Health & Safety

October 10, 2013

New Defense Health Agency to streamline functions

FALLS CHURCH, Va. (AFNS) — The government shutdown did not stop the official opening Oct. 1 of the Defense Health Agency, a major streamlining effort of military medicine that has been in the works for three decades and signed into law earlier this year.

“This day has been a long time in coming, and represents a major milestone in the history of the department and in military medicine,” Dr. Jonathan Woodson, the assistant secretary of defense for health affairs, wrote in a message to staff.

Air Force Lt. Gen. Douglas Robb heads the new agency, which is to streamline health care among the Army, Navy and Air Force medical departments. The agency is charged with creating common business and clinical practices for the services and integrating functions that each has done separately, such as purchasing medical supplies and equipment.

In a message to staff, Robb acknowledged the budget challenges and government shutdown that coincided with the first day of operations for the DHA, saying, “How we deal with and overcome these challenges will be the true test of our character and our strength.”

The military health system provides medical care on the battlefield as well as to service members, their families and military retirees at home. It is one of the largest health care systems in the world with 56 hospitals, hundreds of clinics and 160,000 employees. Some 2,500 babies are born each week into the system, which has an annual budget exceeding $50 billion.

Like in the civilian sector, military health care costs have increased faster than inflation. Military health costs have more than doubled in the past decade, increasing from $19 billion in fiscal 2001 to $51 billion in fiscal 2013. The category now accounts for more than 10 percent of the department’s budget. That figure is expected to grow, with the cost reaching $77 billion by 2022, according to officials with the Congressional Budget Office.

Integrating care and improving service

Allen Middleton, the acting deputy director of the Defense Health Agency, said the agency reflects a recognition by everyone in the department for the need for military health care to be more integrated and efficient.

“We think there’s a huge opportunity here for us to improve readiness, individual health and sustain quality, while also saving money,” he said. “We do a lot of things in common across our system, and the agency is going to help us to bring various services together and deliver services in a more consistent way. We have had different organizations managing health IT; multiple organizations setting and overseeing pharmacy programs; and the list goes on.”

To start, the Defense Health Agency is establishing a shared services model for managing and overseeing the operational work for health information technology, medical logistics, pharmacy operations and facilities planning for the services. In addition, the agency will manage the TRICARE health plan for the military’s 9.6 million beneficiaries. TRICARE Management Activity’s 800 workers are now part of DHA. Approximately 500 Army, Navy and Air Force staff, mostly IT professionals, have also moved to the new agency.

Defense health officials estimate the savings from these shared services will total at least $3.4 billion in the agency’s first five years. They plan to submit their final report to Congress on implementation objectives, milestones and estimated cost savings later this month.

By Oct. 1, 2015, the agency is to be fully operational, and will also incorporate management and oversight of additional shared services, to include contracting, medical education and training, public health, resource management, and medical research and development. New shared services may be added over time, Middleton said.

Creating the DHA is just one of a list of things that Defense officials are doing to try to both improve the readiness of the force and slow the growth in military health costs.

“It will, hopefully, bend the curve a little bit,” Middleton said.

While the reorganization is a big change for the overall MHS and the three service medical departments, officials believe that the near-term effect for beneficiaries will be minimal, and that — over time — it will be even easier for them to be seen at military treatment facilities, and more convenient to use online services.

The path toward activation

The idea of creating a single, unified military medical agency or command has been the subject of debate since World War II. Launching the new agency represents the biggest change in the military health system in more than 60 years.

“The Army still has its medical command. The Navy has its structure. And the Air Force still has its structure,” Middleton said. “Those are unique missions that each of them has. And those unique mission requirements need to be preserved at all costs. All we’ve done is say, ‘Let’s bring some things together in a joint way.’ This is as far as we’ve ever come in doing any of this.”

Defense officials took another look at how to best organize military medicine several years ago. One big influence was seeing Army, Navy and Air Force medical personnel work more closely together in Iraq and Afghanistan.

