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Western Regional Medical Command A Collaborative Approach To Changing The Landscape Of Military Medicine In The Puget Sound Area January 8, 2014 BG John M. Cho Commanding General, Western Regional Medical Command Senior Market Executive, Puget Sound Enhanced Multi-Service Market Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address 16-Jul-15 Western Regional Medical Command BG John Cho CSM Marshall Huffman Established Headquarters In July 2009 11 Medical Treatment Facilities covering 20 Western States Over 18,000 employees & $1.6B Annual Operating Budget Our MISSION is to provide comprehensive health services in order to optimize Force Readiness and the Health and Well-being of our Military, Family, and Retiree population. Our VISION is to be an integrated and synchronized "Team of Teams" delivering quality, trusted, and responsive healthcare. Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address Slide 2 of 9 Western Regional Medical Command Ft. Wainwright WESTERN RMC JBER JBLM NORTHERN RMC Ft. Detrick Ft. Belvoir PUBLIC HEALTH COMMAND Ft. Leavenworth Ft. Carson APG Ft. Riley Ft Leonard Wood POM Ft. Irwin MEDICAL RESEARCH & MATERIEL COMMAND White Sands Missile Range WAMC Crystal City SOUTHERN RMC Ft. Huachuca WARRIOR TRANSITION COMMAND CRDAMC Ft. Bliss DDEAMC EUROPE RMC FSH BAMC PACIFIC RMC Japan Korea TAMC MEDCOM SRMC FSH FSH AMEDDC&S FSH DENCOM Power Projection Platforms FSH Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address Slide 3 of 9 Military Health System Governance Structure Secretary of Defense/ Dep. Secretary of Defense Military Health System Executive Review Under Secretary of Defense (Personnel and Readiness) Policy Action Council Assistant Secretary of Defense (Health Affairs) Senior Military Medical Action Council = eMSM = Single Service Medical Deputies Action Group The Eight Largest Markets (and Service/Department Leads) Enhanced Multi-Service Market Leadership Group Army eMSM Puget Sound Army AF eMSM Colorado Springs Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address DHA Army Navy eMSM NCR eMSM Hawaii eMSM Tidewater Army AF eMSM San Antonio Slide 4 of 9 Puget Sound Enhanced Multi-Service Market Naval Hospital Bremerton VA Puget Sound Healthcare System 62d Medical Squadron JBLM – McChord Field Naval Hospital Oak Harbor Madigan Army Medical Center 92d Medical Group Fairchild AFB Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address Washington National Guard Health Safety & Work-Life Support Activity (USCG) Slide 5 of 9 Puget Sound Enhanced Multi-Service Market Services: Army, Air Force, Navy Population Served: Approx. 290,000 Enrolled Population: 180,000 Military Treatment Facilities Army Madigan Army Medical Center Madigan – Puyallup Medical Home Madigan – South Sound Medical Home Okubo Family Practice Clinic OMAMC - JB Lewis-McChord Winder Family Medical Clinic Navy Navy Hospital Oak Harbor Navy Hospital Bremerton NBC Everett NBHC Bangor NBHC Puget Sound Air Force 62nd Medical Squad JB Lewis-McChord Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address Slide 6 of 9 Puget Sound Enhanced Multi-Service Market Strategy Map Lines of Effort Outcomes Endstate Productivity Policy Leading Practices Leverage Technology Objective 1-2 Synchronize efforts with Providers & Specialty Leaders Objective 1-1 Internal Medicine PCMH Model Partnerships Objective 1-3 A Rapid and Efficient Referral and Patient Transport System Medical Diplomacy Strategic enabler that fully leverages the Direct Care system Objective 1-4 UMV Support to Seamless System Interface 2. Support / Maintain / Grow GME Experience Production and Business Policy Organizational Development Objective 2-2 Leverage Market Multiple Sites of Care to Meet Patient Demand Objective 2-1 Accept all Cases/Maximize Capacity Standardization/Centralization Staff Development Objective 2-3 Redesign Model to improve training quality & Patient Experience Robust GME programs providing a readiness platform while delivering best value care to beneficiaries 3. Maximize Benefits of the PCMH Model Talent Management Health Infrastructure Objective 3-1 Maximize Enrollment Objective 3-2 Leverage Wellness Centers as extensions of PCMH Productivity Policy PCMH Models Objective 3-3 Maintain, Restore, Improve Health of the Population Full enrollment in PCMH will deliver highest quality, best value care Leverage Technology/Resources Objective 3-4 Enhance the Patient Experience 4. Strategic Engagement and Alignment Targeted Communication Objective 4-1 Tell Our Story of Success Objective 4-2 Identify Future Opportunities for Patient Engagement Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address Patient and Staff Engagement Objective 4-3 Strengthen Partnerships with VA, UW, Network Facilities Partnerships Objective 4-4 360 Strategic Communication Objective 4-5 Exceed Leadership Expectations Leading Practices Objective 4-6 Create Spirit of Entrepreneurialism to Grow Successful Practices Slide 7 of 9 Our Successes will transfer Lessons Learned to best meet future needs An eMSM fully optimized, with highest value, highest quality primary care, specialty care and GME programs resulting in the Patient’s Preferred system of choice while transforming from a healthcare system to a System for Health. 1. Increase Inpatient Capability and Utilization Deliver the highest quality, cost effective and integrated health services in the Puget Sound Market in support of current and former Service Members and their families. A System for Health that Maintains, Restores and Improves the health of the population as their Health System of Choice. Vision A collaborative approach to healthcare in the enhanced Multi-Service Puget Sound Market Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address Slide 8 of 9