DRAFT | PRE-DECISIONAL - Information is presented to the best of our knowledge as of 1 March 2016 and is subject to change without notice. As of March city plan defense health it Please ensure you view this material in SLIDE SHOW MODE for all functionality and interactivity to work properly. Defense health IT city plan As of July 21.

DRAFT | PRE-DECISIONAL - Information is presented to the best of our knowledge as of 1 March 2016 and is subject to change without notice. CITY PLAN | 2016 MAIN MENU This city plan provides an understanding of the potential interface between the HIT Directorate and DHA enterprises, decomposing the relevant parts of the enterprises into functional segments This helps provides insight into how the DHA can best support its stakeholders, how capabilities and resources may be aligned to meet needs, and how organizations may interact.

DRAFT | PRE-DECISIONAL - Information is presented to the best of our knowledge as of 1 March 2016 and is subject to change without notice DOD SENIOR AND MILITARY HEALTH STAKEHOLDERS The senior, non-beneficiary stakeholders in the enterprise are those entities that provide guidance, policy, high-level requirements, and resources to the DHA HIT Directorate. The senior stakeholders are accountable to the President of the United States and Congress for the quality, efficiency and effectiveness of the MHS. Select a stakeholder above to learn more. Click on a stakeholder to learn more Next Beneficiaries Next Beneficiaries More about Stakeholders More about Stakeholders

DRAFT | PRE-DECISIONAL - Information is presented to the best of our knowledge as of 1 March 2016 and is subject to change without notice SECRETARY OF DEFENSE Serves as the principal defense policy advisor to the President of the United States, and under the direction of the President, the Secretary exercises authority, direction, and control over the DoD. DEPUTY OF SECRETARY OF DEFENSE Assists the SECDEF in carrying out authority, direction and control of the DoD in the exercise of policy development, planning, resource management, fiscal, and program evaluation responsibilities. DOD SENIOR AND MILITARY HEALTH STAKEHOLDERS Click on a stakeholder to learn more. More about Stakeholders More about Stakeholders Next Beneficiaries Next Beneficiaries

DRAFT | PRE-DECISIONAL - Information is presented to the best of our knowledge as of 1 March 2016 and is subject to change without notice UNDER SECRETARY OF DEFENSE FOR ACQUISITION, TECHNOLOGY, AND LOGISTICS Responsible for supervising DoD acquisition, including procurement of goods and services, research and development, developmental testing and contract administration. UNDER SECRETARY OF DEFENSE FOR PERSONNEL AND READINESS Serves as the principal staff assistant and advisor to the Secretary and Deputy Secretary of Defense for Total Force Management as it relates to readiness, National Guard and Reserve component affairs, health affairs, training, and personnel requirements and management, including equal opportunity, morale, welfare, recreation, and quality of life matters. DOD SENIOR AND MILITARY HEALTH STAKEHOLDERS Click on a stakeholder to learn more. More about Stakeholders More about Stakeholders Next Beneficiaries Next Beneficiaries

DRAFT | PRE-DECISIONAL - Information is presented to the best of our knowledge as of 1 March 2016 and is subject to change without notice ASSISTANT SECRETARY OF DEFENSE FOR CHIEF INFORMATION OFFICER Principal assistant and advisor to the SECDEF on information resources management. Serves as the primary authority for the policy and oversight of information resources management, to include matters related to IT and network operations; Sets overall policy and standards for DoD information infrastructure ASSISTANT SECRETARY OF DEFENSE FOR HEALTH AFFAIRS Responsible for oversight of all DoD health resources and oversight of the DHA Director. Reporting to the SECDEF, ASD-HA provides policy and guidance for the operation of the MHS DOD SENIOR AND MILITARY HEALTH STAKEHOLDERS Click on a stakeholder to learn more. More about Stakeholders More about Stakeholders Next Beneficiaries Next Beneficiaries