“If you went to a contingency hospital overseas, you might have a Navy nurse anesthetist, an Army surgeon and an Air Force med tech all working on you,” Middleton said. “Nobody knows the difference. Our medical fight in theater is a joint operation.”

Then-Deputy Secretary of Defense William Lynn appointed a task force on military health system governance in 2011 to study how things might be reorganized. The task force reviewed different options and endorsed the creation of the agency.

Another of the task force’s recommendations that the deputy secretary subsequently directed was to name market leaders to create a unified business plan for each of their respective six multi-service markets – geographic areas where more than one branch of the military operates medical facilities.

These multiservice markets are: the National Capital Region in Washington, D.C.; the Tidewater region of Virginia; Colorado Springs, Colo.; San Antonio, Texas; Puget Sound, Wash.; and Honolulu, Hawaii.

The new National Capital Region Multiservice Market is part of the DHA and replaces Joint Task Force National Capital Region Medical Command in Washington. These enhanced markets, as they are known, provide nearly half of all inpatient care delivered in military hospitals, encompass 40 percent of all TRICARE Prime beneficiaries enrolled to a military clinic, and serve as the primary medical training platforms for military medical staff.

These leaders, known as multiservice market managers, also have the authority to move medical personnel in a market in order to improve access to care, and keep their medical staffs fully utilized. The goal is to provide as much care as possible within military medical facilities and reduce care sent to the private sector – a step that both improves continuity of care and reduces costs.

The military treatment facilities are “where we really want to see the patients,” Middleton said. “We think it’s high-quality by all standards and it’s important for clinicians to see many patients to maintain their skills.”

The DHA will provide the managers of the multiservice markets with the data and analysis they need to make good medical and business decisions, Middleton said.

“Everything we do is designed to enhance the readiness of the force — the medical force, as well as the fighting force,” he said.




All of this week's top headlines to your email every Friday.


 
 

 
(Air Force photos by Senior Airman Camilla Elizeu)

Take on the Marine Challenge

Airmen test their strength and abilities through the ‘Maneuver Under Fire’ drill, here. The ‘Maneuver Under Fire’ Drill is one of three components of the Marine Corps Combat Fitness Test and is designed to measure funct...
 
 

Surviving the Summer in Arizona

With summer on the way, there are a few extra precautions that Airmen and their families should take before heading outdoors. Tech. Sgt. Mathew Anderson, 355th Fighter Wing ground safety noncommissioned officer, and Cindy Davis, the Health and Wellness Center’s community dietician share helpful tips to keep Airmen safe during the Arizona summer. “When school...
 
 
(U.S. Air Force photo by Senior Airman Sivan Veazie)

D-M Airmen resuscitate CPR skills

Throughout the year, D-M cardiopulmonary resuscitation instructors host training classes for Airmen and civilian employees who require the certification for various aspects of their jobs, including physical training leaders, de...
 

 

Installation driving privileges and suspensions

The 355th Security Forces Squadron would like to ensure the public is aware of an important topic concerning installation driving privileges and how to ensure you keep the right to drive on base. “Part of our job is ensuring the base populace is educated and aware of our base traffic code and in particular, driving...
 
 

Colon Cancer screening saves lives through early detection

SCOTT AIR FORCE BASE, Ill., – Colorectal Cancer, or Colon Cancer, occurs in the colon or rectum. The colon is the large intestine or large bowel and the rectum is the passageway that connects the colon to the anus. Colon Cancer, when discovered early, is highly treatable. Even if it spreads into nearby lymph nodes, surgical treatment...
 
 

April: National Child Abuse Prevention Awareness Month

It’s been 40 years since former President Richard Nixon signed the Child Abuse Prevention and Treatment Act. Child abuse is still a major concern and, each year, the month of April is recognized as National Child Abuse Prevention Awareness Month, a time to acknowledge the importance of families and communities working together and learning to...
 




0 Comments


Be the first to comment!


Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>


Directory powered by Business Directory Plugin