One Mission: Continuum of Care for Service Members and ... · PDF fileOne Mission: Continuum of Care for Service Members and their Families Lt Gen Douglas J. Robb Director, Defense

One Mission: Continuum of Care for Service Members and their Families

Lt Gen Douglas J. Robb

Director, Defense Health Agency 09 Sep 2015

“Medically Ready Force…Ready Medical Force”

The “Why”

1

…the “Why Not”

DHA: IOC Oct 2013 – FOC Oct 2015 Where We Are

• Established ten shared services to improve MHS-wide standardization, efficiency, and jointness

3 “Medically Ready Force…Ready Medical Force”

DHA Shared Services

4

1

TRICARE Health Plan

2

Pharmacy Programs FOC 3 March 15

3

Medical Education & Training IOC 10 AUG 14

4

Research, Development & Acq IOC 1 JUN 14

Health Information Technology

Facilities FOC 3 March 15

Budget & Resource Management IOC 1 FEB 14

Medical Logistics FOC 3 March 15

Procurement/Contracting IOC 1 MAR 14

Public Health IOC 30 SEP 14

9

5

7

6


8

10

IOC 1 OCT 13


• Integrated more than 1,700 employees from the Army, Navy, Air Force, and the former TRICARE Management Activity (TMA) into the Agency at more than 40 sites around the globe



Defense Health Agency: Global Support

TRO West TRO South

METC

Health IT

DHA - Aurora

TRO North

Defense Health Agency

TRICARE Pacific TRICARE Europe:

MMSO Great Lakes

“Medically Ready Force…Ready Medical Force” 6

Armed Forces Med Examiner

USD(P&R) ASD(HA)

DHA Director

POLICY DEVELOPMENT & OVERSIGHT POLICY EXECUTION

Combat Support Agency Responsibilities

Admin & Mgt EEOO Comptroller

DHA OGC

Special Staff

Manpower

EHR Functional Champion

METC HQ

DMRTI

JMESI

IPO PEO DHMS

Secretary of Defense

Chief of Staff

Component Acquisition Executive

Analytics

Communications

Prog Integration Small Business

Def Health Board Strategic Mgt

HA / DHA Liaison

Procurement

Innovation

DoD/ VA PCO

CJCS

NCR Medical Directorate

Business Support Directorate

Health IT Directorate (CIO)

Research Development & Acquisition Directorate

Healthcare Operations Directorate (CMO)

Education & Training Directorate

Defense Health Agency

Academic Review & Oversight

Prof Development , Sustainment, & Prog Mgmt

Shared Service

TRICARE Health Plan

Pharmacy

Clinical Support

Public Health

Readiness

Warrior Care Program

Research Division

Portfolio Mgmt and Customer Relations

Innovation and Advanced Technology Dev (CTO)

Infrastructure & Operations

Solution Delivery

Defense Health Service System (DHSS)

Defense Health Clinical Systems (DHCS)

Information Delivery

Cyber Security

Facility Planning

Medical Logistics

Budget & Resource Management

Program Integrity

Walter Reed National Military Med Center

Ft. Belvoir Community Hospital

Joint Pathology Center

7

Operations

Nat’l Museum of Mil Health and Medicine

AF Medical Examiner Sys

Global Support for a Global Mission DHA is to medical as DLA is to logistics or as DISA is to communications



• Integrated more than 1,700 employees from the Army, Navy, Air Force, and the former TRICARE Management Activity (TMA) into the Agency at more than 40 sites around the globe

• Launched a robust analytics cell to provide dynamic decision support and standardized performance monitoring across the MHS



- 10 -

Performance for Improvement (P4I): MHS Center of Gravity

The Operational Environment That Lies Ahead...


2015 National Military Strategy Preparing for Prolonged Conflict


“Medically Ready Force… Ready Medical Force”

13

Theater

Hospital

Care

Definitive

Care

“Level 4”

CASEVAC/MEDEVAC Policy:

1 Day

TACTICAL AE Policy:

7 Days

STRATEGIC AE Policy:

15 Days

Damage

Control

Resuscitation/

Surgery < 1 Hour

< 24 Hours

2-3 Days

Tactical Combat

Casualty Care

Continuum of Care


National Security /Military Strategy Implications for Research

• Urgency remains high for robust medical research portfolio across the spectrum of military operations

• Threats continue from both combat and non-combat scenarios (e.g., infectious disease and stability of governments)

• Acute, intermediate and long-term needs (PTSD, TBI, amputee care) of our service members and veterans remain a core moral obligation of the Department and the Nation


15

~14,000Servicemembers

enrolledinawoundedwarriorprogram

~40,000VeteranseligibleforLeadCoordinator

assignment

Poten aloverlappingpopula on,sizeTBD

=1,000ServicemembersorVeterans

?

?

?

DoD VA

Complex Care Population


17

Transition Support: Interagency Care Coordination Committee (IC3)

One Mission...


To Streamline, Synchronize, Coordinate, and Integrate

the full spectrum of care, benefits, and services provided

to Service Members and Veterans and their families

as they transition between the two Departments and

into the civilian community

18


One Policy...


VA & DoD MOU

USD P&R and Dep Sec of the VA

July 25, 2014

Complex Care Coordination

19


One Plan!


Lead Coordinator Interagency Comprehensive Plan

PTSD

mTBI

DCoE for Psychological Health and TBI: You’ve Made a Difference!

MH/Psychiatric dx Chronic Pain

Substance Abuse Sleep Disorders

Visual/Vestibular/ Hearing Disorders

Cognitive Disorders

Yesterday’s Understanding...

“other”

PTSD

mTBI

MH/Psych dx Chronic Pain

Substance Abuse Sleep Disorders

Visual/Vestibular/ Hearing Disorders

Cognitive Disorders

Today’s Understanding…thanks to you!

“other”

DCoE for Psychological Health and TBI: You’ve Made a Difference!


There are no advances in TBI Care…


…Without You!

There are no advances in Psychological Health…



…Without You!


And there are no families made whole again...


…Without You!

28

Keep pushing the envelope…

…we’ve got folks counting on us!

Backup

29

DoD Centers of Excellence Recommendations – CoE Organization

Defense Center

of Excellence for

Vision

Defense Center

of Excellence for

Hearing

Defense Center

of Excellence for

Joint Trauma

Defense Center

of Excellence for

Cancer

Defense Center

of Excellence for

TBI/PH

Defense Center

of Excellence for

Extremity Trauma

& Amputation

Defense Center

of Excellence for

Health & Military

Performance

Center of

Defense Health

Excellence

(Defense Health Agency)

Support Oversight

Best Practices Assess

PERFORMANCE &

HEALTH OUTCOMES

Assure **

Dat

a

Military Health System & Affiliate Data Repositories *

30

Documents

One Mission: Continuum of Care for Service Members and ... · PDF fileOne Mission: Continuum of Care for Service Members and their Families Lt Gen Douglas J. Robb Director, Defense