军事卫生系统 (MHS) 机构介绍

# 关于

军事卫生系统 (MHS) 是美国最大、最复杂的医疗保健机构之一，也是世界上最出色的军事医疗保健服务提供机构。我们的 MHS 在战场上拯救生命，抗击世界各地的传染病，并负责通过这两种方式提供卫生服务**直接护理**直接护理是指军队医院和诊所，也称为“军事治疗设施”和“MTF”。向大约 950 万受益人提供直接护理和私营部门护理，其中包括军警人员、军队退休人员和家庭成员。

MHS 促进[国防战略访问 Defense.gov 网站](https://media.defense.gov/2022/Oct/27/2003103845/-1/-1/1/2022-NATIONAL-DEFENSE-STRATEGY-NPR-MDR.PDF) 通过提供一支医疗准备部队，一支准备就绪的医疗部队，并改善所有委托其照顾的人的健康。我们不仅仅是战斗医学。MHS 是一个复杂的系统，交织在一起......

* 医疗保健服务
* 医学教育
* 公共卫生
* 私营部门伙伴关系
* 尖端医学研究与开发

我们的任务

MHS 的任务复杂且相互关联：

* 确保美国现役和预备役人员的健康，以便他们能够完成国家安全任务。
* 确保所有身着制服的现役和预备役医务人员接受培训并准备好为世界各地的作战部队提供医疗服务。
* 为超过950万名现役军人、退役军人及其家属提供与服务和牺牲相称的医疗福利。

# 无障碍

**经修订的 1973 年康复法案第 508 条（**[**29 USC § 794d**](https://www.govinfo.gov/content/pkg/USCODE-2011-title29/html/USCODE-2011-title29-chap16-subchapV-sec794d.htm)**）**

国防卫生局 (DHA) 致力于让残疾人士能够使用其电子和信息技术。第 508 条要求联邦机构确保残疾人（雇员和公众）能够同等地接触和使用电子信息技术。这意味着 DHA 使用、维护、开发或采购的任何电子和信息技术都必须可供残疾人使用。

有关第 508 条的更多信息，请访问[Section508.gov508合规网页](http://www.section508.gov/" \t "_blank" \o "508合规网页)。

## 如何报告辅助功能问题

如果您由于访问障碍而无法访问本网站上的内容或使用功能，请联系[DHA 第 508 条计划管理办公室转到 PMO 第 508 条](mailto:DHA.S508@health.mil?subject=Web%20Accessibility%20Issue)。为了帮助我们更好地为您服务，请提供以下信息：

* 您的联系信息（姓名、电子邮件和电话号码）。
* 您尝试访问的内容。
* 您无法访问的内容的 URL。
* 您遇到的问题的描述。

请最多等待 3 个工作日才能收到回复。

# 要素

军事卫生系统由负责人事和战备的国防部副部长办公室 下负责[卫生事务的](https://health.mil/About-MHS/OASDHA)[助理国防部长办公室打开副部长的网站](http://prhome.defense.gov/)领导，并由以下部分组成......

## 负责卫生事务的助理国防部长办公室

领导 MHS 的是 [负责卫生事务的助理国防部长办公室 (OASD[HA])](https://health.mil/About-MHS/OASDHA)。ASD(HA) 是一名经过参议院确认的文职官员，担任国防部长的首席医疗顾问，负责监督整个系统的卫生政策和预算，并指导国防卫生局的活动。ASD(HA) 由负责卫生事务的首席副助理国防部长和三名副助理国防部长提供支持。

## 联合参谋外科医生

联合参谋外科医生是参谋长联席会议主席的首席医疗顾问，向主席、联合参谋部和作战指挥官提供建议，协调与卫生服务相关的所有问题，包括手术医学、部队健康保护、作战司令部、国防部长办公室和各军种之间的准备情况。

[了解更多关于联合参谋外科医生准将的信息。约翰·R·安德鲁斯将军访问国防部网站](https://www.jcs.mil/Leadership/Article-View/Article/1981148/brig-gen-dr-john-r-andrus/)

## 国防卫生局

[国防卫生局 (DHA)](https://health.mil/About-MHS/OASDHA/Defense-Health-Agency)成立于 2013 年， 是一个战斗支持机构（例如国防情报局和国防后勤局），在整个 MHS 范围内提供一系列共享卫生服务，从运营 TRICARE 卫生福利到提供药房和医疗后勤，进行医疗研发和运营卫生信息技术系统，目标是为联合部队提供综合高效的服务。

## 健康科学统一服务大学

[健康科学制服服务大学 (USU)前往 USU 网站](https://www.usuhs.edu/)是 美国联邦健康专业学院，类似于美国西点军校、安纳波利斯军校和科罗拉多斯普林斯军校的本科课程。与学院一样，学生不收取学费；他们通过服务回报国家的教育。

在许多方面，USU 的课程和教育经验与民用学术医疗中心相似，但有一个重要区别：它强调军事医疗保健、领导力、战备和公共卫生，这使得 USU 与众不同。

## 军队医院和诊所

军队医院和诊所是军事医学的核心，军事人员、文职人员和合同人员在这里为 TRICARE 受益人提供护理，并获得支持作战单位的技能和培训。

MHS 拥有 55 家提供全方位服务的医院和 370 多家诊所，分布在世界各地的军事设施中，是美国最大的卫生系统之一 - 它运营的医院比全国任何非营利性医院系统都多，并且将跻身顶尖医疗系统之列。五个营利性系统。

### 正在寻找军事医院或诊所？

* [按医疗保健市场搜索](https://health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Military-Hospitals-and-Clinics/Market-Structure)
* [按州或海外地点搜索](https://health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Military-Hospitals-and-Clinics)
* [按设施/装置名称的邮政编码搜索打开 TRICARE.mil 页面](https://www.tricare.mil/MTF)

## 远征护理

陆军、海军和空军医疗专业人员帮助确保穿制服的人员做好医疗准备，可以立即部署到全球任何地方。而这些医疗专业人员也做好了与他们同行的准备。世界上没有一支军事医疗部队拥有像我们这样的专业知识、资产和卫生系统的全球影响力。

![](/media/202412//1733370809.8256016.png)

## 特里卡

TRICARE 由国防卫生局运营，旨在为过去和现在的数百万军人家庭提供应有的综合、高质量护理。因此，它为任何美国人提供了最全面且负担得起的健康福利之一。综合医疗保健是通过军事治疗设施以及由美国和国外的民用管理医疗支持承包商运营的民用提供者网络提供的。TRICARE 拥有 960 万受益人，如果它是一家民用健康保险公司，它将跻身全美 10 大健康计划之列。

## 国防卫生委员会

国防健康委员会是**国防部长的联邦咨询委员会**，就以下事项提供独立的意见和建议：

* 国防部医疗保健政策和计划管理
* 向国防部受益人提供高质量的医疗保健服务
* 在国防部内促进健康、保健和预防
* 国防部对疾病和伤害的治疗
* 健康研究重点
* 国防部特别感兴趣的其他健康相关事项

**使命**

我们的使命是提供独立的意见和建议，以最大限度地提高国防部医疗保健受益人的医疗保健安全和质量以及获得医疗保健的机会。

*Ut Omnes Viverent “让一切都可以生存”*

**组织**

![](/media/202412//1733370809.8567467.png)

### 医疗保健提供小组委员会

该小组委员会根据国防部政策和程序执行任务时，应就与提供医疗和牙科护理有关的事项提供建议，供 DHB 考虑。任命到该小组委员会的个人应是至少在以下学科之一的有才华、创新的私营和公共部门医疗保健领导者：临床医疗保健、患者安全/质量护理和受益人代表。

### 卫生系统小组委员会

该小组委员会在根据国防部政策和程序执行任务时，应就与国防部卫生系统有关的事项提供建议，供 DHB 考虑，包括卫生保健政策和计划管理、卫生经济学、健康保险/福利设计、健康差异、道德、和健康技术，包括信息学和分析。被任命为该小组委员会成员的个人应是至少在以下学科之一的有才华、创新的私营和公共部门医疗保健领导者：卫生系统和健康信息学。

### 神经/行为健康小组委员会

该小组委员会在根据国防部政策和程序执行任务时，应就武装部队成员及其下属的心理/心理健康、心理/心理健康的生物心理社会相关性以及神经系统症状或状况有关的事项提供建议，供 DHB 考虑。家庭。被任命为该小组委员会成员的个人应是至少以下学科之一的有才华、创新的私营和公共部门医疗保健领导者：神经科学和行为健康。

### 公共卫生小组委员会

该小组委员会根据国防部政策和程序执行任务时，应通过对国防部公共卫生的评估，就与武装部队成员、其家人和其他受益人的公共卫生有关的事项向 DHB 提供建议计划和举措，包括教育、健康促进和交流、职业/环境健康、预防活动以及疾病和伤害预防。被任命为该小组委员会成员的个人应是至少以下学科之一的有才华、创新的私营和公共部门医疗保健领导者：传染病和公共卫生。

### 创伤和伤害小组委员会

该小组委员会根据国防部政策和程序执行任务时，应就创伤和伤害问题提供建议供 DHB 考虑，包括预防、识别、临床管理和治疗方法。被任命为该小组委员会成员的人员应是创伤医学领域才华横溢、富有创新精神的私营和公共部门医疗保健领导者。

# 倡议和影响领域

## 我们的举措

国防部 (DOD) 和军事卫生系统 (MHS) 领导人概述了几项高度优先的举措：

[国防部的四个国防优先事项](javascript:void(0))

1. 保卫祖国
2. 阻止针对美国、我们的盟友和我们的合作伙伴的战略攻击
3. 制止侵略并做好必要时在冲突中获胜的准备
4. 建立有弹性的联合部队和国防生态系统

MHS 通过提高效率来支持这些优先事项，以便部门资源可以专门用于威慑和防御；通过运营和组织改革，更有效地运营企业；继续与全球卫生合作伙伴合作，加强世界各地的联盟；通过支持和改善我们作战人员的健康，以确保一支准备就绪且有复原力的全球部队。

[实施TRICARE改革](javascript:void(0))

我们正在进行现代化改造，以更好地服务受益人并应对法律和政策的变化。TRICARE 健康计划的历史性改革于 2018 年 1 月 1 日生效，TRICARE 于 2018 年秋季经历了第一个开放注册季。DHA 和卫生事务部将继续监督这些改革，目标是提供更加综合、更高质量的护理TRICARE 受益人。我们鼓励受益人掌控他们的福利，以增强他们的 TRICARE 体验。

[持续推出 MHS GENESIS](javascript:void(0))

MHS GENESIS 是 MHS 的新电子健康记录，提供增强的安全技术来管理您的健康信息。MHS GENESIS 集成了住院和门诊解决方案，将在从受伤点到军事治疗设施的整个护理过程中连接医疗和牙科信息。这包括驻军、作战和途中护理，提高受益人和医疗保健专业人员的效率。全面部署后，MHS GENESIS 将为现役军人、退伍军人及其家人提供单一健康记录。

[实施 MTF 过渡](javascript:void(0))

MHS 正在进行一代人一次的改革努力，以改善我们部队的战备状态以及我们为作战人员、退休人员和军人家属提供的医疗保健服务。这一过程旨在增加受益人获得护理的总体机会；改善整个 MHS 最佳实践的协调、标准化和传播；并为军事医疗提供者提供更多机会获得实现战备目标所需的培训。该过程的一部分涉及将军队医院和诊所的行政和管理责任从陆军、海军和空军转移到国防部。过渡工作于 2018 年开始，最终 DHA 区域于 2022 年 10 月成立。

## 我们的影响领域

为了在战时和和平时期提供优质医疗服务，MHS 不仅在规模和复杂性方面，而且在多个医疗保健领域都处于全国领先的卫生系统之列。其中包括：

[创伤护理](javascript:void(0))

MHS 联合创伤系统是世界领先的战斗伤员护理知识库，为军队和平民创伤护理提供救生课程。

军外科医生在全国各地的民用设施中服务，获得战时使用的技能，并为当地社区提供宝贵的护理，他们经常站在国内大规模伤亡事件的护理第一线。

[研究与开发](javascript:void(0))

军事医学研究的重点是军事指挥官的需求，从防止战斗失血的新方法到可穿戴健康监测设备，再到预防传染病的新保障措施。许多军事研发工作也转化为更好的民用医疗保健，从创伤护理到抗击疟疾。

[民间伙伴关系](javascript:void(0))

MHS 的成功取决于与民间医疗保健部门建立牢固的伙伴关系。

## 军队卫生系统转型

我们正在对 MHS 进行改造，以改善我们部队的战备状态以及为我们的战士、退休人员及其家人提供的医疗保健。改革重点集中在组织、基础设施和人力变革上。随着变革的实施，我们的首要任务是：

* 通过确保我们的联合部队在医疗上做好部署准备，支持我们的联合部队做好作战准备
* 增加医疗专业人员提高准备技能的机会
* 为受益人提供高质量的护理

国会发起这些变革是因为他们看到需要一个更灵活、适应性强、有效和集成的系统来管理我们的医疗设施。来自陆军、海军和空军数十年的最佳实践现在正在融合，以建立一个更强大、更集成和互联的 MHS。

我们还向所有军队医院和诊所部署了新的电子健康记录[MHS GENESIS](https://health.mil/Military-Health-Topics/Technology/MHS-GENESIS)。

### 市场结构

DHA 建立了一个[基于市场的结构](https://health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Military-Hospitals-and-Clinics/Market-Structure) 来管理医院和诊所。这些市场组织将为其所在地区的医院和诊所提供共享的行政服务。

### 基础设施的变化

国会已指示国防部提交一份关于重组军队医院和诊所的报告，以更加关注军队和医疗部队的战备情况。国防部即将完成其分析，该分析的重点是每家医院和诊所在支持军事准备方面的作用，以及国防部为其 960 万受益人提供优质医疗保健的庄严义务。