DRAFT | PRE-DECISIONAL - Information is presented to the best of our knowledge as of 1 March 2016 and is subject to change without notice JOINT CHIEFS OF STAFF Body of senior uniformed leaders in the United States DoD who advise the SECDEF, the National Security Council and the President of the United States on military matters. DOD SENIOR AND MILITARY HEALTH STAKEHOLDERS Click on a stakeholder to learn more. More about Stakeholders More about Stakeholders Next Beneficiaries Next Beneficiaries

DRAFT | PRE-DECISIONAL - Information is presented to the best of our knowledge as of 1 March 2016 and is subject to change without notice ARMY …to fight and win our Nation’s wars by providing prompt, sustained land dominance across the full range of military operations and spectrum of conflict in support of combatant commanders. DOD SENIOR AND MILITARY HEALTH STAKEHOLDERS Click on a stakeholder to learn more. More about Stakeholders More about Stakeholders Next Beneficiaries Next Beneficiaries

DRAFT | PRE-DECISIONAL - Information is presented to the best of our knowledge as of 1 March 2016 and is subject to change without notice NAVY …to maintain, train and equip combat-ready Naval forces capable of winning wars, deterring aggression and maintaining freedom of the seas. DOD SENIOR AND MILITARY HEALTH STAKEHOLDERS Click on a stakeholder to learn more. More about Stakeholders More about Stakeholders Next Beneficiaries Next Beneficiaries

DRAFT | PRE-DECISIONAL - Information is presented to the best of our knowledge as of 1 March 2016 and is subject to change without notice AIR FORCE …to fly, fight and win … in air, space and cyberspace DOD SENIOR AND MILITARY HEALTH STAKEHOLDERS Click on a stakeholder to learn more. More about Stakeholders More about Stakeholders Next Beneficiaries Next Beneficiaries

DRAFT | PRE-DECISIONAL - Information is presented to the best of our knowledge as of 1 March 2016 and is subject to change without notice MILITARY HEALTH SYSTEM The MHS is a global system delivering health services – anytime, anywhere – with medical readiness at the center of its mission. The MHS is led by the Office of the Assistant Secretary of Defense for Health Affairs (ASD(HA)) under the Office of the Undersecretary of Defense for Personnel and Readiness (USD(P&R)). DOD SENIOR AND MILITARY HEALTH STAKEHOLDERS Click on a stakeholder to learn more. More about Stakeholders More about Stakeholders Next Beneficiaries Next Beneficiaries Supporting the Quadruple Aim While the MHS shares goals of better health and better care with all of American medicine, the MHS stands apart with its focus on readiness. With that in mind, the MHS’ guiding strategic framework is based on it’s Quadruple Aim principles of improved readiness, better health, better care, and lower cost. Readiness remains central to everything we do and is the reason we have a Military Health System mission.

DRAFT | PRE-DECISIONAL - Information is presented to the best of our knowledge as of 1 March 2016 and is subject to change without notice DIRECTOR OF THE DEFENSE HEALTH AGENCY Responsible to the ASD-HA for DHA’s mission accomplishment and the immediate superior to the DHA HIT Directorate; The DHA, under the Director’s leadership, is responsible for managing the activities of the MHS, including the improvement of clinical and business practices, and the achievement of cost and infrastructure reductions across the MHS. DOD SENIOR AND MILITARY HEALTH STAKEHOLDERS Click on a stakeholder to learn more. More about Stakeholders More about Stakeholders Next Beneficiaries Next Beneficiaries Supporting the Quadruple Aim While the MHS shares goals of better health and better care with all of American medicine, the MHS stands apart with its focus on readiness. With that in mind, the MHS’ guiding strategic framework is based on it’s Quadruple Aim principles of improved readiness, better health, better care, and lower cost. Readiness remains central to everything we do and is the reason we have a Military Health System mission.

