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Military Health System: Modernizing with a Global Focus
MG Richard W. Thomas, MD, DDS, FACSDirector, Healthcare Operations DHA
16 September 2015
““Medically Ready Force…Ready Medical Force”Medically Ready Force…Ready Medical Force”
The“ Why”
2
Agenda
• MHS Reform and the Defense Health Agency (DHA)
• Military Health System (MHS) Strategic Landscape
• Future Operational Environment
• Conclusion
““Medically Ready Force…Ready Medical Force”Medically Ready Force…Ready Medical Force” 3
The World We Live In...
Artic Land Right DisputesArtic Land Right Disputes
Cyber attacks on Cyber attacks on critical critical
InfrastructureInfrastructure
Cuba Cuba InstabilityInstability
Support to Civil Support to Civil AuthoritiesAuthorities
Destabilizing Destabilizing TCOsTCOs
Haiti in CrisisHaiti in Crisis
Columbia Columbia InsurgencyInsurgency
Venezuela Venezuela InstabilityInstability
Peru Peru InsurgencyInsurgency
Counter-narcotic Counter-narcotic OperationsOperations
Terrorist Terrorist WMD threatWMD threat
Natural Natural DisastersDisasters
UnaccompaniUnaccompanied Minorsed Minors
WildfiresWildfiresBorder Border
SecuritySecurity
EbolaEbola
Military-Military Military-Military PartnershipsPartnerships
COCOM Theater COCOM Theater Security Security
Cooperation Cooperation ProgramProgram
EgyptEgypt
Balkan Balkan InstabilityInstability
Pakistan Pakistan TensionsTensions
Territorial Territorial DisputesDisputes
PiracyPiracy
AfghanistaAfghanistann
Ukraine/Ukraine/Russia Russia
TensionsTensions
China/China/India India
RivalryRivalryIsraeli/ Israeli/ Palestinian Palestinian
TensionTension
Boko Boko HaramHaram
Yemen Yemen InstabilityInstability
ISIL/ISISISIL/ISIS
EU EU FrictionFriction
Domestic Domestic Terrorist Terrorist threatsthreats
LibyaLibya
HumanitariHumanitarian Crisisan Crisis
Governance Governance ChallengesChallenges
CorruptionCorruption
Sudan Sudan ConflictConflict SomaliaSomalia
SE Asia SE Asia TensionsTensions
PDRKPDRKWMDsWMDs
ChinChinaa
IndiaIndia
FamineFamine
““Medically Ready Force…Ready Medical Force”Medically Ready Force…Ready Medical Force” 4
Who We Are:
• 151,785 personnel (84,564 military / 67,221 civilians)
• 55 Inpatient hospitals and medical centers
• 373 Ambulatory care clinics
• 264 Dental clinics
• 253 Vet clinics
• 550,194 Network providers
• 3,812 TRICARE network acute care hospitals
• 1,757 Behavioral health facilities
• 59,670 Contracted (network) retail pharmacies
Who We Serve: 9.5 M Beneficiaries
• 5.0 M TRICARE Prime
• 3.7 M in direct care
• 1.3 M in contractor networks
• 2.3 M TRICARE Standard/Extra
• 2.0 M TRICARE For Life
The Military Health System*:Who We Are and Who We Serve
*FY 2015 TRICARE Annual Report
““Medically Ready Force…Ready Medical Force”Medically Ready Force…Ready Medical Force” 5
MHS Spending Over Time
Includes Normal Cost contributions to the Medicare Eligible Retiree Health Care Fund (MERHCF)
Military Health System Expenditures
Drivers of Healthcare Costs•Health care inflation (5.7% projected between 2013-23)•Demographics (age, lifestyle, chronic conditions)•Emerging (and often expensive) new treatments
Drivers of Healthcare Savings•Standardization across the enterprise•Optimization of direct care system•Integration across direct and purchased care systems•Health of the Force
““Medically Ready Force…Ready Medical Force”Medically Ready Force…Ready Medical Force” 6
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 IntegrationSmall Business
Def Health BoardStrategic Mgt
HA / DHA Liaison
Procurement
Innovation
DoD/ VA PCO
CJCS
NCR MedicalDirectorate
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 ServiceShared Service
TRICARE Health Plan
Pharmacy
Clinical Support
Public Health
Readiness
Warrior Care Program
Advanced Development
Science & Technology
Clinical Infrastructure Program
Veterans Affairs R&D Liaison
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 NationalMilitary Med Center
Ft. BelvoirCommunity Hospital
Joint Pathology Center
Operations
7
Military Services Total Force and Medical Department Comparisons
““Medically Ready Force…Ready Medical Force”Medically Ready Force…Ready Medical Force”
Source: DMRR, FY2015
Army Air Force Navy (MC)
10.4%
8.1%
9.2%
9.8%
9.9%
9.8% 7.3%
8.7%
7.5%
Medical Departments
Total Military Strength
8
Five Essential Characteristics of Leadership within Military Medicine
9““Medically Ready Force…Ready Medical Force”Medically Ready Force…Ready Medical Force”
And The Operational Environment That Lies Ahead...
10““Medically Ready Force…Ready Medical Force”Medically Ready Force…Ready Medical Force”
“Medically Ready Force… Ready Medical Force”
TheaterHospital
Care
Definitive Care
“Level 4”
CASEVAC/MEDEVAC Policy: 1 Day
TACTICAL AEPolicy: 7 Days
STRATEGIC AEPolicy: 15 Days
Damage Control
Resuscitation/Surgery< 1 Hour
< 24 Hours
2-3 Days
Tactical CombatCasualty Care
Continuum of Care
11““Medically Ready Force…Ready Medical Force”Medically Ready Force…Ready Medical Force”
Leveraging Science and Technology
12““Medically Ready Force…Ready Medical Force”Medically Ready Force…Ready Medical Force”
National Security /Military StrategyImplications for Military Medicine
• 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
13““Medically Ready Force…Ready Medical Force”Medically Ready Force…Ready Medical Force”
Questions?
““Medically Ready Force…Ready Medical Force”Medically Ready Force…Ready Medical Force” 14
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