Back to Top Skip to main content

DHA Director outlines how MHS standardization bolsters reform

Two soldiers in masks, talking U.S. Air Force Lt. Gen. Jim Slife (left), commander of Air Force Special Operations Command, speaks with U.S. Army Lt. Gen. Ronald Place, director of the Defense Health Agency, during Place’s visit at Hulrburt Field, Florida, Sept. 1, 2020. Place met with AFSOC’s senior leaders to receive a close look at the command’s unique challenges and mission requirements and units that are aligning under DHA. (Photo by Airman 1st Class Blake Wiles.)

Recommended Content:

Coronavirus | Joint Health Information Exchange | MHS GENESIS | MHS Transformation

As Army Lt. Gen. (Dr.) Ronald Place outlined his vision for his second year as director of the Defense Health Agency on a call with reporters from the Defense Writer’s Group on Thursday, Oct. 8, he emphasized the common goal shared across the Department of Defense: provide the best clinical outcomes for the 9.6 million beneficiaries within the Military Health System.

Much of the way the general is seeking to achieve that aim is through the standardization of technology and processes within the MHS. He described the roll out of the electronic health record known as MHS GENESIS as a key aspect to improving the delivery of quality care regardless of location for both providers and patients.

“That standardization leads to similar expectation of care from our patients as they go from place to place because everything is the same,” Place said. “It also means as you transition from the DoD to becoming a veteran, the same system and the same methodology would be used in a DoD facility or Veterans Administration facility.”

The MHS is relying on the use of health information technology to advance and streamline care for patients both locally and nationally. Place mentioned the joint health information exchange which securely connects TRICARE contract partners and select federal and private sector partners to share and seamlessly transfer patient information. “So that no matter where our patients get care, the depth and breadth of the entirety of their medical problems can be viewed by each practitioner who’s participating in their care,” said Place. “Ultimately this health information technology is a tool that is in support of optimizing the clinical outcomes of our beneficiaries. “

Standardization improves outcomes, whether clinical outcomes or administrative outcomes, said Place. The MHS plans to utilize health information technology as well other forms of emerging technology such as voice recognition technology for transcription, natural language processing for quick data sort and review and even artificial intelligence in aiding physician review. Place cited imaging as an example, such as X-rays, CT, MRI and ultrasound, and the incorporation of AI protocols to do first pass reviews or aid the radiologists who interpret them. “In some cases if they can demonstrate that they do better than humans, do we transition some of that reading over to the computer systems so that we can improve both the speed and accuracy of the reading of those imaging systems?” he said. “That is the direction we are going ... The whole driver though is improved outcomes.”

The DoD is a continuous learning organization, learning lessons from whatever it faces, be it a pandemic, combat operation, or natural disaster, said Place. As such, the COVID-19 pandemic led the DoD to learn and develop clinical practice guidelines to standardize the care and the treatment of COVID-19 patients within the MHS. The clinical practice guideline now on the verge of publishing its sixth version, outlines the care for a person diagnosed with COVID-19 from asymptomatic to critically ill, he said. “We are constantly evaluating both our own internal outcomes as well as the broad spectrum of what’s being published in medical literature about the care of COVID-19 [patients],” he added.

In March, when the national emergency due to the COVID-19 pandemic led to the pause of elective medical procedures across the MHS in order to protect staff and patients, it also halted the MHS transformation as the DoD moved resources to fight COVID-19. To date, 47 out of 451 MTFs around the world have moved into the DHA. But the effects of COVID-19 around the country has led the DHA to revalidate the recommendation made to realign about 18,000 uniformed medical force positions from the MHS into operational forces and move 190,000 beneficiaries into private care.

“Some outpatient physicians’ offices have either downsized or closed. Some hospitals across America have either downsized or closed. So some of the information that we were relying on to make recommendations to the department about where the capability may exist in the civilian community to effectively provide access to safe high quality care for some of these beneficiaries, that information may no longer be true,” he said. “[The DHA] just recently, in fact, earlier this fall, started the process to revalidate every single bit of that information before I go back to the Assistant Secretary of Defense for Health Affairs to make recommendations on whether or not we should proceed in some of these areas or not.”

The military departments are reviewing the potential downsizing of some of the uniformed medical staff. Place said he provided information to the Deputy Secretary of Defense David Norquist on the transition of hospitals and clinics into the DHA. “I know that he’s still collecting other information from other locations. I expect that decision to be made in the really short-term future, perhaps this month some time,” said Place. “In terms of the potential downsizing or de-scoping of facilities, that data gathering again, just restarted here in the fall,” he said, adding he does not expect to make a recommendation until early 2021.

While the DHA made recommendations for restarting the transformation process, Place acknowledged some leaders within the military departments brought forth additional concerns that they believe that the leaders of the DoD should take into consideration to inform a future state for the MHS.