### 人力变动

国防部的 2020 财年预算提案建议到 2027 财年将 MHS 的约 12,000 名军装人员重新调整为作战部队。军事部门在严格分析其作战职责和要求后提出了支持国防部意图的建议。这一拟议的削减符合国防部增强我军作战能力的意图。根据这一方向，DHA 正在制定计划，通过新的文职人员和合同人员、外部合作伙伴以及 TRICARE 网络的结合，确保受益人继续不间断地获得高质量护理。

### 准备能力

每个军事部门——[陆军前往陆军医学网站](https://armymedicine.health.mil/)、[海军访问海军医学网站](https://www.med.navy.mil/)和[空军访问空军医学网站](http://www.airforcemedicine.af.mil/)——正在重组其医疗部门，以增强战备能力，更好地支持作战人员并优化其能力，以满足一线指挥官的作战要求。

军事部门继续维持：

* 指挥和控制所有穿制服的医务人员
* 负责配备、培训和装备这些人员
* 制定医疗准备标准
* 在医院指挥官的作战控制下提供某些特定装置的临床功能和作战临床服务。

### 将军事医院和诊所移交给国防卫生局

军事卫生系统于 2017 年开始规划和实施大规模医疗保健改革举措，以响应《2017 财年国防授权法案》以及 2018-2020 财年 NDAA 中的附加指导。

![](/media/202412//1733370809.8705926.png)

![](/media/202412//1733370809.908353.png)

![](/media/202412//1733370809.9174461.png)

![](/media/202412//1733370809.927957.png)

![](/media/202412//1733370809.9364889.png)

![](/media/202412//1733370809.9549568.png)

### 国防部长军事卫生系统审查最终报告

没有什么比人民的健康和福祉更重要。国防部致力于不断改善为我们的人民提供的护理。为了确保军队卫生系统履行这一承诺，[前国防部长查克·哈格尔SecDef 简介在新窗口中打开](http://www.defense.gov/bios/biographydetail.aspx?biographyid=365)指示对 MHS 进行为期 90 天的审查，重点关注医疗服务的获取、安全和医疗质量。最终报告可以在下面下载，它提供了军事治疗设施和从民用提供者购买的护理的表现。

#### 审查发现了什么？

审查发现，MHS 提供安全、及时和优质的护理，在很大程度上可与民用部门提供的护理相媲美。MHS 表现出广泛的绩效差异，某些领域优于民用同行，而其他领域则低于国家和部门基准。

审查小组由六名独立、受人尊敬的外部专家组成，他们是患者质量和安全方面的国家领导人。这些专家审查了报告的方法和 MHS 的绩效。他们的个人评论包含在报告中。

2014 年 10 月 1 日，哈格尔部长签署了一份备忘录，指示 MHS 在准入、质量、患者安全、透明度和患者参与方面采取具体行动。

#### 评论建议了什么？

MHS 审查提出了六项总体建议，重点是标准化、流程改进和透明度。这六项总体建议之下包含了 77 项具体建议，可在报告正文中找到。

1. MHS 应确定导致一项或多项措施异常的 MTF 差异的原因，并且当由于绩效不佳时，制定纠正措施计划以使这些 MTF 符合要求。
2. MHS 应开发一个绩效管理系统，采用一组有关准入、质量和患者安全的核心指标；进一步开发包含系统范围绩效衡量指标的 MHS 仪表板；对整个 MHS 进行定期、正式的绩效审查，由 DHA 监督绩效并在这些审查中支持 MHS 治理机构。
3. MHS 应开发企业范围的质量和患者安全数据分析基础设施，包括健康信息技术系统、数据管理工具和经过适当培训的人员。DHA 的分析能力（负责总体监控 MHS）与军种分析资产之间应该有明确的协作。
4. MHS 应强调信息的透明度，包括直接和购买的护理部分，以及内部、外部和国防部受益人的可见性。购买护理部分的措施与实际护理部分的措施更加一致**直接护理**直接护理是指军队医院和诊所，也称为“军事治疗设施”和“MTF”。直接护理部分应纳入 TRICARE 区域合同中。
5. 通过 MHS 治理，可以制定政策指导，为服务提供共同的可执行目标。在尊重各部门的个人文化的同时，这一努力将增进对整个 MHS 安全和以患者为中心的护理文化的理解。
6. MHS 应继续制定通用标准和流程，旨在改善整个企业在准入、质量和患者安全领域的成果，这将提高质量，或以更低的成本提供相同水平的质量（即更高的价值） 。

#### 我怎样才能参与其中？

MHS 致力于倾听患者的意见。如果您有疑问或想要提供有关 MHS 的准入、护理质量和安全的信息， [请向 MHS 审核团队发送电子邮件。电子邮件 MHS PAO](mailto:dha.ncr.info-deliv.list.healthmil-pao@health.mil)

#### CSV 数据表文件

对于那些希望查看本报告中包含的表格中的原始数据的人，我们提供了一系列逗号分隔值文件，其中表格数据包含在下面的 zip 文件中。这六个文件包含表的原始数据

选择下载： 选择要下载的文件 MHS 审查报告 CSV 数据 1 - 从报告正文访问护理表数据 MHS 审查报告 CSV 数据 4 MHS 审查报告 CSV 数据 3 MHS 审查报告 CSV 数据 6 MHS 审查报告 CSV 数据 2 MHS 审查报告 CSV 数据 5 下载

#### 下载报告

使用下拉菜单访问 MHS 审核最终报告。由于文档的大小，该报告已分为几个较小的文档。可用的文件有：

文件 1：目录和执行摘要

文件 2：第 1 部分 - 简介和第 2 部分 -

选择下载： 选择要下载的文件 MHS 审查报告执行摘要 MHS 审查报告简介和概述 MHS 审查报告第 3 节 在 MHS 中获得护理 MHS 审查报告第 4 节 MHS 的护理质量 MHS 审查第 5 节和第 6 节 MHS 中的患者安全和报告结论 MHS 审查附录 1 简介和附录 2 概述 MHS 审查附录 3 至 5 获得护理、护理质量和患者安全 MHS 审查附录 6 建议和评论 MHS 审查附录 7 至 8 首字母缩略词和致谢 下载

# 我们的组织

军事卫生系统是一个由军警、文职人员和合同人员以及国防部及其他各级其他文职合作伙伴组成的联合系统——从国防部长办公室的高级官员到近千个国家的医生和其他医疗保健提供者。全国每个社区。

## 负责卫生事务的助理国防部长办公室

OASD(HA) 是根据 [国防部 (DOD) 指令 5136.01 特许成立的，是所有 DOD 健康和部队健康保护政策、计划和活动（包括向 DoDI 开放](https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodd/513601p.pdf?ver=2019-02-15-111649-910)[综合残疾评估系统）](https://health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/DES/Integrated-Evaluation-System)的主要参谋部门。OASD(HA) 负责有效执行国防部医疗任务，为军队成员提供医疗服务和支持并保持其准备状态，包括在军事行动期间；他们的家人; 那些由军事部门控制的人；以及其他有权或有资格享受国防部医疗护理和福利的人，包括[TRICARETRICARE网站](https://www.tricare.mil/)下的医疗护理和福利。

### OASD(HA)的主要内容

* [负责卫生事务的助理国防部长](https://health.mil/About-MHS/OASDHA/ASDHA)
* [卫生资源管理与政策办公室](https://health.mil/About-MHS/OASDHA/HRMP)
* [健康准备政策与监督办公室](https://health.mil/About-MHS/OASDHA/HRPO)
* [卫生服务政策与监督办公室](https://health.mil/About-MHS/OASDHA/HSPO)
* [国防卫生局](https://health.mil/About-MHS/OASDHA/Defense-Health-Agency)
* [统一服务健康科学大学前往 USUHS 网站](https://www.usuhs.edu/)
* [陆军医疗司令部向陆军医疗司令部开放](https://www.army.mil/armymedicine)
* [空军医疗服务向空军医疗服务开放](http://www.airforcemedicine.af.mil/)
* [海军医学和外科局](https://www.med.navy.mil/)

## 负责卫生事务的助理国防部长

[负责卫生事务的助理国防部长 (ASD[HA])](https://www.health.mil/About-MHS/Biographies/Dr-Martinez-Lopez)是 国防部长和负责人事和战备的国防部副部长 (USD[P&R]) 的所有国防部卫生和部队卫生保护政策的首席顾问、计划、活动和综合残疾评估系统。在履行这些职责时，ASD(HA) 通过 [国防卫生局行使权力、指导和控制打开 DHA 主页](https://www.health.mil/About-MHS/OASDHA/Defense-Health-Agency) 国防部医疗和牙科人员授权以及政策、设施、计划、资金和其他综合资源。

### 愿景

ASDHA 确保国防部医疗任务的有效执行，为军人、其家人和其他有权或有资格享受国防部医疗护理和福利的人员提供并保持医疗服务和支持的准备状态。了解有关 DOD 指令 5136.01 中 ASDHA 职责和职能的更多信息 [。接受国防部指令](https://health.mil/Reference-Center/Policies/2013/09/30/Assistant-Secretary-of-Defense-for-Health-Affairs)

### 目标

通过增强企业范围内的共享服务，促进更有效和高效的卫生运营。

* 利用先进的以患者为中心的医疗之家提供更全面的初级保健和综合医疗服务。
* 随着时间的推移和跨治疗环境协调护理，以改善慢性病管理的结果。
* 将人员、基础设施和资金与当前任务、未来任务和人口需求相匹配。
* 建立更多的服务间标准/指标和标准流程，以促进学习和持续改进。
* 在 5 年业务计划中采用综合方法，在军事医疗市场创造更高的价值。
* 将激励措施与健康和准备结果相结合，以奖励价值创造。

## 卫生资源管理与政策

负责卫生资源管理和政策 (HRM&P) 的副国防部长助理办公室 (HRM&P) 负责为 960 万受益人提供具有成本效益的优质健康福利，其中包括现役军人、退休人员、幸存者及其家人。军事卫生系统的年度预算约为 500 亿美元，由全球网络组成

* 50+军队医院，
* 350+家健康诊所，
* 私营部门卫生业务合作伙伴，以及 
* 制服服务大学。

开发和维护这一完整的金融投资组合支持并促进 MHS 的战略要求。

### 使命

HRM&P 从多个来源（包括军事部门）提供卫生资源资金管理和指导。

### 想象

努力平衡综合能力，在预算范围内为受益人群提供尽可能优质的医疗保健支持以及作战准备任务要求。

### 职责范围

* 制定管理国防部健康和医疗计划的政策、程序和标准 
* 审查、评估和开展国防部健康和医疗政策、计划、计划和系统的管理监督活动 
* 担任国防部所有健康和医疗财务及其他资源的资源管理者

## 健康准备政策和监督

负责卫生准备政策和监督的副助理国防部长办公室是助理国防部长（卫生事务）的主要参谋助理和顾问，负责国防部所有与医疗相关的准备政策、计划和活动。该办公室负责部队卫生保护、全球卫生参与、美国在全球大流行遏制方面的军事援助、国际卫生协议、与部署相关的卫生政策、联合战区信息系统、人道主义和卫生任务以及国家灾难支持。

### 职责范围

[医疗对策](javascript:void(0))

HRP&O 医疗对策 (MCM) 主任为 MCM 制定政策和指南，以保护美军免受当前和未来的化学、生物、放射性和核 (CBRN) 威胁和新出现的传染病的影响。职责包括：

* 与负责核、化学和生物防御计划的助理国防部长 (ASD(NCB)) 就 MCM 研究、开发和采购问题进行合作；
* 主要通过公共卫生紧急医疗对策机构与机构间合作伙伴就 MCM 问题代表卫生事务部，例如为国家战略储备优先事项和国家 MCM 战略提供指导；
* 与免疫部门密切合作，发布季节性流感和具有大流行潜力的新发传染病的疫苗指南；和
* 监督 DoD-VA 化学和生物战暴露系统。

[医疗准备](javascript:void(0))

HRP&O 医疗准备政策 (MPP) 主任代表 ASD(HA) 与 OSD、跨机构合作伙伴和国家安全委员会合作，规划和准备国防部对自然发生或人为灾难和突发事件的医疗响应当民政当局要求或国防部长指示时，向国家一级通报。这项工作是与负责国土防御和全球安全的助理国防部长办公室 (OASD/HD&GS) 密切合作完成的，以确保国防部的公共卫生和医疗响应活动符合国防部向民政当局提供国防支持的政策（ DSCA）任务。MPP 还在军事卫生系统 (MHS) 内制定和实施政策，监督 MHS 对灾害的响应，军事设施内或附近发生的突发公共卫生事件和大规模伤亡事件。MPP 主任与国防卫生局合作，协助制定政策和实施计划，通过专门计划和国际协议，在 MHS 范围内向非国防部受益人和联盟成员提供医疗保健。

[手术医学](javascript:void(0))

手术医学主任提供医疗部队准备和关键活动方面的专业知识，其中包括以下方面的手术医学政策制定和监督：

* 应急伤亡管理能力、患者移动和联合创伤系统，包括 mTBI 和其他神经认知方面，以及政府民事和承包商部署医疗保健，以及涵盖美国能力到东道国和多国能力；
* 部队卫生防护、生物威胁和化学威胁应急对策方面的合作；
* 联合战备共性，包括基本医疗能力、概念所需能力、作战概念以及知识、技能和能力；
* 从急救人员和院前长期复苏护理平台到剧院住院治疗的医疗培训要求，包括伤员护理以及减少活体动物使用的最有效的模拟方式；
* 未来能力发展（知识、材料、成果和过程），包括高级领导者应急教育和培训；和 
* 制定 JC&DS 要求以确定医疗能力差距。

[预防医学](javascript:void(0))

HRP&O 预防医学政策总监通过减少可预防的疾病和伤害原因来增强行动准备状态，并确保维持、行使针对未来医疗威胁的应急能力并负责。为国家安全面临的公共卫生威胁提供风险评估和监督，包括：

* 大流行性流感/新发传染病的防范：制定、更新和监督医疗政策和程序，以建立 MHS 的目标和目的，以应对公共卫生问题。
* 可预防的疾病原因：制定政策并监督有关 MHS 努力的计划，以减少对部署准备情况产生不利影响的伤害和疾病。
* 公共卫生威胁：向国防部保证 MHS 拥有足够的政策和程序来识别、应对和减轻影响国防部准备状态的公共卫生威胁的风险。

