The Army is Changing The Army: • BCT Restructure; Rebasing; Enabler Reduction • Force Shaping & Precision Drawdown • Emphasis on Leader Development (Training, Education, Experience) HRC LINES OF EFFORT OBJECTIVES Man the Force Man the Army & Preserve the AllVolunteer Force; optimize readiness; increase precision and develop the force Provide Personnel Services Support Provide responsive Personnel Services and Programs to Soldiers and their families (Awards, Casualty Records, Boards, etc…) Engage the Army Community Actively integrate, shape and communicate to the Army HR events, policies and programs Transform Personnel Management Adapt Processes to acquire, develop and Retain the Best Qualified Soldiers and respectfully transition quality Soldiers to civilian life MHS Modernization Study A study to improve the efficiency and effectiveness of the MHS MEDCOM’s Previous Decisions and TMA’s Next Ten Gold 4 Recommendations Two concurrent approaches to be considered in the final Study recommendation Portfolio Reviews Began with the ‘Small Hospital Study’ now reviewing the Next Ten (in Gold). Cups & Chips Cups = Markets Chips = Mil Prov. Auths. Goal: Fill fewest Cups with required Mil Providers considering Productivity & Market Share Puget Sound eMSM SATX eMSM Bragg MSM Ft. Hood Co. Springs eMSM Hawaii eMSM Ft. Campbell Ft. Bliss Ft. Stewart Ft. Benning Ft. Gordon Ft. Riley Ft. Sill Ft. Leonard Wood Maintain Inpatient Maintain some but not all Inpatient Determined by Portfolio Review (see above) Empanelment: Tri-Service Standard • Balance projected access with measured patient demand • Acuity based empanelment (BENCAT distribution equivalent lives) • Standardized FTE adjustments Continuity (decreased leakage, ER overflow) Projected access = projected face-to-face (FTF) and virtual encounters Access (capacity) = Demand Measured demand = FTF primary care visits, ER overflow, and network leakage Comprehensive Care Enablers: Secure Messaging Nurse Advice Line Huddle Dashboard Team Based Workflow Decreased Healthcare Demand (per capita cost) Improved Health The Environment: Cyclical Climate Change Slide 4 of 25 "God and the Soldier, all men adore In time of danger and not before. When the danger is passed and all things righted, God is forgotten, and the Soldier slighted."