1. 1 Military Health System Information Management Nancy.Orvis@tma.osd.mil Chief, Health Data Management Program & Operational Architecture Development Information Management Office of the Chief Information Officer Assistant Secretary of Defense (Health Affairs)

2. 2 MHS Central IM/IT Program Portfolio Development Organization Theater Medical Program Office Senior Military Medical Advisory Council ASD, SGs, DASDs, JS MHS Integrated Portfolio Management Board (GS-15/06) Army, Navy, Air Force, HA, JS, MHS CIO/CAM&O Director, Information Management MHS Portfolio Management Oversight Committee (PMOC) (O-8/SES) Dep. SGs,, JS Surgeon HA DASDs, MHS CIO Functional Integration Work Group (05-06/GS-15) Army, Navy, Air Force, JS, HA, TMA Information Management Information Technology n Set strategic direction n Approve POM/BES/PresBud n Approve IT Capital Investment Plan n Ensure alignment with strategic objectives n Oversee IM/IT Program n Definitize functional requirements n Serve as liaison between Functional and Technical communities n Manage Tri-Service Functional IPTs n Manage the MHS functional requirements repository n Manage the MHS IT Capital Investment Process n Manage technical design, acquisition, testing, fielding, and sustainment in accordance with approved IT program funding and schedule n Oversee IT programs— funding, schedule, deliverables n Evaluate and integrate functional requirements n Recommend a prioritized IT Investment Portfolio to the IMPC n Manage the execution of Tri-Service IT Acquisition programs IAW DoD Regulations Chief Information Officer, Military Health System Chief Enterprise Architect Medical Readiness Access to Care Provision of Care Population Health Improvement Manage the Business Clinical Program Office Medical Logistics Program Office Resources Management Program Office Executive Information/ Decision Support Program Office Tri-Service Infrastructure Program Office Program Executive Officer, Joint Medical Information Systems Office

3. 3 Strategic Planning Mission Vision Goals, Objectives, and Strategies Business Process Information Management Requirements Detailed Functional Requirements Information Technology Solutions

4. 4 Health Functional Proponent “Assigned primary responsibility for the business process supported by a given information system or initiative.”

5. 5 The Military Health Information Management Begins With Senior Leadership and Functional owners defining the core business processes Serves as a blueprint to improve, reengineer, and integrate Health Care best business practices –Military Health Business Processes –Systems Supporting Business Processes –Rules and Standards Governing eBusiness Systems and Operations Represents essential building blocks of the business in accordance with business requirements, processes, information exchanges, and data.

6. 6 …provide combat health support …focus on the individual service member …ensure sophisticated medical treatment forward in the theater supported with a rapid evacuation system …ensure a healthy force prior to deployment Information Management Provides a Framework …that details Military Health business processes and requirements…to…

7. 7 Military Health Information Management Components  Access to Care  Provision of Health Services  Population Health Management  Manage the Business ▪ Defense Medical Logistics Standard Support ▪ Composite Health Care System II ▪ Resource/Manpower Allocation Systems ▪ Executive Information/Decision Support ▪ Theater Medical Information Program Military Health Business Processes Systems Supporting Business Processes Rules and Standards Governing eBusiness Systems and Operations ▪ DoD Joint Technical Architecture ▪ Information Assurance Standards ▪ Guidance and Common Patterns ▪ ANSI ASC X12N and Health Level 7

8. 8 Military Health System Information Management

9. 9 FY04 FY05 Total IM/IT Program (Central & Service Other) Investment and Sustainment FY04/05 DHP Central & Service Other IM/IT Programs $983.763M DHP Central & Service Other IM/IT Programs $1,024.241M * FY04 PresBud - includes MILPERS Sustainment (O&M) $734.882M 74.70% Investment (PROC) $188.085M 19.12% Investment (RDT&E) $60.796M 6.18% Total DHP $22,264M* Total Program4.42% (All Apps.) Investment1.12% (RDT&E/PROC) Sustainment (O&M) $795.271M 77.65% Investment (PROC) $164.399M 16.05% Investment (RDT&E) $64.571M 6.30% Total DHP $23,686M* Total Program4.32% (All Apps.) Investment0.97% (RDT&E/PROC)

10. 10 Total IM/IT Program (Central & Service Other) Distribution by Program Area/Service FY04 -- $983.763M EI/DS $29.579M 3.01% Logistics $35.843M 3.64% Resources $77.777M 7.91% Theater $25.986M 2.64% Other $9.945M 1.01% Clinical $243.823M 24.78% Infrastructure $157.297M 15.99% FY05 -- $1,024.241M EI/DS $33.881M 3.31% Logistics $32.087M 3.13% Resources $59.716M 5.83% Theater $44.624M 4.36% Clinical $261.984M 25.58% Infrastructure $168.507M 16.45% Other $9.925M 0.97% Army $154.672M 15.72% Navy $114.703M 11.66% Air Force $111.533M 11.34% Army $157.587M 15.39% Navy $117.141M 11.44% Air Force $112.183M 10.95% TRAC2ES $6.494M 0.66% FHIE $5.219M 0.53% Information Mgmt. $10.892M 1.11% TRAC2ES $10.506M 1.02% FHIE $5.202M 0.51% Information Mgmt. $10.898M 1.06%

11. 11 Build a Better Financial and Military Health System