1. Deputy Assistant Director, Information Operations (DAD IO/J-6)
Health Information Technology
8 November 2018
Ensuring the right information is accessible to the right customers at the right time and in the right way

2. Deputy Assistant Director, Information Operations Speaker Introduction
COL Rich Wilson
Deputy Assistant Director, Information Operations (DAD IO/J-6)
Chief, Solution Delivery Division
COL Rich Wilson serves as the Division Chief for the Solution Delivery Division (SDD). SDD is responsible for the portfolio of enterprise applications, data solutions and clinical training and integration activities. He is a clinical informaticist with 24+ years of military service and was recently named as one of Computerworld's Premier 100 Technology Leaders. 2

3. DAD IO/J6 Focus
DAD IO/J6 Focus

4. Deputy Assistant Director, Information Operations Directorate-at-a-Glance
Vision: A premier system of health information technology, enabling integrated health care delivery for those who serve in the defense of our country, retirees, and their families
Transitional Intermediate Management Organization
Administers/Supports transitioning MTFs
Architecture, Advanced Concepts & Engineering
Engineers, designs, and supports the deployment of all MHS operational platform IT services, and underpinning technologies required by users and administrators in two major functions - Application Engineering and Platforms & Infrastructure
Evaluates, scopes, and tests emerging IT-enabled health technologies
Solution Delivery
Clinical & Business solutions snapshot:
AHLTA – Outpatient EHR
Essentris® – Inpatient EHR
CHCS – appointing and ancillary
TOL Patient Portal
HAIMS – artifacts and imagery
EBMS – blood product management
DMHRSi – medical human resources
DMLSS – medical logistics
ESSENCE – syndromic medical surveillance
JCCQAS – credentialing
PSR – patient safety
Provides web and mobile solutions
Data and analytics solutions
Cyber Security
Defends and secures the network
Oversees accreditation and compliance plans at all stages of the IT lifecycle
Infrastructure & Operations
Sustains the wide area network backbone providing connectivity across the MHS organization
Installs and maintains network protection suites
Portfolio & Resource Management
Supports planning, programming, budgeting, financial execution and contract tracking 4

5. Deputy Assistant Director, Information Operations DHA Strategy Integration
DHA Strategy Map
DAD IO Assessment
We are an organization in transition … and we have a lot more to do …
We have to get better at the basics: Personnel, financial, and contract management We must manage risk to ensure the safety of our patients and effectiveness of each dollar spent
DAD IO Priorities
Get better at the basics … we must become “cost warriors”
Anticipate and respond to customer priorities
Desktop To Datacenter (D2D) / Med-COI
Support to MHS GENESIS
Formalize Missions, Functions, Organization, and processes to better enable “702”
IT Reform
Implement a Cyber Operations Center
Make Risk Management Framework (RMF) more “counsel than judgement”
Master data management 5

6. Environmental Context
MHS IT Reform
NDAA
Modernization
NATIONAL DEFENSE AUTHORIZATION ACT 2017
Congress mandates the DHA assume Management and Administration of Military Treatment Facilities (MTFs)
HAPPENING NOW
Procedural Instructions related to obtaining and sustaining DHA Enterprise IT Core Services are being developed (and will continue to be) for distribution
SINCE 1 OCTOBER 2018
MTFs and Defense Health Units will obtain DHA Enterprise Core IT Services (e.g., Global Service Center, Active Directory Services, Enterprise )
SUSTAIN A MODEL IN 2019
Adherence to an operating model that builds better partnerships with local staffs and commanders to enable “act local, think Enterprise-wide” 6

7. Deputy Assistant Director, Information Operations Health IT Reform
Reform Objective
Optimize IT costs by reducing duplicative IT services and systems, reducing the IT manpower footprint across the Military Health System (MHS) enterprise, standardizing IT business processes and workflows to maintain and enhance quality of patient care
Six Core Functions
Systems: Provide and sustain assigned enterprise systems being used across the MHS
Network: Provide and sustain the medical enterprise network upon which all the systems communicate (“Medical Community Of Interest” or Med-COI)
Budget & Portfolio Management: Portfolio management of assigned systems
Cyber: Defend and secure the network
Innovation / Reform: Design and implement solutions leading to efficiencies to enable cost reductions of IT manpower, infrastructure, and applications
Customer Support: Provide enterprise help desk in support of the systems and network
Downrange
Three lines of effort will reduce duplicative IT services and systems, reduce the IT manpower footprint, effectively manage risk, and standardize IT business processes and workflows
Central Services
Regional Services
Military Treatment and Other Facilities 7

8. Deputy Assistant Director, Information Operations Centralized Services
As NDAA 2017 takes shape, the DAD IO / J6, with Services and MTFs’ facilitation, will be at the center of several concurrent activities including:
Cloud Adoption
EHR Modernization (MHS GENESIS)
Data Consolidation
Helpdesk Restructuring
Desktop to Datacenter (D2D) Rebaseline
D2D Core Capabilities
Implementation Strategy
These activities are meant to:
Reduce duplicative IT services and systems
Reduce the IT manpower footprint
Standardize IT business processes and workflows
Assuage some of the impacts of MHS IT Reform 8

