1. Navy Performance Based Budget (PBB) Update December 2007 BUMED (M8)

2. 2 PBB History / Timeline  Mar/Apr 07: initial structure developed at HQ (M8, M3, and Clinical SMEs).  May 07: to DSG Approval and Christened “Performance Based Budget” Added Public Health metric. IMR Metric - Removed Indeterminate and Not Medically Fit measure  Jun 07: CEB Review and SG Brief  Jul 07: RCBM Approval & Regional Comptrollers  Aug 07: Briefed at Resource Management Symposium  Oct 07: Briefed at Workload Summit IMR: modified to use Indeterminate category at Regional CoS request  Nov 07: Briefed at Business Planning Course  Dec 07: Corporate reports distributed to Regions (CoS and Comptrollers). Modification to EBHC Scale being worked (standardize with Peer Group Reviews) Additional Regional CoS / Commander socialization

3. 3 PBB Methodology & Changes Changes Under Review: 1.Public Health Metric: Reviewing Regional inputs for changing measure of public health or removing it in lieu of another metric. 2.Also under review: Submissions being reviewed include  Public Health Change: PFA (BCA/PRT), Immunizations, Smoking Cessation, Obesity – M3 submission  GME/Research – NMW submission  Pharmacy – M81/Pharmacy submission  Access to Care (No Show, LWOBS, Clinic Cancel) – NMW submission  Patient Satisfaction – Regional Business Planners submission  Coding Compliance – DQMC Submission 5%10% PPS 5% BedCapIMREBHC ++++ Deployment + 5% Staffing Mitigation Public Health = From PPS Reconciliation Navy Performance Based Budget Scale Changes under review per M3 input No Changes Changed from % Not Medically Ready to % Indeterminate Changes Under Review Note: PBB calculates each individual quality metric at the Parent Level. Adjustments are based upon the “Planned” O&M budget across All BAGS and each metric may adjust up/down a maximum percentage based from the planned budget. As of Oct PPS Recon NCA $3.1M NMW ($9.2M) NME ($15.5M) Changed from FTE Available based to MEPRS GDA Based 30% other +

4. 4 Metrics Utilized 1. Evidence Based Health Care (EBHC) oAs Stated in Business Planning Guidance: Asthma, Diabetes A1c level, Diabetes A1c test, Diabetes LDL, Breast Screening. (Colorectal & Cervical Cancer shadowed only at this point). 2. Individual Medical Readiness (IMR) oBSO 18 Personnel Only. Focused on Percent “Indeterminate”. 3. Inpatient Bed Fill Rate oBased on “Active” Beds (excluding OR,ER,Basinet beds) fill rate as compared to MTF bed capacity. 4. Public Health Execution Rate oExecution Rate to Plan based upon PE 0807705. PBB Applied to CONUS Facilities Only

5. 5 PPS & PPB Status PPS & PBB Summary PBB Individual Metric Summary

6. 6 NCA Regional Report

7. 7 NME Regional Report

8. 8 NMW Regional Report

9. 9 Web Site https://NMO.med.navy.mil/PBB

10. 10 Backup Slides

11. 11 Dashboard