The Army is Changing Transform Personnel Management Engage the Army Community Provide Personnel Services Support Provide responsive Personnel Services and Programs to Soldiers and their families (Awards, Casualty Records, Boards, etc…) Actively integrate, shape and communicate to the Army HR events, policies and programs Man the Force HRC LINES OF EFFORT Adapt Processes to acquire, develop and Retain the Best Qualified Soldiers and respectfully transition quality Soldiers to civilian life Man the Army & Preserve the All- Volunteer Force; optimize readiness; increase precision and develop the force OBJECTIVES The Army: BCT Restructure; Rebasing; Enabler Reduction Force Shaping & Precision Drawdown Emphasis on Leader Development (Training, Education, Experience)

MHS Modernization Study A study to improve the efficiency and effectiveness of the MHS MEDCOM Analysis Ongoing MEDCOM’s Previous Decisions and TMA’s Next Ten Gold 4 Recommendations Portfolio Reviews Began with the ‘Small Hospital Study’ now reviewing the Next Ten (in Gold). Cups & Chips Cups = Markets Chips = Mil Prov. Auths. Goal: Fill fewest Cups with required Mil Providers considering Productivity & Market Share Ft. Stewart Ft. Benning Ft. Gordon Puget Sound eMSM SATX eMSM Bragg MSM Ft. Hood Co. Springs eMSM Hawaii eMSM Ft. Campbell Ft. Bliss Ft. Riley Ft. Sill Ft. Leonard Wood Maintain Inpatient Maintain some but not all Inpatient Determined by Portfolio Review (see above) Two concurrent approaches to be considered in the final Study recommendation

Empanelment: Tri-Service Standard Balance projected access with measured patient demand Acuity based empanelment (BENCAT distribution  equivalent lives) Standardized FTE adjustments Enablers: Secure Messaging Nurse Advice Line Huddle Dashboard Team Based Workflow  Projected access = projected face-to-face (FTF) and virtual encounters  Measured demand = FTF primary care visits, ER overflow, and network leakage

Slide 4 of 25 The Environment: Cyclical Climate Change

"God and the Soldier, all men adore In time of danger and not before. When the danger is passed and all things righted, God is forgotten, and the Soldier slighted."