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

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. 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.

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

Las Vegas — Information technology plays a critical role in increasing transparency and making sure the right information gets to the right people. Health care systems can face challenges in achieving integrated care, but as 2018 rolls on, the Military Health System continues to work towards its goal of being a high-reliability organization.            

This week, leadership from across Defense Health Agency and Health Affairs discussed these areas during the Healthcare Information and Management Systems Society conference, also known as HIMSS, in Las Vegas.

“Federal health leaders and the health IT industry are in this together,” said Vice. Adm. Raquel Bono, director of DHA. “We all strive to enhance quality of care across a range of settings.”

Today, Bono will be honored as a recipient of the HIMSS Most Influential Women in Health IT Awards. Since becoming director, Bono has implemented various strategic health information technology initiatives for the Military Health System. This includes improving the quality and safety of health care delivery, as well as access to health care, for more than 9.4 million beneficiaries.

Established in 2016, the award celebrates “those female visionaries harnessing the power of information technology to transform health and health care.” To be eligible, nominees must have demonstrated “active leadership of the effective use of IT in support of the strategic initiatives of her organization.”     

Partnerships and innovation make the MHS more effective, more agile, and more adept to care for patients, said Bono, who will speak with David Shulkin, secretary of the Department of Veterans Affairs, on delivering coordinated care for those in and out of uniform at HIMSS.

“We must improve access to care, which requires innovation to strengthen integration between private and public sectors; innovation that empowers patients; and innovation that overcomes geographic distances abroad and at home through virtual health and telemedicine,” said Bono.

While the MHS differs from other health care systems, it seeks to achieve excellence in medical service delivery and patient care, said Bono. MHS continues to expand the use of telehealth to give patients more access to the care they want and need.

Bono, along with two other panelists, will also discuss the process and challenges health systems face in achieving integrated care, and the role of information technology in transparency as MHS strives to enhance quality of care, whether in small clinics, large medical centers, or deployed settings.

“Hearing and exchanging ideas with world-class health IT thought leaders working to advance everything from data interoperability, to telehealth, to precision medicine, to cybersecurity prompts some critical questions about the DHA’s approach to partnerships and innovation,” said Bono.  

From combating the opioid epidemic through collaboration and information exchange to discussing health information exchange between Department of Defense and Veterans Affairs, DHA leadership will have a significant presence at HIMMS. Cybersecurity’s critical role, capabilities of the Desktop to Data-Center plan, and a leader’s vision for DHA Information Operations to enhance support to the MHS will also be presented during the conference.

HIMSS brings together approximately 40,000 health care IT professionals, clinicians, executives, and vendors from around the world. For information, visit the HIMSS webpage.

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DHA-PI 3200.01: Research and Development (R&D) Enterprise Activity (EA)


This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (p): a. Establishes the Defense Health Agency’s (DHA) procedures for the Deputy Assistant Director (DAD), R&D to manage and execute, on behalf of the Assistant Secretary of Defense for Health Affairs (ASD(HA)), the portion of the Defense Health Program (DHP) Research, Development, Test, and Evaluation (RDT&E) appropriation assigned to it (referred to as the “DHP Science and Technology (S&T) Program)”. The DHP S&T Program includes Budget Activities (BAs) 6.1-6.3 and 6.6. The ASD(HA) provides policy, direction, and guidance to inform planning, programming, budgeting, and execution of the DHP RDT&E appropriation in accordance with statute, regulation, and policy in Reference (a). The DAD-R&D, and Component Acquisition Executive (CAE) manage and execute DHP RDT&E Program funds aligned to them on behalf of the ASD(HA). The CAE is responsible for managing BAs 6.4, 6.5, and 6.7 funding, as well as Procurement and Operations and Maintenance funding required to support DHP-funded Acquisition Programs, regardless of acquisition activity. b. Supports the Director, DHA, in developing appropriate DHA management models to maximize efficiencies in the management and execution of DHP RDT&E-funded activities carried out by the Combatant Commands (CCMDs), Services, Uniformed Services University of the Health Sciences (USU), Defense Agencies, and other DoD Components, as applicable. c. Codifies processes to confirm DHP RDT&E funds are applied towards medical priorities and aligned to ASD(HA) policy, direction, and guidance to develop and deliver innovative medical products and solutions that increase the readiness of the DoD medical mission in accordance with Reference (a). d. Supports the following objectives of the R&D EA: (1) Increasing the quantity, quality, and pace of medical research through improved programmatic organization, processes, and oversight. (2) Ensuring DHP RDT&E funded efforts align to ASD(HA) published program guidance that provides resourcing guidance and translates national, departmental, and Service priorities into specific program objectives. (3) Verifying alignment of DHP RDT&E funds to medical priorities and to ASD(HA) policy, direction, and guidance to ensure the development and delivery of medical materiel and knowledge solutions. (4) Facilitating coordination with the CCMDs, Services, USU, Defense Agencies, and other DoD Components, as applicable, to ensure DHP RDT&E funded activities address joint medical capability gaps, and avoid unnecessary duplication.

