1. 1 MHS Requirements Process Gary Corrick TMA/Information Management

2. 2 Overview TMA Chain of Command IM Requirements Development Process Requirements Process in Relation to MHS Funding of IM/IT Projects JESWG Role in the Requirements Process

3. 3 TMA Chain of Command

4. 4 Acting Deputy Director, TMA Dr. Tornberg Acting Chief Medical Officer CAPT Buss Chief Financial Officer Mr. Kokulis Chief Information Officer Mr. Hendricks Chief Deployment Health Support Ms. Embrey General Counsel Director, TMA Dr. Winkenwerder Senior Enlisted Advisor Organizational Structure TRICARE Management Activity Chief Health Plan Operations Mr. Richards Chief of Staff Col Wolak Program Integration Director DoD/VA Program Coordination Office TRO North TRO South TAO Overseas TRO West Dir, Internal Operations Ms. Kaminska

5. 5 Office of Chief of Deployment Health Support Director, Deployment Health Outreach Director, CBRN Assessments Director, Force Health Readiness Director, Deployment Systems & Records Ms. Ellen P. Embrey Director Dr. Michael Kilpatrick Deputy Director Ms. Ellen P. Embrey Director Dr. Michael Kilpatrick Deputy Director Medical Readiness Staff Officers Director, Force Health Protection and Medical Care Deployment Health Support Office Director, Medical Public Health

6. 6 Office of Chief Information Officer Joint Medical Information Systems Office Mr. Carl Hendricks Chief Information Officer/Director, Information Management, Technology, & Reengineering Mr. Carl Hendricks Chief Information Officer/Director, Information Management, Technology, & Reengineering Information Management (COL Bart Harmon) Mr. Robert Foster MHS PEO Other IMT&R Offices CITPO EI/DS RITPO (Mr. Mike Snyder (Acting)) TMIP (LTC (P) Claude Hines) Population Health (CDW, Med Surv, EH, IH, OH) (CAPT Laurie Balagurchik) Medical Readiness (LTC Dave Parramore) Other Information Managers

7. 7 IM Requirements Process

8. 8 IM RDP

9. 9 IM RDP Phase 1 IM Conducts a Preliminary Assessment of issue submissions –IM/IT issues provided to IM –Submission Review Work Group (SRWG) reviews and assigns to an Info Manager

10. 10 IM RDP Phase 2 Development of Functional Requirements –Info Managers research IM/IT issues –Develop initial requirements –Prepare and validate requirements documents –Pass requirements to JMISO for cost and schedule estimates

11. 11 IM RDP Phase 3 Portfolio Development (POM) –Initiate Investment Portfolio development –Prioritize requirements and approve investment portfolio (MHS POM Development Process)

12. 12 IM RDP Phase 4 Refine Requirements –Refine functional requirements and develop user Concepts of Operations (CONOPS) –Prepare Request for Implementation Package

13. 13 IM RDP Phase 5 Implementation of Solution –Build, test, deploy and support IT solution

14. 14 New Requirements Priorities New Requirements that are prioritized “High”, are forwarded directly to JMISO for possible “year of execution” funding and development. If no funding is a available, they are designated “UFRs” but placed at the top of the list of possible end of year funding.

15. 15 MHS Funding of IM/IT Projects

16. 16 IT Sustainment Review Process MHS Central IM/IT Program Investment Portfolio Development Process Service CIO / TMA Review Army Navy Air Force TMA Resource Management Steering Committee Review Army Navy Air Force TMA HA Functional Integration Work Group (HA, Army, Navy, Air Force, TMA, JS Functional Experts) CIOs/ Resource Managers Unified Review (O-6/GS-15) Review and Endorse Requirements and Recommend Portfolio MHS IM/IT Integrated Investment Portfolio Integrate and Prioritize Requirements MHS Information Management Proponent Committee (O-8/SES) Ensure Alignment With Strategic Objectives and Approve Portfolio Acquire/Field/Maintain Capabilities TMA Navy Army Air Force TMA Navy Army Air Force JS HA MHS Strategic Priorities n Scoring Criteria (Value/Risk) n Readiness n Life Cycle Mgmt nFed/DoD Regs nProgram Continuity nReturn on Investment MHS IM/IT Integrated Investment Portfolio MHS IM/IT Investment Portfolio MHS Optimization Pop Health Improvement Force Health Protection Military Medical Readiness Doctrine Service IM Requirements MHS Enterprise Architecture Joint Medical Information Systems Program Executive Office Program Objective Memorandum—Budget Estimate Submission—President’s Budget—Annual Execution HA

17. 17 MHS Portfolio Review Organizations Functional Integration Work Group (FIWG) –Action Officer work group chaired by IM and staffed by Service, Joint Staff, HA, and TMA representatives –Evaluate and prioritize functional requirements

18. 18 MHS Portfolio Review Organizations IT Program Review Board (IT PRB) –An O-6 Sub-Committee of the MHS IMPC that is chaired by the MHS CIO and staffed by the Service CIOs, Joint Staff, PA&E, and PEO –Review execution of MHS IM/IT programs –Develop and recommend investment strategies/plans –Ensure effective management of assets in the IM/IT Investment Portfolio –Review prioritization of requirements

