The Army is Changing

Transform Personnel Management

Engage the Army Community

Provide Personnel Services SupportProvide responsive Personnel Services and Programs to Soldiers and their families (Awards, Casualty Records, Boards, etc…)

Actively integrate, shape and communicate to the Army HR events, policies and programs

Man the Force

HRC LINES OF EFFORT

Adapt Processes to acquire, develop and Retain the Best Qualified Soldiers and respectfully transition quality Soldiers to civilian life

Man the Army & Preserve the All-Volunteer Force; optimize readiness; increase precision and develop the force

OBJECTIVES

The Army:• BCT Restructure; Rebasing; Enabler Reduction• Force Shaping & Precision Drawdown• Emphasis on Leader Development (Training, Education, Experience)

MHS Modernization StudyA study to improve the efficiency and effectiveness of the MHS

MEDCOM

Analysis Ongoing

MEDCOM’s Previous Decisions and TMA’s Next Ten Gold 4 Recommendations

Portfolio Reviews

Began with the ‘Small Hospital Study’ now

reviewing the Next Ten (in Gold).

Cups & Chips

Cups = MarketsChips = Mil Prov. Auths.

Goal: Fill fewest Cups with required Mil Providers

considering Productivity & Market Share

Ft. StewartFt. BenningFt. Gordon

Puget Sound eMSMSATX eMSMBragg MSMFt. HoodCo. Springs eMSMHawaii eMSMFt. CampbellFt. Bliss

Ft. RileyFt. SillFt. Leonard Wood

Maintain Inpatient

Maintain some but not all

Inpatient

Determined by Portfolio Review

(see above)

Two concurrent approaches to be considered in the

final Study recommendation

Empanelment: Tri-Service Standard

• Balance projected access with measured patient demand

• Acuity based empanelment (BENCAT distribution equivalent lives)

• Standardized FTE adjustmentsComprehensive

Care

Improved Health

Decreased Healthcare

Demand (per capita cost)

Access (capacity) = Demand

Continuity (decreased leakage, ER overflow)

Enablers:Secure MessagingNurse Advice LineHuddle Dashboard

Team Based Workflow

Projected access = projected face-to-face (FTF) and virtual encounters

Measured demand =FTF primary care visits, ER overflow, and network leakage

Slide 4 of 25

The Environment: Cyclical Climate Change

"God and the Soldier, all men adoreIn time of danger and not before.

When the danger is passed and all things righted,

God is forgotten, and the Soldier slighted."