The Defense Health Agency & Facilities Shared Service

1 The Defense Health Agency & Facilities Shared ServiceJohn A. BeckerDirector, Facilities DivisionAugust 20, 2015 Medically Ready Medical Force Health Agency (DHA) does the DHA support the war fighter? is the DHA Facilities Shared Service ? Portfolio Interesting Development! SuccessesAgenda Medically Ready Medical Force 1 DHA vision and MissionKey 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)

2 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 DirectorateVisionA joint, integrated, premier system of Health , supporting those who serve in the Defense of our Medically Ready Medical Force DHA as a Combat Support AgencyTranslation: DHA is to medical as DLA is to logistics or as DISA is to communications 3 Medically Ready Medical Force Shared Service4 Medically Ready Medical Force Medically Ready Medical Force DHA Supports the Services.

3 EMSMs and the MHS5 Role of the Shared ServiceAchieve StandardizationDeliver Cost Savings and Better ValueImprove Performance Reduce unproductive variation Eliminate redundant processes Streamlined operations Increased process efficiency Enterprise-wide measurement of outcomes Rapid adoption of proven practices 6 Medically Ready Medical Force DHA Facilities DivisionCJCSP olicy DevelopmentSecretary of DefenseUSD(P&R)ASD(HA) Defense Health AgencyBusiness SupportResearch & DevelopmentHealth Information TechnologyHealthcare OperationsCAEHQ DHA staffEducation & TrainingNCR Directorate(WRNMMC & FBCH)Policy Execution MHSERD eputy Director, DHA FacilitiesCol Scot Spann, USAFC hief, Portfolio/PlanningCOL Judith Salmon, USA Director, DHA FacilitiesMr.

4 John BeckerChief, D&C, ActivationCAPT Gil Manalo, USNC hief, OperationsDr. Russ ManningChief, Budget POMMr. Gerald RutkowskiShared Service -FacilitiesRequirements PlanningDesign, Construction, and ActivationPortfolio Management & Facility OperationsProgram & Budget7 Medically Ready Medical Force PL1: Portfolio ManagementPL 2: Req. PlanningPL 3: Design,Construction, and ActivationPL 4: FacilityOperations DHAS ervicesMILCON requirements planningRM req. planningDesign and construction on-site oversight for ROB & WRNMMCO wner/User role on design and constructionExecute IO&TOperate Facilities Identify/execute operations & maint.

5 Programs and projectsParticipate in developing standards and tracking metricsMaintain / analyze dataShape demand signalIdentify gapsDevelop standards and standardized process; track metricsMHS Facilities Budget / POM authority Keep accurate inventory dataProvide Facilities demand signal for capital investmentDesign and construction for RMCoordinate contracts, research, trainingRM CoordinationProgram management for sustainment, RM, DMLSS, and asset performanceProgram Management for MILCONP rovide scope/cost direction and funding to AgentsIO&T coordinationMILCON Design ReviewMILCON Prioritization Process (CIDM)

6 Facilities Shared ServiceFunctional Roles & Organizational Structure8 Medically Ready Medical Force Facilities Strategic Initiatives Establish Asset Visibility Optimize Capital Allocation Enhance Design, Construction, and Activation Processes Reduce Cost of Operations and Maintenance9 Medically Ready Medical Force Multi- Service Markets:Focus for e-MSM Demand Signal Visioning The Eight Largest Markets (and Service /Department Leads)= eMSM= Single ServiceNational Capital Region (DHA)Tidewater (Navy)Ft. Bragg (Army)San Antonio, Texas (rotate Air Force/Army)Oahu, Hawaii (Army)San Diego (Navy)Puget Sound, Washington (Army)Colorado Springs, Colorado (rotate Air Force/Army)10 Medically Ready Medical Force Demand Signal ProcessSubmitIdeaGather Data & AnalyzeIdentifyAlternatives & Set ParametersHigh LevelPlanningPrioritizeFacilityProjectsS trategic FilterValue FilterCIDMD etailedPlanningProposed capital investments receive enterprise-level review beforedetailed planning to.