19. 19 MHS Portfolio Review Organizations Resource Management Steering Committee (RMSC) –A TMA executive-level committee that is chaired by the PD(HB&P) and staffed by Service Financial Management representatives –Validate recommended prioritization in preparation for IMPC approval –Review proposed IM/IT Investment Portfolio after functional and technical reviews –Review and recommend solutions to address DHP resource management issues

20. 20 MHS Portfolio Review Organizations Information Management Proponent Committee (IMPC) –An MHS senior executive-level committee that is chaired by the MHS CIO and staffed by DASD(C&PP), DASD(HB&FP), DASD(FHP&R, the Service Deputy Surgeons, and the Joint Staff J-4 –Define and approve the MHS IM/IT Investment Portfolio –Oversee IM/IT programs, policies, standards, and associated business process change initiatives

21. 21 Requirements Description Sheet (RDS) Each major funding capability is documented on a RDS Here is a summary of RDS contents: –Ownership (e.g., IM Lead, Functional Sponsor, Program Office Lead) –Functional Requirements (high level requirements) –Strategic Alignment (map to specific MHS Strategic Plan goals and objectives –Regulatory Drivers

22. 22 Requirements Description Sheet (RDS) RDS Contents (Continued) –Benefits –Operational Impacts –Dependencies –Project Life Cycle –POM Funding Profile –Operational Architecture Views

23. 23 FIWG Prioritizes the RDS’

24. 24 FIWG Scoring Rules Value (each item is scored 0-10) –Strategic Alignment/Mission Effectiveness (weight = 2) The extent to which an IM/IT solution supports the MHS Strategic Plan The extent to which an IM/IT solution supports the IM/IT Strategic Plan –Competitive Response (weight = 1): Failure to provide the solution will have a negative impact on the organization

25. 25 FIWG Scoring Rules Value (Continued) –Competitive Advantage (weight = 1): IM/IT solution provides a unique advantage to supporting war fighters or DoD –Investment Potential (weight = 1): Amount of cost savings –Customer Perception (weight = 2): The extent to which customer satisfaction is established.

26. 26 FIWG Scoring Rules Risk (scored -5 to 5) –Organizational Risk (weight = 2): Extent of risk to the DoD Organization –Cost and Schedule Risk (weight = 2) –Operational Uncertainty (weight = 2): Hardware dependencies, software dependencies, and training requirements –Infrastructure Risk (weight = 1) –Definitional Uncertainty (weight = 1): Degree of uncertainty placed in the confidence of the requirements

27. 27 FY08 Full Year POM Review Schedule Event 2006 JUNJULAUGSEPOCTNOVDECJANFEBMARAPRMAY IM (Portfolio Development - Reqs and Op Arch)1 JUN - 31 AUG IM/IT Portfolio Management Review IT (Portfolio Costing) Independent EA and ROI JMISO Internal Baseline Sustainment Scrub 14-18 NOV Sustainment Review Work Group meeting 12-16 DEC JMISO Capability Cost Reviews and Corrections 16 JAN – 3 FEB FIWG (Portfolio Functional & Technical Review) 20 FEB – 3 MAR FIWG POM Capability Recommendations 6-17 MAR Brief to PRB Brief to RMSC Brief to IMPC 26 OCT – 7 NOV 8 NOV – 6 JAN 20 MAR – 5 APR 6-14 21 OCT – 16 FEB 17 - 25

28. 28 JESWG Role in the Requirements Process

29. 29 JESWG Role Develop high level requirements for the RDS Once funding is approved, develop the detailed requirements and CONOPS

30. 30 EH High Level Requirements for FY08 POM (RDS 11, Population Health) 1.The system shall capture all data to manage, document and report environmental health surveillance activities and exposures. 2.The system shall capture all data required to manage; document and report all preventive medicine surveys conducted during military deployments and allow pertinent data to be transferred automatically between surveys. 3.The system shall capture a chronological log of critical and one-time/transient incidents/events. 4.The system shall allow data to be shared across DOEHRS and other TMA /TMIP systems, provide graphical representation of data in DOEHRS and display in a GIS format according to corresponding layers.

31. 31 Backup Slides

32. 32 Information Management Organization Chart Director, Information Management Associate CIO for Clinical Informatics, Military Health System (COL Bart Harmon) Deputy Director & Chief, E-Health Requirements & Operational Architecture Chief, Eligibility, Enrollment & TRICARE Programs Chief Medical Information Officer Deputy Director, Operations Information Manager, Access to Care (Dental & Media) (COL Alan Smith) Information Manager, Blood (Laboratory) (LTC Linda Guthrie) Information Manager, Provision of Care (CHCS I, CHCS II/-T) (Maj Christen Burkeen) Information Manager, Population Health (CDW, Med Surv, EH, IH, OH) (CAPT Laurie Balagurchik) Information Manager, Medical Readiness (LTC Dave Parramore) Information Manager, Interagency Initiatives (Mr. John Hartigan)

33. 33 JMISO Organization Chart MHS PEO (MR. Bob Foster) JMISO CITPO EI/DS RITPO (Mr. Mike Snyder (Acting)) TMIP (LTC (P) Claude Hines)

34. 34 RDS View

35. 35 FIWG Process Improvements

36. 36 Economic Analysis for Each RDS

37. 37 Refined FIWG Analysis