Lessons Learned from the CAPT James A Lovell Federal Health Care Center

1. Lessons Learned from the CAPT James A Lovell Federal Health Care Center CAPT Margaret Beaubien & CDR James Martin Leading NAVMED through PortfolioManagement.

2. Leading NAVMED through PortfolioManagement. 17-19 February 2011 2

3. First snow! Leading NAVMED through PortfolioManagement. 17-19 February 2011 3

4. View from the 3rd floor; west to east including the basement. Leading NAVMED through PortfolioManagement. 17-19 February 2011 4

5. Discuss the changes in the delivery of health care in the new formation of federated health care centers Administrative Organizational Changes Human Resources IM/IT Support the End Users Infrastructure CAC/PIV Gal Sharing Learning Objectives Leading NAVMED through PortfolioManagement. 17-19 February 2011 5

6. One point of contact for responsibility of the project No one person in charge Two different chains DoD/VA Two different IM Managers Two different IT Managers Overall Management of the Facility Executive Agreement (Signed 23 Apr) FHCC Organizational Chart FHCC Advisory Board Local Stakeholders Advisory Council Ability to broker/negotiate solutions Oversight Congressional General Accountability Office (GAO) Interagency Program Office (IPO) Joint Executive Council Health Executive Council Administrative Leading NAVMED through PortfolioManagement. 17-19 February 2011 6

7. Organizational Changes FHCC Organizational Chart How will the departments be designed AD, VA or a combination Concerns with promotion opportunities Medical and Dental By Laws Access to clinical systems Credentialing Foreign Nationals Security Clearances No longer doing things the DoD-Navy Way or the VA Way Still have both chains of command to satisfy Customers internal and external Leading NAVMED through PortfolioManagement. 17-19 February 2011 7

8. Captain James A. Lovell Federal Health Care Center Organizational Chart DIRECTOR SES DEPUTY Navy 06 Associate Director for Patient Services/Nurse Executive Associate Director for Dental Services Associate Director for Facility Support Associate Director for Fleet Medicine Associate Director for Patient Care / Chief Medical Executive Associate Director for Resources LEGEND Red: VA Blue: NAVY Leading NAVMED through PortfolioManagement. 17-19 February 2011 8

9. Captain James A. Lovell Federal Health Care Center Organizational Chart 11/16/2009. Command Suite . DIRECTOR VA SES • Direct Reporting Requirements • - Compliance Officer • - Emergency Manager • Equal Opportunity Officer • Patient Safety • - Research Compliance Officer • - Safety Manager • Reports directly to the Director on emergent issues outlined in position description. • Special Military Assistants • Command master Chief • CMEO • Navy Legal Office (UCMJ) • Navy Chaplain • - Reports directly to the Navy 06 on all matters pertaining to uniform personnel. DEPUTY DIRECTOR Navy 06 OFFICE OF PERFORMANCE IMPROVEMENT Leading NAVMED through PortfolioManagement. 17-19 February 2011 9

10. Captain James A. Lovell Federal Health Care Center Organizational Chart 11/16/2009. DIRECTOR Resources Associate Directory for Resources Associate Directory for Resources Department of Health Care Business Department of Financial Management Department of Human Resource Management Department of Information Resource Management Department of Information Security Network Division Health Information Systems Division Customer Support Division LEGEND Red: VA Blue: NAVY Green: NME & VISN 12 Agency and Ctrs at the FHCC Telecommunications Division Leading NAVMED through PortfolioManagement. 17-19 February 2011 10

11. Human Resources Transfer of Function Former Navy GS employees became VA employees Salaries, Position, Working Conditions & Unions Staffing Credentials, Foreign Nationals access to DoD systems Conducted Three Meetings to Date Corpsman use on the wards (maintain clinical skills) Medical Students Local Stakeholders Advisory Council Navy Recruit Command Leading NAVMED through PortfolioManagement. 17-19 February 2011 11

12. IM/IT To Support the End Users Clinical systems Joint Patient Registration Process Minimal data set that then can be launched to each system Single Sign-on with Context Management to Clinical Applications CareFx and Sentillion Separate Vaults and need to publish applications across the three networks Orders Portability Laboratory Radiology Leading NAVMED through PortfolioManagement. 17-19 February 2011 12

13. Infrastructure Three Enclaves FHCC Enclave Accredited and maintained by the VA Hosts the FHCC end-users MHS Enclave Accredited by the MHS Host MHS applications NHCGL Enclave Accredited by the NAVY Hosts NAVY only applications and users Leading NAVMED through PortfolioManagement. 17-19 February 2011 13

14. CAC/PIV Access via DoD CAC (Common Access Card) Network log-on using CAC access Access Navy specific programs Access via VA PIV (Personal Identification Card) Network log-on using PIV access Access Navy specific programs Changes to Navy Applications to accept the PIV Approved by the NAVY ODAA Examples: NMO, CeTARS, MEDBOLTT, HMS, MRRS, DENCAS, VIALS, LSD, NMLC, and MTS/GRPHT Leading NAVMED through PortfolioManagement. 17-19 February 2011 14

15. Global Address List (GAL)Sharing Places NAVMED Contacts in the VA GAL and FHCC contacts into the NMED GAL Allows E-Mail addresses to be shared between the VA and Navy Medicine Addresses are able to be viewed and accessed through the GAL End-users access through Outlook Enables more seamless collaboration Co-managed by the ESOC and VA Technical Staff Expected to be fully in place and operational in December 2010 (this date needs to be confirmed) Leading NAVMED through PortfolioManagement. 17-19 February 2011 15

16. Contact Information Leading NAVMED through PortfolioManagement. • CAPT Margaret Beaubien NC,USN • Margaret.Beaubien@med.navy.mil • 202-762-3107 • CDR James Martin • James.L.Martin@med.navy.mil • 757-342-7784 17-19 February 2011 16

17. Questions Leading NAVMED through PortfolioManagement. 17