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...

Printable VAX Fact Should Children Get the COVID Vaccine?

Publication
2/12/2021

This is a printable version of the VAX Fact graphic

Recommended Content:

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

Printable VAX Fact Will TRICARE Cover the COVID Vaccine?

Publication
2/12/2021

This is a printable version of the VAX Fact graphic

Recommended Content:

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

Printable VAX Fact Getting COVID and Flu Vaccine at Once

Publication
2/12/2021

This is a printable version of the VAX Fact graphic

Recommended Content:

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

Printable VAX Fact Can I Get COVID-19 From the Vaccine?

Publication
2/12/2021

This is a printable version of the VAX Fact graphic

Recommended Content:

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

Printable VAX Fact How Many Doses of the Vaccine Will I Get?

Publication
2/12/2021

This is a printable version of the VAX Fact graphic

Recommended Content:

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

Printable VAX Fact Who Can Get the Vaccine Now?

Publication
2/12/2021

This is a printable version of the VAX Fact graphic

Recommended Content:

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

Printable VAX Fact How Much will the COVID-19 Vaccine Cost?

Publication
2/12/2021

This is a printable version of the VAX Fact graphic

Recommended Content:

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

Printable VAX Fact When can I get the COVID-19 Vaccine?

Publication
2/12/2021

This is a printable version of the VAX Fact graphic

Recommended Content:

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

Printable VAX Fact Where can I get the COVID-19 Vaccine?

Publication
2/12/2021

This is a printable version of the VAX Fact graphic

Recommended Content:

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

Printable VAX Fact Do I Have to Get the COVID-19 Vaccine?

Publication
2/12/2021

This is a printable version of the VAX Fact graphic

Recommended Content:

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

Printable VAX Fact Do I Still Need to Wear a Facemask After I'm Vaccinated?

Publication
2/12/2021

This is a printable version of the VAX Fact graphic

Recommended Content:

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

COVID-19 Vaccine Toolkit

Publication
1/5/2021

This toolkit provides communicators across the Military Health System (MHS) with important information about the COVID-19 prevention and vaccination from the CDC to share with patients and health care professionals.

Recommended Content:

Coronavirus | COVID-19 Information for Military Treatment Facility Directors | COVID-19 Vaccine Efforts | COVID-19 Toolkit | COVID-19 Vaccine Toolkit

COVID-19 Social Media Toolkit

Publication
1/5/2021

These messages are provided for you to use on your platforms with any of the images from the COVID-19 Toolkit.

Recommended Content:

Coronavirus

DoD COVID 19 Vaccine Distribution Plan and Population Schema

Publication
12/10/2020

Regarding the initial COVID-19 vaccination rollout, Defense Department officials announced a phased and coordinated strategic plan for distributing and administering the initial COVID-19 vaccines.

Recommended Content:

Coronavirus | COVID-19 Vaccine Efforts | Getting the COVID-19 Vaccine

Holiday Season Guidance to Minimize Spread of the Coronavirus Disease 2019

Publication
11/16/2020

This memorandum provides guidance to help protect individuals within the DoD community from coronavirus disease 2019 (COVID-19) for gatherings and activities during the November to January holiday season.

Recommended Content:

Coronavirus
<< < 1 2 3 4 > >> 
Showing results 1 - 15 Page 1 of 4

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.