Dr. Davis, Dr. Smith, Dr. Huycke, OSD(HA), Military Departments (e.g medical case managers, family support case managers Severely Injured Marines and Sailors programs), Department of VA (e.g. Seamless Transition Program), Department of Labor, State Rehabilitative Agencies, Civilian Experts. Deliverables: NLT December 2007: Extract best Practices from Case Management Conference May 07 Host Inter-service, Inter-agency Working Group on Case Management Reform, May 07 – December 08 Identify DoD/VA Case Management ‘Best Practices’ November 07 Develop and Pilot Comprehensive Care Coach approach for CRSC, December 07 2008 and Beyond: Provide OSD with Legislative Authority Requirements for FY 09, January 08 Present Case Management Reform Recommendations to Managed Care Support Conference Feb 08 Establish Standards of Care and Standards of Practice for DoD/VA Case Management June 08 Develop Policies and Legislative Requirements to Institutionalize Case Management reforms November 08

9. DoD/VAData Sharing Outcome Desired: Ensure appropriate beneficiary and medical information is visible, accessible, and understandable through secure and interoperable information management systems Charter:Share electronically with VA the data needed that we have available electronically Key Players:HEC IM/IT Work Group; BEC Information Systems Work Group Deliverables -- NLT December 2007:Share provider notes and problem lists, in addition to the Pharm, lab, allergy, rad reports, Pre- and Post-deployment health assessments and reassessments that are currently being shared 2008 and Beyond:Complete the analysis on the joint DoD/VA inpatient electronic health record