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“Medically Ready Force…Ready Medical Force”
DHA & DLA-TS Supported MEDLOG Shared Services
Update for AMSUS-SMSeptember 16,
CAPT Bernie Poindexter (DHA)Ms. Geneva Polini (DLA-TS)
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“Medically Ready Force…Ready Medical Force” 2
DHA Vision
“A joint, integrated, premier system of health, supporting those who serve in
the defense of our country.”
“Medically Ready Force…Ready Medical Force”
MHS Quadruple Aim Strategic Foundation
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“Medically Ready Force…Ready Medical Force”
MHS OBJECTIVES
1. Promote more effective and efficient health operations through enhanced enterprise-wide shared services
2. Deliver more comprehensive primary care and integrated health services using advanced patient-centered medical homes
3. Coordinate care over time and across treatment settings to improve outcomes in the management of chronic illness, particularly for patients with complex medical and social problems
4. Match personnel, infrastructure, and funding to current missions, future missions, and population demand
5. Establish more inter-Service standards/metrics, and standard process to promote learning and continuous improvement
6. Create enhanced value in military medical markets using an integrated approach in 5-year business plans
7. Align incentives with health and readiness outcomes to reward value creation
4DHA MEDLOG Division All Hands Meeting
“Medically Ready Force…Ready Medical Force”
DEFENSE HEALTH AGENCYWhat We are Undertaking
Establish shared services driving common clinical & business processes supported by disciplined policy execution, oversight, and accountability
Increase standardization…decrease variance/redundancy… increase value/efficiency… decrease cost!
Enhanced Multi-Service Markets (eMSMS) are a key foundational element; so the question is: “Is the business model driving the readiness model or is the readiness model driving
the business model? The answer is “yes!”
DHA is the key supporting organization for achieving our Quadruple Aim
Bottom Line: MHS “status quo” not sustainable
Sustain readiness, quality, and value to those we servethrough a more globally integrated health delivery system…
building off our battlefield successes!
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“Medically Ready Force…Ready Medical Force”
IPO
Senior Enlisted Advisor
CAE Organization
DHA OGC
Contracting
Comptroller
Analytics
Secretary of Defense
USD(P&R)ASD(HA)CJCS
Defense Health Agency Director
Deputy Director
POLICY DEVELOPMENT
POLICY EXECUTION Combat Support Agency Responsibilities
Chief of Staff
Communications Administration & Management EEOO
NCR Medical Directorate
Business Support Directorate
Education & Training Directorate
Health IT Directorate (CIO)
Research & Development Directorate
Healthcare Operations Directorate (CMO)
TRICARE Health Plan
Pharmacy
Clinical Support
Public Health
Readiness
Warrior Care Program
Innovation (CTO)
Governance, Customer Relations & Mgmt
Infrastructure & Operations
Solution Delivery
Information Delivery
Information Security & Privacy
Facility Planning
Medical Logistics
Budget & Resource Management
Program Integrity
Walter Reed National Military Med Center
Ft. Belvoir Community
Hospital
Joint Pathology Center
As of 7 OCTOBER 20136
Draft - Predecisional
DHA MEDLOG Division All Hands Meeting
“Medically Ready Force…Ready Medical Force”
10 Shared Services
1
TRICARE Health Plan
2
Pharmacy Programs
3
Medical Education & Training4
Medical Research & Development
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Health Information Technology
Facility Planning Public Health
Medical Logistics Acquisition
Budget & Resource Management
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Implemented by IOC on October 1, 2013 Implemented by FOC on October 1, 2015
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“Medically Ready Force…Ready Medical Force”
The Military Health System (MHS) must function as a jointly interoperable system
The Defense Logistics Agency (DLA) serves as the “Supplier” and the MHS is the “Customer” within the DML
Medical materiel requirements are driven by demands of promoting health and delivering health care
Our Integrative Environment
Defense Medical Logistics Enterprise (DMLE) The coalition of medical logistics organizations and activities of the Military
Departments and the Defense Agencies that provides focus, collaboration, teamwork, and a shared sense of purpose and vision for meeting the needs of military health care
across the full range of military operations [DODI 5101.15].
Defense Medical Logistics (DML) A function of HSS [health service support] that provides the specialized products and services
needed by military health care. It includes the management of medical supply, medical equipment and its maintenance, optical fabrication, medical facilities, blood storage and
distribution, and the life-cycle management of medical assemblages [DODI 5101.15].
