DHA & DLA-TS Supported MEDLOG Shared Services Update · PDF file“Medically Ready...

“Medically Ready Force…Ready Medical Force”

DHA & DLA-TS Supported MEDLOG Shared Services

Update for AMSUS-SMSeptember 16,

CAPT Bernie Poindexter (DHA)Ms. Geneva Polini (DLA-TS)

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“Medically Ready Force…Ready Medical Force” 2

DHA Vision

“A joint, integrated, premier system of health, supporting those who serve in

the defense of our country.”


MHS Quadruple Aim Strategic Foundation

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MHS OBJECTIVES

1. Promote more effective and efficient health operations through enhanced enterprise-wide shared services

2. Deliver more comprehensive primary care and integrated health services using advanced patient-centered medical homes

3. Coordinate care over time and across treatment settings to improve outcomes in the management of chronic illness, particularly for patients with complex medical and social problems

4. Match personnel, infrastructure, and funding to current missions, future missions, and population demand

5. Establish more inter-Service standards/metrics, and standard process to promote learning and continuous improvement

6. Create enhanced value in military medical markets using an integrated approach in 5-year business plans

7. Align incentives with health and readiness outcomes to reward value creation

4DHA MEDLOG Division All Hands Meeting


DEFENSE HEALTH AGENCYWhat We are Undertaking

Establish shared services driving common clinical & business processes supported by disciplined policy execution, oversight, and accountability

Increase standardization…decrease variance/redundancy… increase value/efficiency… decrease cost!

Enhanced Multi-Service Markets (eMSMS) are a key foundational element; so the question is: “Is the business model driving the readiness model or is the readiness model driving

the business model? The answer is “yes!”

DHA is the key supporting organization for achieving our Quadruple Aim

Bottom Line: MHS “status quo” not sustainable

Sustain readiness, quality, and value to those we servethrough a more globally integrated health delivery system…

building off our battlefield successes!

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IPO

Senior Enlisted Advisor

CAE Organization

DHA OGC

Contracting

Comptroller

Analytics

Secretary of Defense

USD(P&R)ASD(HA)CJCS

Defense Health Agency Director

Deputy Director

POLICY DEVELOPMENT

POLICY EXECUTION Combat Support Agency Responsibilities

Chief of Staff

Communications Administration & Management EEOO

NCR Medical Directorate

Business Support Directorate

Education & Training Directorate

Health IT Directorate (CIO)

Research & Development Directorate

Healthcare Operations Directorate (CMO)

TRICARE Health Plan

Pharmacy

Clinical Support

Public Health

Readiness

Warrior Care Program

Innovation (CTO)

Governance, Customer Relations & Mgmt

Infrastructure & Operations

Solution Delivery

Information Delivery

Information Security & Privacy

Facility Planning

Medical Logistics

Budget & Resource Management

Program Integrity

Walter Reed National Military Med Center

Ft. Belvoir Community

Hospital

Joint Pathology Center

As of 7 OCTOBER 20136

Draft - Predecisional

DHA MEDLOG Division All Hands Meeting


10 Shared Services

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TRICARE Health Plan

2

Pharmacy Programs

3

Medical Education & Training4

Medical Research & Development

6

Health Information Technology

Facility Planning Public Health

Medical Logistics Acquisition

Budget & Resource Management

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Implemented by IOC on October 1, 2013 Implemented by FOC on October 1, 2015

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The Military Health System (MHS) must function as a jointly interoperable system

The Defense Logistics Agency (DLA) serves as the “Supplier” and the MHS is the “Customer” within the DML

Medical materiel requirements are driven by demands of promoting health and delivering health care

Our Integrative Environment

Defense Medical Logistics Enterprise (DMLE) The coalition of medical logistics organizations and activities of the Military

Departments and the Defense Agencies that provides focus, collaboration, teamwork, and a shared sense of purpose and vision for meeting the needs of military health care

across the full range of military operations [DODI 5101.15].

