PACIFIC REGIONAL MEDICAL COMMAND COMMAND BRIEFING Mr. Thomas D. Bookman UNCLASSIFIED June 2014

Select SLIDE MASTER to Insert Briefing Title Here 10-Jun-16 Name/Office Symbol/(703) XXX-XXX (DSN XXX) / address Briefing Outline 1.Mission and Vision 2.Our Ohana 3.Delivering World Class Healthcare 4.Our Partners UNCLASSIFIED BG Doyle/(808)

Select SLIDE MASTER to Insert Briefing Title Here 10-Jun-16 Name/Office Symbol/(703) XXX-XXX (DSN XXX) / address Our Mission and Vision 3

Select SLIDE MASTER to Insert Briefing Title Here 10-Jun-16 Name/Office Symbol/(703) XXX-XXX (DSN XXX) / address 4 Provide patient centered, outcomes based health care and drive the transformation to a System for Health for forces and families in the Pacific Regions. Educate, train and provide a ready medical force to enhance Health and save lives. Mission

Select SLIDE MASTER to Insert Briefing Title Here 10-Jun-16 Name/Office Symbol/(703) XXX-XXX (DSN XXX) / address Vision 5 Serve as the Oasis of Health and Wellness for America’s Heroes and Families in the Pacific Region.

Select SLIDE MASTER to Insert Briefing Title Here 10-Jun-16 Name/Office Symbol/(703) XXX-XXX (DSN XXX) / address 6 Pacific Ocean Atlantic Ocean Indian Ocean Russia China USA South America Australia Africa Canada Pacific Regional Medical Command Beneficiary Population Updated 2 June 2014 Eligible Population in Hawaii 156,264 Enrolled to MTF 105,697 Enrolled to MCSC 4,063 Remote Enrollees 670 Op Forces 11,738 Total Enrolled in Hawaii122,168 West Pacific MTF Population 144,200 Japan, Korea, Guam West Pacific Remote 36,716 Total TRICARE 337,180 Total Enrolled 252,452 Hawaii/Pacific Islands VA Population 127,600 Total Population 464,780

Select SLIDE MASTER to Insert Briefing Title Here 10-Jun-16 Name/Office Symbol/(703) XXX-XXX (DSN XXX) / address Personnel Strength AssignedBorrowedDeployedTotal Available Dept of Army Civilians Contract Army Officers 8270(5)802 Army Enlisted 7990(15)784 Navy Air Force 0303 Total43737(20)4340 7

Select SLIDE MASTER to Insert Briefing Title Here 10-Jun-16 Name/Office Symbol/(703) XXX-XXX (DSN XXX) / address US Army TAMC Staffing DA Civilian & Contract 8

Select SLIDE MASTER to Insert Briefing Title Here 10-Jun-16 Name/Office Symbol/(703) XXX-XXX (DSN XXX) / address ASCC Organizational Chart OPCON 1 Activated 16 October th Med Det assigned to ASCC and OPCON to 18th MEDCOM -8th FST assigned to ASCC, OPCON to 18th MEDCOM pending redeployment and relocation to USARAK 3 Specific ADCON responsibilities pending MOA Generating Force Operational Force Assigned PRVC PHC PRDC DENCOM MEDDAC-K Assigned Functional Coordination 18MEDCOM ++ ADCON OPCON TAMC TROOP COMMAND MEDDAC-J PRMC 1 2 OPT 124 FST 8 3 WTB SBHC 9

Select SLIDE MASTER to Insert Briefing Title Here 10-Jun-16 Name/Office Symbol/(703) XXX-XXX (DSN XXX) / address OUR ‘OHANA’ Become Hawaii’s Employer of Choice 10

Select SLIDE MASTER to Insert Briefing Title Here 10-Jun-16 Name/Office Symbol/(703) XXX-XXX (DSN XXX) / address 11 PRMC Personnel Breakdown

Select SLIDE MASTER to Insert Briefing Title Here 10-Jun-16 Name/Office Symbol/(703) XXX-XXX (DSN XXX) / address DELIVERING WORLD CLASS HEALTHCARE 12

Select SLIDE MASTER to Insert Briefing Title Here 10-Jun-16 Name/Office Symbol/(703) XXX-XXX (DSN XXX) / address Kaneohe Bay BHC Marine Corps Base HI Tripler Army Medical Center US Army Health Clinic Schofield Barracks Naval Health Clinic HI Makalapa BHC HQ Bldg th Medical Group Hickam AFB Coast Guard Clinic. Warrior Ohana Medical Home Clinic Oahu MTFs HAWAII (OAHU) MARKET MTFs 13