9. Deputy Assistant Director, Information Operations Regional Services9

10. Deputy Assistant Director, Information Operations Military Treatment and Other Facilities
An extensible manning framework for Medical Centers, large, medium and small medical facilities will utilize standard missions, functions, and organization and incorporate enterprise plans for modernization (D2D, Med-COI, MHS GENESIS, etc.)
Common to all … 10

11. Solution Sets: Today & Tomorrow

12. Solution Delivery Division (SDD) Overview
Mission: To deliver IT solutions to the Military Health System through expert acquisition program management, process reengineering, information translation and sharing, training and integration activities in order to support and advance the delivery of health care to our patients.
Program Offices (6)
Enterprise applications (73)
Business Solutions
DMHRSi – medical human resources
DMLSS – medical logistics
ESSENCE – syndromic medical surveillance
JCCQAS – credentialing
iMEDCONSENT – patient consent
S3 – surgical scheduling
PSR – patient safety
EIRB – research support
CCE – medical coding assistance
Clinical Solutions
AHLTA – Outpatient EHR
Essentris® – Inpatient EHR
CHCS – appointing and ancillary
TOL Patient Portal
EHR Sustainment – Transition to new modernized EHR
HAIMS – artifacts and imagery
EBMS – blood product management
PASTOR – pain management
Data & Analytics Solutions
CarePoint– information portal
HSDW – health services data warehouse
MDR – MHS Data Repository
Registries – patient cohorts
Data science tools and services
Web & Mobile Solutions
Enterprise Collaboration – SharePoint
Websites - Health.mil, tricare.mil, armymedicine.com, etc.
Mobile Apps – Breathe2Relax, Opioid Safety, Navy Leader’s Guide, etc.
Integrators
Clinical Informatics & Training
Stakeholder engagement
Acquisition support
Solution Architects

13. Solution Delivery Division Generating Value: Rationalization
Rationalization = Modernization + Consolidation + Efficiencies + Requirement Reductions
Not all IT in J-6
Requirements ↑ / Budget ↓
MHS GENESIS Schedule Considerations
↑ Systems Required Post-MHS GENESIS
Rationalization Requires Investment
RATIONALIZATION =
KEY POINTS

14. Solution Delivery Division Modernization Initiatives [4]1
Modernization 96
High
Decommissioning 2
Consolidation
“MHS Information Portal” Current State plus Legacy Data Repository (LDR)
and HealtheIntent 3
Rationalization
Decommission
111
LPNI
Rationalization
Hosting Consol.
Cloud Assessment
Sustain 34
LPI
Cloud 4
Cloud
Assessments
2017
2018
2019
2020
2021
2022
2023
ENABLERS: Tool Consolidation, Contracting, LDR, & Investment
RISKS: Dependent Projects & Schedules, Governance & Funding

15. Solution Delivery Division Capacity Services Model
Effort launched in 2014 to migrate 16 systems from customer-owned hardware to the DISA Capacity Services environment. 15

16. Solution Delivery Division Managed Services Model
MHS is moving to the cloud, with resources that enable the organization to deliver everything from simple cloud-based apps to sophisticated, cloud-enabled enterprise applications.
MANAGED SERVICES TIMELINE
Authorized Use Only

17. Solution Delivery Division Data Modernization
MHS Information Platform
Data Use
MHS GENESIS
Millennium
Rhapsody
HealtheIntent*
Dentrix
HIE
HL7 Feed
ACS DAL
Social Determinant Data
Wearables Data
Application
Data
Warehouse
Bio-Medical Data
* Legacy System Interfaces will be removed; Legacy Data will be ingested
Potential Warehouse Examples: Army Analytics Group (AAG), Financial Data etc…
Potential Application Examples: DHMRSi, Essence etc…
* EIDS provides Population Health tools and Corporate Measures/Metrics for MTF management; GOAL: Provide these from HealtheIntent at FOC or before depending on maturity of tool CONSIDERATIONS: User provisioning, training, data ingest, analytics tool availability
Consolidation through Master Data Management of warehouses (e.g. HSDW, MDR, DMSS, etc)

18. Solution Delivery Division Data to Information
Visualization | Logic & Tools | Data

19. Solution Delivery Division Legacy Data Repository
The Legacy Data Repository (LDR) solution will assume data and capability management for legacy Clinical and Business data for systems as they are decommissioned. As the LDR assumes Legacy data, it must be retained within a flexible, scalable, and cost effective platform, but must also maintain the discipline of existing MHS data governance , management standards and regulatory requirements. 19

20. Solution Delivery Division Generating Value
Record Users
↓Time to market
Highest Availability
Unprecedented Data & Analytics UX
Agile
DevOps
Managed Services
Talent Management

21. Questions/Discussion