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Military Health System (MHS)

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MHS Budget and Leadership

FY2012 FY2013

$58.2 $48.7

Total Budget

Budg

et ($

B) Lines of Business (FY13)

Jonathan Woodson, M.DAssistant Secretary of Defense for

Health Affairs, MHS

Karen S. Guice, M.D. M.P.PPrincipal Deputy Assistant

Secretary of Defense for Health Affairs & CIO, MHS

Brig.Gen. Bryan GambleDeputy Director of TRICARE Management Activity, MHS

George ChambersDirector, EHR Center, MHS

Timothy WeberChief of Staff, MHS

John MorseBusiness Operations Chief

Functional Officer, MHS

Mark GoodgeCTO, MHS

Paula FriedmanPEO-Joint Medical Information

Systems

Dr. George (Dan) MageePEO-Defense Health Services

Systems

Cynthia YeeAcquisition Management &

Support Director

Defense Health

Military Personnel

Health Care Accrual

Military Construction

05000

1000015000

2000025000

3000035000

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IT Budget

Budg

et ($

B) Lines of Business (FY13)

MHS IT Budget

FY13 FORECAST

FY2012 FY2013

$1.99 $1.87

Health

IT Mgmt

Admin Mgmt

Defense

0 100 200 300 400 500 600 700 800

Total Unified Healthcare Budget down 16% in FY13

FY13 MHS IT budget down 6%

Tricare is eligible for cuts by sequestration

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MHS Organization

MHSService Surgeons

General

Army Medicine

Coast Guard Medicine

Air Force Medicine

Navy Medicine

MHS Component Organizations

MHS Offices and Programs

Defense Centers of Excellence for Psychological

Health and TBI

Force, Health Protection, and

Readiness

Hearing Center of Excellence OCIO

TRICARE Uniformed Services University

Vision Center of Excellence

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MHS OCIO OrganizationMHS Chief Information Officer

DPEO, Acquisition Programs Stone Quillian

Deputy CIO for Ops

Network OperationsKeith Simmons

Common ServicesLt Col Matt Escher, USAF

Portfolio ManagementSharon Larson

External RelationshipManagement

Stone Quillian

Information AssuranceClarissa Reberkenny

DHIMSCol. Aaron Silver

DHSSDan Magee

MCiS Joe Martinez

Chief Medical Information Officer

Performance Improvement Ms. Jean Wallace

Computer/ElectronicAccommodations Program

Dinah Cohen

Finance, Contracts &Support Agreements

Lydia Mitchell

Test and Independent Verification & Validation

Greg Guernsey

Deputy CIO (SES) / PEO JMIS

Systems IntegrationRichard Foster

Acquisition ProgramJeff Swanson

Enterprise Architecture Stephanie Boyles

DPEO, Acquisition ServicesNathan Zee

DPEO, Innovation and DeliveryCol. Claude Hines

Dr. Karen GuiceCol. Ron Moody

Paula Friedman Col. Portia Prioleau

Common Services.

Lt.Col. Matt Escher

Performance Improvement Jean Wallace

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DHIMS OrganizationProgram ManagerCol. Aaron Silver

---------------------------------Dep. PM

Lt. Col. Enrico Bermudez

Chief Medical Officer Executive Officer

Director of Program Execution

Director of Resource Management

Director of Program Operations

Director of System Development

Deputy Director, Acquisition

Deputy Director, Sustainment

Chief of Operations Branch

Chief of Products Branch

Chief, Systems Sustainment Branch

Chief, Systems Engineering,

Integration & Test Branch

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DHSS Organization

Program Manager

CUD DMLSS DCAM DOEHRS – HC DOEHERS – IH ESSENCE JMAR PMITS TEWLS

CCE DMHRSi EAS IV MHS Learn MDR PEPR PHIMIT TPOCS TED WMSN

CCQAS M2 MDR NMIS PSR SNPMIS TRICARE Online NICoE NCMT

Deputy Program Manager – Medical Log

Deputy Program Manger – Resources

Deputy Program Manager – Clinical Support

Principal Deputy Program Manager

Acquisition Support

Information Assurance

Project Mgmt Security Access Requirements/

Design Mgmt

George “Dan” Magee

Jenna NobleMichael L. SmithCol. Chris HarringtonMichael Veasey

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MCiS Organization

Acting Program Manager

Joe Martinez

MHS Service Desk consisted of 3 separate entities (Help Desk, NOC, and BOC), which were stove-piped, inefficient, and costly

Under TIMPO, the 3 entities were consolidated into 1 Service Desk, which provides all MHS IT user support 24/7/365

Service desk provides network monitoring, application support, system administration, and utilizes Remedy for tracking purposes

MHS Service Desk

Network Operations

Systems & Network

Monitoring

Technical Application

Support

Reporting

Functional Application

Support

Blade Security

Compliance

Service Desk Provides

Users See

Blade Administration

TrainingIncident

Coordination

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MHS Key IT and Acquisition Offices

MHS CIOFalls Church, VA

DHIMSFalls Church, VA

DHSS PEOFalls Church, VA

MCiSFalls Church, VA

DHSS PEOFt. Detrick, MD

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Defense Health Agency

Congress recommended a Unified Health Command in 2006

Operational and cultural challenges forced a compromise DHA would reorganize MHS functions, including the

removal of the TRICARE Management Authority DHA will also manage common clinical and business

practices across MHS Medical education Medical logistics Health IT

IT Budget of $1 billion

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MHS OCIO Strategic Plan

Architecture & Processes

EHRs

Enterprise Intelligence

IT Interoperability

Maximize Portfolio Value

Innovative Technologies

Human Capital Management

Distributed Development

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MHS Programs

Armed Forces Health Longitudinal Technology Application (AHLTA)

Funding Summary Description IT Requirements

$M FY12 FY13 AHLTA, DODs current Electronic Health Record (EHR), serves as one of the world's largest clinical information systems; AHLTA provides secure, 24x7, worldwide online access to patients medical records, a key enabler of military medical readiness

AHLTA is a legacy system that will be replaced by the Electronic Health Record Way Ahead

Data Management

ApplicationsDME 0.8 2.4

Application Development

SS 142.2 124.0 Middleware / Enterprise Architecture

Funding Summary Description IT Requirements

$M FY12 FY13 Electronic Health Record Way Ahead (EHRWA) will supersede the current legacy systems providing EHR capabilities, AHLTA and CHCS. EHRWA will provide a comprehensive, longitudinal electronic health record that is available anytime and anywhere

EHRWA will promote VLER and will deliver health information collected from multiple locations and sources that will be accessible to providers in both a clinical and theater setting

Data Management

ApplicationsDME 442.6 167.6

Application Development

SS 0.0 163.4 Middleware / Enterprise Architecture

Electronic Health Record Way Ahead (EHRWA)

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MHS Programs

Defense Medical Logistics Standard Support (DMLSS)

Funding Summary Description IT Requirements

$M FY12 FY13 DMLSS provides integrated supply chain and life cycle management for

pharmaceuticals, medical supplies, equipment, health facilities, and services; and enables medical logistics support to the Force Health Protection mission for the MHS

DMLSS provides the Military Medical Departments (Army, Navy, and Air Force) one standard Department of Defense medical logistics system

Data Management

ApplicationsDME 10.9 7.2

Application Development

SS 44.3 37.4 Middleware / Enterprise Architecture