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Implementation of MHS Transition

Image of Mr. McCaffery with quote about the upcoming MHS transition

Congress directed the Defense Health Agency to assume responsibility for the administration and management of health care at all military medical treatment facilities on October 1, 2018. This transfer maximizes efficiencies by eliminating redundancies in headquarters, intermediate commands, clinical functions, and business processes.  The clear objective is providing continuity of care during a seamless transition in order to maintain a ready and lethal U.S. military.

Key Points

  • The mission of the Military Health System remains to support the warfighter, care for our warfighter families, and care for our patients.
  • The number one priority of the Military Health System is readiness to support the warfighting mission of the Department of Defense.  The Military Health System provides service member readiness through its efforts to build and sustain a world-class health care system.
  • The ultimate goal of this transition for the Department of Defense is a more integrated, efficient, and effective system of readiness and health that best supports the lethality of the force.
  • Military Departments ensure that all military medical personnel are trained and maintain their clinical knowledge, skills and abilities.
  • The transfer of medical treatment facilities across the Military Health System to the Defense Health Agency will be transparent to our Department of Defense family (service members, family members, and retirees) who will continue to receive high-quality medical care throughout the enterprise..

Additional Information

—Our mission is a medically ready force and a ready medical force.

—Phase 1 of the transition calls for the Defense Health Agency to assume management and administration of hospitals and clinics at Fort Bragg, N.C.; Naval Air Station Jacksonville, Fla.; Keesler Air Force Base, Miss.; Joint Base Charleston, S.C.; Seymour Johnson Air Force Base, N.C.; and associated clinics. These will be in addition to Defense Health Agency’s authority, direction, and control over Walter Reed National Military Medical Center, Ft. Belvoir Community Hospital, and their associated clinics.

—Subsequent phases will include more than 50 percent of all hospitals and clinics in the continental U.S. coming under Defense Health Agency control by October 2019 (phase 2), the remaining hospitals and clinics in the U.S. moving to Defense Health Agency control by October 2020 (phase 3), and overseas hospitals and clinics by October 2021 (phase 4).

—All hospitals and clinics will follow Defense Health Agency policies, procedures and standard clinical and business processes beginning October 1, 2018. In the absence of published Defense Health Agency issuances, current Military Department policies and procedures will remain in effect until superseded by the appropriate Defense Health Agency published policies.

—Support of operational and warfighting missions is the first priority of the Military Health System. Therefore, each Military Department has unrestricted access to its military medical personnel for all validated war fighting and operational requirements.

—The Defense Health Agency will be responsible for providing clinical experiences within the hospitals and clinics for medical personnel to meet their service-generated readiness requirements, and for supporting the Medical Departments in establishing partnerships with civilian institutions, the Department of Veterans Affairs or other practice venues when necessary to maintain the readiness of uniformed medical personnel.

—The intent of this reorganization is to improve medical readiness of our forces and achieve efficiencies. This transition is meant to eliminate redundancies in medical costs and overhead across Army, Navy, and Air Force military medical treatment facilities.

—Three principal reforms are underway to maximize efficiencies and improve performance in hospitals and clinics: 1) redesign and standardization of business and clinical processes; 2) development and implementation of Defense Health Agency Procedural Instructions; and 3) establishment of the Quadruple Aim Performance Plan.

—In an integrated system of readiness and health, the Military Departments and the Defense Health Agency are dependent upon each other for mutual success and carrying out their assigned responsibilities.

—Transformation of military medicine will not change the quality of care for our DoD family (service members, family members and retirees). Over time, these reforms will drive better integration and standardization of care, which means patients should have a consistent, high-quality health care experience, no matter where they are.

—The Military Health System will continue to deliver quality health care everyone expects and deserves.

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

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