Navy Medicine Program Elements Operations Finance Audit Readiness Training Symposium June 2012

1. Navy Medicine Program ElementsOperations FinanceAudit Readiness Training SymposiumJune 2012

2. Context / Purpose / Outcome Context • The current fiscal environment is very tight and program requirements continue to be highly scrutinized • Starting this fiscal year, funds are being issued and managed at the Program Element (PE) level Purpose • Enhance stakeholder understanding of the allowable and expected expenses within Navy Medicine PEs • Better position Navy to reduce the risk of receiving reductions • Not executing as planned puts Navy Medicine funds at-risk (EBP) • Exposes Navy Medicine to potential Congressional reductions Outcome • Further enhance Navy Medicine’s ability to effectively execute and budget at the Program Element level • Continue to identify ways we can work together to improve our funding-execution accuracy

3. Agenda • Background • Overview • Program Element Description • Program Element Structure • BAG-PE Overview • Definitions and Examples • Effective Execution Monitoring

4. What is a Program Element? The Program Element is a primary data element in the OSD Defense Program and generally represents aggregations of organizational entities and resources related thereto. They are the building blocks of the programming and budgeting system and may be aggregated and reaggregated in a variety of ways. • Program Elements are the link between Budget Execution and the Future Years Defense Program • Each Program Element may or may not consist of forces, manpower, and dollars, depending on the definition of the element

5. Program Element Coding Symbology The structure of the PE can change over time. Currently, the PE (8 digits long) consists of 4 components: • Positions 1-2 - Major Force Planning Code • Positions 3-5 - OSD PE Serial Number • Positions 6-7 - Special PE Group Sequence • Position 8 - Program Sponsoring Organization (Navy - 'N'). PE Breakdown: 08 077 00 N

6. Navy Medicine’s BAG-PE Structure • Within Navy Medicine DHP, the PEs can be aggregated to form Budget Activity Groups (BAGs)

7. BAG-PE Overview

8. BAG 1: In House Care PEs Overview Program Elements • BAG 1 provides for the delivery of patient care in the Continental United States (CONUS) and Outside the Continental United Status (OCONUS). This program includes the following: • Care in DoD Medical Centers, Hospitals and Clinics – Resources medical care in CONUS and OCONUS facilities which are staffed and equipped to provide inpatient and outpatient care for both surgical and non-surgical conditions for MHS beneficiaries • Dental Care – Resources dental care and services in CONUS and OCONUS for authorized personnel through the operation of hospital departments of dentistry, installation dental clinics an Regional Dental Activities • Pharmaceuticals – Resources pharmaceuticals specifically identified and measurable to the provision of pharmacy services in CONUS and OCONUS facilities • Also includes staffing to provide medical and dental care in medical facilities which provide the full range of inpatient and ambulatory medical and dental care services. Also includes medical center laboratories, alcohol treatment facilities, clinical investigation activities, facility on-the-job training programs and federal sharing arrangements. • 0807700 - Def Med Ctrs, Stn Hsps & Clns – CONUS • 0807701 - Pharmaceuticals – CONUS • 0807715 - Dental Care Activities – CONUS • 0807900 - Def Md Ctrs, Stn Hsps & Md Clns – OCONUS • 0807901 - Pharmaceuticals – OCONUS • 0807915 - Dental Care Activities - OCONUS

9. BAG 1 – 0807700

10. BAG 1 – 0807701

11. BAG 1 – 0807715

12. BAG 1 – 0807900

13. BAG 1 – 0807901

14. BAG 3: Consolidated Health Support Overview Program Elements BAG 3 provides health care program support for special mission activities and regional lead agents. Included are programs for manufacturing spectacles for active duty members, delivering specialized environmental health services consisting epidemiology, medical entomology, drinking water safety, monitoring hazardous waste disposal, food and facility sanitation , wellness/health promotion and education, health surveillance, community health nursing and medical intelligence to all shore facilities; collecting, processing, analyzing, and proper disposition of the remains of deceased for whom the Navy is responsible; staffing equipping, and maintaining Child Development Centers and Family Day Care Homes. • 0801720 – Examining Activities – Health Care • 0807705 – Mil Public Hlth/Occ Health • 0807714 – Other Health Activities • 0807724 – Mil Unique Rqmts – Other Med – Health Care • 0807786 – Joint Pathology Center

