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DoD Medical Materiel Standardization Programs

DoD Medical Materiel Standardization Programs. CAPT P. Jan Chandler, MC, USN Staff Director, Defense Medical Standardization Board 1423 Sultan Drive Fort Detrick, MD 21702-5013 (301) 619-2001 jan.chandler@dmsb.detrick.army.mil. Overview. Purpose of Medical Materiel Standardization

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DoD Medical Materiel Standardization Programs

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  1. DoD Medical Materiel Standardization Programs CAPT P. Jan Chandler, MC, USN Staff Director, Defense Medical Standardization Board 1423 Sultan Drive Fort Detrick, MD 21702-5013 (301) 619-2001 jan.chandler@dmsb.detrick.army.mil

  2. Overview • Purpose of Medical Materiel Standardization • Military Healthcare System (MHS) Medical Materiel Standardization Programs • Organizational Structure & Relationships • Program Methods & Outcome Measures • Future Plans UNCLASSIFIED

  3. Purpose of Medical Materiel Standardization • Patient Safety & Sustainability • Operational Interoperability • Operational Compatibility • Operational Supportability • Cost Reduction • Economies of scale • Reduced logistics tail UNCLASSIFIED

  4. 1st Responder Forward Resuscitative Care Theater Care DefinitiveCare Operational Capabilities of Care • The concentric rings represent the Level or Capability of Care. • Medical capabilities are progressively enhanced from the inner to the outermost ring. • Medical Materiel considerations: • What is the most suitable product for the inner most level of care that requires that medical capability? • How far “out” can that product go? UNCLASSIFIED

  5. Medical Materiel Standardization Programs • Defense Medical Standardization Board (DMSB) • DMSB Staff Office • Pharmacy Benefits Program under Director, TRICARE Management Activity • DoD Pharmacy & Therapeutics Committee • Beneficiary Advisory Group • DoD Pharmacy Board of Advisors • Pharmacoeconomic Center (PEC) • MHS Multi-Service Market Managers (MSMMs) • TRICARE Regional Business Offices UNCLASSIFIED

  6. Medical Materiel Standardization Programs UNCLASSIFIED

  7. Medical Materiel Standardization Programs UNCLASSIFIED

  8. Army Executive Agency Staff Principal: DSG F H P & R Defense Medical Standardization Board (DMSB) ASD(HA) FHPC DMSB Staff Clinical SME Panels DMSB Chair UNCLASSIFIED

  9. Army Executive Agency Staff Principal: DSG DoD Pharmacy Benefits Program Senior Military Medical Advisory Council Beneficiary Advisory Panel DoD Pharmacy Board of Advisors Pharmacoeconomic Center (PEC) DMSB (Joint Deployment Formulary) UNCLASSIFIED

  10. TRICARE Regional Director Army Executive Agency Staff Principal: DSG TRICARE Regional Director TRICARE Regional Director TRICARE Regional Advisory Committee TRICARE Regional Directors (SES/Flag) TRICARE Regional Advisory Committee TRICARE Regional Advisory Committee TRICARE Regional Advisory Committees Multi-service Market Manager Regional Logistics Support Program Authority Multi-service Market Manager Multi-service Market Manager Multi-service Market Manager Multi-Service Market Managers TRICARE Regional Business Office TRICARE Regional Business Office TRICARE Regional Business Office TRICARE Regional Business Office TRICARE Regional Business Office TRICARE Regional Business Office TRICARE Regional Business Office TRICARE Regional Business Office TRICARE Regional Business Office TRICARE Regional Business Office TRICARE Regional Business Office TRICARE Regional Business Office TRICARE Regional Business Office TRICARE Regional Business Office TRICARE Regional Business Office TRICARE Regional Business Office TRICARE Regional Business Office TRICARE Regional Business Office TRICARE Regional Business Office TRICARE Regional Business Office TRICARE Regional Business Office Multi-service Market Manager Multi-service Market Manager Multi-service Market Manager Multi-service Market Manager Tri-Service Product Review Boards Clinical Product Teams Tri-Service Regional Business Offices (9) Multi-service Market Managers Multi-Service Market Managers (MSMMs) ASD(HA) Director/TMA Senior Military Medical Advisory Council TRICARE Advisory Committee Deputy Dir/TMA Medical Logistics Proponency Committee UNCLASSIFIED

  11. Tri-Service Regional Business Offices (TRBOs) UNCLASSIFIED

  12. Standardization Program Relationships Army Executive Agency Staff Principal: DSG Senior Military Medical Advisory Council Beneficiary Advisory Panel TRICARE Advisory Committee TRICARE Reg Advisory Committees DMSB Staff Office Clinical SME Product Selection Panels ESC: Combatant & Component Commanders Key: Focal Points for Standardization *TRO North has 2 MSMMs and 3 TRBOs, TRO South has 2 MSMMs and 2 TRBOs, TRO West has 3 MSMMs and 3 TRBOs, & CG, European Regional Medical Center has 1 TRBO Operational Forces Touch Points UNCLASSIFIED

  13. Program Methods: Similarities • Clinical SME Panels • User preference in conjunction with scientific evidence • Market analysis • Executive (SES/Flag) review UNCLASSIFIED

  14. Program Methods: Differences UNCLASSIFIED

  15. Program Methods: Differences • Efforts are complimentary • Redundancies are avoided • Collaboration across programs is mutually beneficial UNCLASSIFIED

  16. Outcome Measures: DMSB Medical Contingency File (MCF) Growth Result of Cooperative Standardization Effort UNCLASSIFIED

  17. New Methodology to align with VA Old Methodology Outcome Measures: Pharmacy Benefits Program MTF Cost Avoidance from Pharmaceutical Contracting or Other Incentive Agreements $600 $551 $514 $500 $400 $ Millions $300 $211 $200 $168 $148 $139 $99 $100 $65 $7 $0 FY99 FY00 FY01 FY02 FY03 FY04 FY05 Source: DoD Pharmacoeconomic Center; Prime Vendor Data UNCLASSIFIED

  18. Outcome Measures: MSMMs Program Cost Avoidance Projections and Actual Results from FY 2000 Forward Source: TRISERVICE Regional Standardization Program Report 06 March 2006 UNCLASSIFIED

  19. Future Direction • Institutionalize evidence-based, data driven standardization processes • Increase collaboration across the spectrum of medical materiel program activities • Visibility of program activities • Data sharing • Standardize processes and methodologies • Improved standardization metrics • Emergence of an overarching integration or coordination function at the DoD or Joint Services level UNCLASSIFIED

  20. UNCLASSIFIED

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