[储备医疗项目](javascript:void(0))

HRP&O 后备部队医疗计划和政策总监就所有后备部队事务向 ASD HA 提供建议和协助，制定后备部队特定的健康政策，并对影响后备部队准备情况的计划进行监督。这包括：

* 优化政策和监测计划，确保在整个部署生命周期中对 RC 医疗保健提供者进行最佳配置；
* 确保政策和计划支持因公受伤、患病或罹患疾病的 RC 成员的独特医疗保健要求；
* 维持现役和预备役部队的组合，包括国内突发事件；
* 管理 RC 自动准备分析程序；
* 优化 RC 股票以实施卫生事务举措和立法变革；和
* 加强 RC 培训计划，以经济有效地满足医疗任务要求，包括使用新兴技术和模拟。

### 我们的任务

HRP&O 制定并监督全国防部署医疗保健政策的执行。这些政策：

* 使战区、军队医院和诊所的医疗服务提供者能够改善、保护和维持军人的健康准备状态和恢复能力。
* 以细致的研究为基础，结合指挥官和军种人员的要求、经验教训和最佳实践，作为指导方针，以优化部队健康保护和医疗准备。

### 我们的愿景

* 为国防部医疗部队部署、健康保护、国家灾难医疗支持以及医疗准备计划和活动提供政策和指导 
* 制定支持战备、应急和人道主义行动的医疗保健政策和监督 
* 发起和传播促进部署训练有素、装备齐全的医疗人员和部队的政策 
* 监督政策参与，努力改善对涵盖突发事件和和平时期医疗保健连续性的健康问题的支持 
* 最大限度地利用医学研究和技术解决方案以增强准备状态

## 卫生服务政策与监督

负责卫生服务政策和监督 (HSP&O) 的副助理国防部长负责领导军事卫生系统 (MHS) 临床政策和计划的政策制定和计划监督，并向国防部高级官员、国会和其他政府提供医疗信息、建议和咨询机构和利益相关者。职责涵盖广泛的卫生政策问题和对 MHS 的监督，该机构为全球 960 万受益人提供服务。

HSP&O 组合包括政策制定和患者安全监督；质量改进；医学信息学/健康信息技术；疾病预防; 人口健康；心理健康和药物滥用；女性健康; 医学伦理；研究生医学教育；医疗加入和保留标准；卫生专业人员的加入和受伤战士的护理。

HSP&O 与各军种、国防卫生局和整个国防部合作，确保 MHS 完成其使命，制服人员在医疗上做好随时部署到全球任何地方的准备，军事医疗专业人员也做好准备与他们一起部署。

使命

美国的 MHS 是全球医学教育工作者、医学研究人员、医疗保健提供者及其支持人员的独特合作伙伴关系。它随时准备以全面的医疗能力应对全球的军事行动、自然灾害和人道主义危机，并确保为所有国防部军人、退休人员及其家人提供世界一流的医疗服务。MHS 通过减少非战斗损失、优化健康行为和身体表现以及提供伤员护理来促进一支健康、健康和受保护的部队。

想象

综合 MHS 向符合条件的受益人提供协调一致的预防和治疗服务，并在支持军种作战人员需求的同时对健康结果负责。

职责范围

* [加入和医疗标准](https://www.health.mil/About-MHS/OASDHA/HSPO/Accessions-and-Medical-Standards)
* [临床信息学](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/EACE/Clinical-Informatics)
* [人力资本](https://www.health.mil/About-MHS/OASDHA/HSPO/Human-Capital-Office)
* 医疗道德和患者权益
* [精神健康](https://www.health.mil/)
* [预防医学](https://www.health.mil/Military-Health-Topics/Total-Force-Fitness/Preventive-Health)
* [质量和研究生医学教育](https://www.health.mil/Error?item=web%3a%7bA8F49E08-5D6D-4DE2-A939-61FD29ED74DA%7d%40en)
* [战士护理](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Warrior-Care)
* [女性健康](https://www.health.mil/Military-Health-Topics/Womens-Health)

### 加入和医疗标准

**加入和保留的军事医疗标准**

国防部 (DOD) 入伍和保留军队的医疗标准是根据现有的最佳科学证据制定的。加入医疗标准工作组 (AMSWG) 在医疗和人事执行指导委员会 (MEDPERS) 的指导下制定政策建议，该委员会指导加入医疗标准分析和研究活动 (AMSARA) 团队开展支持性分析和研究。AMSARA 发布年度报告和出版物，其中包括对服役人员入伍和减员数据的全面分析，使国防部利益相关者能够做出明智的政策决策。

国防部指令[(DODI) 6130.03 第 1 卷View or download the PDF](https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodi/613003_v1p.PDF?ver=9NsVi30gsHBBsRhMLcyVVQ%3D%3D)：“军事医疗标准：任命、入伍或入伍”规定了不合格的入伍医疗标准。这些标准支持让合格、高效和身体健全的人员做好准备参军。

标准的修改是根据医疗保健的进步、入伍第一期的定期损耗分析以及因服务 DODI 6130.03 标准而获得豁免的候选人的成功而通知的。

[DODI 6130.03，第 2 卷](https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodi/613003_vol02.PDF)：“兵役医疗标准：保留”规定了军事部门根据具体情况应用的最低医疗标准。

### 国防部/退伍军人事务计划办公室

国防部/退伍军人事务计划办公室是助理国防部长（卫生事务）所有国防部/退伍军人事务部医疗保健相关政策、计划和活动的首席顾问。DVPO 负责加强整个军事卫生系统的医疗资源共享，该系统包括超过 413 个医疗中心、医院和诊所，为超过 960 万军人、退休人员及其家人提供支持。我们与 VA 合作，致力于发现机会并建立合作伙伴关系来应对这些机会。

使命

确定国防部和退伍军人事务部之间高效且有效的医疗保健共享机会，以提高国防部和退伍军人事务部受益人获得优质且具有成本效益的医疗保健的机会，同时支持其军事医疗保健提供者的 MHS 临床准备任务。

想象

扩大和加强国防部和退伍军人事务部之间的医疗保健合作伙伴关系，在所有护理地点为国防部和退伍军人事务部受益人提供高价值服务。

职责范围

* [为James A. Lovell 上尉联邦医疗保健中心](https://www.lovell.fhcc.va.gov/)提供医疗保健政策监督[打开 FHCC 网站](https://www.lovell.fhcc.va.gov/)是唯一一个执行单一海军和退伍军人事务联合任务的国防部/退伍军人事务部综合设施。 
* 执行立法设立的[联合激励基金](https://www.health.mil/About-MHS/OASDHA/HSPO/DVPO/Joint-Resource-Sharing/JIF) 计划，以加强国防部和退伍军人事务部之间的合作。
* [制定支持医疗资源共享](https://www.va.gov/VADODHEALTH/Medical_Sharing.asp)管理的政策和程序[打开 VA 网站](https://www.va.gov/VADODHEALTH/Medical_Sharing.asp) 经立法授权的计划，旨在签署协议和合同，以在国防部和退伍军人事务部之间进行互惠互利的协调、使用或交换医疗保健资源的使用。
* 监督卫生执行委员会的立法授权，推动国防部和退伍军人事务部之间高效、有效的医疗保健共享。

资源

* 退伍军人健康管理局与国防部军事卫生系统之间的谅解备忘录 (MOU)：[医疗保健资源共享指南](https://www.health.mil/Reference-Center/Policies/2020/04/20/HEALTH-CARE-RESOURCES-SHARING-GUIDELINES)，协议号 DHA-2019-S-1214
* [公法 97-174打开法律文本](https://www.govinfo.gov/content/pkg/USCODE-2011-title38/pdf/USCODE-2011-title38-partVI-chap81-subchapI-sec8111.pdf), VA/DoD 卫生资源共享和紧急行动法案
* [38 南加州大学§8111打开美国代码文本](https://www.govinfo.gov/content/pkg/USCODE-2011-title38/html/USCODE-2011-title38-partVI-chap81-subchapI-sec8111.htm)，退伍军人事务部和国防部医疗保健资源共享
* [10 南加州大学第 1104 条打开美国法规文本](https://www.govinfo.gov/content/pkg/USCODE-2010-title10/html/USCODE-2010-title10-subtitleA-partII-chap55-sec1104.htm)，与退伍军人事务部共享医疗保健资源；退伍军人健康管理局与国防部军事卫生系统卫生保健资源共享指南之间签署谅解备忘录，日期为 2020 年 4 月 20 日。

#### 卫生执行委员会

卫生执行委员会 (HEC) 致力于将 VA 和 DoD 的共享与协作工作制度化，以确保卫生服务和资源的有效利用。HEC 是根据《美国法典》第 38 篇第 320 条成立的，并根据适用的联邦法律和法规运作。高等商学院是：

* 由助理国防部长（卫生事务）和退伍军人事务部卫生副部长共同主持
* 直接向 VA/DOD [联合执行委员会 (JEC)报告](https://www.health.mil/About-MHS/OASDHA/HSPO/DVPO/Joint-Oversight/JEC)

宪章

卫生执行委员会 (HEC)：

* 监督 VA/DOD 联合战略计划 (JSP) 的制定和实施 
* 监督工作组
* 确定加强互利协调的机会（政策、运营和资本规划）
* 向 JEC 提交关于 JSP 迄今为止进展的年度报告

会员资格

成员包括国防部和退伍军人事务部的以下成员：

**国防部会员**

**退伍军人管理局会员资格**

* 助理国防部长（卫生事务）— 联合主席
* 首席副助理国防部长（卫生事务）
* 陆军军医长
* 海军外科医生
* 空军军医长
* 副助理国防部长（卫生预算和金融政策）
* 副助理国防部长（部队卫生防护和战备）
* 副助理国防部长（临床和计划政策）
* 国防卫生局副局长
* 军事卫生系统首席信息官

* 卫生局副局长 – 联合主席
* 卫生部首席副副部长
* 负责卫生运营和管理的副部长
* 幕僚长、卫生部副部长
* 国防部首席协调官
* 首席财务官
* 首席信息官
* 首席健康信息官
* 首席病人护理服务官
* 首席公共卫生和环境危害官

#### 联合执行委员会

宪章

联合执行委员会（JEC）：

* 监督 VA/DOD 联合战略计划 (JSP) 的制定和实施
* 监督健康与福利执行委员会
* 确定加强互利服务和资源的机会
* 向部长和国会提交年度报告，包括 JSP 的进展情况

会员资格

成员包括来自国防部和退伍军人事务部的以下代表：

**国防部会员**

**退伍军人管理局会员资格**

* 国防部副部长（人事与战备） – 联合主席
* 国防部首席副部长（人事与战备）
* 助理国防部长（卫生事务）
* 首席副助理国防部长（卫生事务）
* 首席董事首席信息官
* 助理国防部长（储备事务）
* 空军助理部长（人力和预备役事务）
* 陆军助理部长（人力与预备役事务）
* 助理海军部长（人力与预备役事务）
* 副主任，项目采购和应急承包

* 退伍军人事务部副部长 – 联合主席
* 卫生局副局长
* 福利局副局长
* 政策和规划助理部长
* 管理事务助理秘书长
* 负责运营、安全和准备事务的助理部长
* 企业发展副助理部长
* 管理事务局首席副助理秘书长
* 总法律顾问办公室

#### 联合激励基金

联合激励基金 (JIF) 是根据《2003 财年国防授权法》第 721 条设立的，旨在为国防部/退伍军人管理局的创新联合共享举措提供种子资金和激励措施，以夺回战机**购买护理**TRICARE 健康计划通常称为购买护理。这是我们通过管理式医疗支持合同“购买”的服务。购买护理、提高质量并推动设施、区域和国家层面的成本节约。国防部/退伍军人管理局每年对该基金的最低捐款额为 1500 万美元，每年总计 3000 万美元。

JIF 仅指定供退伍军人健康管理局 (VHA) 和国防卫生局 (DHA) 实体用于直接医疗共享计划或促进 DOD/VA 互操作性的服务或系统。JIF 不应用于雇用军事人员、进行重大建设和/或主要 IT 系统。资金也不应用于维持目的。JIF 举措应在两年内执行完成（并支出资金）。

#### 直接与 VA 共享

[国防部 (DOD) 政策开设 Health.mil](https://www.health.mil/Reference-Center/Policies/1995/06/26/MOU-DoDVA-MCSCs-Entering-Into-Agreements-with-VA-Facilities) 鼓励退伍军人事务部 (VA) 参与 TRICARE 网络，大多数 VA 设施都是 TRICARE 网络提供商。

* 许多 TRICARE 受益人也是 VA 受益人，因此他们可以并且确实通过这两个部门获得医疗保健。 
* 一些 TRICARE 受益人一旦从军队退役或退役，就会过渡到 VA。

弗吉尼亚州设施：

* 直接与管理式医疗支持承包商协商费率
* 遵守与其他网络提供商相同的使用管理和质量保证要求

在 VA 机构获得护理取决于资助者的军事状况和患者的医疗保健需求。 [>>了解有关通过 TRICARE 使用 VA 设施的更多信息打开 TRICARE.mil](https://www.tricare.mil/FindDoctor/AllProviderDirectories/VAFacilities)

#### 机构间护理协调委员会

通过机构间护理协调委员会 (IC3)，国防部 (DOD) 和退伍军人事务部 (VA) 正在共同努力，简化从国防部调到 VA 或在每个系统内需要复杂护理的军人的过渡的照顾。这项工作旨在减轻服役人员/退伍军人 (SM/V) 的负担，他们患有严重的疾病或受伤，需要两个部门的多个专业提供专业知识。

一项使命、一项政策、一项计划

根据这些指导原则，IC3 努力简化、同步、协调和整合为现役军人和退伍军人 (SM/V) 及其家人在国防部之间过渡时提供的全方位护理、福利和服务(DOD) 和退伍军人事务部 (VA) 以及平民社区。