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)


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

DoD Instruction 6025.13: Medical Quality Assurance (MQA) and Clinical Quality Management in the Military Health System (MHS) Instruction


This Department of Defense Instruction (Number 6025.13) establishes DoD policy on issues related to MQA programs and clinical quality management activities.

DoD Instruction 6200.05: Force Health Protection Quality Assurance (FHPQA) Program


This issuance establishes policy, assigns responsibilities, and defines requirements for the development and establishment of the FHPQA Program in accordance with the authority in DoD Directive (DoDD) 5124.02, Sections 731 and 738 of Public Law 108-375; Sections 1074f, 1092a, and 1073b of Title 10, United States Code; and DoDDs 6200.04 and 5136.13.

Patient Centered Practice Hours


This memorandum encourages Air Force military treatment facilities to establish more patient-centered clinic hours.

Management and Reporting of Clinical Adverse Actions and Professional Misconduct for Privileged Health Care Providers and Non-Privileged Clinical Support Staff


The purpose of this directive is to update and establish policy, assign responsibility, and prescribe procedures for the management and reporting of clinical adverse actions and professional misconduct for privileged health care providers and non-privileged clinical support staff for the Department of the Navy.

Prevention of Retained Surgical Items Standard Operation Procedure


The purpose of this memorandum is to provide guidance to perioperative personnel for prevention of unintended retained surgical items during operative or other invasive procedures.

Trusted Care Concept of Operations


This Trusted Care concept of operations (CONOPS) describes the transformation of the Air Force Medical Service into a high reliability healthcare system. High reliability organizations (HROs), as originally described in the nuclear power and aviation industries, consistently achieve better-than-expected outcomes despite operating in complex or high-risk environments.

DoD Directive 6010.04: Healthcare for Uniformed Services Members and Beneficiaries


This directive reissues DoD Directive (DoDD) 6010.04 (Reference (a)) to update established policy and assigned responsibilities for administering Title 10, United States Code (Reference (b)). It serves as the joint document for administration of healthcare benefits required pursuant to Reference (b), and is issued by the Departments of Defense, Homeland Security, and Health and Human Services

First Call Resolution and Do Not Call Back Policy


This policy requires first call resolution for all patients requesting appointments at all Air Force medical treatment facilities. Under this policy, beneficiaries will not be asked to call back for an appointment.

First Call Resolution and Expeditious Reply to Patient Policy


This policy requires first call resolution for all patients requesting appointments at all National Capital Region Medical Directorate medical treatment facilities. Under this policy, beneficiaries will not be asked to call back for an appointment.

First call Resolution and Do Not Call Back Policy


This Army OTSG/MEDCOM policy identifies responsibilities of MTF commanders, primary care, specialty care and other stakeholders identified in the appointing process to ensure patient satisfaction for our beneficiaries; outlines use of alternative portals such as Army Medicine Secure Messaging, Nurse Advice Line and TRICARE Online; specific procedures are also identified to correctly transfer calls in accordance with existing access to care standards, referral management protocols, and proper use of managing clinic schedules to ensure appointing success the first time one of our patients seeks access.

Credentialing and Privileging Program


This instruction updates and reissue policy and procedures for the Credentialing and Privileging Program for the Department of the Navy (DON) as part of the DON Clinical Quality Management Program (CQMP).

Non-Availability of Patient Appointments at Medical Treatment Facilities


This policy is to be implemented immediately to ensure patients are not told to call back the next day for an appointment.

Air Force Instruction 44-176: Access to Care Continuum


This publication implements AFPD 44-1, Medical Operations. It provides guidance and procedures for Access to Care (ATC) operations within the Air Force Medical Service (AFMS). It establishes the roles, responsibilities, definitions and requirements for implementing, sustaining and managing ATC for AFMS Medical Treatment Facilities (MTFs).

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