1. USAPHC Transition Team / 410.436.1909/8147 U.S. Army Public Health Command Transition UNCLASSIFIED 10 February 2009 MAJ Michael Desena USAPHC (Prov) Operations

2. USAPHC Transition Team / 410.436.1909/8147 U.S. Army Public Health Command Transition Background – Directed by Commander, MEDCOM as part of the overall MEDCOM Reorganization effort in July 2009 Overall Objectives: –Enhance health and wellness of Soldiers and military retirees, their Families, and DA Civilian employees –Optimize public health support to the Army –Create a single point of responsibility for public health within MEDCOM –Improve planning and use of Army public health assets across the full spectrum of installations and activities –Execute effective Veterinary Service programs across DoD Key Elements: –Select missions of the USACHPPM and VETCOM will be integrated to form the core of the Army Public Health Command (APHC) –Level I and II veterinary service missions will be realigned to the Medical Treatment Facilities to integrate Public Health at the installation level –PHC will have enterprise oversight of level I-III PM and I-II VETSVC Slide 2

3. USAPHC Transition Team / 410.436.1909/8147 Levels of Support New LevelsLevelsPreventive MedicineVeterinary Services Installation1 and 2 Clinic, MEDDAC, MEDCEN Installation PM Services Installation Services, e.g., VTFs, Food Inspection Support Regional3 and 4 RMC; CHPPM Subordinate Commands and analogous missions performed at CHPPM-HQ District Veterinary Commands, VET Lab Europe, Regional Veterinary Commands, Dog Center Europe Command5 Unique PM Missions primarily performed at CHPPM-HQ DOD Food Analysis & Diagnostic Lab, DOD Military Working Dog Center, VETCOM-HQ U.S. Army Public Health Command Transition Slide 3

4. USAPHC Transition Team / 410.436.1909/8147 Proposed COAs Status Quo Merge CHPPM Level IV-V and VETCOM Level III-V missions into a PHC Integrate all Preventive Medicine and Veterinary Capabilities throughout MEDCOM into a consolidated Public Health Command U.S. Army Public Health Command Transition Slide 4

5. USAPHC Transition Team / 410.436.1909/8147 U.S. Army Public Health Command Transition CHPPM and VETCOM Levels IV and V merge into one PHC MSC. RVCs, DVCs, and CHPPM Subordinate Commands integrate into Regional PHCs under C2 of PHC. RMC forms PH staff element. Levels I–II Vet merge with Levels I-II PM under C2 of MTF. PHC has oversight of Level I- III PM and Level I-II VETSVCS Missions PM and VETSVC funding will be fenced. CDR PHC will be the Program Element (PE) Manager. Merge CHPPM Level IV-V and VETCOM Level III-V missions into a PHC Echelons / Levels of Support Preventive Medicine: IV and V Veterinary Services: III - V MEDCOM RMCs RMC PHC RPHC Regional PHC MTF Color Legend – Level of PM and Vet Services Level I-II: Green Level III: Purple Level IV: Gold PHC / Level V: Lt Blue This slide depicts functional areas Organizational structure TBD PHC Oversight (Level I-III PM) and Level I-II VETSVCS) Monitoring/Coordinate/Collaborate PH Missions Oversight authority infers a level of monitoring needed to execute oversight. Slide 5

6. USAPHC Transition Team / 410.436.1909/8147 Advantages of Chosen COA Oversight of Level I-II PM provided by PHC supports TSG intent for single point responsibility for public health within MEDCOM. Retains existing RMC/Installation command, authority, responsibility and assets for RMC/Installation PM services. Oversight of the Level I-II VETMED by RMC supports installation DHS authorities Integrates CHPPM’s Level IV-V mission with VETCOM’s Level III-V missions. U.S. Army Public Health Command Transition Slide 6

7. USAPHC Transition Team / 410.436.1909/8147 U.S. Army Public Health Command Transition 28 Aug 09 – Formed PHC Transition Team (PHC TT) –Executive Board –Steering Committee –Core Team 1 Oct 09 – Established PHC (Provisional) 27-29 Oct 09 – Conducted Value Stream Analysis (VSA) event –Identified gaps in service and integration opportunities –Identified legacy missions “what should we stop doing?” –Developed solution approaches 8-13 Nov 09 – Conducted ERMC PHC TT Site Visit 9 Dec 09 – Held Exterior Organization Design event to develop draft COAs Activities Completed to Date Slide 7

8. USAPHC Transition Team / 410.436.1909/8147 U.S. Army Public Health Command Transition 14-18 Dec 09 – Conducted PRMC PHC TT Site Visit 15 Dec 09 – Drafted Concept Plan Outline 4-8 Jan 10 – Conducted WRMC PHC TT Site Visit 6-7 Jan 10 – Held Vertical Value Stream Map event for A3-4 Concept Plan –Developed timeline to FOC –Identified inputs, outputs, key reviews, and task collaborations 15 Jan 10 – Drafted PHC(Provisional) TDA Activities Completed to Date cont. Slide 8

9. USAPHC Transition Team / 410.436.1909/8147 U.S. Army Public Health Command Transition MilestoneDue DateStatus Attain PHC Provisional Status1 Oct 09Completed Exterior Organizational Design20 Jan 10Completed Concept Plan28 Feb 10In Progress Mission Analysis1 May 10In Progress Interior Organizational Design17 May 10Planned Implementation Plan (OPORD)15 Aug 10Planned Achieve PHC Initial Operational Capability1 Oct 10Planned Administrative Control Plan1 Oct 11Planned Achieve PHC Full Operational Capability1 Oct 11Planned PHC Transition Major Milestones Completed on-time and achieved desired outcome On-track to be completed on-time and achievement of desired outcome Off-track; in jeopardy of not being completed on-time Desired outcome may not be achieved Task is overdue Desired outcome was not achieved Slide 9

10. USAPHC Transition Team / 410.436.1909/8147 Questions Slide 10