On capitol hill to testify on the coronavirus and how the military was responding to the outbreak. This subcommittee hearing is an hour and a half. Assistant secretary of defense for health affairs. Nd director of the health agencies. And Program Executive officer of Defense Health care and systems. T today, we have serious questions on how medical reforms have been accounted for in the president s budget for fiscal year 2021. We will have ce, members coming in and out. E are getting briefings on coindividual 19 covid19 as and there are other meetings going on but your full testimony is available. Last members had it night, like i did, to read through it. So well get started. Spectrum in the military Health Care System to benefit care, in many cases the justifications lacks adequate detail for the subcommittee to make informed decisions. And an update on the electronic system, m. S. H. Genesis. We l today, we have serious questions on how medical reforms have been accounted for in the
Starters. I maybe lead you to the fourth ring, next to the last on the right, and that 21 systems were consolidated that bring wave one of epic to life. Thats important because thats a really large number of systems. Its also important because it speaks to our readiness in the coming year to decommission those systems, which has been part of our financing plan. So what did we implement . I think you have all sat through several briefings. Across the top row of items is our traditional electronic charting infrastructure, the support systems like lab, pharmacy, radiology, how we handle the revenue cycle, as well as scheduling. The first one on the bottom is Health Information exchange which may not have come to mind. Thats the bidirectional sharing from and to our organizations and others. As a result of epic, we are now part of an Industry Consortium of two or three dozen other organizations that make Electronic Health records. We all agree we are able to share information with one anot
Did i answer all your questions . Im curious to know more about the data you plan to gather, when you feel you might have some results. And again, whether you feel there will be barriers in terms of staffing and actually physical placement that might slow down your progress. So i think what youre getting at with the whole person care funding ending in 2020 and our target date to open the Homeless Health resource center, which will be the clinical home or hub of whole person integrated care, that will be in late 2021, so within the next year. I mean, what this really does is it i dont want to overuse the word foundational, but it lays the foundation for us to be working together across Clinical Services to determine what the need is for people showing up to urgent care repeatedly, but they might have one of the Street Team Members or the hot case manager working with them. What it does is brings people together to develop a care model so that theyre actually coordinating care for these
Of the Civil Service roles as you do with the normal the ones that take 253 days. When you do that, that one youve got to get the approvals, post it, then theres an appeal period, then you have an exam, then theres an appeal period and all of that with the exam. You can speed all of that up. To do that we would have to get approval of the d. H. R. And the union. I think they would understand. I would say the other possibility is what is called a Civil Service exemption 12, which is an expert. So we did that with i. T. We now hire some of our i. T. Staff under the Civil Service exemption which is a 12. We hired the project manager in h. R. Hired on average everybody in six weeks using the epic hire using category 12s and category 18s. I would say if you want the speed of hiring for Something Like this, i would go with Civil Service exempt positions, work it out with d. H. R. And the union. The lean process improvement, thats going to take a while. We dont control a lot of whats going to
Best use of this very large investment. So a handful of Cocktail Party starters. I maybe lead you to the fourth ring, next to the last on the right, and that 21 systems were consolidated that bring wave one of epic to life. Thats important because thats a really large number of systems. Its also important because it speaks to our readiness in the coming year to decommission those systems, which has been part of our financing plan. So what did we implement . I think you have all sat through several briefings. Across the top row of items is our traditional electronic charting infrastructure, the support systems like lab, pharmacy, radiology, how we handle the revenue cycle, as well as scheduling. The first one on the bottom is Health Information exchange which may not have come to mind. Thats the bidirectional sharing from and to our organizations and others. As a result of epic, we are now part of an Industry Consortium of two or three dozen other organizations that make Electronic Heal