DRAFT | PRE-DECISIONAL - Information is presented to the best of our knowledge as of 1 March 2016 and is subject to change without notice ARMY SURGEON GENERAL Mission: Army Medicine provides responsive and reliable health services and influences Health to improve readiness, save lives, and advance wellness in support of the Force, Military families, and all those entrusted to our care. Vision: Strengthening the health of our Nation by improving the health of our Army. DOD SENIOR AND MILITARY HEALTH STAKEHOLDERS Click on a stakeholder to learn more. More about Stakeholders More about Stakeholders Next Beneficiaries Next Beneficiaries

DRAFT | PRE-DECISIONAL - Information is presented to the best of our knowledge as of 1 March 2016 and is subject to change without notice NAVY SURGEON GENERAL Mission: We enable readiness, wellness, and healthcare to Sailors, Marines, their families, and all others entrusted to us worldwide be it on land or at sea. Vision: Navy Medicine is the pinnacle of excellence - answering the call across any dynamic - from kinetic operations to global engagement. Our healthcare is patient-centered and provides best value, preserves health, and maintains readiness. Agility, professionalism, an ethos of care, and the ability to deploy to any environment or sea state are our hallmarks. DOD SENIOR AND MILITARY HEALTH STAKEHOLDERS Click on a stakeholder to learn more. More about Stakeholders More about Stakeholders Next Beneficiaries Next Beneficiaries

DRAFT | PRE-DECISIONAL - Information is presented to the best of our knowledge as of 1 March 2016 and is subject to change without notice AIR FORCE SURGEON GENERAL Mission: Enable medically fit forces, provide expeditionary medics, and improve the health of all we serve to meet our Nation’s needs. Vision: Our Supported Population is the Healthiest and Highest Performing Segment of the U.S. by DOD SENIOR AND MILITARY HEALTH STAKEHOLDERS Click on a stakeholder to learn more. Next Beneficiaries Next Beneficiaries

DRAFT | PRE-DECISIONAL - Information is presented to the best of our knowledge as of 1 March 2016 and is subject to change without notice HEART OF OUR COMMUNITY Next Divisions/Offices Next Divisions/Offices The center of our community model represents those primary persons we intend to serve: our warfighters, their authorized dependents, and retired military members. The ultimate mission of the enterprise is the delivery of care to the beneficiary, and the support of health care providers, and the information systems that they use.

DRAFT | PRE-DECISIONAL - Information is presented to the best of our knowledge as of 1 March 2016 and is subject to change without notice DHA HEALTH IT DIVISIONS AND OFFICES Long Range Technical Arch Long Range Technical Arch More about Divisions/Offices More about Divisions/Offices

DRAFT | PRE-DECISIONAL - Information is presented to the best of our knowledge as of 1 March 2016 and is subject to change without notice KEY SERVICES Analysis Service Innovation & Advanced Technology Development Service Executing Services: Pacific JITC Hui Executing Services: Pacific JITC ITEC (Capabilities) Executing Services: Pacific JITC ITEC (De-identified Instances and Systems) Executing Services: Pacific JITC ITEC (Systems) Monitoring and Compliance Service Pacific JITC Indefinite Delivery/Indefinite Quantity Service SOA (Implementation Services for DHA HIT Innovation, Research and Technology Activities Scoping, Approving and Contracting Service Strategy and Planning Service Transitioning Service IATD Innovation and Advanced Technology Development Leverage processes and procedures that support the central management and oversight of enterprise’s technology development and innovation to promote transparency, common architecture, and product adoption and speed to market. DHA HEALTH IT DIVISIONS AND OFFICES More about Divisions/Offices More about Divisions/Offices Long Range Technical Arch Long Range Technical Arch

