Back to Top Skip to main content Skip to sub-navigation

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 | Electronic Health Record: MHS GENESIS | Military Health System Transformation | COVID-19 Vaccine Toolkit | MHS GENESIS Toolkit

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...

Coast Guard launches electronic health record system in Pacific Area

Article
9/3/2021
Coast Guard medical personnel using MHS GENESIS

U.S. Coast Guard launches electronic health record system in Pacific Area, and moves from paper records to a new EHR.

Recommended Content:

MHS GENESIS Toolkit | Electronic Health Record: MHS GENESIS | MHS GENESIS

As Fitness Tests Resume, Troops Seek Post-COVID Exercise Routines

Article
8/31/2021
Military personnel physically training

Keeping fit during pandemic proves hard for some.

Recommended Content:

Total Body Preventive Health and Total Force Fitness | Total Force Fitness | Physical Fitness | Coronavirus

Federal leaders highlight electronic health record changes at HIMSS

Article
8/31/2021
Federal leaders being interviewed

The new Federal electronic health record delivers data to healthcare teams wherever a patient receives treatment.

Recommended Content:

Technology | Federal Electronic Health Record Modernization (FEHRM) Program Office | Electronic Health Record: MHS GENESIS

Digital health innovation emerges during COVID-19 pandemic

Article
8/31/2021
The Defense Health Agency’s Connected Health Branch was there to support, advise and deliver new health innovations throughout the pandemic. (Graphic courtesy of DHA Connected Health)

The DHA's Connected Health Branch was there to support, advise, and deliver new health innovations throughout the pandemic.

Recommended Content:

Connected Health | Coronavirus

Secretary of Defense Mandates COVID-19 Vaccinations for Service Members

Article
8/26/2021
An Army medic administers the COVID-19 vaccine to another soldier.

Secretary of Defense Lloyd J. Austin III yesterday issued a memorandum directing mandatory COVID-19 vaccinations for service members.

Recommended Content:

COVID-19 Vaccine Toolkit | Coronavirus | COVID-19 Vaccine Efforts

DOD Intends to Mandate Pfizer Vaccine, Pentagon Official Says

Article
8/25/2021
Pentagon Press Secretary John F. Kirby holds a press briefing, at the Pentagon, Washington, D.C.

Kirby said the health of DOD's military and civilian employees, families and communities is a top priority.

Recommended Content:

Coronavirus | COVID-19 Vaccine Efforts

Maintaining Mission Readiness During a Pandemic

Article
8/24/2021
Gen. Place presents at HIMSS in Las Vegas.

DHA Director Army Lt. Gen. (Dr.) Ronald Place discussed the national security implications of the COVID-19 outbreak.

Recommended Content:

Coronavirus | Heroes Behind the Mask | Deployment Health

New Flag and Patch Symbolize Growth at the Defense Health Agency

Article
8/19/2021
Service members from the Army, Air Force and Navy display the new Defense Health Agency patch following a reflagging and repatching ceremony at Defense Health Agency Headquarters in Falls Church.

The DHA will reveal a new flag and seal in a ceremony August 20 to signify the unity of all services under one joint combat support agency.

Recommended Content:

Defense Health Agency | Military Health System Transformation | Combat Support

Reform, COVID-19 Have Been Catalysts for Change in Military Medicine

Article
8/16/2021
Dr. Terry Adirim speaking to an audience at a conference

Healthcare is about taking care of people, so no amount of change or innovation is ever sufficient if modernization does not lead to helping patients, says acting ASDHA at HIMSS21 in Las Vegas.

Recommended Content:

Coronavirus | COVID-19 Vaccine Toolkit | Military Health System Transformation

DOD's Whole of Government Approach to COVID is Working, Says Adirim

Article
8/13/2021
Dr. Terry Adirim, acting assistant secretary of defense for health affairs, right, speaks during a panel discussion.

Dr. Terry Adirim, said she has been impressed by the DOD’s COVID-19 response since taking over as ASDHA, and that adaptation and innovation have played key parts in that response.

Recommended Content:

COVID-19 Vaccine Efforts | Technology | Telehealth Program | Military Health System Transformation

Don't Hesitate: Vaccinate Today for School

Article
8/13/2021
A boy gets the COVID-19 vaccine

Back to School Means Vaccine Time

Recommended Content:

COVID-19 Vaccine Efforts | Coronavirus | Immunization Healthcare | Vaccine-Preventable Diseases | Vaccine Recommendations | Children's Health | Immunizations | TRICARE Health Program

Services Will Make Call on Religious Exemptions to COVID-19 Vaccines

Article
8/13/2021
Two medical people prepare syringes with doses of the COVID-19 vaccine

"There is a religious exemption possibility for any mandatory vaccine, and there's a process that we go through to counsel the individual both from a medical and from a command perspective about using a religious exemption," Kirby said.

Recommended Content:

Public Health | Coronavirus | COVID-19 Vaccine Efforts

Austin Seeks Presidential Approval for Mandatory Troop Vaccinations by Mid-September

Article
8/10/2021
Sailors receive COVID-19 vaccinations

The COVID-19 vaccine will be mandatory for service members by mid-September, Secretary of Defense Lloyd J. Austin III said in a message to the force released yesterday.

Recommended Content:

Coronavirus | COVID-19 Vaccine Efforts

Top Military Medical Doctor Predicts Coronavirus Longevity

Article
8/9/2021
Army Lt. Gen. Ronald J. Place, director of Defense Health Agency, delivers remarks at a media briefing on COVID-19 at the Pentagon, April 21, 2021

I believe we will get to a place where we're not talking about COVID all the time

Recommended Content:

Coronavirus | COVID-19 Vaccine Efforts | COVID-19 Vaccine Toolkit

Puget Sound Military Health System Certified by Defense Health Agency

Article
8/6/2021
Photo of a shuttle bus

The Puget Sound market leaders are responsible for managing all health care for its military population within Western Washington.

Recommended Content:

Military Health System Transformation
<< < 1 2 3 4 5  ... > >> 
Showing results 16 - 30 Page 2 of 31

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.