Back to Top Skip to main content

Patient care will remain steadfast despite staff cuts, DHA director says

Navy Hospitalman Yesenia Macedo, a sailor participating in Navy Medicine’s hospital corpsman trauma training, takes a patient’s temperature at University of Florida Health Jacksonville’s emergency room in Jacksonville, Fla., March 22, 2019. Sixteen hospital corpsmen from across the Navy received two weeks of specialized training at Naval Hospital Jacksonville, followed by five weeks at UF Health Jacksonville, a Level I trauma center. Navy photo by Jacob Sippel Navy Hospitalman Yesenia Macedo, a sailor participating in Navy Medicine’s hospital corpsman trauma training, takes a patient’s temperature at University of Florida Health Jacksonville’s emergency room in Jacksonville, Fla., March 22, 2019. Sixteen hospital corpsmen from across the Navy received two weeks of specialized training at Naval Hospital Jacksonville, followed by five weeks at UF Health Jacksonville, a Level I trauma center. (U.S. Navy photo by Jacob Sippel)

Recommended Content:

Access to Health Care | Implementation of MHS Transition | Testimony

WASHINGTON -- Given proposed military medical staffing reductions, the Defense Health Agency and the services are working together closely so access to care and availability of health services are consistently maintained for beneficiaries, the DHA director said on Capitol Hill yesterday.

Navy Vice Adm. (Dr.) Raquel C. Bono told the Senate Appropriations Committee that as needed, alternative staffing models, contracts, military-civilian partnerships and existing TRICARE networks will be used to best meet the needs of patients.

“We will continue to meet all standards for timely access for our beneficiaries, and while our health care delivery locations may change, our commitment to provide our patients with the high-quality health care that they deserve will remain steadfast,” she said.

Bono said that although she couldn’t speak directly to  manpower positions the services have identified to be cut, “I can speak to how we are working together to make sure that our patients continue to have the access to the care they need as well as the specialty services.”

Market-Based Approach

In that regard, she said, “we’ll look at different models of either hiring, contracting or the use of our networks.”

“We’re also moving to a market-based approach to the delivery of our care, where we will share resources across all the services in geographic areas,” Bono said.

Along with the services’ surgeons general -- Army Lt. Gen. (Dr.) Nadja Y. West, Navy Vice Adm. (Dr.) C. Forrest Faison III and Air Force Lt. Gen. Dorothy A. Hogg -- testified on the Defense Health Program’s fiscal year 2020 budget request.

Bono emphasized that DHA exists in support of the combatant commands and the military departments, and that both Congress’ and the defense secretary’s guidance is to pursue efficiencies, create value for DOD by consolidating and standardizing military health care functions, and to support an integrated system of readiness and health.

“The DHA is honored and privileged to facilitate that integration,” Bono said. “We are a strategic enabler to the department in supporting the readiness needs of our cocoms and the military departments.”

Such efficiencies will be furthered Oct. 1 at all military treatment facilities in the eastern region of the United States, as their administration and management functions transition to the Defense Health Agency, the admiral said.

“Support for medical logistics, health facilities and acquisition will be fully managed by the military health facilities and the Military Health System by the DHA,” Bono said. “We will also prepare for the transition of the remaining facilities in the continental United States and Alaska on Oct. 1, 2020.”

You also may be interested in...

Navy surgeon general addresses transition during visit to pacific northwest

Article
4/30/2019
Navy Vice Adm. Forrest Faison, Navy surgeon general and chief, Bureau of Medicine and Surgery takes time to share a few words with staff at Naval Hospital Bremerton's Urgent Care Clinic during his official visit at the command that included additional stops in the Pacific Northwest at Naval Health Clinic Oak Harbor and Madigan Army Medical Center. (U.S. Navy photo by Douglas Stutz)

Navy Medicine and military medicine is in the midst of immense change and transition

Recommended Content:

Implementation of MHS Transition | Military Hospitals and Clinics

Changes coming to military medical treatment facilities

Article
4/22/2019
Navy Vice Adm. Raquel Bono, Defense Health Agency director, speaks with members of the 42nd Medical Group about upcoming changes to military treatment facilities, at Maxwell Air Force Base, Alabama. The DHA will be responsible for all facilities with respect to budgetary matters, information technology, health care administration and management, administrative policy and procedure and military medical construction. (U.S. Air Force photo by William Birchfield)

The DHA is as committed to the Air Force as the Air Force is to the DHA

Recommended Content:

Implementation of MHS Transition | Military Hospitals and Clinics

Study on the Treatment of TRICARE Beneficiaries who are Residents of Puerto Rico

Congressional Testimony
4/17/2019

HR 5515, NDAA Conference Report for FY 2019, 115-874, Pg. 896

Recommended Content:

TRICARE Health Program | Access to Health Care

DHA ‘delivers’ nurses for babies

Article
4/16/2019
Air Force Col. Michelle Aastrom, 81st Inpatient Operation Squadron commander, discusses the intensive care unit capabilities with Army Maj. Gen. Ronald Place, Defense Health Agency, director, for the National Capital Region Medical Directorate and Transition Intermediate Management Organization, during an immersion tour inside the Keesler Medical Center at Keesler Air Force Base, Mississippi, recently. The purpose of Place's two-day visit was to become more familiar with the medical center's mission capabilities and to receive the status of the 81st Medical Group's transition under DHA. (U.S. Air Force photo by Kemberly Groue)

Every month Keesler Medical Center’s Labor and Delivery Clinic averages approximately 35 births

