U.S. Army Public Health Command Transition

1. U.S. Army Public Health Command Transition MAJ Michael Desena USAPHC (Prov) Operations 10 February 2009 UNCLASSIFIED

2. Background – Directed by Commander, MEDCOM as part of the overall MEDCOM Reorganization effort in July 2009 • Overall Objectives: • Enhance health and wellness of Soldiers and military retirees, their Families, and DA Civilian employees • Optimize public health support to the Army • Create a single point of responsibility for public health within MEDCOM • Improve planning and use of Army public health assets across the full spectrum of installations and activities • Execute effective Veterinary Service programs across DoD • Key Elements: • Select missions of the USACHPPM and VETCOM will be integrated to form the core of the Army Public Health Command (APHC) • Level I and II veterinary service missions will be realigned to the Medical Treatment Facilities to integrate Public Health at the installation level • PHC will have enterprise oversight of level I-III PM and I-II VETSVC

3. U.S. Army Public Health Command Transition Levels of Support

4. Proposed COAs Status Quo Merge CHPPM Level IV-V and VETCOM Level III-V missions into a PHC Integrate all Preventive Medicine and Veterinary Capabilities throughout MEDCOM into a consolidated Public Health Command U.S. Army Public Health Command Transition

5. RMCs RMCs RMCs RMCs RMC Merge CHPPM Level IV-V and VETCOM Level III-V missions into a PHC Echelons / Levels of Support Preventive Medicine: IV and V Veterinary Services: III - V This slide depicts functional areas Organizational structure TBD MEDCOM • CHPPM and VETCOM Levels IV and V merge into one PHC MSC. • RVCs, DVCs, and CHPPM Subordinate Commands integrate into Regional PHCs under C2 of PHC. • RMC forms PH staff element. • Levels I–II Vet merge with Levels I-II PM under C2 of MTF. • PHC has oversight of Level I-III PM and Level I-II VETSVCS Missions • PM and VETSVC funding will be fenced. • CDR PHC will be the Program Element (PE) Manager. Color Legend – Level of PM and Vet Services Level I-II: Green Level III: Purple Level IV: Gold PHC / Level V: Lt Blue PHC PHC Oversight (Level I-III PM) and Level I-II VETSVCS) RPHC RPHC RPHC RPHC Regional PHC MTF Monitoring/Coordinate/Collaborate PH Missions MTF MTF MTF MTF Oversight authority infers a level of monitoring needed to execute oversight.

6. U.S. Army Public Health Command Transition Advantages of Chosen COA • Oversight of Level I-II PM provided by PHC supports TSG intent for single point responsibility for public health within MEDCOM. • Retains existing RMC/Installation command, authority, responsibility and assets for RMC/Installation PM services. • Oversight of the Level I-II VETMED by RMC supports installation DHS authorities • Integrates CHPPM’s Level IV-V mission with VETCOM’s Level III-V missions.

7. Activities Completed to Date • 28 Aug 09 – Formed PHC Transition Team (PHC TT) • Executive Board • Steering Committee • Core Team • 1 Oct 09 – Established PHC (Provisional) • 27-29 Oct 09 – Conducted Value Stream Analysis (VSA) event • Identified gaps in service and integration opportunities • Identified legacy missions “what should we stop doing?” • Developed solution approaches • 8-13 Nov 09 – Conducted ERMC PHC TT Site Visit • 9 Dec 09 – Held Exterior Organization Design event to develop draft COAs

8. Activities Completed to Date cont. • 14-18 Dec 09 – Conducted PRMC PHC TT Site Visit • 15 Dec 09 – Drafted Concept Plan Outline • 4-8 Jan 10 – Conducted WRMC PHC TT Site Visit • 6-7 Jan 10 – Held Vertical Value Stream Map event for A3-4 Concept Plan • Developed timeline to FOC • Identified inputs, outputs, key reviews, and task collaborations • 15 Jan 10 – Drafted PHC(Provisional) TDA

9. PHC Transition Major Milestones • Completed on-time and achieved desired outcome • On-track to be completed on-time and achievement of desired outcome • Off-track; in jeopardy of not being completed on-time • Desired outcome may not be achieved • Task is overdue • Desired outcome was not achieved

10. Questions