IC3 的任务是开发：

1. 共同的、跨机构的总体指导
2. 实践社区，将国防部和退伍军人事务部临床和非临床病例管理者联系起来，负责恢复 SM/V
3. 每个 SM/V 的单一、共享的综合计划
4. 用于护理协调的机构间综合计划信息技术解决方案，以实现 VA 和国防部护理协调员之间的数据交换
5. 首席协调员的角色是在国防部和退伍军人部之间恢复和过渡期间充当 SM/V 及其护理人员的单点联络人

IC3 建立在信任、团队合作、适应性、责任感和注重结果的基础上。

护理经验

通过 IC3，国防部和退伍军人管理局正在努力为您提供：

* **一个** 主要联络点可帮助您了解护理、福利和服务的路径。
* **护理管理团队**了解 您的故事并可以轻松传达。
*  从国防部到退伍军人管理局或每个机构内部的热情交接，为您和您的家人提供更无缝的过渡 体验 **。**

### 人力资本办公室

首席人力资本办公室为军队卫生系统做什么？

首席人力资本办公室 (CHCO) 通过检查和调整军事卫生系统 (MHS) 的人力资源政策、举措和解决方案来支持军事卫生系统 (MHS) 的劳动力环境。MHS 拥有 167,000 名军事和民用医疗专业人员，CHCO 致力于发展和提高 MHS 招募、保留、补偿和晋升高素质医疗保健专业人员的能力。

通过担任 MHS 领导层的顾问和倡导者，以及陆军、海军和空军各军种的核心合作伙伴，CHCO 就医疗人力资本问题提出并提供重要建议，以确保 MHS 的未来成为一个更有竞争力的就业选择。

战略目标

* 支持人力资本生命周期战略的制定，确保 MHS 完成其使命。
* 参与使 MHS 成为平民医疗保健专业人员更具竞争力的就业选择。
* 提供全面的人力资本分析，使领导层能够做出合理的战略性劳动力决策。
* 推销 CHCO 作为人力资本管理顾问和倡导者的价值。

使命

通过促进人力资本政策、举措和解决方案，我们能够为 MHS 培养和维持合格的医疗保健专业人员。

想象

在 MHS 范围内寻求最佳的人力资本解决方案。

## 国防卫生局

国防卫生局是一个联合、综合的作战支援机构，使陆军、海军和空军医疗服务部门能够在和平时期和战时向作战司令部提供医疗准备部队和医疗部队。[DHA 采用“就绪可靠护理”](https://health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Quality-And-Safety-of-Healthcare/Ready-Reliable-Care)原则 ，通过改进系统运营、推动创新解决方案和培养安全文化，在整个军事卫生系统中推进高可靠性实践。

**我们所做的**

DHA 在全球拥有近 130,000 名文职和军事人员，致力于提供卓越的医疗服务、改善医疗保健并确保军事人员做好在国内外执行战斗行动和人道主义任务的准备。

* 引领[医疗保健市场](https://health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Military-Hospitals-and-Clinics/Market-Structure) 以管理军队医院和诊所
*  为作战指挥部提供[作战支持](https://health.mil/Military-Health-Topics/Health-Readiness)
* 向全球 950 万受益人提供[TRICARE 健康计划](https://health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/TRICARE-Health-Plan)
* 向军队医院和诊所部署新的电子健康记录[MHS GENESIS](https://health.mil/Military-Health-Topics/Technology/MHS-GENESIS)
* 为 MHS 提供者提供[教育和培训](https://health.mil/Military-Health-Topics/Education-and-Training) ，以确保一支医疗队伍做好准备

**DHA 概览**

* 2018 年 10 月 1 日，开始为期四年的[过渡](https://health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Military-Hospitals-and-Clinics/Market-Structure) ，接管国防部 400 多家诊所、医院和医疗中心的权力、指导和控制权。
* 目前在 DHA 总部层面开展 10 项[企业支持活动，以确保整个军事卫生系统的标准化。前往企业支持活动](https://www.health.mil/About-MHS/OASDHA/Defense-Health-Agency#ESA)
* 为联合部队管理每年 110 亿美元的医疗供应链的采购和分销，其中包括约 560,000 件医疗设备。
* 使军事和民用医疗保健专业人员的全球网络能够为 950 万军人、退休人员和家庭成员提供护理。

[国防部指令 3000.06，2016向 DTIC 开放](https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodd/300006p.pdf)年 7 月 8 日生效，作战支持机构

**我们的优先事项**

1. 在竞争、危机或冲突中为联合部队提供作战支持
2. 建立现代化、综合性、有弹性的卫生服务系统
3. 敬业且富有灵感的专业团队推动军事健康的下一次发展

**企业支援活动**

DHA 通过提供企业支持活动来支持军事部门和作战司令部，为整个联合部队提供医疗能力。这些活动包括：

* [药房服务](https://health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Pharmacy-Operations)
* [TRICARE 健康计划](https://health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/TRICARE-Health-Plan)
* [健康信息技术](https://health.mil/Military-Health-Topics/Technology)
* [医疗预算和资源管理](https://health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Uniform-Business-Office)
* [医疗物流](https://health.mil/Military-Health-Topics/Health-Readiness/Medical-Logistics)
* [医疗设施](https://health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Military-Hospitals-and-Clinics)
* [医疗采购](https://health.mil/Military-Health-Topics/Acquisition-Procurement-and-Small-Business)
* [医学研究与开发](https://health.mil/Military-Health-Topics/Research-and-Innovation/DHA-Research-and-Engineering)
* [公共卫生](https://health.mil/Military-Health-Topics/Health-Readiness/Public-Health)
* [医学教育与培训](https://health.mil/Military-Health-Topics/Education-and-Training)

### DHA 战略计划

国防卫生局发布了DHA 2023-2028 财年[*战略计划。*](https://health.mil/Reference-Center/Publications/2023/07/31/DHA-Strategic-Plan)

这是一个专注于创新和现代解决方案的前瞻性计划。该计划推动该机构努力实现医疗保健系统的现代化和稳定。这些努力的目的是：

* 军事部门。
* 战斗命令。
* 我们的 960 万受益人。

我们正在将军队医疗保健转变为更加以人为本的综合系统。这为我们的受益人带来了更大的价值，同时保持我们的医疗准备状态。

我们将通过提供尖端技术来实现这一目标：

* 技术。
* 产品。
* 服务。

我们将为所有受益人提供非凡的体验和非凡的成果：***随时随地 – 始终。***

**DHA 价值**

可靠性

我们值得信赖，诚实对待我们的表现，并履行我们的承诺。

谦逊

我们专注于倾听，我们富有同情心，我们积极了解我们的队友、合作伙伴和患者的需求和担忧。

敏捷

当面临新机遇和新挑战时，我们快速适应并有效创新。

使命

国防卫生局通过改善健康和做好准备来支持我们的国家，让非凡的经历变得平凡，让非凡的成果成为常态。

愿景

在我们关心我们的联合部队和我们有幸服务的人员时，不懈地追求卓越。随时随地——始终。

优先事项

* 在竞争、危机或冲突中为联合部队提供作战支持

通过在竞争、危机或冲突中执行商定的明确定义的职能，为作战指挥官和联合部队提供敏捷和可扩展的作战支持能力。更好地倾听、全面应对并紧急应对挑战，并为我们的使命所需的全球任何地方带来灵活的解决方案。

* 构建现代化、集成且有弹性的医疗保健提供系统

通过充分利用新兴科学技术进步、扩大合作伙伴关系以及采用新的健康和保健模式来优化受益人的健康和护理体验，同时提高我们的医疗团队的准备程度，从而实现新的卓越水平。利用当局不断试点示范项目，奖励成果重于产量、价值重于数量，并优化交付选项，使用最合适的场所为我们的受益人、患者和利益相关者提供信息、护理和透明度。

* 敬业且富有灵感的专业团队推动军事健康的下一次发展

创建一个充实而充满活力的工作场所，目标驱动绩效，以人为本，高可靠性原则培养和激励每个人，推动整个组织支持我们追求卓越。

战略职能和举措

* 战斗支援

在全球范围内提供可扩展且敏捷的解决方案。

* 提供可扩展且敏捷的功能，以满足经过验证的作战指挥官的要求。
* 医疗保健服务

提供出色的以患者为中心、基于证据的护理。

* 在新范式中优化医疗保健服务。
* 利用技术改善患者体验。
* 为个人提供完全集成的医疗保健服务系统。![](/media/202412//1733370809.9932516.png)
* 企业支持

为受益者和利益相关者提供最佳的战斗支持和医疗保健提供能力。

* 通过在医疗保健服务中快速实施新兴技术，加速整个 DHA 企业的变革性创新。
* 通过综合研究、采购、物流和承包，加速医疗准备和护理的现代化。 
* 有效、及时地获取、发展、保留和管理机构全体员工队伍。
* 利用数据推动组织各个级别的决策制定。
* 跨职能倡议

![](/media/202412//1733370810.004228.png)

实施[就绪可靠的护理](https://health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Quality-And-Safety-of-Healthcare/Ready-Reliable-Care)

### DHA 平等机会和多元化管理 (EODM)

DHA EODM 办公室负责平等就业机会 (EEO) 计划的整体管理。

* DHA 致力于为所有员工、前员工和求职者提供平等的机会，无论其种族、肤色、国籍、性别（包括性取向或怀孕歧视）、宗教、年龄、报复行为，均以绩效为基础、遗传信息或身体和/或精神残疾。
* 在该机构内，将尽一切努力确保所有就业决策和人事行动，包括招聘、选拔、培训、晋升、调动和福利，均符合有关平等就业和人事管理的联邦法律和法规。

谁可以提出投诉？

任何认为自己受到歧视的 DHA 员工或申请人都可以提出 EEO 投诉。所指控的歧视必须基于种族、肤色、性别（包括性骚扰、怀孕、性取向和性别认同）、残疾、年龄（40 岁或以上）、报复、国籍、宗教或遗传信息。其他信息：[提出 EEO 投诉的权利。](https://www.health.mil/Reference-Center/Policies/2021/01/22/Right-to-File-Policy)

我应该在哪里提出投诉？

任何 DHA 雇员、前雇员或就业申请人需要有关 EEO 投诉流程的更多信息或想要向 DHA 提交 EEO 投诉，可以通过 dha.ncr.eeo.mbx 联系平等机会和多元化管理 (EODM) 办公室 [。 eodm@health.mil向我们发送电子邮件以获取更多信息或提出投诉](mailto:dha.ncr.eeo.mbx.eodm@health.mil) 或[dha.eodm@health.mil](mailto:dha.eodm@health.mil)。向我们发送电子邮件以获取更多信息或提出投诉。

个人协助服务 (PAS)

国防卫生局不断努力履行其 PAS 义务，制定政策、实践和程序，确保向 DHA 员工以及正在寻求和考虑就业的申请人提供 PAS。PAS 的定义是“协助个人进行日常生活活动，这些活动是个人在没有残疾的情况下通常会进行的，并且不需要作为合理的便利。

1973 年《康复法》第 501 条要求向特定残疾员工提供 PAS，这些员工请求并需要非医疗和非工作任务个人援助，除非这样做会给机构带来过度的困难。有关 PAS 的更多信息，请参阅[DHA AI 1020-01、合理便利 (RA)或通过](https://www.health.mil/Reference-Center/Policies/2020/11/02/DHA-AI-1020-01)[dha.ncr.eeo.mbx.dpm@health.mil](mailto:dha.ncr.eeo.mbx.dpm@health.mil?subject=DHA%20Personal%20Assistant%20Services%20(PAS))联系 DHA 残疾项目经理 [向 DHA 残疾项目经理发送电子邮件](mailto:dha.ncr.eeo.mbx.dpm@health.mil?subject=DHA%20Personal%20Assistant%20Services%20(PAS))。

### 总法律顾问办公室

总法律顾问办公室在国防部法律服务局的指导、授权和控制下运作，并被指派给国防卫生局执行主任，负责：

* 提供在 DHA 范围内执行并涉及 DHA 的法律服务，其使命是管理 TRICARE、管理和管理国防健康计划拨款、支持军警部门管理和管理 TRICARE 计划以及管理平民健康和医疗计划。制服服务部门。
* 管理 TRICARE 上诉和听证会系统
* 管理 TRICARE 债务催收计划的各个方面

OGC 由两个部门组成：

* [普通法部门](https://www.health.mil/About-MHS/OASDHA/Defense-Health-Agency/Office-of-General-Counsel/General-Law-Division)在科罗拉多州奥罗拉和弗吉尼亚州福尔斯彻奇设有办事处 
* [上诉、听证会和索赔收集部门，](https://www.health.mil/About-MHS/OASDHA/Defense-Health-Agency/Office-of-General-Counsel/Appeals-Hearings-and-Collections-Division)在科罗拉多州奥罗拉设有办事处

OGC 国家首都理事会办公室为联合工作组国家首都地区医疗保健服务综合系统提供法律咨询。

* [沃尔特·里德国家军事医疗中心总法律顾问办公室Goes to the Walter Reed Website](https://walterreed.tricare.mil/About-Us/Office-of-General-Counsel)
* [亚历山大·T·奥古斯塔军事医疗中心（原贝尔沃堡社区医院）Goes to A. T. Augusta MMC site](https://belvoirhospital.tricare.mil/)

OGC 圣安东尼奥办事处向 DHA 卫生信息技术理事会提供法律建议。

### DHA 监察长办公室

国防卫生局监察长办公室应向 DHA、DHA 活动和下属组织以及分配给 DHA 内的其他组织实体和 OASD(HA) 成员提供 IG 建议、服务和支持；并根据适用的规定管理国防部授权的[国防部 IG 计划。Opens the DOD IG webpage](http://www.dodig.mil/)

DHA OIG 负责开展、监督、监控和启动与 DHA 计划和运营相关的检查、调查和审计，以阻止欺诈、浪费和滥用行为，同时促进问责制、诚信和效率。

### 行政与管理

行政和管理局包括：

[**DHA 出版物图书馆**](https://www.health.mil/Reference-Center/DHA-Publications)

DHA [宪章 - DOD 指令 5136.13国防部 5136.13](https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodd/513613p.pdf) 授权 DHA 主任根据指定的职能建立和维护法规、指示和参考文件的发布系统。 [当出版物完成并获准公开发布后，它们将在DHA](https://www.health.mil/Reference-Center/DHA-Publications)数字出版物图书馆中提供。