Effectiveness and efficiency in acquisition & distribution requires strategies & systems tailored for the medical commodity and supporting the medical system
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“Medically Ready Force…Ready Medical Force”
DHA & DLA-TS Value Chain for the MHS
DHA MedLog Division works with DHA Clinical Support Division and Services’ leadership to standardize the demand signal for medical supplies, devices, and equipment to eliminate waste and unwarranted variation to deliver $264M in savings FY14-19
DHA MedLog Division synchronizes and optimizes product line purchasing by partnering with DLA-TS to expand e-commerce sourcing solutions (prime vendor and ECAT) for critical medical materiel and reduce government purchase card usage and associated vulnerabilities
DHA MedLog Division monitors MTF compliance and influences continued improvements through transparency, trust, and the accelerated replication of supply chain best practices across the MHS.
Critical to success and achieving quadruple aim objectives is DHA MEDLOG strong partnership with DLA-TS, Services’ Medical Logistics Chiefs, and our industry partners
“Medically Ready Force…Ready Medical Force”
• Primary medical logistics enabler for DHA
— Awards and manages Ecommerce programs• Prime Vendor; pharmaceuticals and Med/Surg• Electronic Catalog; dental, optical, lab and minor equipment
— Provides traditional (MILSTRIP) and Direct Vendor Delivery support
— Awards and manages Capital Equipment/Turnkey/MILCON support
— Awards and manages reverse distribution services
— Awards and manages pharmaceutical National Contracts
— Manages Medical Kitting and Assembly Program
— Provides acquisition and logistics support services• Ensures contracted prices are fair and reasonable• Provides depot storage for military unique and contingency
materiel• Enables DHA Standardization Program
DLA Support To DHA…Peacetime Logistics
10WARFIGHTER SUPPORT STEWARDSHIP EXCELLENCE WORKFORCE DEVELOPMENT
WARFIGHTER-FOCUSED, GLOBALLY RESPONSIVE, FISCALLY RESPONSIBLE SUPPLY CHAIN LEADERSHIP
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“Medically Ready Force…Ready Medical Force”
DLA Support To DHA…Contingency Support
• Contingency Support and Services— Warstopper Funding
• Purchases access to ~$720M of contingency stocks— Vendor Managed Inventory— Corporate Exigency Contracts
• Maintains critical medical industrial base• Manages Medical Industrial Preparedness Program
— Extends Defense Working Capital Fund to support wartime operations• CONUS Force Projection Sites• OCONUS Force Sustainment Sites (Theater Lead Agents)
— Contracts for Prime Vendor War Readiness Material
— Supports DHA pandemic programs
11WARFIGHTER SUPPORT STEWARDSHIP EXCELLENCE WORKFORCE DEVELOPMENT
WARFIGHTER-FOCUSED, GLOBALLY RESPONSIVE, FISCALLY RESPONSIBLE SUPPLY CHAIN LEADERSHIP
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“Medically Ready Force…Ready Medical Force”
Medical Business
Army $1.5B
TMA $1.6B
Air Force $906M
Navy $794M
Marine Corps $49M
Other $251M Pharm PV
$3.696B
Med/Surg PV $520M
Capital Equipment
$299MTraditional Med/Surg
$169MTraditional
Pharm $230MECAT $138M
Hospital $55M
FY13actual$5.1B
FY14 Forecast$5.4B
12WARFIGHTER SUPPORT STEWARDSHIP EXCELLENCE WORKFORCE DEVELOPMENT
WARFIGHTER-FOCUSED, GLOBALLY RESPONSIVE, FISCALLY RESPONSIBLE SUPPLY CHAIN LEADERSHIP
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“Medically Ready Force…Ready Medical Force”
DLA Points Of Contact
Position Name Email Phone
Director, Medical Supply Chain Colonel Alex Zotomayor [email protected] 215-737-2100
Deputy Director, Medical Supply Chain Geneva Polini [email protected] 215-737-2101
Director, Medical Customer Operations Don Buchwald [email protected] 215-737-2801
Director, Medical Supplier Operations Roger Dixon [email protected] 215-737-2606
13WARFIGHTER SUPPORT STEWARDSHIP EXCELLENCE WORKFORCE DEVELOPMENT
WARFIGHTER-FOCUSED, GLOBALLY RESPONSIVE, FISCALLY RESPONSIBLE SUPPLY CHAIN LEADERSHIP
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“Medically Ready Force…Ready Medical Force”
Mission: The Defense Medical Logistics Enterprise provides leadership and synchronizes a coalition of military departments, defense organizations, and other governmental agencies that plan, create, provide and direct medical logistics capabilities supporting healthcare across the full spectrum of military operations
Vision: To be the most efficient, effective and customer-focused global supply chain in the Federal Government
Strategic Focus/Themes: • Spearhead Medical Logistics Innovation• Improve Operational Excellence and Readiness• Expand and Strengthen Collaborative Relationships
Defense Medical Logistics Enterprise (DMLE)