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...

Airman uses SBAR to improve COVID-19 swab technique

Article
8/25/2020
Military personnel in full PPE at a car window demonstrating a swabbing technique

A Situation, Background, Assessment, Recommendation (SBAR) report is part of Trusted Care.

Recommended Content:

Coronavirus

MHS Minute: A Call to Action for Convalescent Plasma Donation

Video
8/24/2020
Image of MHS Minute Carousel

Have you recovered from COVID-19, or tested positive for antibodies? Consider donating convalescent plasma. For eligibility requirements, and to find a donor center near you, go to https://www.militaryblood.dod.mil/Donors/COVID-19andBloodDonation.aspx

Recommended Content:

Coronavirus | Convalescent Plasma Collection Program

Air Force updates medical courses with COVID-19 content, procedures

Article
8/24/2020
Two technicians in full PPE in a lab

COVID-19 has shed new light on the methods of conducting medical training and education.

Recommended Content:

Coronavirus | Health Readiness | Combat Support

New Travis AFB patient transport system supports COVID fight

Article
8/21/2020
Soldiers in masks pushing a piece of equipment

New system amplifies Travis infectious disease patient capabilities.

Recommended Content:

Coronavirus

From Shoulder Pads to Shoulder Boards, Navy MSC Officer leads the way

Article
8/21/2020
Soldier in mask

Fisher’s interest in a career with Navy Medicine is rooted in family.

Recommended Content:

Coronavirus

Air Force invention kills toxins on contact

Article
8/20/2020
Man in white coat doing experiments

An Air Force invention could be key to reducing the amount of airborne microbes...inside buildings and homes.

Recommended Content:

Public Health | Coronavirus | Health and Housing | Mold | Health and Housing

Army CID forensics team on the frontline of the COVID-19 pandemic

Article
8/20/2020
Three lab technicians in full PPE looking at computer screen

At the early onset of the COVID-19 pandemic, we (DFSC FXD) understood the severity and global impact the virus would have...

Recommended Content:

Coronavirus

DOD Official Discusses Conditions-Based Reopenings, Future of Telework

Article
8/19/2020
Man in full PPE spraying down a chair with sanitizer

Esper was clear from the start about his priorities in a pandemic.

Recommended Content:

Coronavirus

NMHM looks back at the 1918 ‘Spanish flu’ for one Maryland county

Article
8/19/2020
Black and white image of hospital beds lined up in rows, occupied by sick people

The 1918 flu resembled a more severe cold.

Recommended Content:

Coronavirus | Public Health

BAMC expands use of ECMO to treat severe COVID-19 patients

Article
8/18/2020
Medical personnel wearing masks, looking at paperwork on desk

This treatment...is used in the intensive care unit when a patient experiences heart and/or lung failure.

Recommended Content:

Coronavirus

DHA proves power of collaboration in medical IT war games

Article
8/18/2020
Men and women in room sitting in front of their laptops

Open-source EHR proves worth in Coalition Warrior Interoperability Exercise

Recommended Content:

Coronavirus | Technology

Air Force medics ‘go mobile’ to continue serving during COVID-19

Article
8/17/2020
Medical personnel wearing a mask, looking at a vial

With the outbreak of COVID-19, the 90th Medical Respiratory Clinic was created and designed to focus on patient care and safety.

Recommended Content:

Coronavirus

CDC updates symptoms list for COVID-19

Article
8/14/2020
Man putting on PPE, including a mask

Case numbers are up, but most people who become infected will recover

Recommended Content:

Coronavirus

Zama Middle High School counselor can help with COVID-19 stress, more

Article
8/13/2020
Woman in red dress sitting on chair and posing for the camera

Miller wants students and parents to know she is available for a wide variety of issues, including those related to COVID-19.

Recommended Content:

Coronavirus | Mental Health Care | Mental Wellness

Camp Pendleton Marines and civilians donate blood to save others

Article
8/12/2020
Two people in masks giving blood

Marines line up to donate blood

Recommended Content:

Coronavirus | Convalescent Plasma Collection Program
<< < ... 6 7 8 9 10  ... > >> 
Showing results 76 - 90 Page 6 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.