[**就业办公室**](https://www.health.mil/About-MHS/Employment)

选择在军事卫生系统工作是专业人员为国家服务的好方法。请访问我们的[职业页面](https://www.health.mil/About-MHS/Employment) 以了解更多信息！

[**信息自由法**](https://www.health.mil/About-MHS/OASDHA/Defense-Health-Agency/Administration-and-Management/FOIA)

自 1967 年以来，《[信息自由法》](https://www.health.mil/About-MHS/OASDHA/Defense-Health-Agency/Administration-and-Management/FOIA) 赋予公众请求访问任何联邦机构记录的权利。它通常被描述为让公民了解政府的法律。联邦机构必须披露《信息自由法》所要求的任何信息，除非该信息属于保护个人隐私、国家安全和执法等利益的[**九项豁免**](https://www.health.mil/Reference-Center/Fact-Sheets/2018/06/15/FOIA-Exemptions)之一。

为了帮助您确定提交 FOIA 请求是否是您的最佳选择，请访问[**www.FOIA.govGoes to FOIA website**](https://www.foia.gov/)。

医疗编码项目办公室

医疗编码计划分支致力于提高数据透明度，提高医疗信息的及时和准确捕获，并改善整个军事卫生系统企业的医疗报销。如有疑问或意见，请 [发送电子邮件](mailto:UBO.Helpdesk@intellectsolutions.com) 或致电 1-703-817-4030 并留言。

[**隐私和公民自由处**](https://www.health.mil/Military-Health-Topics/Privacy-and-Civil-Liberties)

国防 [卫生局隐私和公民自由办公室](https://www.health.mil/Military-Health-Topics/Privacy-and-Civil-Liberties) 负责通过管理合规计划来保护军事卫生系统的个人和信息。我们负责监督 MHS 内个人身份信息/受保护健康信息的保护，MHS 是美国最大的综合医疗保健提供系统之一，为超过 960 万合格受益人提供服务。

记录管理

记录管理计划支持所有卫生事务/DHA 组成部分，以确保根据联邦法律、法规和国防部关于保护敏感信息的指南正确维护、使用和处置纸质和电子记录。问题？

### 战略、计划和职能整合

战略、计划和职能整合 (J5) 包括：

* 战略管理
* [医疗保健调查和报告](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Health-Care-Program-Evaluation)
* [HIPAA 交易、代码集和标识符办公室](https://www.health.mil/Military-Health-Topics/Technology/HIPAA-TCSI)

决策支持

我们的目标是进行及时、可用和客观的研究，以帮助改善军事卫生系统 (MHS)，从而促进国防部受益人的健康。

* 企业数据系统的功能支持者：
	+ 确定所有利益相关者的要求
	+ 开发方法和算法来实现需求
	+ 确保数据得到准确处理 
	+ 检测数据和计算错误
* 调查计划： 
	+ 受益人和提供者满意度调查 
	+ 人口健康调查（衡量疾病患病率、疾病负担和生活方式行为） 
	+ 特别调查（根据要求或必要） 
	+ MHS 承包商奖励费调查（邮购药房、医疗保健服务和支持承包商）
* 医疗保健调查操作和信息控制 
* MHS 评估（计划、政策和实践） 
* 健康相关研究和分析

### 信息运营

**使命**

实施、管理和维持一个负担得起的、集成的和受保护的医疗信息企业，以确保正确的客户在正确的时间以正确的方式访问正确的信息。

**想象**

一个联合、集成、首要的健康信息技术系统，为保卫国家的人们提供综合医疗服务。

主要功能

医疗系统项目执行官 (PEO)/首席信息官 (J-6) 负责军事医疗设施内部和之间的信息技术操作的政策、管理和执行。我们的产品组合包括：

**分配**

**我们所做的**

投资组合和资源管理

提供规划、规划、预算、财务执行和合同跟踪、合理化和采购策略审批处理支持，使 PEO MS/CIO (J-6) 能够交付 IT 解决方案和服务，以支持 MHS 企业。

工程解决方案架构和业务分析

就交付给全球 DOD 医疗保健企业的 IT 基础设施、网络和平台的技术战略、业务运营和安全架构提出建议和建议。

[解决方案交付](https://www.health.mil/Military-Health-Topics/Technology/Solution-Delivery-Division)

提供并维持信息技术能力，支持为我们的军人提供从战场到后方的医疗保健服务。

基础设施和运营

提供并维持计算和通信基础设施 (C&CI) 信息技术能力，为超过 960 万合格受益人提供全方位的医疗保健服务。

市场技术整合办公室

通过倡导统一通信和业务服务，成为 CIO/IT 总监值得信赖的信息管理/信息技术 (IM/IT) 中心领导者。

[风险管理执行官 (RME) /网络](https://www.health.mil/Military-Health-Topics/Technology/Cybersecurity-Awareness)

通过执行稳健、敏捷且具有成本效益的网络安全计划来平衡风险和任务执行，确保 MHS 医疗保健/战备 IT 系统的安全。

### 教育培训局

DHA 教育和培训局 (J7)：

* 领导整个军事卫生系统 (MHS) 的标准化、高价值教育和培训 
* 实施企业范围内的学习系统，最大限度地利用教育资源。

我们的培训机会

[DHA学习管理系统（联合知识在线主办）](https://www.health.mil/Military-Health-Topics/Education-and-Training/Learning-Management-System)

[国防医疗准备训练学院](https://www.health.mil/Military-Health-Topics/Education-and-Training/DMRTI)

[领导力、教育、分析、发展、维持](https://www.health.mil/Military-Health-Topics/Education-and-Training/LEADS)

[医疗现代化与模拟部门](https://www.health.mil/Military-Health-Topics/Education-and-Training/MMSD)

MHS 医学图书馆

军事卫生系统医学图书馆为 MHS 人员提供高质量、循证医疗、护理和联合健康信息资源。

## 健康科学统一服务大学

[健康科学制服服务大学 (USU)Goes to the USUHS website](https://www.usuhs.edu/)是美国唯一的联邦健康科学大学。USU 教育、培训和全面培养军警卫生专业人员、科学家和领导者，以支持军事和公共卫生系统、美国的国家安全和国防战略以及我们军警的战备状态。

USU 包括：

* F.爱德华·赫伯特医学院 
* 丹尼尔·井上护理研究生院 
* 牙科研究生学院 
* 联合健康科学学院

USU 是唯一一所在联合环境中提供军事独特课程的高等教育机构，教育和培训与军事任务相关的医疗保健领导者。

USU 在最先进的研究领域处于全球领先地位，包括创伤性脑损伤、创伤后应激障碍、精准医学、康复和假肢、新发传染病、热带医学和癌症。

USU 教师是国防部在全球健康、创伤性脑损伤、创伤后应激障碍、灾难医学、神经科学、康复医学、癌症和人类表现等相关中心和项目的专业知识的直接联系者。

# 我们的领导者

## 卫生事务领导人

领导军事卫生系统的是负责卫生事务的助理国防部长办公室。负责卫生事务的助理国防部长 (ASD[HA]) 是一名经参议院确认的文职官员，担任国防部长的首席医疗顾问，负责监督整个系统的卫生政策和预算，并指导相关活动国防卫生局的。ASD(HA) 由负责卫生事务的首席副助理国防部长和三名副助理国防部长提供支持。

![](/media/202412//1733370810.0218627.png)

## 国防卫生局领导人

国防卫生局是一个战斗支持机构，在整个军事卫生系统中提供一系列共享卫生服务，从运营 TRICARE 卫生福利到提供药房和医疗后勤、进行医学研究和开发以及运营卫生信息技术系统，为联合部队提供一体化、高效服务的目标。DHA 通过领导 MHS 作为一个集成的、高度可靠的医疗培训、战备和健康系统，为国防战略和军种军事部门提供支持。

![](/media/202412//1733370810.0344672.png)

![](/media/202412//1733370810.0444279.png)

![](/media/202412//1733370810.055914.png)

## 服务外科医生一般

军种外科医生是美国陆军、美国空军和美国海军各军种的高级医疗领导者。

![](/media/202412//1733370810.0658252.png)

# 我们的历史

军事医学有着悠久而著名的历史。我们吸取过去的经验教训，改善今天和未来对军人及其家人的照顾。新的外科技术、强效止痛药、抗生素药物以及分诊和后送程序彻底改变了军事医学。

在本节中，您将找到有关军事医学历史的特色故事和信息。

* [军事健康荣誉勋章获得者](https://health.mil/About-MHS/Military-Medical-History/Military-Health-Medal-of-Honor-Recipients)
* [军事卫生系统荣誉和记忆](https://health.mil/About-MHS/Military-Medical-History/MHS-Honors-and-Remembers)
* [军事卫生系统纪念 9/11](https://health.mil/About-MHS/Military-Medical-History/MHS-Remembers-9-11)
* [多服务市场：我们的医疗保健市场结构之路](https://health.mil/About-MHS/Military-Medical-History/Multi-Service-Markets)
* [国家健康与医学博物馆](https://health.mil/About-MHS/Military-Medical-History/Museum)

# 军事卫生系统的职业

## 欢迎求职者！

选择在军事卫生系统 (MHS) 工作是专业人员为国家服务的好方法。机会存在于医学、牙科、护理、心理健康、联合健康专业、管理、研究和众多技术领域。我们的每家军队医院和诊所都提供令人兴奋和有益的机会。

* 作为一名文职员工，您将获得出色的工作生活福利，包括有竞争力的薪水以及健康和人寿保险。许多工作还包括灵活的工作时间表。 
* 如果您经验丰富并满足您所在领域的适当认证要求，我们需要您的专业知识。美国各地的特定职位也可提供入门级工作。
* 陆军、海军和空军已获得快速招聘授权，以缩短某些关键卫生职位通常漫长的政府招聘流程。

访问以下网站探索职业机会，并与我们一起承担照顾美国军人及其家人的伟大使命！

* 请点击 [“热门职位”](https://health.mil/About-MHS/Employment/Hot-Jobs) 了解最重要的任务关键型职业以及 MHS 的其他医疗职位的简要职位摘要。
* 访问[美国就业访问 USA JOBS 网站](http://www.usajobs.gov/)，所有政府职位的数据库。您可以搜索您想要的职位和地点的健康职位空缺。

## 国防卫生局需要护士！

搜索职位数据库

* [DHA 文职职位在 USAJobs 网站打开](https://dha.usajobs.gov/)
* [空军文职职位空军文职职业网站](https://airforce.usajobs.gov/) 
* [海军文职职位海军文职职位网站](https://don.usajobs.gov/)
* [陆军文职职位陆军文职职位网站](https://armycivilianservice.usajobs.gov/) 
* [陆军医学平民军团职位全球医疗和牙科职业网站](http://www.civilianmedicaljobs.com/)
* [公共卫生服务职位公共卫生服务机会](https://usphs.gov/explore-opportunities/)

军人配偶非竞争性任命权

作为军人配偶获得联邦工作变得更加容易。2009 年 9 月生效，[第 13473 号行政命令在 GPO 网站上打开 PDF](http://www.gpo.gov/fdsys/pkg/FR-2008-09-30/pdf/E8-23125.pdf)使各机构可以选择雇用合格的军人配偶，而无需经过竞争过程。要开始使用，请查看以下链接：

* [军人配偶和家庭成员的特别招聘机构在联邦雇佣兽医网站中打开](https://www.fedshirevets.gov/job-seekers/special-hiring-authorities/family-members/)
* [美国就业访问 USA JOBS 网站](http://www.usajobs.gov/)
* [国防文职人员咨询服务直流PAS](http://godefense.cpms.osd.mil/veterans/militaryspouses.aspx)
* [军事单一来源向军事 OneSource 开放](https://www.militaryonesource.mil/)

退伍军人

以下网站为退伍军人、转业军人和家庭成员提供与退伍军人相关的资源。在招聘过程中可以优先考虑退伍军人。 要了解更多信息，请访问以下链接：

* [美联储郡兽医局在新窗口中打开](http://www.fedshirevets.gov/) 是联邦政府为退伍军人、过渡军人及其家人、招聘经理和人力资源从业人员提供联邦就业信息的一站式来源。
* [退伍军人的偏好在另一个窗口中打开 PDF](https://health.mil/-/media/Files/MHS/Fact-Sheet-Files/CHCO/Veterans/Veterans-Preference.ashx)在联邦政府内部用于表彰我们的退伍军人、残疾退伍军人和某些家庭成员在武装部队服役期间做出的牺牲。退伍军人在联邦公务员就业中享有特殊的权利和特权，这些可以根据退伍军人的喜好找到。退伍军人的偏好并不适用于所有退伍军人，退伍军人的偏好也不能保证找到工作。
	+ [**了解更多在联邦雇佣兽医网站中打开**](https://www.fedshirevets.gov/job-seekers/veterans-preference/)关于退伍军人的偏好以及如何应用偏好。
* [退伍军人特别招聘机构在联邦雇佣兽医网站中打开](https://www.fedshirevets.gov/job-seekers/special-hiring-authorities/#content)。了解特殊的招聘机构，以加强您的求职并确定您是否有资格申请。

受伤的战士

恢复平民生活可能具有挑战性。回国后您可能考虑的步骤之一就是找工作。虽然寻找工作似乎势不可挡，但有一些资源可以帮助您寻找工作。首先，请单击下面的链接以了解有关可能的职业机会的更多信息。

* [美国就业美国就业网](http://www.usajobs.gov/) 
* [军事一源军事一源](http://www.militaryonesource.mil/wounded-warrior) 
* [国家资源目录国家资源目录](https://www.nrd.gov/)

# 热门职位

## 在医学或保健领域寻求更有价值的职业？

无需参军即可成为军事卫生系统 (MHS) 的文职雇员。MHS 需要您的医疗保健知识和经验来满足当今的各种职位空缺。

立即向 MHS 申请并成为帮助为国家服务的团队的一员。查看 MHS 提供的众多医疗保健机会。单击职位名称即可查找有关每个职业的信息。如果您正在搜索 USAJOBS 数据库，则可以按序列号（如下所述，职位旁边）进行搜索，以查找密切相关的所有职位，无论 USAJOBS 上发布的职位是[什么USAJOBS.gov](https://www.usajobs.gov/)。

