Supporting Health Care Delivery to America’s Military

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Transcript Supporting Health Care Delivery to America’s Military

The Defense Medical Human Resources System -

internet

(DMHRS

i)

Medical Expense and Performance Reporting System Conference

August 28, 2007 Ver 1.1 15 Aug 2007

Resources Information Technology Program Office

Agenda

• • • • • • • • • • • Introduction What is DMHRSi Decision to Use COTS Purpose of DMHRSi Key Capabilities Stakeholders and Responsibilities Benefits and Limitations Concept of Operations Deployment Next Steps Conclusion 1

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Quote

Business transformation requires focused activities to change policies, train people, shift attitudes, align performance with rewards and recognition, hold people accountable, and develop leaders who are focused on transformation, rather than on maintaining the status quo.

DOD Enterprise Transition Plan

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What is DMHRSi?

A web based multi-service Human Resource (HR) solution for the Military Health System (MHS) utilizing a commercial off-the-shelf (COTS) Oracle product

configured

to Service specifications

The Oracle 11i e-Business Suite

Oracle 10g Database Oracle Human Resource Management System Oracle Learning Management Oracle Project Administration (LCA) Oracle Self Service Oracle Discoverer

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Decision to Use COTS

1.

2.

3.

A COTS strategy has its own inherent risks and costs Enterprise Resource Planning (ERP) tools impose unique demands Managing expectations is a critical task!

COTS ERP Benefits

– Best

industry

business practices represented – Significant research & development costs are avoided – Continual product improvement – Generally faster deployment/fielding to the user – Reduction in training costs – Supports improved decision making at the enterprise level

COTS ERP Costs

– DoD

has to adapt

to the prescribed best business practices as much as possible – c

hange management

– Enterprise COTS applications are characterized by

higher

levels of

complexity

and cultural

change

Minimize customization

work-arounds and – Enterprise systems ≠ less data entry 4

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Purpose of DMHRSi

“Enable the MHS to manage medical human resources across the enterprise”

• Provide a single, integrated, Joint medical HR management system encompassing facets of personnel management critical to the MHS’ ability to enhance quality services and support theater operations • Provide visibility of all personnel working within MHS activities • • • • Provide standardized/centralized Joint medical HR information Promote accurate Joint data collection and reporting Provide standardized labor cost analysis across the MHS Provide essential medical personnel readiness information

Supports GAO Report: “Tri-Service strategy needed to Justify Medical Resources for Readiness and Peacetime Care”

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Who is in DMHRSi?

Provides complete medical personnel asset visibility Manpower

P o i l c y

HR Readiness E & T LCA

How much do they cost?

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Application Functionality

• •

Manpower

Increase visibility of human resource needs and allocation Match medical personnel with relevant positions • • •

Personnel

Streamline business processes such as check-in and check-out procedures Provide instant visibility of assignment Standardize HR functions across service • •

Education & Training

Centralize education and training data and resources Enable online registration and approval of courses • •

Labor Cost Assignment

Enable precise recording of labor hours Facilitate accurate reporting of costs accrued and resource utilization • • •

Readiness

Reduce time to collect readiness status information Verify training requirements and completed activities Facilitate rapid identification of deployable personnel 7

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Stakeholders Involvement

Chartered Office of the Assistant Secretary of Defense (Health Affairs) TMA Leadership And Service Surgeons Generals Service Level Policy/ Guidance/ Requirements HRSC Policy/Guidance/ Requirements Sub Committee SMEs Service DMHRSi Project Teams MDA RITPO Technical Solution Provider Project Office Development Sustainment Deployment Sites Configuration Feedback Application Utilization

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DMHRSi Benefits

• • •

Provides Tri-Service personnel visibility at all organizational levels for decision making

– Provides for horizontal and vertical integration – Provides visibility of all personnel working within medical activities – Centralized data

Standardizes HR information throughout the MHS enterprise

– Standardized processes – Savings on training – Provides for a global training record

Establishes interdependency among MHS enterprise HR related functions

– The space, the face, the cost reunited – Establishes conducive environment for re-engineering – Supports Unified medical structure or business group consolidation 9

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DMHRSi Benefits

Assists Leadership

– Improves accountability – Allow for greater command and control – Can minimize “low density” or “single-point administrative support” negative impacts.

– Provides for space-to-face accountability – Can accommodate Borrowed Labor •

Promotes accurate data collection and reporting

– Accountability of supervisors – Actual hours worked (vs. “Crazy 8s”) – Reconciliation with civilian pay hours – Tracks dual component personnel •

Provides for greater accuracy thru self-service actions

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DMHRSi Benefits

Un-used potential

– COTS product offers much more HR functionality than is currently being used – Can accommodate Cradle-to-Grave management •

Serves as a cornerstone for other key resource systems

DMHRSi interoperability

– Reduces dual entry and duplicative processes – Interfaces • Greater flexibility with new technology • Bi-directional to internal and external systems • Uni-directional interfaces 11

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DMHRSi Limitations

• • •

Application is not readily intuitive in the military environment (without change management)