Defense Medical Logistics (DML) A function of HSS [health service support] that provides the specialized products and services

needed by military health care. It includes the management of medical supply, medical equipment and its maintenance, optical fabrication, medical facilities, blood storage and

distribution, and the life-cycle management of medical assemblages [DODI 5101.15].

Effectiveness and efficiency in acquisition & distribution requires strategies & systems tailored for the medical commodity and supporting the medical system

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DHA & DLA-TS Value Chain for the MHS

DHA MedLog Division works with DHA Clinical Support Division and Services’ leadership to standardize the demand signal for medical supplies, devices, and equipment to eliminate waste and unwarranted variation to deliver $264M in savings FY14-19

DHA MedLog Division synchronizes and optimizes product line purchasing by partnering with DLA-TS to expand e-commerce sourcing solutions (prime vendor and ECAT) for critical medical materiel and reduce government purchase card usage and associated vulnerabilities

DHA MedLog Division monitors MTF compliance and influences continued improvements through transparency, trust, and the accelerated replication of supply chain best practices across the MHS.

Critical to success and achieving quadruple aim objectives is DHA MEDLOG strong partnership with DLA-TS, Services’ Medical Logistics Chiefs, and our industry partners


• Primary medical logistics enabler for DHA

— Awards and manages Ecommerce programs• Prime Vendor; pharmaceuticals and Med/Surg• Electronic Catalog; dental, optical, lab and minor equipment

— Provides traditional (MILSTRIP) and Direct Vendor Delivery support

— Awards and manages Capital Equipment/Turnkey/MILCON support

— Awards and manages reverse distribution services

— Awards and manages pharmaceutical National Contracts

— Manages Medical Kitting and Assembly Program

— Provides acquisition and logistics support services• Ensures contracted prices are fair and reasonable• Provides depot storage for military unique and contingency

materiel• Enables DHA Standardization Program

DLA Support To DHA…Peacetime Logistics

10WARFIGHTER SUPPORT STEWARDSHIP EXCELLENCE WORKFORCE DEVELOPMENT

WARFIGHTER-FOCUSED, GLOBALLY RESPONSIVE, FISCALLY RESPONSIBLE SUPPLY CHAIN LEADERSHIP

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DLA Support To DHA…Contingency Support

• Contingency Support and Services— Warstopper Funding

• Purchases access to ~$720M of contingency stocks— Vendor Managed Inventory— Corporate Exigency Contracts

• Maintains critical medical industrial base• Manages Medical Industrial Preparedness Program

— Extends Defense Working Capital Fund to support wartime operations• CONUS Force Projection Sites• OCONUS Force Sustainment Sites (Theater Lead Agents)

— Contracts for Prime Vendor War Readiness Material

— Supports DHA pandemic programs



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Medical Business

Army $1.5B

TMA $1.6B

Air Force $906M

Navy $794M

Marine Corps $49M

Other $251M Pharm PV

$3.696B

Med/Surg PV $520M

Capital Equipment

$299MTraditional Med/Surg

$169MTraditional

Pharm $230MECAT $138M

Hospital $55M

FY13actual$5.1B

FY14 Forecast$5.4B



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DLA Points Of Contact

Position Name Email Phone

Director, Medical Supply Chain Colonel Alex Zotomayor [email protected] 215-737-2100

Deputy Director, Medical Supply Chain Geneva Polini [email protected] 215-737-2101

Director, Medical Customer Operations Don Buchwald [email protected] 215-737-2801

Director, Medical Supplier Operations Roger Dixon [email protected] 215-737-2606



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Mission: The Defense Medical Logistics Enterprise provides leadership and synchronizes a coalition of military departments, defense organizations, and other governmental agencies that plan, create, provide and direct medical logistics capabilities supporting healthcare across the full spectrum of military operations

Vision: To be the most efficient, effective and customer-focused global supply chain in the Federal Government

Strategic Focus/Themes: • Spearhead Medical Logistics Innovation• Improve Operational Excellence and Readiness• Expand and Strengthen Collaborative Relationships

Defense Medical Logistics Enterprise (DMLE)

DHA & DLA-TS Supported MEDLOG Shared Services Update · PDF file“Medically Ready...

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