Health Information Technology - Supporting Joint Readiness

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Health Information Technology - Supporting Joint Readiness Session # 104, March 7, 2018 Mr. T. Pat Flanders, DADIO/J-6, CIO Kevin P. Seeley, Deputy CIO, Colonel, USAF, MSC 1

Speaker Introduction Pat Flanders Deputy Assistant Director Information Operations (DADIO) and Chief Information Officer (CIO) Defense Health Agency (DHA) Mr. Flanders provides leadership for the continued development of an affordable, innovative, robust, and secure information technology environment in support of the Military Health System (MHS). Mr. Flanders is a computer scientist and Department of Defense (DoD) certified acquisition professional with 29 years of system automation, personnel, finance, and logistics experience. 2

Speaker Introduction Kevin P. Seeley, Colonel, USAF, MSC Deputy CIO (DADIO & J-6) DHA Leads the J-6 Combat Support Directorate responsible for cybersecurity, emerging technologies, data and infrastructure standardization, functional integration, health informatics, clinical/business applications to operate and maintain the Military Health System (MHS) mission for 699 Military Treatment Facilities (MTFs) worldwide. Colonel Seeley holds a Health Executive Leader certificate from the University of California, San Diego, is a member of the American College of Health Executives (ACHE), and is a Certified Professional with the Health Information & Management Systems Society (HIMSS). 3

Conflict of Interest Mr. T. Pat Flanders and Colonel Kevin Seeley have no real or apparent conflicts of interest to report. 4

Agenda DADIO/J-6 Organizational Overview Shift to Standardized Services Cybersecurity Everyone s Business Summary/Questions 5

Learning Objectives Describe the important changes, direction, and benefits of the DHAIO/J-6 services Discuss how DADIO/J-6 ensures the right information is accessible to the right customers at the right time and in the right way Explain how DADIO/J-6 is facilitating partnerships amongst the Services, DHA, and Combatant Commands via the implementation and sustainment of an integrated and protected health IT environment 6

Organizational Overview 7

DADIO/ J-6 Our Mission Implement, manage, and sustain an integrated and protected medical information enterprise to ensure the right information is accessible to the right customer at the right time and in the right way Our Vision A premier system of health IT, enabling integrated healthcare delivery for those who service in the defense of our country Standardizing and Optimizing IT as an Enterprise Support Activity The DADIO Shared Services model organizes support and functions to optimize delivery of reliable, flexible, and cost effective services to customers 8

Goals and Approaches Deliver Trusted IT Services Maintain accountability to Services Requirements Communicate effectively and transparently with all Stakeholders Increase awareness of DADIO s value Invest in our People Reward excellence and innovation Build skills and expertise Empower people to make decisions Foster inclusion and diversity Optimize IT Operations Standardize IT processes and service offerings Enable joint readiness across the MHS Collaborate on all projects 9

As-Is: Fragmented IT Urban Sprawl

Managing the Full-Spectrum Internet of Things (IoT) in Healthcare

Shifting to Standardized Services 12

Portfolio Rationalization & Reform Model MHS GENESIS Strategic Integration: Standardize/Consolidate

Desktop-to-Datacenter (D2D)

Reduce Variance One Joint Health IT System One Network identity & enterprise management, active directory One Electronic Health Record (EHR) new single integrated EHR platform One Email everyone on same email system One Datacenter single datacenter hosting strategy One Desktop standard secure baseline configuration/image One Entry Point for Service unified help desk capability One End user device (EUD) Refresh Service desktop, laptop One AV/Comm single AV/communications strategy One e-learning single shared e-learning platform One analytics platform common clinical and business big data service Eventually One video tele-conference (VTC), virtual/telemedicine system, wireless (WiFi), voice over IP (VoiP), Medical Device strategy

Medical Community of Interest Network

To-Be: Joint Strategic Enabler

EHR Modernization Current EHR Transition Risk Future EHR ADT Backbone Outpatient CHCS AHLTA HAIMS Essentris Artifacts Inpatient 2017 Initial Deployment 2022 Full Deployment 18

Data Modernization Master data management Data governance Legacy data Service oriented architecture Enterprise intelligence & data solutions PMO 19

Cybersecurity 20

Healthcare Cyber Attacks Everyone s Issue

DHA Risk Management Framework (RMF)

Summary 23

Implementing National Defense Act 2017 Future being constructed March 2018: Final report to Congress October 2018: Start implementation Assessing regional models CIO stood-up first Regional Information Office National Capital Region Identifying: Roles/Responsibilities Skill sets Required process and procedures 24

Benefits Consolidating and optimizing MHS infrastructure delivers a single, secure, interoperable infrastructure for DoD healthcare communications and IT operations Replaces duplicative Service Medical networks Reduces overall network maintenance costs Enables standardization of clinical/business processes Provides robust, secure and highly available service Improves access to healthcare information Promotes effective, efficient health operations 25

Questions For additional questions, please contact us at dha.ncr.health-it.mbx.director-workflow@mail.mil Don t forget to complete the online session evaluations 26