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“ Medically Ready Force…Ready Medical Force ”

The Defense Health Agency in 2015 ERIC F. THAXTON Acting Director of Procurement Defense Health Agency March 2015. “ Medically Ready Force…Ready Medical Force ”. Agenda. MHS Governance Reform The Defense Health Agency Topics of Interest! Current / Pending requirements.

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“ Medically Ready Force…Ready Medical Force ”

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  1. The Defense Health Agency in 2015ERIC F. THAXTONActing Director of ProcurementDefense Health AgencyMarch 2015 • “Medically Ready Force…Ready Medical Force”

  2. Agenda • MHS Governance Reform • The Defense Health Agency • Topics of Interest! • Current / Pending requirements • “Medically Ready Force…Ready Medical Force”

  3. Medical as Percent of DoD Budget Continued cost increases within MHS are unsustainable over time Includes Normal Cost contributions to the Medicare Eligible Retiree Health Care Fund (MERHCF) • “Medically Ready Force…Ready Medical Force”

  4. Governance Reform: Influencing the Big Rocks Management Activities represent a small part of DoD’s health care costs Opportunities exist for a properly organized management HQ to effect change with shared services *Source: FY 2012 President's Budget position for DHP O&M • “Medically Ready Force…Ready Medical Force” 3

  5. Our Leadership Team Lt Gen Douglas Robb Director Mr. Allen Middleton Deputy Director CMDCM Terry Prince Senior Enlisted Advisor Mr. Joseph Marshall Director Business Support Brig Gen Robert Miller Director Education & Training RADM Raquel Bono Director NCR Medical Mr. David Bowen Director Health IT RADM Bruce Doll Director Research & Development MG Richard Thomas Director Healthcare Operations • “Medically Ready Force…Ready Medical Force”

  6. DHA Vision and Mission Vision A joint, integrated, premier system of health, supporting those who serve in the defense of our country. Key Mission Aspects • A Combat Support Agency supporting the military services • Supports the delivery of integrated, affordable, and high quality health services to beneficiaries of the Military Health System (MHS) • Executes responsibility for shared services, functions, and activities of the MHS • Serves as the program manager for the TRICARE Health Plan, medical resources, and as the market manager for the National Capital Region (NCR) enhanced Multi-Service Market • Manages the execution of policy as issued by the Assistant Secretary of Defense for Health Affairs • Exercises authority, direction and control over the inpatient facilities and the subordinate clinics assigned to the DHA in the NCR Directorate. • “Medically Ready Force…Ready Medical Force”

  7. Military Health System Secretary of Defense CJCS Sec Army Sec Air Force Sec Navy USD(P&R), Vice Chiefs MHSER USD(P&R) ASD(HA) SGs, JSS SMMAC ASD(HA) CMC CNO CSA CSAF MDAG, DASDs, JSS PAC Policy & Oversight Execution Defense Health Agency USUHS Army SG Navy SG Air Force SG Combat Support Agency Responsibilities PDASD, Deputy SGs, JSS, DD, DHA MDAG Army MEDCOM Navy BUMED Air Force MAJCOMs NCR Directorate MTFs MTFs MTFs MPOG MBOG MOG Operations Personnel Budget Army Operational Units Navy Operational Units Marine Operational Units Air Force Operational Units MTFs MHS Governance Defense Health Agency Service Medical Organization

  8. Defense Health Agency Secretary of Defense USD(P&R) ASD(HA) CJCS Policy Development & Oversight Policy Execution Combat Support Agency Responsibilities Defense Health Agency Director Deputy Director Sr. Enlisted Advisor Defense Health Agency Director Deputy Director Sr. Enlisted Advisor DHA OGC IPO PEO DHMS EHR Functional Champion Chief of Staff Special Staff HA / DHA Liaison Component Acquisition Executive Communications Innovation Admin & Mgt EEOO Manpower Comptroller Strategic Mgt Def Health Board DoD/ VA PCO Procurement Prog Integration Analytics Small Business Healthcare Operations Directorate (CMO) Research Development & Acquisition Directorate Health IT Directorate (CIO) Education & Training Directorate Business Support Directorate NCR MedicalDirectorate METC HQ TRICARE Health Plan Innovation and Advanced Technology Dev (CTO) Facility Planning Walter Reed NationalMilitary Med Center Advanced Development DMRTI Pharmacy Portfolio Mgmt and Customer Relations Medical Logistics Ft. BelvoirCommunity Hospital Science & Technology Clinical Support Infrastructure & Operations Budget & Resource Management Joint Pathology Center JMESI Clinical Infrastructure Program Public Health Solution Delivery Program Integrity Academic Review & Oversight Veterans Affairs R&D Liaison Readiness Information Delivery Prof Development , Sustainment, & Prog Mgmt Warrior Care Program Cyber Security Defense Health Service System (DHSS) Defense Health Clinical Systems (DHCS)

  9. Defense Health Agency: Global Support DHA - Aurora TRICARE Europe: TRICARE Pacific TRO North Defense Health Agency TRO West TRO South METC Health IT • “Medically Ready Force…Ready Medical Force”

  10. DHA Shared Services 1 6 Facilities FOC 3 March 15 Budget & Resource Management IOC 1 FEB 14 2 7 Medical Logistics FOC 3 March 15 Procurement/Contracting IOC 1 MAR 14 3 Pharmacy Programs FOC 3 March 15 8 Research, Development & Acq IOC 1 JUN 14 4 Health Information Technology 9 Medical Education & Training IOC 10 AUG 14 Public Health IOC 30 SEP 14 10 5 TRICARE Health Plan IOC 1 OCT 13 • “Medically Ready Force…Ready Medical Force”

  11. Shared Services SavingsFive Year Defense Plan (2015-2019) • “Medically Ready Force…Ready Medical Force”

  12. Shared Services SavingsFive Year Defense Plan (2015-2019) • “Medically Ready Force…Ready Medical Force”

  13. Multi-Service Markets:2 or more Services, large beneficiary population, 45% direct care dollars, large GME & readiness platforms Puget Sound, Washington (Army) National Capital Region (DHA) Colorado Springs, Colorado (rotate Air Force/Army) Tidewater (Navy) San Diego (Navy) Ft. Bragg (Army) = eMSM San Antonio, Texas (rotate Air Force/Army) = Single Service Oahu, Hawaii (Army) The Eight Largest Markets (and Service/Department Leads)

  14. Final Thoughts • This is a once-in-a-generation opportunity to shape the future of military medicine • Local health delivery and Multi-Service Markets are central to our strategy and a core element of our reform efforts • There are millions depending on us to get this right • “Medically Ready Force…Ready Medical Force”

  15. DoP Proposed Future State Procurement Division Policy, Compliance & Quality Branch Business Operations Branch Contracting Operations Branch - San Antonio Contracting Operations Branch - Aurora Contracting Operations Branch - NCR Contracting Operations Branch - Falls Church Bethesda Group 1 - NCR SAP Section Professional Services Section Knowledge Management Section Health IT - Army Section CO-AA - Managed Care Contract Support Section Quality Management Section Health IT - DHA Section Bethesda Group 2 - NCR Complex Svcs. Section Specialized Requirements Section Enterprise Performance Management Section Government Purchase Card Section CO-AB - TRICARE Support Section Medical Services Section Skyline-Ft Belvoir Svcs. Section Pricing Support Section Pricing Support Section Systems SupportSection CO-AP - Pricing and Program Support Section Pricing Support Section = Existing = New = Realigned Legend

  16. DHA Current Acquisitions

  17. BACK-UP • “Medically Ready Force…Ready Medical Force”

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