## 工作机会

### 关键任务职业

1. [心理学家，GS-180](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Clinical-Psychology)
2. [社会工作者，GS-185](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Social-Worker)
3. [医务官/医师，GS-602](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Physician)
4. [注册护士/高级执业注册护士，GS-610](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Nurse)
5. [药剂师，GS-660](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Pharmacist)

### 特色职位

* [生物医学工程师，GS-858](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Biomedical-Engineer)
* [脊椎按摩师，GS-601](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Chiropractor)
* [牙科助理（扩展功能牙科辅助设备），GS-681](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Dental-Assistant)
* [牙齿保健员，GS-682](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Dental-Hygienist)
* [牙科实验室援助和技术员，GS-683](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Dental-Laboratory-Aid-Technician)
* [牙医/牙医，GS-680](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Dental-Officer-Dentist)
* [放射诊断技师，GS -647](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Diagnostic-Radiologic-Technologist)
* [营养师和营养师，GS-630](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Dietitian-Nutritionist)
* [工业卫生员，GS-690](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Industrial-Hygienist-Series)
* [医疗器械技术员，GS-649](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Medical-Instrument-Technician)
* [医疗记录管理员，GS-669](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Medical-Records-Administrator)
* [医疗记录技术员，GS-675](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Medical-Records-Technician)
* [医疗技师，GS-644](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Medical-Technologist)
* [核医学技术员，GS-642](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Nuclear-Medicine-Technician-or-Technologist)
* [职业治疗师，GS-631](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Occupational-Therapist)
* [验光师，GS-662](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Optometrist)
* [矫形师和假肢师，GS-667](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Orthotist-and-Prosthetist)
* [药剂师技术员，GS-661](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Pharmacy-Technician)
* [物理治疗师，GS-633](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Physical-Therapist)
* [医师助理，GS-603](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Physicians-Assistant)
* [足病医生，GS-668](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Podiatrist)
* [实习护士，GS-620](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Practical-Nurse)
* [康复治疗助理，GS-636](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Rehabilitation-Therapy-Assistant)
* [呼吸治疗师，GS-651](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Respiratory-Therapist)
* [言语病理学家和听力学家，GS-665](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Speech-Pathologist-and-Audiologist)
* [放射治疗技师，GS-648](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Therapeutic-Radiologic-Technologist)
* [兽医，GS-701](https://health.mil/Reference-Center/Fact-Sheets/2013/12/12/Veterinarian)

# 就业验证

* 出于安全和隐私原因，我们无法向第三方提供当前或过去的员工验证。 
* 现任或前任雇员必须要求就业证明。 
* 根据员工状态，有四个流程。

## 现有员工

如果此人是现任雇员，他或她可以访问[国防部 MyBiz 网站访问 DoD MyBiz 网站](https://compo.dcpds.cpms.osd.mil/) 并登录。该网站上将有一个“请求就业验证”的链接，允许他们输入希望国防部提供证明的新雇主的电子邮件。然后，国防部将向所提供的电子邮件地址发送说明，说明如何从安全的政府网站下载就业证明信。

## 前雇员，为另一个联邦机构工作

如果此人是已离开 DOD 的前雇员，但作为政府雇员在另一个联邦机构工作，他或她可以联系其人力资源部门，请求其机构获取 SF-50 表格副本的流程，该表格显示与该机构就业。

## 前雇员，退休

如果此人是从联邦服务机构退休的前雇员，他或她可以使用[国防财务和会计服务 MyPay前往 DFAS MyPay](https://www.dfas.mil/mypayinfo.html)网站下载退休人员账户报表，或者可以访问[人事管理办公室访问 OPM 网站](https://www.opm.gov/) 在线服务网站接收其记录的副本。

## 前雇员，完全离开联邦服务部门

[如果此人是完全离开联邦服务机构的前雇员，他或她可以向国家人事记录中心](https://www.archives.gov/st-louis/civilian-personnel)索取官方人事档案的副本[前往国家档案馆](https://www.archives.gov/st-louis/civilian-personnel)。

# 联系我们

## 搜索我们的常见问题解答

快速轻松地解答您最常见的问题。

搜索常见问题解答的价值

请注意，这不是一个安全网站。请勿在发送给我们的消息中添加受保护的健康信息 (PHI) 或个人身份信息 (PII)。这包括以下信息：

* 社会安全号码
* 出生日期
* 健康状况
* 治疗方法
* 或者，其他应该受到保护的信息

有关军事卫生系统如何保护您的敏感信息的信息，请访问[国防卫生局隐私和公民自由办公室](https://health.mil/Military-Health-Topics/Privacy-and-Civil-Liberties)。

## 需要 MHS GENESIS 或患者门户的帮助？

**如果您在 MHS GENESIS 患者门户中的记录或信息遇到问题，请致电1-800-600-9332**提交企业服务台票证。对于登录系统的问题，请致电**1-800-538-9552**联系国防人力数据中心。

## 需要获得生殖健康或避孕护理方面的帮助吗？

单击下面列表中的**“其他主题” ，然后选择“生殖健康 - 避孕护理”，**告诉我们您面临的挑战。请等待**3-5 个工作日**的回复。了解有关[军事卫生系统中女性健康的](https://health.mil/Military-Health-Topics/Womens-Health)更多信息。

About the Military Health System

The Military Health System (MHS) is one of America’s largest and most complex health care institutions, and the world’s preeminent military health care delivery operation. Our MHS saves lives on the battlefield, combats infectious disease around the world, and is responsible for providing health services through both **Direct Care**Direct care refers to military hospitals and clinics, also known as “military treatment facilities” and “MTFs.”direct care and Private Sector Care to approximately 9.5 million beneficiaries, composed of uniformed service members, military retirees, and family members.

The MHS enables the [National Defense Strategygoes to the Defense.gov website](https://media.defense.gov/2022/Oct/27/2003103845/-1/-1/1/2022-NATIONAL-DEFENSE-STRATEGY-NPR-MDR.PDF) by providing a Medically Ready Force, a Ready Medical Force, and improving the health of all those entrusted to its care. We are more than combat medicine. The MHS is a complex system that weaves together...

* Health care delivery
* Medical education
* Public health
* Private sector partnerships
* Cutting edge medical research and development

Our Mission

The missions of the MHS are complex and interrelated:

* To ensure America’s active duty and reserve-component personnel are healthy so they can complete their national security missions.
* To ensure that all active and reserve medical personnel in uniform are trained and ready to provide medical care in support of operational forces around the world.
* To provide a medical benefit commensurate with the service and sacrifice of more than 9.5 million active duty personnel, military retirees and their families.

Accessibility

**Section 508 of the Rehabilitation Act of 1973, as amended (**[**29 U.S.C. § 794d**](https://www.govinfo.gov/content/pkg/USCODE-2011-title29/html/USCODE-2011-title29-chap16-subchapV-sec794d.htm)**)**

The Defense Health Agency (DHA) is committed to making its electronic and information technologies accessible to people with disabilities. Section 508 requires Federal agencies to ensure that persons with disabilities (both employees and members of the public) have comparable access to and use of electronic information technology. That means that any electronic and information technology used, maintained, developed, or procured by DHA must be accessible to persons with disabilities.

For more information on Section 508, visit [Section508.gov508 compliance webpage](http://www.section508.gov/).

How to Report an Accessibility Issue

If you can’t access content or use features on this website due to an accessibility barrier, contact the [DHA Section 508 Program Management Officegoes to Section 508 PMO](mailto:DHA.S508@health.mil?subject=Web%20Accessibility%20Issue). To help us better serve you, include the following information:

* Your contact information (name, email, and phone number).
* The content you're trying to access.
* The URL for the content you can't access.
* A description of the issues(s) you're having.

Please allow up to 3 business days to receive a response.

he Military Health System is led by office of the [Assistant Secretary of Defense for Health Affairs](https://www.health.mil/About-MHS/OASDHA) under the [Office of the Undersecretary of Defense for Personnel and ReadinessOpens to the Undersecretary's website](http://prhome.defense.gov/), and is comprised of the following elements...

## Office of the Assistant Secretary of Defense for Health Affairs

Leading the MHS, is the [Office of the Assistant Secretary of Defense for Health Affairs (OASD[HA])](https://www.health.mil/About-MHS/OASDHA). The ASD(HA) is a civilian, Senate-confirmed official who serves as the chief medical adviser to the Secretary of Defense and oversees health policy and budgeting across the system, as well as directing the activities of the Defense Health Agency. The ASD(HA) is supported by the Principal Deputy Assistant Secretary of Defense for Health Affairs and three Deputy Assistant Secretaries of Defense.

## Joint Staff Surgeon

The Joint Staff Surgeon is the chief medical adviser to the Chairman of the Joint Chiefs of Staff, providing advice to the Chairman, the Joint Staff, and the Combatant Commanders, coordinating all issues related to Health Services to include operational medicine, force health protection, and readiness among the Combatant Commands, the Office of the Secretary of Defense, and the Services.

[Read more about the Joint Staff Surgeon, Brig. Gen. John R. Andrusgoes to the DOD Website](https://www.jcs.mil/Leadership/Article-View/Article/1981148/brig-gen-dr-john-r-andrus/)

## Defense Health Agency

Established in 2013, the [Defense Health Agency (DHA)](https://www.health.mil/About-MHS/OASDHA/Defense-Health-Agency) is a combat support agency (like the Defense Intelligence Agency and Defense Logistics Agency, for example) that provides a host of shared health services across the MHS, from operating the TRICARE health benefit to providing pharmacy and medical logistics, performing medical research and development and operating health information technology systems, with a goal of providing integrated and efficient service to the joint force.

## Uniformed Services University of the Health Sciences

The [Uniformed Services University of the Health Sciences (USU)Goes to the USU website](https://www.usuhs.edu/) is the nation’s federal health professions academy — akin to the undergraduate programs of the U.S. military academies at West Point, Annapolis and Colorado Springs. And like the academies, students are not charged tuition; they repay the nation for their education through service.

In many respects, USU’s curricula and educational experiences are similar to those of civilian academic health centers, with one important difference: its emphasis on military health care, leadership, readiness and public health set USU apart.

## Military Hospitals and Clinics

Military hospitals and clinics are the heart of military medicine, where military, civilian and contract personnel provide care for TRICARE beneficiaries and gain the skills and training to support operational units.

With 55 full-service hospitals and more than 370 clinics, located on military installations around the world, the MHS is one of the nation's largest health systems – it operates more hospitals than any nonprofit hospital system in the nation, and would rank among the top five for-profit systems.

## Looking for a Military Hospital or Clinic?

* [Search by Health Care Market](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Military-Hospitals-and-Clinics/Market-Structure)
* [Search by State or Overseas Location](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Military-Hospitals-and-Clinics)
* [Search by ZIP Code of Facility/Installation NameOpens to page on TRICARE.mil](https://www.tricare.mil/MTF)

## Expeditionary Care

Army, Navy and Air Force medical professionals help ensure those in uniform are medically ready to deploy anywhere around the globe on a moment's notice. And these medical professionals are also ready to go with them. There isn't another military medical force like it in the world—with the expertise, the assets and the global reach of our health system.

![](/media/202412//1733370911.471147.png)

## TRICARE

Operated by the Defense Health Agency, TRICARE is designed to provide the integrated, high quality care that millions of military families, past and present, deserve. As such, it offers one of the most comprehensive and affordable health benefits available to any American. Integrated health care is offered through military treatment facilities and through networks of civilian providers operated by civilian managed care support contractors in the United States and abroad. With 9.6 million beneficiaries, TRICARE would rank, if it was a civilian health insurer, among the 10 largest health plans in the nation.

[Read more about the TRICARE health planGoes to the TRICARE Website](http://www.tricare.mil/).

# Defense Health Board

The Defense Health Board is a **Federal Advisory Committee to the Secretary of Defense** that provides independent advice and recommendations on matters pertaining to:

* DOD health care policy and program management
* The delivery of high-quality health care services to DOD beneficiaries
* The promotion of health, wellness, and prevention within the DOD
* The treatment of disease and injury by the DOD
* Health research priorities
* Other health-related matters of special interest to the DOD

**Mission**

Our mission is to provide independent advice and recommendations to maximize the safety and quality of, as well as access to, health care for Department of Defense health care beneficiaries.

*Ut Omnes Viverent "That all might live"*

**Organization**

![](/media/202412//1733370911.4834201.png)

## Health Care Delivery Subcommittee

This subcommittee, when tasked in accordance with DOD policy and procedures, shall provide advice for the DHB's consideration on matters pertaining to the delivery of medical and dental care. Individuals appointed to this subcommittee shall be talented, innovative private and public sector healthcare leaders in at least one of the following disciplines: clinical health care, patient safety/quality care, and beneficiary representation.

## Health Systems Subcommittee

This subcommittee, when tasked in accordance with DOD policy and procedures, shall provide advice for the DHB's consideration on matters pertaining to DOD health systems, including health care policy and program management, health economics, health insurance/benefit design, health disparities, ethics, and health technology, to include informatics and analytics. Individuals appointed to this subcommittee shall be talented, innovative private and public sector healthcare leaders in at least one of the following disciplines: health systems and health informatics.

## Neurological/Behavioral Health Subcommittee

This subcommittee, when tasked in accordance with DOD policy and procedures, shall provide advice for the DHB's consideration on matters pertaining to psychological/mental health, biopsychosocial correlates of psychological/mental health, and neurological symptoms or conditions among members of the Armed Forces and their families. Individuals appointed to this subcommittee shall be talented, innovative private and public sector healthcare leaders in at least one of the following disciplines: neuroscience and behavioral health.