15. BAG 3 – 0801720

16. BAG 3 – 0807705

17. BAG 3 – 0807714

18. BAG 3 – 0807724

19. BAG 3 – 0807786

20. BAG 4: Information Management Overview Program Elements BAG 4 includes funding for non-centrally managed, medical information managements/information technology programs and operations. Includes medical support (dollars and manpower) for functional area applications; communications and computing infrastructure; information assurance and information security activities; long haul/wide area communications, office automation and video teleconferencing. These financial and manpower resources support the operation and maintenance of information management and information technology at Naval Medical Centers, Branch Medical Clinics, Navy Dental Centers, Branch Dental Clinics and Specialized Mission Activities located at or near Navy and Marine Corps stations and bases. • 0807781 – Non-Central IM/IT • 0807793 – MHS Tri-Service IM/IT (Central)

21. BAG 4 – 0807781

22. BAG 4 – 0807793

23. BAG 5: Management Activities Overview Program Elements BAG 5 finances the internal operation of navy medical headquarters. The headquarters unit direct overall health care programs involving medical contingency preparedness and peacetime delivery of health care to authorized beneficiaries of the Navy and Marine Corps. This management, exercised through one headquarters unit, ensures the delivery of medical and dental care and associated support services to the operating forces and shore establishments of the Navy and Marine Corps and the training of adequate numbers of health professionals and paramedical personnel for contingency and mobilization purposes. • 0807798 – Management Activities (Components)

24. BAG 5 – 0807798

25. BAG 6: Education and Training Overview Program Elements • BAG 6 is comprised of three primary categories that provide support for education and training opportunities for personnel within the Defense Health Program: • Health Professions Scholarship Program – Resources required for the Armed Forces HPSP, FAP, HPLRP and other pre-commissioning professional scholarship programs. • Uniformed Services University of the Health Sciences – Resources required for operation and maintenance of the USUHS. • Other Education and Training – Resources required for specialized skill training and professional development education programs for health care personnel at Navy BUMED sponsored schools and training programs. Includes formal education programs for health care personnel at civilian academic institutions, civilian medical facilities and facilities of non-DoD governmental agencies. Professional development provides officer, enlisted and civilian medical personnel with the skills and knowledge required to perform highly technical health services jobs. • 0806722 – Armed Forces Health Professions Scholarship Program • 0806761 – Other Education and Training

26. BAG 6 – 0806722

27. BAG 6 – 0806761

28. BAG 7: Base Operations/ Communications Overview Program Elements • Base Operations (BASOPS) / Communications refers to the resources dedicated to the operation and maintenance of Defense Health Program (DHP) facilities. BASOPS provides for facilities and services at military medical activities (CONUS and OCONUS) supporting active duty combat forces, reserve and guard components, training, eligible beneficiaries. The program consists of eight components: • Facility Restoration and Modernization • Facility Sustainment • Facilities Operations • Base Communications • Base Operations Support • Environmental • Visual Information Systems • Demolition/Disposal of Excess Facilities • 0806276 – Facility Restoration and Modernization (CONUS) • 0806278 – Facility Sustainment (CONUS) • 0806376 – Facility Restoration and Modernization (OCONUS) • 0806378 – Facility Sustainment (OCONUS) • 0807753 – Environmental Conservation • 0807754 – Pollution Prevention • 0807756 – Environmental Compliance • 0807779 – Facilities Operations – Health Care (CONUS) • 0807790 – Visual Information Activities • 0807795 – Base Communications (CONUS) • 0807796 – Base Operations – Health Care (CONUS) • 0807979 – Facilities Operations – Health Care (OCONUS) • 0807995 – Base Communications (OCONUS) • 0807996 – Base Operations – Health Care (OCONUS)

29. BAG 7 – 0806276

30. BAG 7 – 0806376

31. BAG 7 – 0806278

32. BAG 7 – 0806378

33. BAG 7 – 0807753

34. BAG 7 – 0807754

35. BAG 7 – 0807756

36. BAG 7 – 0807779

37. BAG 7 – 0807979

38. BAG 7 – 0807790

39. BAG 7 – 0807795

40. BAG 7 – 0807995

41. BAG 7 – 0807796

42. BAG 7 – 0807996

43. Effective Execution Monitoring • Regular SMART reports using the major review criteria against PEs for each Activity in you AOR • Track execution against plan and authority with variance explanations / corrective action plans prepared • M83 will continue to conduct weekly Execution Reviews • Data anomalies should be indentified early and explanations prepared at the first line • Report issues through your chain of command

44. Questions