by clicking on the page. A slider will appear, allowing you to adjust your zoom level. Return to the original size by clicking on the page again.
the page around when zoomed in by dragging it.
the zoom using the slider on the top right.
by clicking on the zoomed-in page.
by entering text in the search field and click on "In This Issue" or "All Issues" to search the current issue or the archive of back issues respectively.
by clicking on thumbnails to select pages, and then press the print button.
this publication and page.
displays a table of sections with thumbnails and descriptions.
displays thumbnails of every page in the issue. Click on a page to jump.
allows you to browse through every available issue.
FCW : March 15, 2015
March 15, 2015 FCW.COM 21 facilities so that the electronic health record people can come in and install the electronic health record and a platform,” Bowen told FCW. The EHR system is not just a big piece of software and a data repository. For service members wounded in combat, it is a vital link for caregivers. It will serve a population of 9.5 million beneficiaries at almost 700 military treatment facilities and 380,000 Tricare providers, and it will have to operate consistently on a variety of computers, including PCs in stateside hospitals and mobile devices in combat zones. “One of our goals is to get the electrons to the doctors before the patient arrives,” DHA Director Lt. Gen. Douglas Robb told FCW. “While the patient is in transit or still on the battlefield, the health care team can prepare for their arrival and treatment.” He added that Bowen and his team are working to make sure military health care providers can collect and transmit medical information to battlefield care facilities in theater and to hospitals back home. “The ability to transmit this critical data often means the difference between life and death,” Robb said. Anthropology, not technology The business case for the new agency is consolidation. Some of that activity supports the arrival of the new EHR system, but the agency is also consolidating management, contracts, business processes, infrastructure and applications. Complicating matters is the fact that the work is being done across the military services. The Army, Navy and Air Force have all retained their medical structures and hierarchies, which now operate within MHS. “When you start putting the services together, these differences in processes, procedures, customs really start coming out and becoming a factor,” Bowen said. “Things like performance management systems, how the services rate their officers, the way they fund their operations, the way they run technology — there are big differences there that we had to and still have to overcome. Quite frankly, it’s been a challenge. I tell people...that my job is not around technology, it’s around anthropology.” In addition to being director of health IT at DHA, Bowen is CIO of MHS, although he describes his job as serving a single mission rather than wearing two hats. He did not serve in uniform, and his previous stint in government was as CIO of the Federal Aviation Administration. He is a trained commercial pilot and a flying enthusiast, but his professional background is in health IT. He’s been the CIO of hospital systems and a Blue Cross Blue Shield plan. “I know health care really well, both from the provider standpoint and from the health plan standpoint, having run IT operations in both of those environments,” he said. When it comes to managing organizational change, Bowen added that there are more similarities between DOD and the commercial world than he would have thought. “I had this impression that in the military, basically an order comes down from the top and everybody stands up and clicks their heels and says, ‘Yes, sir,’ and salutes, and we all go forward together,” he said. “That doesn’t necessarily happen. We do a lot more consensus building in the military than I thought we would, frankly.” transforming the way the military delivers health care by operating 10 shared services across the Military Health System (MHS). A medium- sized operation by military standards, DHA has a $219 million budget for fiscal 2015 and $186 million requested for next year. It is headquartered in a low-slung office building just inside the Capitol Beltway in the Virginia suburb of Falls Church. “Our job is to have the infrastructure in place and operational at the verybigcontract That doesn’t necessarily happen.” “I had this impression that in the military, basically an order comes down from the top and everybody stands up and clicks their heels and says, ‘Yes, sir,’ and salutes, and we all go forward together. PHOTOSBYDAVIDWIEGOLD 0315fcw_020-022.indd 21 2/20/15 10:43 AM
March 30, 2015