The Hard Part Begins David W Bobb RPH JD Chief Pharmacy Operations Division Defense Health Agency November 20 2019 DHA Leadership Change 3 September 2019 Change of Responsibility Ceremony ID: 931801
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Slide1
Defense Health Agency
Pharmacy Operations:
The Hard Part Begins…
David W. Bobb, RPH, JD
Chief, Pharmacy Operations Division
Defense Health Agency
November 20, 2019
Slide2DHA Leadership Change
3 September 2019 - Change of Responsibility CeremonyLTG Ronald Place is the new DHA DirectorPOD Leadership ChangesBill Blanche retiredHenry Gibbs will lead Purchased Care BranchMatt York will lead Informatics BranchHiring new Industry LiaisonNew DHA POD leadership (December 2019)
DHA and POD Changes
Slide31.1.1.
Describes the transition of MTFs to DHA ADC under the market construct
1.1.2. Describes the management structure through which the DHA assumes ADC
1.1.3. Establishes functions, proposed staffing, and org structure of Markets.
1.1.4. Establishes functions, proposed staffing, and organizational structure of the Small Market and Stand-Alone MTF Organization (SSO) that will manage and oversee both the Small Markets and the Stand-Alone MTFs that are not aligned to a Market.
1.1.5. Establishes the functions, proposed staffing, and organizational structure of the Defense Health Region (DHR) Europe (DHR-E) and DHR Indo-Pacific (DHR-IP) that will manage and oversee OCONUS MTFs that are not aligned to Markets or the SSO. 1.1.6. Outlines the staffing of military and civilian personnel in the DHA at HQ, Markets, and MTFs.
Plan 3 version 6 Transition Roadmap - 638 pages
Slide4Objective I
1 May 2019 – 31 Dec 2019
DHA ADC of CONUS MTFs – starts 1 Oct 19
ADC executed through DS relationship with Service IMOs
tIMO
certifies 4 markets from 5+3
Build DHA capacity and capability to support 4 initial markets
Strategic pause in market standup to allow DHA HQ to mature
OCONUS support continues
Slide5Objective II
1 Jan 2020 – 30 Sep 2020
DHA assumes responsibility of
tIMO
markets and certifies 17 additional markets
Build DHA capability and capacityService IMOs divest CONUS marketsSSs remain with Service IMOsOverseas support continues
Slide6Objective III
1 Jan 2020 – 30 Sep 2020
DHA certifies SSO and assumes responsibility of SSO
Service IMOs divest CONUS SSs and realign personnel to SSO
RHC A/C end direct support
Overseas support continues
Slide7Objective IV
1 Jan 2020 – 30 Sep 2021
Service IMOs divest OCONUS MTFs and realign personnel to DHRs
DHA certifies DHR-E and DHR-IP
Service IMOs end direct support
DHA HQ and FCs reach full operational capability and capacity
Slide8POD Organizational Changes
Six Senior pharmacist SMEs to service as Market pharmacists
Serve as pharmacy SMEs for market leadership
Conduit between MTF pharmacies and DHA POD
All will be uniformed pharmacists initially
Will be a resource for MTF pharmacies
Change in Pharmacy Working Group structure
MTF Advisory Board
Subject Interest Groups
Slide9Non-Formulary Memo DHA POD Memo
19-001
Non-Formulary meds for those who are not enrolled to, or referred from the MTF
Not a new policy
Restatement of current policy
Does not mesh with the “Recapture” mantra
No policy will cover every contingency
Use professional judgment
Expect more things like this as we move forward
Slide10“When you walk to the edge of all the light you have and take that first step into the darkness of the unknown,
You must believe that one of two things will happen.
There will be something solid for you to stand upon or you will be taught to fly.”
- Patrick Overton
Slide11Defense Health Agency
Pharmacy Operations UpdateQuestions???