Western Regional Medical Command

1. 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

2. 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.

3. Western Regional Medical Command Ft. Wainwright WESTERN RMC JBER MEDICAL RESEARCH & MATERIEL COMMAND JBLM NORTHERN RMC Ft. Detrick Ft. Belvoir Ft. Leavenworth Ft. Carson Ft. Riley WARRIOR TRANSITION COMMAND POM PUBLIC HEALTH COMMAND Ft Leonard Wood White Sands Missile Range Ft. Irwin WAMC APG Crystal City SOUTHERN RMC Ft. Huachuca CRDAMC Ft. Bliss DDEAMC EUROPE RMC FSH BAMC PACIFIC RMC MEDCOM SRMC Japan Korea FSH FSH TAMC AMEDDC&S Power Projection Platforms FSH DENCOM FSH

4. Military Health System Governance Structure Secretary of Defense/ Dep. Secretary of Defense Under Secretary of Defense (Personnel and Readiness) Military Health System Executive Review Assistant Secretary of Defense (Health Affairs) Policy Action Council 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 Army Army Army Navy DHA AF AF eMSM Hawaii eMSM Puget Sound eMSM Colorado Springs eMSM NCR eMSM Tidewater eMSM San Antonio

5. Puget Sound Enhanced Multi-Service Market 62dMedical Squadron JBLM – McChordField Naval Hospital Bremerton Naval Hospital Oak Harbor VA Puget Sound Healthcare System Madigan Army Medical Center Health Safety & Work-Life Support Activity (USCG) 92dMedical Group Fairchild AFB Washington National Guard

6. 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

7. Puget Sound Enhanced Multi-Service Market Strategy Map Vision Lines of Effort Outcomes Endstate Army, Navy, USAF Unity of Effort to achieve the Quadruple Aim 1. Increase Inpatient Capability and Utilization Productivity Policy Leading Practices Leverage Technology Medical Diplomacy Partnerships Strategic enabler that fully leverages the Direct Care system Objective 1-1 Internal Medicine PCMH Model Objective 1-2 Synchronize efforts with Providers & Specialty Leaders Objective 1-3 A Rapid and Efficient Referral and Patient Transport System Objective 1-4 UMV Support to Seamless System Interface 2. Support / Maintain / Grow GME Experience Robust GME programs providing a readiness platform while delivering best value care to beneficiaries Standardization/Centralization Production and Business Policy Organizational Development Staff Development Objective 2-2 Leverage Market Multiple Sites of Care to Meet Patient Demand Objective 2-1 Accept all Cases/Maximize Capacity Objective 2-3 Redesign Model to improve training quality & Patient Experience 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. 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. 3. Maximize Benefits of the PCMH Model Full enrollment in PCMH will deliver highest quality, best value care Talent Management Productivity Policy Leverage Technology/Resources Health Infrastructure PCMH Models Objective 3-3 Maintain, Restore, Improve Health of the Population Objective 3-2 Leverage Wellness Centers as extensions of PCMH Objective 3-4 Enhance the Patient Experience Objective 3-1 Maximize Enrollment 4. Strategic Engagement and Alignment Our Successes will transfer Lessons Learned to best meet future needs Patient and Staff Engagement Targeted Communication Leading Practices Partnerships Objective 4-6 Create Spirit of Entrepreneurialism to Grow Successful Practices Objective 4-1 Tell Our Story of Success Objective 4-2 Identify Future Opportunities for Patient Engagement Objective 4-3 Strengthen Partnerships with VA, UW, Network Facilities Objective 4-4 360 Strategic Communication Objective 4-5 Exceed Leadership Expectations

8. A collaborative approach to healthcare in the enhanced Multi-Service Puget Sound Market