## Public Health Subcommittee

This subcommittee, when tasked in accordance with DOD policy and procedures, shall provide advice for the DHB's consideration on matters pertaining to the public health of the population of members of the Armed Forces, their families, and other beneficiaries through the evaluation of DOD public health programs and initiatives, including education, health promotion and communication, occupational/environmental health, and prevention activities, as well as disease and injury prevention. Individuals appointed to this subcommittee shall be talented, innovative private and public sector healthcare leaders in at least one of the following disciplines: infectious disease and public health.

## Trauma and Injury Subcommittee

This subcommittee, when tasked in accordance with DOD policy and procedures, shall provide advice for the DHB's consideration on matters of trauma and injury, to include methods for prevention, recognition, clinical management, and treatment. Individuals appointed to this subcommittee shall be talented, innovative private and public sector healthcare leaders in trauma medicine.

Sidebar Navigation

* [About the MHS](https://www.health.mil/About-MHS)
* [Accessibility](https://www.health.mil/About-MHS/Accessibility)
* [Elements of the MHS](https://www.health.mil/About-MHS/MHS-Elements)
* [Initiatives & Areas of Impact](https://www.health.mil/About-MHS/MHS-Initiatives)
	+ [Military Health System Transformation](https://www.health.mil/About-MHS/MHS-Initiatives/MHS-Transformation)
* [Our Organization](https://www.health.mil/About-MHS/OASDHA)
* [Defense Health Program Agency Financial Report](https://www.health.mil/About-MHS/DHP-AFR)
* [Our Leaders](https://www.health.mil/About-MHS/Biographies)
* [Our History](https://www.health.mil/About-MHS/Military-Medical-History)
* [Careers](https://www.health.mil/About-MHS/Employment)
* [Contact Us](https://www.health.mil/About-MHS/Contact-Us)

Initiatives & Areas of Impact

Our Initiatives

Department of Defense (DOD) and and Military Health System (MHS) leaders have outlined several high-priority initiatives:

[DOD's Four Defense Priorities](javascript:void(0))

1. Defend the homeland
2. Deter strategic attacks against the United States, our allies, and our partners
3. Deter aggression and be prepared to prevail in conflict when necessary
4. Build a resilient Joint Force and defense ecosystem

The MHS supports these priorities by improving efficiency so Department resources can be dedicated to deterrence and defense; through reforming operations and organization to operate the enterprise more effectively; by continuing to engage with global health partners to strengthen alliances around the world; and by supporting and improving the health of our warfighters to ensure a ready and resilient global force.

[Implementing TRICARE Reform](javascript:void(0))

We're modernizing to better serve beneficiaries and respond to changes in law and policy. Historic reforms to the TRICARE health plan took effect Jan. 1, 2018, and TRICARE experienced it's first open enrollment season in fall 2018. DHA and Health Affairs will continue to oversee these reforms with the goal of providing even more integrated, higher-quality care to TRICARE beneficiaries. We are encouraging our beneficiaries to Take Command of their benefit to enhance their TRICARE experience. [Read more about ongoing changes to TRICARE.](http://www.tricare.mil/changes)

[Continuing MHS GENESIS Rollout](javascript:void(0))

MHS GENESIS, the MHS's new electronic health record, provides enhanced, secure technology to manage your health information. MHS GENESIS integrates inpatient and outpatient solutions that will connect medical and dental information across the continuum of care, from point of injury to the military treatment facility. This includes garrison, operational, and en route care, increasing efficiencies for beneficiaries and health care professionals. When fully deployed, MHS GENESIS will provide a single health record for service members, veterans, and their families.

[Implementing MTF Transition](javascript:void(0))

The MHS is undertaking a once in a generation reform effort to improve the readiness of our forces and the health care service we provide to our warfighters, retirees and military families. This process is designed to increase overall access to care for beneficiaries; improve coordination, standardization, and dissemination of best practices across the MHS; and provide more opportunities for military medical providers to get the training they need to meet readiness goals. Part of that process involves the transition of responsibility for administration and management of military hospitals and clinics from the Army, Navy and Air Force to the DHA. Transition efforts began in 2018 and the final DHA region was established in October 2022.

Our Areas of Impact

In order to provide quality care in wartime and peacetime, the MHS is among the nation’s leading health systems, not just in size or complexity, but in several areas of health care. Those include:

[Trauma Care](javascript:void(0))

The MHS Joint Trauma System is a world-leading repository of knowledge about combat casualty care, providing life-saving lessons for the military and for civilian trauma care.

Military surgeons serve in civilian facilities around the country, gaining skills for use in wartime and providing invaluable care for local communities, and they are regularly on the front lines of care in domestic mass-casualty incidents.

[Research and Development](javascript:void(0))

Military medical research is focused on the needs of military commanders, from novel ways to prevent blood loss in combat to wearable health monitoring devices to new safeguards against infectious disease. Many military R&D efforts translate into better civilian health care as well, from trauma care to combatting malaria.

[Civilian Partnerships](javascript:void(0))

MHS success depends on building strong partnerships with the civilian health care sector.

Military Health System Transformation

We’re transforming the MHS to improve the readiness of our forces and the health care we provide to our warfighters, retirees and their families. Reform efforts focus on organizational, infrastructure and manpower changes. As changes are implemented, our priorities are to:

* Support the operational readiness of our Joint Force by ensuring they are medically ready to deploy
* Increase opportunities for medical professionals to improve their readiness skills
* Provide beneficiaries with access to high quality care

Congress initiated these changes because they saw a need for a more flexible, adaptable, effective and integrated system to manage our medical facilities. Decades of best practices from across the Army, Navy and Air Force are converging now to build a stronger, more integrated and connected MHS.

We're also deploying a new electronic health record, [MHS GENESIS](https://www.health.mil/Military-Health-Topics/Technology/MHS-GENESIS), to all military hospitals and clinics.

Market Structure

DHA has established a [market-based structure](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Military-Hospitals-and-Clinics/Market-Structure) to manage the hospitals and clinics. These market organizations will provide shared administrative services to the hospitals and clinics in their region.

Infrastructure Changes

Congress has directed the Department of Defense to submit a report on restructuring military hospitals and clinics to increase focus on military and medical force readiness. The DOD is nearing completion of its analysis, which has focused on both the role of each hospital and clinic to support military readiness and on the department's solemn obligation to provide outstanding health care for its 9.6 million beneficiaries.

Manpower Changes

The Department’s FY20 budget proposal recommended the realignment of approximately 12,000 uniformed billets from the MHS into operational forces by Fiscal Year 2027. The Military Departments made recommendations to support the intent of the Department after rigorous analysis of their operational responsibilities and requirements. This proposed reduction meets the Department’s intent of increasing the combat capability of our forces. With this direction, DHA is formulating plans to ensure that beneficiaries continue to have uninterrupted access to high-quality care through a combination of new civilian and contract personnel, outside partnerships, and the TRICARE network.

Readiness Capabilities

Each of the Military Departments – [ArmyGoes to Army Medicine Website](https://armymedicine.health.mil/" \o "Goes to Army Medicine Website" \t "_blank), [NavyGoes to the Navy Medicine website](https://www.med.navy.mil/" \o "Goes to the Navy Medicine website" \t "_blank), and [Air ForceGoes to the Air Force Medicine Website](http://www.airforcemedicine.af.mil/) – are restructuring their Medical Departments to enhance readiness capabilities to better support the warfighter and optimize their ability to meet the operational requirements of line commanders.

The Military Departments continue to maintain:

* Command and control of all uniformed medical personnel
* Responsibility for manning, training and equipping these personnel
* Setting medical readiness standards
* Delivering certain installation-specific clinical functions outside the hospital and operational clinical services under the operational control of combatant commanders.

Transitioning Military Hospitals & Clinics to the Defense Health Agency

The Military Health System began planning and implementing broad-scale health care reform initiatives in 2017 in response to the National Defense Authorization Act for Fiscal Year 2017 and additional guidance that followed in the NDAAs for fiscal years 2018-2020.

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Secretary of Defense Military Health System Review Final Report

Nothing is more important than the health and well-being of our people. The Department of Defense is committed to continuous improvement of the care delivered to our people. To ensure the Military Health System is meeting that commitment, [former Secretary of Defense Chuck HagelSecDef bio opens in new window](http://www.defense.gov/bios/biographydetail.aspx?biographyid=365) directed a 90-day review of the MHS, focused on access to care, safety, and the quality of care. The final report, which can be downloaded below, provides a look at performance in both military treatment facilities and in care purchased from civilian providers.

### What did the review find?

The review found that the MHS delivers safe, timely, and quality care that is largely comparable to care delivered in the civilian sector. The MHS demonstrates wide performance variability with some areas better than civilian counterparts and other areas below national and Department benchmarks.

The review team included the participation of six independent, esteemed, external experts who serve as national leaders in patient quality and safety. These experts reviewed both the methodology of the report and the performance of the MHS. Their individual reviews are included in the report.

On Oct. 1, 2014, Secretary Hagel signed a memorandum directing the MHS to take specific action on access, quality, patient safety, transparency and patient engagement.

### What did the review recommend?

The MHS Review made six overarching recommendations, focusing on standardization, process improvement, and transparency. 77 specific recommendations were nested under these six over-arching recommendations and can be found in the body of the report.

1. The MHS should identify the cause of variance for MTFs that are outliers for one or more measures and, when due to poor performance, develop corrective action plans to bring those MTFs within compliance.
2. The MHS should develop a performance management system adopting a core set of metrics regarding access, quality, and patient safety; further develop MHS dashboards with system-wide performance measures; and conduct regular, formal performance reviews of the entire MHS, with the DHA monitoring performance and supporting MHS governance bodies in those reviews.
3. The MHS should develop an enterprise-wide quality and patient safety data analytics infrastructure, to include health information technology systems, data management tools, and appropriately trained personnel. There should be clear collaboration between the DHA’s analytic capabilities, which monitor the MHS overall, and the Service-level analytic assets.
4. The MHS should emphasize transparency of information, including both the direct and purchased care components, with visibility internally, externally, and to DOD beneficiaries. Greater alignment of measures of the purchased care component with those of the **Direct Care**Direct care refers to military hospitals and clinics, also known as “military treatment facilities” and “MTFs.”direct care component should be incorporated in TRICARE regional contracts.
5. Through MHS governance, policy guidance can be developed to provide the Services with common executable goals. While respecting the Services’ individual cultures, this effort would advance an understanding of the culture of safety and patient-centered care across the MHS.
6. The MHS should continue to develop common standards and processes designed to improve outcomes across the enterprise in the areas of access, quality, and patient safety where this will improve quality, or deliver the same level of quality at decreased cost (i.e., better value).

### How can I get involved?

The MHS is committed to listening to patients. If you have questions or want to provide information about access, quality of care and safety in the MHS, [send the MHS Review team an email.Email MHS PAO](mailto:dha.ncr.info-deliv.list.healthmil-pao@health.mil)

### CSV Data Table Files

For those who wish to see the raw data from the tables included in this report, we have made available a series of Comma Separated Value files with the table data included in the zip files below. The six files contain the raw data for tables

Select Download: Select a File to Download MHS Review Report CSV Data 1 - Access to care table data from body of report MHS Review Report CSV Data 4 MHS Review Report CSV Data 3 MHS Review Report CSV Data 6 MHS Review Report CSV Data 2 MHS Review Report CSV Data 5 Download

### Download the Report

Use the pull-down menu to access the MHS Review Final Report. Because of the size of the document, the report has been broken into several smaller documents. The files available are:

File 1: The Table of Contents and the Executive Summary

File 2: Section 1 - Introduction and Section 2 -

Select Download: Select a File to Download MHS Review Report Executive Summary MHS Review Report Introduction and Overview MHS Review Report Section 3 Access to Care in the MHS MHS Review Report Section 4 Quality of Care in the MHS MHS Review Section 5 and 6 Patient safety in the MHS and Report Conclusions MHS Review Appendix 1 Introduction and Appendix 2 Overview MHS Review Appendix 3 to 5 Access to Care, Quality of Care, and Patient Safety MHS Review Appendix 6 Recommendations and Comments MHS Review Appendix 7 to 8 Acronyms and Acknowledgements Download

# Our Organization

The Military Health System is a federated system of uniformed, civilian and contract personnel and additional civilian partners at all levels of the Department of Defense and beyond – from senior officials in the Office of the Secretary of Defense to doctors and other health care providers in nearly every community across the nation.

## Office of the Assistant Secretary of Defense for Health Affairs

The OASD(HA) is chartered under the [Department of Defense (DOD) Directive 5136.01Opens to DoDI](https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodd/513601p.pdf?ver=2019-02-15-111649-910) and is the principal staff element for all DOD health and force health protection policies, programs, and activities including the [Integrated Disability Evaluation System](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/DES/Integrated-Evaluation-System). The OASD(HA) is responsible for the effective execution of the DOD medical mission, providing and maintaining readiness for medical services and support to members of the Military Services, including during military operations; their families; those held in the control of the Military Services; and others entitled to or eligible for DOD medical care and benefits, including those under [TRICARETRICARE website](https://www.tricare.mil/).

### Major Elements of the OASD(HA)

* [Assistant Secretary of Defense for Health Affairs](https://www.health.mil/About-MHS/OASDHA/ASDHA)
* [Office of Health Resources Management & Policy](https://www.health.mil/About-MHS/OASDHA/HRMP)
* [Office of Health Readiness Policy & Oversight](https://www.health.mil/About-MHS/OASDHA/HRPO)
* [Office of Health Services Policy & Oversight](https://www.health.mil/About-MHS/OASDHA/HSPO)
* [Defense Health Agency](https://www.health.mil/About-MHS/OASDHA/Defense-Health-Agency)
* [Uniformed Services University of the Health SciencesGoes to the USUHS website](https://www.usuhs.edu/)
* [Army Medical CommandOpens to Army Medical Command](https://www.army.mil/armymedicine)
* [Air Force Medical ServiceOpens to Air Force Medical Service](http://www.airforcemedicine.af.mil/)
* [Navy Bureau of Medicine and Surgery](https://www.med.navy.mil/)

## Assistant Secretary of Defense for Health Affairs

The [Assistant Secretary of Defense for Health Affairs (ASD[HA])](https://www.health.mil/About-MHS/Biographies/Dr-Martinez-Lopez) is the principal advisor to the Secretary of Defense and the Under Secretary of Defense for Personnel and Readiness (USD[P&R]) for all Department of Defense health and force health protection policies, programs, activities, and the Integrated Disability Evaluation System. In carrying out these responsibilities, the ASD(HA) exercises authority, direction, and control through the [Defense Health AgencyOpens to the main DHA page](https://www.health.mil/About-MHS/OASDHA/Defense-Health-Agency) over the DOD medical and dental personnel authorizations and policy, facilities, programs, funding, and other consolidated resources.