Recommended Content:

Implementation of MHS Transition | Children's Health | Military Hospitals and Clinics

Health care transition looks to improve processes for wartime missions, beneficiaries

Article
4/11/2019
Defense Health Agency seal

Our No. 1 priority is to maintain the quality of care for both the wartime mission and the beneficiary population

Recommended Content:

Access to Health Care | Implementation of MHS Transition

Transformation underway across the Military Health System

Article
1/29/2019
Thomas McCaffery, principal deputy assistant secretary of defense for health affairs, with Vice Adm. Raquel Bono, director, Defense Health Agency, celebrated the Defense Health Agency's fifth anniversary on Oct. 1, 2018, by welcoming the first military hospitals and clinics transitioning to the DHA. This was first step for the MHS to emerge as a more integrated and efficient system of health and readiness. (MHS photo by Military Heath System Strategic Communications Division)

All of these changes – the Military Health System transformation, MHS GENESIS, TRICARE enhancements – are aimed at taking the DoD’s health enterprise to the next level

Recommended Content:

Access to Health Care | Health Readiness | TRICARE Health Program | MHS GENESIS | Military Hospitals and Clinics

DHA PI 6025.10: Standard Processes, Guidelines, and Responsibilities of the DoD Patient Bill of Rights and Responsibilities in the Military Health System (MHS) MilitaryMedical Treatment Facilities (MTFs)

Policy

This Defense Health Agency-Procedural Instruction (DHA-PI): Based on the authority of References (a) through (d), and in accordance with the guidance of References (e) through (t), establishes the Defense Health Agency’s (DHA) procedures to begin standard processes and guidelines for the Patient’s Bill of Rights and Responsibilities, (Reference (e)), in MTFs.

  • Identification #: 6025.10
  • Date: 10/9/2018
  • Type: DHA Procedural Instruction
  • Topics: Access to Health Care

Trauma care reference body now woven into DHA combat support

Article
8/3/2018
Establishing the Joint Trauma System within the Defense Health Agency optimally positions the JTS to serve as the reference body for all trauma care. (U.S. Navy photo by Petty Officer 1st Class Gary Johnson)

The JTS mission is to provide evidence-based process improvement of trauma and combat casualty care to drive morbidity and mortality to the lowest possible levels, and to provide recommendations on trauma care and trauma systems across the Military Health System

Recommended Content:

Health Readiness | Access to Health Care | Combat Support

RESET improves pediatric care

Article
4/18/2018
Air Force Capt. Joseph Migliuri, 92nd Medical Group pediatrician, performs a wellness vision exam during a patient’s check-up at Fairchild Air Force Base, Washington. The pediatric team has implemented a new concept of operations: rewarding, efficiency, setting priorities and empowering team members, or RESET, to their system of patient care. The integration of RESET in the Military Health System Genesis workflow has improved the clinic’s goals of patient access and care. (U.S. Air Force photo by Airman 1st Class Whitney Laine)

The aim of RESET is to improve access to care for the patient population

Recommended Content:

Access to Health Care | Military Hospitals and Clinics

Changes coming to the TRICARE Retiree Dental Program

Article
3/19/2018
Official TRICARE logo

TRDP will end on Dec. 31, 2018

Recommended Content:

Access to Health Care | TRICARE Health Program

From an award ceremony to panel talks, senior leaders will have presence at HIMSS

Article
3/8/2018
Vice Adm. Raquel Bono, director of Defense Health Agency, will be honored as a recipient of the HIMSS Most Influential Women in Health IT Awards on March 8 in Las Vegas.

Federal health, IT experts come together for discussion on hot topics

Recommended Content:

Access to Health Care | Innovation | Patient Safety | Quality and Safety of Health Care (for Healthcare Professionals) | Research and Innovation

Advancements in telehealth improve access to healthcare

Article
2/23/2018
Air Force Medical Service Seal

Telehealth brings a range of services all working together to improve access

Recommended Content:

Access to Health Care | Military Hospitals and Clinics | Technology

Survey indicates higher satisfaction with military medical facilities

Article
1/8/2018
Staff at Madigan Army Medical Center in Tacoma, Washington, treat patients. The 2017 results of the Defense Department’s Joint Outpatient Experience Survey show an increase in patient satisfaction with military medical facilities and pharmacy care. (U.S. Army photo)

The results of the survey show an overall increase in satisfaction

Recommended Content:

Military Hospitals and Clinics | Access to Health Care | MHS Patient Satisfaction Surveys | MHS Quality, Patient Safety, and Access Information (for Patients)

TRICARE Philippine demonstration ends, new preferred-provider network begins

Article
1/3/2018
Official TRICARE logo

Beginning Jan. 1, 2018, a preferred-provider network will be available in the Philippines.

Recommended Content:

TRICARE Health Program | Access to Health Care

Care Loop

Video
11/29/2017
Care Loop

Air Force Tech. Sgt. Mariana Carrano’s business is patient care. She’s one of four Air Force liaison officers with the 86th Medical Squadron at Landstuhl Regional Medical Center, a short drive from Ramstein AB. As an LO, as they are often called, Carrano is responsible for taking care of a patient throughout the entire care loop – from the moment he or she arrives at Ramstein AB until the moment he or she leaves.

Recommended Content:

Access to Health Care | Warrior Care
<< < 1 2 3 > >> 
Showing results 1 - 15 Page 1 of 3

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

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing: Download a PDF Reader or learn more about PDFs.