“Medically Ready Force…Ready Medical Force” 1

DHA Vision “A joint, integrated, premier system of health, supporting those who serve in the defense of our country.” “Medically Ready Force…Ready Medical Force” 2

3 #IssuePotential Impact Current Risk Mitigation Activities Request to Leadership Leadership Action Due Date High Risk Moderate Risk 4

MHS Objectives Promote more effective and efficient health operations through enhanced enterprise-wide shared services Deliver more comprehensive primary care and integrated health services using advanced patient-centered medical homes Coordinate care over time and across treatment settings to improve outcomes in the management of chronic illness, particularly for patients with complex medical and social problems Match personnel, infrastructure, and funding to current missions, future missions, and population demand Establish more inter-service standards/metrics, and standard process to promote learning and continuous improvement Create enhanced value in military medical markets using an integrated approach in 5-year business plans Align incentives with health and readiness outcomes to reward value creation Improve the health of the population by addressing determinants of health “Medically Ready Force…Ready Medical Force” 4

Some Common Slides that are used. The following might be useful / commonly used in DHA-FD briefings. “Medically Ready Force…Ready Medical Force” 5

Portfolio ManagementRequirements PlanningDesign, Construction, and Activation Facility Operations DHA Services MILCON requirements planning RM req. planning Design and construction on-site oversight for ROB & WRNMMC Owner/User role on design and construction Execute IO&T Operate facilities Identify/execute operations & maint. programs and projects Participate in developing standards and tracking metrics Maintain / analyze data Shape demand signal Identify gaps Develop standards and standardized process; track metrics MHS Facilities Budget / POM authority Keep accurate inventory data Provide facilities demand signal for capital investment Design and construction for RM Coordinate contracts, research, training RM Coordination Program management for sustainment, RM, DMLSS, and asset performance Program Management for MILCON Provide scope/cost direction and funding to Agents IO&T coordination MILCON Design Review MILCON Prioritization Process (CIDM) Facilities Shared Service Functional Roles & Initiatives 6 “Medically Ready Force...Ready Medical Force” Establish Asset VisibilityOptimize Capital Allocation Enhance Design, Construction & Activation Processes Reduce Cost of Operations & Maintenance Strategic Initiatives

Vision Leaders providing integrated world-class Health Facility Life-Cycle Management (FLCM) for the Department of Defense (DoD) 7 “Medically Ready Force...Ready Medical Force” Facilities Shared Service Mission, Vision, Goals, Value Proposition Goals  Right Facilities – Plan, develop and operate appropriate and fiscally responsible infrastructure to meet MHS readiness and mission requirements.  Right Quality – Assure world-class standards are developed and applied to provide a safe, reliable, timely, responsive, and efficient MHS environment of care.  Right Resourcing – Balance requirements and resources to optimize (cost and time) MHS investment in facility life cycle capital management, operations and Shared Services infrastructure. Value Proposition Creating a world-class environment of care, operated by Ready Medics to ensure a Medically Ready Force, by balancing requirements and resources to optimize MHS facility infrastructure and lifecycle management Mission Plan, program, acquire, and operate MHS infrastructure that is safe, reliable, responsive, and efficient

State of the Inventory (2015 Status) $34.7B Facility portfolio totaling 67M square feet supporting the MHS Inventory by Type of MTF 55 Hospitals 377 Medical Clinics 251 Dental Clinics 253 Vet Clinics Source: DMIS IDs % of Portfolio (PRV) is Rated below target condition (FCI=90 or above) $4.6B condition related requirements Requires $2.4B to Restore to Minimal Targeted FCI Floors 8 “Medically Ready Force...Ready Medical Force” You can find current state of the inventory slides at: You can find current state of the inventory slides at:

∎ Bono’s Goals 5-Nov-15 "Medically Ready Force...Ready Medical Force" 9

∎ Bono’s Goals 5-Nov-15 "Medically Ready Force...Ready Medical Force" 10

∎ Bono’s Goals 5-Nov-15 "Medically Ready Force...Ready Medical Force" 11

Coming Together is a Beginning, Keeping Together is Progress, Working Together is Success Henry Ford Great People Are Counting On Us 12 “Medically Ready Force...Ready Medical Force”