7 Ensure alignment with MHS strategic initiatives Identify facility performance parameters Medically Ready Medical Force 11 MHS Facilities Portfolio ($34B PRV)Total by TypeTotal by Service & Type Medically Ready Medical Force 12 HospitalClinicDental ClinicVet ClinicAir Force137778 Army22168137253 DHA-NCR252 Navy1811440137778221681372532521811440M E D I C A L T R EAT M E N T FAC I L I T Y ( M T F ) CO U N TAir ForceArmyDHA-NCRNavy55364257253929H O S P I T A LC L I N I CD E N T A L C L I N I CV E T C L I N I CT O T A LTOTA L M E D I C A L T R EAT M E N T ( M T F ) FAC I L I T I ESMedical MilCon Budget History13 Medically Ready Medical Force $0$500$1,000$1,500$2,000$2,500$3,000$3,5 00$4,000$224$226$295$345$479$578$1,020$8 88$1,133$987$809$420$678$653$547$545$556 $1,330$1,086$1,108$662$164$884$488 MillionsSUPPBRACARRAREG $1,682 $3,504 $1,052 $2,44914 MilCon POM FY 2016-2020 Defense -Wide, DHAT hemes Program priorities based on MHS Demand Signal and Strategic Priorities Significant future investment in clinics (22 projects in POM) Fewer hospital replacements compared to past years (3 projects in POM)

8 Medically Ready Medical Force FY 2016 Defense -Wide PB, DHA15 Medically Ready Medical Force ServiceStateInstallationProjectAuthoriza tion ($000) Appropriation ($000) ArmyTXFt. BlissHospital Replacement, Incr 7 of 7 (2010: $ )239,884 Army/AFGYR hine Ordnance BarracksMedical Center Replacement, Incr 5 of 6 (2013: $ )85,034 ArmyHISchofield BarracksBehavioral Health /Dental Clinic Addition123,838 123,838 Army Total:123,838 448,756 NavyHIMCB Kaneohe BayMedical/Dental Clinic Replacement 122,071 122,071 Navy Total:122,071 122,071 Air ForceOHWright-Patterson AFBS atellite Pharmacy Replacement6,623 6,623 Air ForceTXJB San Antonio (Lackland AFB)Ambulatory Care Center, Phase 4 of 461,776 61,776 Air ForceGYSpangdahlem Air BaseMedical/Dental Clinic Addition 34,071 34,071 Air Force Total.

9 102,470 102,470 All Major MILCON Projects348,379 673,297 Unspecified Minor Construction- 5,000 TOTAL MILCON348,379 678,297 FY 2016 PB Defense -Wide, DHAM edical MilCon Projects (Approps in $000)16 Medically Ready Medical Force ServiceStateInstallationProjectFY 2016FY 2017FY 2018FY 2019FY 2020 NavyHIMCB Kaneohe BayMedical/Dental Clinic Replacement 122,071 - - - - ArmyHISchofield BarracksBehavioral Health /Dental Clinic Addition123,838 - - - - Air ForceOHWright-Patterson AFBS atellite Pharmacy Replacement6,623 - - - - ArmyTXFt.

10 BlissHospital Replacement, Incr'd, CWE $ ,884 - - - - Air ForceTXJB San Antonio (Lackl and AFB)Ambulatory Care Center, Phase 461,776 - - - - ArmyzGYRhine Ordnance BarracksMedical Center Replacement, Incr'd PA $ ,034 388,549 - - - Air ForcezGYSpangdahlem Air BaseMedical/Dental Clinic Addition 34,071 - - - - DHA-NCRMDB ethesda, WRNMMCMed Cen Add/Alt (Bldg C), Incr'd- 187,654 198,096 108,977 ArmyOKFt SillBehavioral Health Clinic Add/Alt- 7,368 - - - ArmyTXFt BlissBlood Donor Center Replacement- 9,828 - - - Air ForcezGYGeilenkirchen ABMedical Clinic Replacement - 22,506 - - - ArmyAZFt HuachucaTroop Medical Clinic Replacement- - 14,651 - - Air ForceCOSchriever AFBM edical / Dental Clinic Add/Alt- - 11.