– Steep learning curve past training phase • Start-up is labor intensive at the site and user level • Learning continues until culture changes – May require additional resources until Business Process Re-engineering realized

Dependency on “Source” systems

– Service-level systems – Multi-service systems

Defined configuration process

– Requires the input of more stakeholders – Change must be vetted through more channels 12

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DMHRSi Limitations

• • •

Web-based product

– Inaccessible if there are internet/network outages – Infrastructure dependent

Requires Tri-Service functional community involvement and guidance

– Requires strong identification of Tri-service requirements – Change management and BPR at the site level – Requires use of all modules to realize full potential

Unused potential

– Ability to take advantage of some functionality may be outside of medical community control 13

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Concept of Operations

Will be deployed to all Defense Health Program (DHP) funded activities

– All Hospitals, Medical Clinics, Dental Facilities, Veterinary Activities and HQ Components – Over 600 sites worldwide •

Replaces three Service legacy systems

– Army: Uniform Chart of Accounts Personnel Utilization System (UCAPERS) – Navy: Standard Personnel Management System II (SPMS II) – Air Force: Personnel Subsystem of the DoD Expense Assignment System (EAS III) •

Approximately 170,000 DMHRSi Users

– Users are assigned permissions based upon roles and responsibilities – All active duty, reserve, civil service, contractor, and volunteers

“Capability to replace local and/or stovepipe databases, spreadsheets, and paper records located within the MHS’ medical, dental and veterinary activities and other organizations”

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Deployment: What to expect?

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Deployment Strategy

• • •

Pre-implementation process coordination On-Site training

Initial Training

Super users

Self-Service users

Just-in-Time support

On-site assistance for MEPRS end-of-month processes

Discoverer Plus small group training for selected personnel Sustainment transition

– – –

RITPO provides web based training modules using MHS Learn On-line help system - Tutor Processes Service level sustainment plans are a must

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Responsibilities

RITPO and the Services each have responsibilities to ensure successful deployment of DMHRSi: RITPO Responsibilities

• Manages day-to-day DMHRSi implementation activities • Establishes, in conjunction with services, deployment timelines, plans and resource requirements • Coordinates with Service functional and technical representatives • Integrates multi-Service business rules and Policies for DMHRS

i

• Communicates Project Status

Service Responsibilities

• Controls and manages change management efforts • Provides oversight to project management team • Serves as a central point of communications for Service • Develops, in conjunction with Functionals, multi Service business rules and policies • Provides support and guidance to MTF during deployment • Supports the implementation contractor in planning for deployment • Assists in coordinating pre-implementation conferences • Participates in technical and functional work groups 17

Resources Information Technology Program Office Command Level of Effort Site Implementation Team (Recommendation) Each site provides a team whose members actively participate in the implementation of DMHRSi: Human Resources Functional Manpower Functional Readiness Functional Site Project Officer RMC/ Site Project Manager Dental Coordinator Labor Cost Accounting Functional Site Application Administrator Education and Training Functional Veterinary Coordinator Team responsibilities include:

• Coordinates all implementation tasks required of site personnel • Ensures local data is made available to allow implementation contractor to validate, setup and load data • Supports training – Sets up Education and Training Module – Assigns classrooms • Establishes and sets up Labor Cost Accounting Projects and Tasks • Validates data load through DMHRS

i

application • Reports to leadership on operation, utilization and system satisfaction

Site project team includes representation for satellite sites

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i.e., 179 Total Sites Resources Information Technology Program Office

Number of DMHRSi Deployed Sites

190 180 170 160 150 140 130 120 110 100 90 80 70 60 50 40 30 20 10 0 3 2 2 3 12 2 2 11 3 13 3 17 3 22 14 24 9 21 32 46 54 60 64 72 80 20 16 25 30 38 29 52 53 42 36 45 100% Deployed 45 45 45 36 39 54 54 54 54 45 45 45 45

Navy Army Air Force 20

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We’re in this together

Deployment Contractor

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Next Steps

• • • •

Move toward Full Operating Capability Sustainment and future development

• • • •

Establish baseline Work approved POM requirements Work “change requests” listing to greatest extent possible Prepare for “Fusion” Need for Joint Operational Environment

MHS DMHRSi Joint Operating Procedures

Analytics Coordinate with DIMHRS

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Conclusion

DMHRSi standardizes management and readiness reporting of human resource assets within the MHS enterprise

COTS strategy incorporates industry Human Resources best practices into the MHS

Provides total multi-Service personnel asset visibility for improved decision making

Success will depend upon leadership, change management and transformation

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Information Brief to the AUSA Conference

Contact Information

Joint Medical Information Systems (JMIS) Program Executive Officer: Mr. Robert Foster, SES Resources Information Technology Program Office (RITPO) Program Manager: Colonel Cathy Erickson, USAF Human Resources Solution Directorate Director: LTC Ric Edwards, USA Office Phone: 703.575.6780

Email: [email protected]

or [email protected]

DMHRSi/MHS Learn/EWPD/ROCS DMHRSi Implementation Lead: Mr. James Greenwood Office Phone: 703.575.1226

Email: james.greenwood

@tma.osd.mil

Information Brief to the AUSA Conference

Questions