Military Hospital or Clinic
Military hospitals and clinics remain found at military centres and posts worldwide. They remain also referred to as “military treatment facilities” or “MTFs.” The Ministry of Defense will begin the next primary phase of military hospital consolidation
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Military Health System Communications Office
The Department of Defense is preparing for another significant step in consolidating military hospitals. And clinics into a single agency. One of the best effective critical organizational changes within the U.S. military in a decade.
On October 1, the Army, Navy, and Air Force will start the final two years of a multiyear change to shift management and control of their medical facilities to the Protection Health Agency by October 2021, changes that are “transformative and far-reaching. ” said Vice Admiral Raquel Bono, Director of DHA.
“For the first time in the past of our modern military, a single agency, DHA, will be responsible for all health care provided by the Department of Defense to our 9.5 million recipients,” Bono said. “Whether you receive your care at a base facility or through our civilian TRICARE networks, DHA will oversee your care. In addition, this consolidation will lead to a higher readiness for operational and medical forces and integrate healthcare services to standardize practices across the department.”, which means patients will have consistent, high-quality healthcare, no matter where they receive their care.”
The Ministry of Defense will begin the next primary phase of Military Hospital Consolidation
The primary driver of this change is the National Defense Authorizationremain responsible for the administration and organization of all military hospitals and clinics to maintain and improve the operational readiness of the medical forces and the medical readiness of military members.
Improve beneficiary access to care and the care experience, improve health outcomes and eliminate redundancies in health care costs and overhead across three separate systems operated by the service. The DHA will be responsible for healthcare delivery and business operations within the military health system, information technology, including budgets, healthcare administration and management, administrative policies and procedures, and military medical manufacture.
While Congressional Directives Mandate the change, “it’s the right thing to do.”
“We have extra than 40 years of independent studies and internal analyses that show the current structure of military health care is unsustainable,” she said. “What types us unique from other health systems is that we remain heavily integrated into combat forces around the world focused. On the operational medical readiness and health of our warfighters.
The transformational changes underway will enhance this focus, support the DoD’s priority for lethality, and improve our ability to provide high-quality health care to all beneficiaries. In addition, improving medical readiness is a crucial driver of the overall effort.”
The quality of care for military healthcare beneficiaries will not change during this transition. But, more importantly, Bono said, it will improve that care over time by enabling changes that improve access, patient experience, and outcomes.
“Ultimately, for all of us at the Department of Defense, this transition means a more efficient, integrated, and real system of readiness and health, and the addition of health services that lead to a more standardized and consistent patient care experience,” he said added. Bono said. “The premise is to have one agency oversee MTF operations while supporting the services’ efforts to focus more on readiness.”
As of October 2018, DHA operates eight hospitals and clinics as part of the first stage of a four-year transition period. However, in June, the timeline was adjusted to three years to reduce the amount of duplication of effort by the military departments and DHA. Said Dr Barclay Butler, DHA Assistant Director of Management and MTF Transition Lead.
“The main driver is the measurable and precise coordination of reductions. In support of the Military Services Medical Department and oversight of the MTF at DHA,” Butler said. “We want to make a simple and clear devolution that will positively impact healthcare for our patients.”
From October 1 this year until October 2021, the Transition Will Focus on Four Main objectives:
Centralized Administration: On October 1, altogether, hospitals and clinics in the continental United States transitioned to DHA, with the Navy, Army, and Air Force medical departments retaining a direct support role. Butler said that while DHA will assume overall management. The existing intermediate military department headquarters will continue to provide management responsibilities. Until the transmission is complete to ensure uninterrupted medical readiness and patient care. The military departments and DHA are currently developing final plans to maintain the continuity of operations.
Establishing health care markets: Central to the reorganization is the creation of health care markets. During the transition period, DHA will build 21 large markets to manage MTFs in local areas. A marketplace is a group of MTFs in a geographic area—usually anchored in a large hospital or medical centre. That operates as a system to share patients, providers, functions, and budgets across facilities. To improve the coordination and delivery of healthcare services.
“These markets are key to the whole reorganization,” Butler said. “The marketplace will offer centralized, day-to-day management and care to all MTFs in each market.” Promoting readiness is at the heart of the market’s obligations. Butler added and will ensure the clinical competence of all MTF providers. In addition, 21 major markets will jointly manage 246 healthcare facilities and centres of excellence.
Establishment of a small market and standalone MTF organization: For state hospitals and clinics not involved in a large market, this office, referred to as the SSO, will provide managerial and clinical oversight. As with significant needs, military departments will continue administering MTFs until they remain realigned under SSO. Here are 16 small market MTFs and 66 standalone MTFs assigned to the SSO.
Establishment of Defense Health Regions Overseas:
A transition period for establishing Defense Health Regions in Europe and the Indo-Pacific begins in 2020. All overseas MTFs would, at that time, report to their respective DHA regional offices. The Indo-Pacific region has 43 MTFs, though the European area has 31.
“Change can be difficult, and this is a difficult transition,” Butler said. “We will see modifications in reporting relationships and message channels as we implement standardized clinical policies, procedures, and business practices. We often emphasize communicating alongside military departments.”
These changes should be transparent from the patient’s perspective. “Our patients expect a similar high quality of care regardless of who is responsible. Doctors, nurses, and technicians will stay focused on practising medicine and refining their skills and readiness. But, ultimately, it’s really near the patient – integrating into one system improves our physicians’ readiness and will lead to better care and recovering health outcomes for our patients.”
The Defense Health Agency is expanding walk-in contraceptive care services to improve reproductive health services. These services include same-day access with no appointment or referral needed.
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