“I think this is a good thing there are so many people invested in making sure the future state of the MHS is absolutely the best that it can be in support of the best clinical outcomes for America’s sons and daughters, both those serving today and their families, as well as those retired,” said Place.

You also may be interested in...

BAMC Change of Command 2020

Article
7/1/2020
Two masked soldier display an award in front of flags.

Army Brig. Gen. (Dr.) Wendy Harter, the first female commander in Brooke Army Medical Center’s history, turned over command to Army Brig. Gen. (Dr.) Shan Bagby, the first African American commander in BAMC’s history during a June 26 change of command ceremony at Joint Base San Antonio-Fort Sam Houston, Texas.

Recommended Content:

Coronavirus

COVID-19 leads to innovation in military health care practices

Article
7/1/2020
Man in lab coat and mask prepares sample for COVID-19 testing.

MHS thinks outside of the box to bring care to patients during pandemic

Recommended Content:

Coronavirus | Research and Innovation

Supplemental Guidance 10 for Military Medical Treatment Facilities and Military Dental Treatment Facilities Directors in regards to Coronavirus Disease 2019

Publication
7/1/2020

Recommended Content:

Coronavirus

Defending the Homeland: The role of data in the war against COVID-19

Article
6/29/2020
Clinician with mask looks at computer screen at a hospital.

How DoD’s COVID-19 registry supports readiness and health

Recommended Content:

Coronavirus

How the military stays ready during disease outbreaks

Article
6/29/2020
Headshot of Dr. Sanchez

A Q&A with a health surveillance professional at Armed Forces Health Surveillance Branch

Recommended Content:

Armed Forces Health Surveillance Branch | Coronavirus

Summer PCS plans altered by COVID-19

Article
6/29/2020
Man wearing mask loading boxes into a car

Service members and families have suggestions to keep you safe.

Recommended Content:

Coronavirus | Summer Safety

DoD trains staff to collect convalescent plasma donations

Article
6/26/2020
A service member donates convalescent plasma at a blood donation center.

Learn about training features, locations, timetable

Recommended Content:

Coronavirus | Convalescent Plasma Collection Program

Defending the Homeland: BACH Civilian earns RHC-A Civilian of the Year

Article
6/26/2020
Soldier and woman standing by two flags, crossed.

[Guidry] will advance to the U.S. Army’s Medical Command (MEDCOM) Civilian of the Year competition later this year.

Recommended Content:

Coronavirus | Health Readiness | Combat Support

MHS Minute: DoD Focused on COVID-19 Testing and Treatment

Video
6/25/2020
Image of MHS Minute Carousel

Have you recovered from COVID-19, or tested positive for antibodies? Consider donating convalescent plasma. To learn how, go to https://www.militaryblood.dod.mil/

Recommended Content:

Coronavirus

Defending the Homeland: Army 2nd Lt. first to donate convalescent plasma at Benning

Article
6/24/2020
Soldier in chair, giving blood

Convalescent plasma contains antibodies to fight the disease.

Recommended Content:

Coronavirus | Convalescent Plasma Collection Program

Pharmacy Operations Division (POD) Reverse HPCON Status Guidance

Publication
6/24/2020

Guidance for Outpatient MTF Pharmacies in Response to COVID-19

Recommended Content:

Coronavirus | COVID Pharmacy Guidance

Download Letter to Beneficiaries

Publication
6/24/2020

This message replaces guidance issued on March 31. It explains actions military pharmacies are taking to keep services and visits safe during the COVID-19 pandemic, and it outlines your pharmacy options as a TRICARE beneficiary.

Recommended Content:

Coronavirus | COVID Pharmacy Guidance | TRICARE Health Program

DHA’s new MEDLOG IT PMO supports MHS logistics

Article
6/23/2020
Soldiers loading boxes onto helicopter

During the COVID-19 pandemic, the MEDLOG IT PMO provided essential medical logistics IT and supply chain support across the MHS and Department of Defense.

Recommended Content:

Coronavirus | Solution Delivery Division

Tackling mosquitos to protect the force

Article
6/23/2020
Man emptying bag into a helicopter spreader

Mosquitoes transmit a host of woes but not COVID-19

Recommended Content:

Coronavirus | Bug-Borne Illnesses | Mosquito-Borne Illnesses

Understanding the potential of COVID-19 convalescent plasma

Article
6/19/2020
Researcher scans a unit of plasma in lab.

Researchers are harnessing the power of antibodies in COVID-19 convalescent plasma.

Recommended Content:

Coronavirus | Convalescent Plasma Collection Program | Armed Services Blood Program
<< < ... 11 12 13 14 15  ... > >> 
Showing results 151 - 165 Page 11 of 35

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.