Select SLIDE MASTER to Insert Briefing Title Here 10-Jun-16 Name/Office Symbol/(703) XXX-XXX (DSN XXX) / address Staffed Bed Capacity – 194 Admissions – 46 Occupancy – 77% Beds Occupied – 165 Length of Stay – 3.7 Days Surgeries in OR – 38.2 Ambulatory Procedures – 22 Pharmacy Procedures – 4,909 Lab Procedures – 3,754 Clinic Visits – 1,955 Radiology Exams – 450 Births – 9 FUTURE DELIVERY DELIVERY TREND TREND – Apr – 227 DELIVERIES DELIVERIES Jan – 203 Feb – 209 Mar –249 A Typical Day… As of 12 Mar 2014 ** Supports over 150,000 beneficiaries for specialty care TRIPLER 14

Select SLIDE MASTER to Insert Briefing Title Here 10-Jun-16 Name/Office Symbol/(703) XXX-XXX (DSN XXX) / address 15 A Typical Day... SCHOFIELD BARRACKS HEALTH CLINIC Soldier Primary Care Visits 308 Soldier Immunizations 50 Family Primary Care Visits 165 Ob/Gyn Visits 46 Pediatrics Visits 84 Allergy/Immunizations 50 Acute Care Visits 75 Sports Medicine Visits 211 Behavioral Health Visits 284 Optometry Visits 63 Pharmacy Prescriptions 1500 Lab Procedures 1100 Radiology Procedures 80 **Supports over 36,000 beneficiaries 15

Select SLIDE MASTER to Insert Briefing Title Here 10-Jun-16 Name/Office Symbol/(703) XXX-XXX (DSN XXX) / address 16 A Typical Day… MEDDAC- JAPAN 16 Family Practice Visits 63 Physical Therapy 8 Optometry 6 Behavioral Health 9 Immunizations 14 Pharmacy Procedures 90 Lab Procedures 86 Radiology Exams 4 **Supports over 2,000 beneficiaries

Select SLIDE MASTER to Insert Briefing Title Here 10-Jun-16 Name/Office Symbol/(703) XXX-XXX (DSN XXX) / address A Typical Day… Surgeries 7 Clinic Visits 205 Inpatient Census 13 Admissions 2 Pharmacy Procedures 536 Lab Procedures 234 Radiology Exams 186 Births 2 Host Nation Partnership Hospital Visits (Outpatient) 45 (Inpatient) 16 ** Supports approximately 24,000 beneficiaries MEDDAC-KOREA 17

Select SLIDE MASTER to Insert Briefing Title Here 10-Jun-16 Name/Office Symbol/(703) XXX-XXX (DSN XXX) / address Addiction Psychiatry Anesthesia Nursing Child & Adolescent Psychiatry Clinical Psychology Diagnostic Radiology Family Medicine General Surgery Health Care Administration Internal Medicine Neonatal-Perinatal Medicine Obstetrics & Gyn OB Nursing Oral & Maxillofacial Surgery Orthopedic Surgery Otolaryngology Pediatrics Pharmacy Physician Assistant Psychiatry Transitional Year Urology  Over 250 students, residents, and fellows, and a DA Civilian are enrolled in training.  Successfully recruited and placed qualified civilian residents into 3 of our graduate medical education (GME) training programs as a part of the National Residency Match Program. Graduate Health Education 18

Select SLIDE MASTER to Insert Briefing Title Here 10-Jun-16 Name/Office Symbol/(703) XXX-XXX (DSN XXX) / address OUR PARTNERS A Healthcare Leader on the Island 19

Select SLIDE MASTER to Insert Briefing Title Here 10-Jun-16 Name/Office Symbol/(703) XXX-XXX (DSN XXX) / address DOD/VA Partnership Mature Joint Venture –Inpatient care, outpatient care, ancillary & emergency services, security, research and facility support Increasing importance in providing seamless care for Wounded Warriors Challenges –Different healthcare information systems –Different regulations, funding streams, and requirements 20

Select SLIDE MASTER to Insert Briefing Title Here 10-Jun-16 Name/Office Symbol/(703) XXX-XXX (DSN XXX) / address In The Community Quarterly meetings with UH School of Medicine, VA, and TAMC MOU with multiple local medical centers VA Nursing Academy 21

Select SLIDE MASTER to Insert Briefing Title Here 10-Jun-16 Name/Office Symbol/(703) XXX-XXX (DSN XXX) / address Slide 22 of