DRAFT | PRE-DECISIONAL - Information is presented to the best of our knowledge as of 1 March 2016 and is subject to change without notice KEY SERVICES System Inventory and Defense Business Systems Certification Advisory and Consulting Service Budget Formulation Service Cost Estimating Service Governance Service Portfolio Rationalization Service HIT Congressional Inquiry and Activity Coordination HIT Audit Management Service HIT Strategic Initiatives/Performance Measures Development and Reporting Service Annual Performance Plan and Reporting Service Performance Reference Model Indicator Development and Reporting Service DHA Agency Mission Essential Task List & Measures of Effectiveness Development and Reporting Service Performance Management Service Inter-/Intra-Agency Support Agreements Management Service Process Consulting Service Process Asset Management Service Customer Relations Management Service Architecture Design Service Architecture Analysis Service Budget Execution Service PMCR Portfolio Management and Customer Relations To develop, facilitate, and oversee all aspects of HIT Portfolio Management, Architecture Services, and Customer Relations functions and activities. To provide oversight of the HIT governance process and ensure coordination and alignment with MHS governance. DHA HEALTH IT DIVISIONS AND OFFICES More about Divisions/Offices More about Divisions/Offices Long Range Technical Arch Long Range Technical Arch

DRAFT | PRE-DECISIONAL - Information is presented to the best of our knowledge as of 1 March 2016 and is subject to change without notice KEY SERVICES Asset Management Service Enterprise Software Management Service End User Device Configuration, Change Management, and Deployment Service End User Device Reporting and Advisory Service Sparing and Repair Service Standard End User Device Commodity Store Service Gateway Service System Performance Management Service Video Network Center Service Global Service Desk Service Application Hosting Service Hosting Infrastructure Service Operating System and Application Support Service Systems and Applications Management Service Directory Service Circuit Management Service Network Operations Service Enterprise Network Infrastructure Sustainment Service I&O Infrastructure and Operations To transform the DHA’s IT services into a standardized and cost-effective shared service product line that supports the improvement of clinical and business practices to enable an integrated health delivery system. DHA HEALTH IT DIVISIONS AND OFFICES More about Divisions/Offices More about Divisions/Offices Long Range Technical Arch Long Range Technical Arch

DRAFT | PRE-DECISIONAL - Information is presented to the best of our knowledge as of 1 March 2016 and is subject to change without notice KEY SERVICES Business Intelligence and Analytics Service Clinical Decision Support Service Data Acquisition Management Service Data Operations Support Service Data Governance Support Service Data Architecture Management Service Health Surveys Service Web Strategies & Collaboration Level 1: Site Owner/Self Services Web Strategies & Collaboration Level 2: Operational Services Web Strategies & Collaboration Level 3: Project Component Services Web Strategies & Collaboration Level 4: Project Enterprise Services ID Information Delivery To seamlessly deliver information to the Military Health System and internal and external partners by transforming authoritative data sources into actionable information. DHA HEALTH IT DIVISIONS AND OFFICES More about Divisions/Offices More about Divisions/Offices Long Range Technical Arch Long Range Technical Arch

DRAFT | PRE-DECISIONAL - Information is presented to the best of our knowledge as of 1 March 2016 and is subject to change without notice KEY SERVICES Authorization Support Service Incident Management/Network Security Operations (NSO) Liaison Service IT Security Assurance Service CS Cyber Security To develop, implement, and sustain a DHA Information Security and Privacy Program to ensure the confidentiality, availability, integrity, and non-repudiation of sensitive, PII, PHI, and unclassified information and information system resources. DHA HEALTH IT DIVISIONS AND OFFICES More about Divisions/Offices More about Divisions/Offices Long Range Technical Arch Long Range Technical Arch

DRAFT | PRE-DECISIONAL - Information is presented to the best of our knowledge as of 1 March 2016 and is subject to change without notice KEY SERVICES Project Management Service Integration Management Service Sustainment Management Service Acquisition Documentation Service Analysis and Evaluation Service Business Execution Service Requirements Development and Management Service Enterprise Architecture Service Information Assurance Service Systems Engineering Service Independent Verification & Validation Test Management Service Configuration Management Service Quality Assurance Service Deployment Training Service Operational & Integration Testing Service End User Training Support Service Business Process Management Service Tri-Service Workflow Service Enterprise Scheduling Service Deployment Operations Service SD Solution Delivery To support portfolio execution across systems lifecycle through project and program management activities. To enhance and optimize systems down to end user/customers in the deployment, integration, and sustainment of clinical and business information systems. DHA HEALTH IT DIVISIONS AND OFFICES Long Range Technical Arch Long Range Technical Arch

DRAFT | PRE-DECISIONAL - Information is presented to the best of our knowledge as of 1 March 2016 and is subject to change without notice ObjectivesResultsBackground LONG RANGE TECHNICAL ARCHITECTURE Today the LRTA uses analytics and strategic insight to help guide proactive and evidence-based research investments for HIT in support of achieving our future-state technical architecture. Providing data-driven insights to answer enterprise questions… …while dynamically linking clinical, technical, and financial perspectives with strategy What would it take to implement these technologies? How mature are these technologies? When would we need to invest in them? How do these new technologies align to and support MHS/HIT Strategy? What requirements/ capabilities do we still need? What beneficial technologies are emerging in the healthcare industry to address our needs? Explore the FULL Interactive LRTA Also available at the HIT SharePoint Explore the FULL Interactive LRTA Also available at the HIT SharePoint Next Summary Next Summary More about LRTA More about LRTA

DRAFT | PRE-DECISIONAL - Information is presented to the best of our knowledge as of 1 March 2016 and is subject to change without notice LONG RANGE TECHNICAL ARCHITECTURE Next Summary Next Summary More about LRTA More about LRTA ObjectivesResultsBackground The Defense Health Agency has a need to proactively plan for and execute future state architecture investments. To do so, the agency needs to: Adopt a common methodology founded in business optimization in order to arrive at future state recommendations Invest in Research and Development (R&D) initiatives which are driven by Department strategy and the need to address enterprise functional and technical gaps With that in the mind, the LRTA Strategic Plan was developed to help the agency review and address the evolving strategic needs of the DHA Health IT Directorate, to include future-state requirements, new technical architectures and associated solution sets that support identified requirements. Explore the FULL Interactive LRTA Online Explore the FULL Interactive LRTA Online

DRAFT | PRE-DECISIONAL - Information is presented to the best of our knowledge as of 1 March 2016 and is subject to change without notice ObjectivesResultsBackground LONG RANGE TECHNICAL ARCHITECTURE Next Summary Next Summary More about LRTA More about LRTA Objectives Proposes areas for future investment from a 1-3, 4-6 and 7-10 year perspectives, based on Industry best practices and analyses completed against specific DHA functional gaps and requirements Identifies functionally-driven technical solution sets Identifies technical standards and technical architecture requirements that must be followed such that enterprise technical and financial risk can be minimized and controlled with the implementation of new solution sets over time Explore the FULL Interactive LRTA Online Explore the FULL Interactive LRTA Online

DRAFT | PRE-DECISIONAL - Information is presented to the best of our knowledge as of 1 March 2016 and is subject to change without notice ObjectivesResultsBackground LONG RANGE TECHNICAL ARCHITECTURE Next Summary Next Summary More about LRTA More about LRTA The LRTA addresses the manner in which investments are made, such that technical architecture requirements and standards are adhered to, for minimal disruption and cost to the government. Specifically, the strategy serves as the end-to-end implementation roadmap for improving the state of the DHA’s current technical enterprise by identifying architectures and related solution sets from a phased perspective. Mapping Solutions to the MHS Strategy Map Explore the FULL Interactive LRTA Online Explore the FULL Interactive LRTA Online

DRAFT | PRE-DECISIONAL - Information is presented to the best of our knowledge as of 1 March 2016 and is subject to change without notice. Thank you for exploring our City Plan ! Special thanks to all those who contributed to creating this interactive knowledge repository. If you have any questions, please contact