### Vision

The ASDHA ensures the effective execution of the DOD medical mission, providing and maintaining readiness for medical services and support to members of the Military Services, their families and others entitled to or eligible for DOD medical care and benefits. Learn more about ASDHA responsibilities and functions in [DOD Directive 5136.01.Opens to the DoD Directive](https://health.mil/Reference-Center/Policies/2013/09/30/Assistant-Secretary-of-Defense-for-Health-Affairs)

### Objective

Promote more effective and efficient health operations through enhanced enterprise-wide shared services.

* Deliver more comprehensive primary care and integrated health services using advanced patient-centered medical homes.
* Coordinate care over time and across treatment settings to improve outcomes in the management of chronic illnesses.
* Match personnel, infrastructure, and funding to current missions, future missions, and population demand.
* Establish more inter-Service standards/metrics, and standard process to promote learning and continuous improvement.
* Create enhanced value in military medical markets using an integrated approach in 5-year business plans.
* Align incentives with health and readiness outcomes to reward value creation.

## Health Resources Management & Policy

The Office of the Deputy Assistant Secretary of Defense for Health Resources Management & Policy (HRM&P) is responsible for providing a cost-effective, quality health benefit to 9.6 million beneficiaries including active duty uniformed Service Members, retirees, survivors and their families. The Military Health System has an approximate $50 billion annual budget and consists of a worldwide network of

* 50+ military hospitals,
* 350+ health clinics,
* private-sector health business partners, and 
* the Uniformed Services University.

Developing and maintaining this integral financial portfolio supports and promotes the MHS’s strategic imperatives.

### Mission

HRM&P provides health resources funding management and direction from multiple sources, including the military Services.

### Vision

Work to balance an integrated capability that keeps within budget to afford the best quality healthcare support possible for the beneficiary population as well as operational readiness mission requirements.

### Areas of Responsibilities

* Develops policies, procedures, and standards that govern the management of DOD health and medical programs 
* Reviews, evaluates, and undertakes management oversight activities for DOD health and medical policies, plans, programs, and systems 
* Serves as resource manager for all DOD health and medical financial, and other resources

## Health Readiness Policy & Oversight

The office of the Deputy Assistant Secretary of Defense for Health Readiness Policy and Oversight is the principal staff assistant and advisor to the Assistant Secretary of Defense (Health Affairs) for all medically-related readiness Department of Defense policies, programs, and activities. The office is responsible for force health protection, global health engagement, U.S. military assistance in global pandemic containment, international health agreements, deployment related health policy, joint theater-of-operations information systems, humanitarian and health missions, and national disaster support.

### Areas of Responsibility

[Medical Countermeasures](javascript:void(0))

The Director, HRP&O Medical Countermeasures (MCM) develops policies and guidance for MCM to protect U.S. forces against current and future chemical, biological, radiological, and nuclear (CBRN) threats and emerging infectious diseases. Responsibilities include:

* Collaborating with the Assistant Secretary of Defense for Nuclear, Chemical, and Biological Defense Programs (ASD(NCB)) on MCM research, development, and acquisition issues;
* Representing Health Affairs on MCM issues with interagency partners primarily through the Public Health Emergency Medical Countermeasures Enterprise, e.g., by providing guidance for Strategic National Stockpile priorities and national MCM strategies;
* Working closely with Immunization Branch issuing vaccine guidance for seasonal influenza and emerging infectious diseases with pandemic potential; and
* Overseeing the DoD-VA Chemical and Biological Warfare Exposure System.

[Medical Preparedness](javascript:void(0))

The Director of HRP&O Medical Preparedness Policy (MPP) represents the ASD(HA) in working with the OSD, the interagency partners, and the National Security Council to plan and prepare for DOD's medical response to naturally occurring or man-made disasters and contingencies at the national level when requested by civilian authorities or directed by the Secretary of Defense. This work is done in close collaboration with the Office of the Assistant Secretary of Defense for Homeland Defense and Global Security (OASD/HD&GS) to ensure DOD's public health and medical response activities are consistent with the Department's policy for conducting Defense Support to Civil Authorities (DSCA) missions. MPP also develops and implements policies within the Military Health System (MHS) that oversees the MHS response to disasters, public health emergencies and mass casualty events that occur on or near military installations. The Director, MPP, in collaboration with the Defense Health Agency, assists with developing policy and implementing programs to provide health care throughout the MHS to non-DOD beneficiaries and coalition members via specialized programs and international agreements.

[Operational Medicine](javascript:void(0))

The Director of Operational Medicine provides expertise in medical force readiness and key activities, which include Operational Medicine Policy Development and Oversight in:

* Contingency casualty management capabilities, patient movement, and Joint Trauma System, including mTBI and other neurocognitive aspects, and government civilian and contractor deployment health care, and spanning U.S. capabilities to host nation and multinational capabilities;
* Collaboration on Force Health Protection, and biothreat, and chemical threat contingency countermeasures;
* Joint readiness commonalilty including Essential Medical Capabilities, concept required capabilities, Concepts of Operations, and Knowledge, Skills, and Abilities;
* Medical training requirements from first responders and prehospital prolonged resuscitative care platforms to theater hospitalization, including casualty care, and most effective simulation modalities to reduce live animal usage;
* Future capabilities development (knowledge, materiel, for outcomes and processes) to include senior leader contingency education and training; and 
* Development of JC&DS requirements for identifying medical capability gaps.

[Preventive Medicine](javascript:void(0))

HRP&O Preventive Medicine policy director enhances operational readiness by reducing preventable causes of disease and injury and ensures that contingency capabilities for future medical threats are maintained, exercised and accountable. Provides risk assessment and oversight for public health threats to national security including:

* Pandemic Influenza/Emerging Infectious Disease Preparedness: Develops, updates and provides oversight of medical policies and procedures that establish MHS goals and objectives for responding to diseases of public health concern.
* Preventable Causes of Disease: Develops policies and oversees programs concerning the MHS efforts to reduce injury and illness that adversely impact on deployment readiness.
* Public Health Threats: Provides assurance to DOD that the MHS has adequate policies and procedures in place to identify, react and mitigate risk from public health threats impacting DOD readiness.

[Reserve Medical Programs](javascript:void(0))

The HRP&O Director of Reserve Component Medical Programs and Policy advises and assists the ASD HA on all Reserve Component matters, develops Reserve Component specific health policies, and provides oversight for programs affecting the readiness of the Reserve Component. This includes:

* Optimizing policies and monitoring programs that ensure optimal manning of RC health care providers throughout the deployment life cycle;
* Ensuring policies and programs support the unique health care requirements for RC members with injuries, illnesses or diseases incurred in the line of duty;
* Sustaining Active-Reserve component force mix, including domestic contingencies;
* Managing RC automated readiness analysis programs;
* Optimizing RC equities for implementation of Health Affairs initiatives and legislative changes; and
* Enhancing RC training programs to cost-effectively meet medical mission requirements, including use of emerging technologies and simulation.

### Our Mission

HRP&O develops and oversees the execution of defense-wide deployment health care policy. These policies:

* Enable medical providers in theater and in military hospitals and clinics to improve, protect, and sustain Service member health readiness and resilience.
* Serve as guidelines based on meticulous research combining requirements, lessons learned, and best practices from commanders and Service members to optimize force health protection and medical readiness.

### Our Vision

* Provide policy and guidance for DOD medical force deployments, health protection, national disaster medical support, and medical readiness programs and activities 
* Develop policy and oversight for healthcare supporting readiness, contingency and humanitarian operations 
* Initiate and disseminate policies facilitating deployment of fully-trained and equipped medical personnel and units 
* Oversee policy engagement in an effort to improve support for health issues that span both contingency and peacetime continuum of healthcare 
* Maximize medical research and technology solutions to enhance readiness

## Health Services Policy & Oversight

The Deputy Assistant Secretary of Defense for Health Services Policy and Oversight (HSP&O) leads policy formulation and program oversight of the Military Health System (MHS) clinical policies and programs and provides medical information, advice and consultation to senior Defense officials, Congress, other government agencies and stakeholders. Responsibilities cover a broad range of health policy issues and oversight for the MHS, which serves 9.6 million beneficiaries around the globe.

The HSP&O portfolio includes policy development and oversight of patient safety; quality improvement; medical informatics/health information technology; disease prevention; population health; mental health and substance use; women's health; medical ethics; graduate medical education; medical accession and retention standards; health professions accession, and wounded warrior care.

HSP&O collaborates with the Services, the Defense Health Agency and across the Department of Defense to ensure that the MHS accomplishes its mission and those in uniform are medically ready to deploy anywhere around the globe on a moment's notice and military medical professionals are also ready to be deployed with them.

Mission

America's MHS is a unique partnership of medical educators, medical researchers, and healthcare providers and their support personnel worldwide. It is prepared to respond anytime, anywhere with comprehensive medical capability to military operations, natural disasters and humanitarian crises around the globe, and to ensure delivery of world-class healthcare to all DOD service members, retirees, and their families. The MHS promotes a fit, healthy and protected force by reducing non-combat losses, optimizing healthy behavior and physical performance, and providing casualty care.

Vision

The integrated MHS delivers a coordinated continuum of preventive and curative services to eligible beneficiaries and is accountable for health outcomes while supporting the Services' warfighter requirements.

Areas of Responsibilities

* [Accessions and Medical Standards](https://www.health.mil/About-MHS/OASDHA/HSPO/Accessions-and-Medical-Standards)
* [Clinical Informatics](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/EACE/Clinical-Informatics)
* [Human Capital](https://www.health.mil/About-MHS/OASDHA/HSPO/Human-Capital-Office)
* Medical Ethics and Patient Advocacy
* [Mental Health](https://www.health.mil/)
* [Preventive Medicine](https://www.health.mil/Military-Health-Topics/Total-Force-Fitness/Preventive-Health)
* [Quality and Graduate Medical Education](https://www.health.mil/Error?item=web%3a%7bA8F49E08-5D6D-4DE2-A939-61FD29ED74DA%7d%40en)
* [Warrior Care](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Warrior-Care)
* [Women's Health](https://www.health.mil/Military-Health-Topics/Womens-Health)

### Accessions and Medical Standards

**Military Medical Standards for Accession and Retention**

The Department of Defense (DOD) medical standards for military accession and retention are developed using the best available scientific evidence. The Accessions Medical Standards Working Group (AMSWG) develops policy recommendations under the guidance of the Medical and Personnel Executive Steering Committee (MEDPERS) which guides the Accession Medical Standards Analysis and Research Activity (AMSARA) team to develop supporting analysis and research. AMSARA issues annual reports and publications to include comprehensive analyses of service member accession and attrition data, allowing DOD stakeholders to make informed policy decisions.

The Department of Defense Instruction [(DODI) 6130.03, Volume 1View or download the PDF](https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodi/613003_v1p.PDF?ver=9NsVi30gsHBBsRhMLcyVVQ%3D%3D): “Military Medical Standards: Appointment, Enlistment, or Induction,” establishes disqualifying medical standards for entry into military service. These standards support readiness to bring qualified, effective, and able-bodied persons into military service.

Modification of standards are informed by advances in medical care, periodic analysis of attrition through the first period of enlistment, and the success of candidates who receive waivers by their service for standards in DODI 6130.03.

[DODI 6130.03, Volume 2](https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodi/613003_vol02.PDF): "Medical Standards for Military Service: Retention" establishes minimum medical standards for application on a case-by-case basis by the military services.

### Department of Defense/Veterans Affairs Program Office

The Department of Defense/Veterans Affairs Program Office is the principal advisor to the Assistant Secretary of Defense (Health Affairs) for all DOD/VA healthcare related policies, programs, and activities. DVPO is responsible for enhancing medical resource sharing across the Military Health System which includes more than 413 medical centers, hospitals and clinics that support more than 9.6 million service members, retirees and their families. Collaborating with VA, we are committed to identifying opportunities and creating partnerships to address them.

Mission

To identify efficient and effective health care sharing opportunities between DOD and VA to enhance access to quality and cost effective health care for DOD and VA beneficiaries, while simultaneously supporting the MHS clinical readiness mission of its military health care providers.

Vision

Expand and strengthen healthcare partnerships between DOD and VA to deliver high value services at all sites of care for DOD and VA beneficiaries.

Areas of Responsibility

* Provides healthcare policy oversight for the [Captain James A. Lovell Federal Health Care CenterOpens to the FHCC website](https://www.lovell.fhcc.va.gov/), the only integrated DOD/VA facility with a single, combined Navy and VA mission. 
* Executes the [Joint Incentive Fund](https://www.health.mil/About-MHS/OASDHA/HSPO/DVPO/Joint-Resource-Sharing/JIF) program legislatively established to increase collaborative efforts between DOD and VA.
* Develops policies and procedures that support the management of the [Medical Resource SharingOpens to the VA website](https://www.va.gov/VADODHEALTH/Medical_Sharing.asp) program authorized by legislation to enter into agreements and contracts for the mutual beneficial coordination, use, or exchange of use of health care resources between DOD and VA.
* Oversees the Health Executive Committee legislatively mandated to drive efficient and effective health care sharing between DOD and VA.

Resources

* Memorandum of Understanding (MOU) between the Veterans Health Administration and the Department of Defense Military Health System: [Health Care Resources Sharing Guidelines](https://www.health.mil/Reference-Center/Policies/2020/04/20/HEALTH-CARE-RESOURCES-SHARING-GUIDELINES), Agreement Number DHA-2019-S-1214
* [Public Law 97-174Opens to text of law](https://www.govinfo.gov/content/pkg/USCODE-2011-title38/pdf/USCODE-2011-title38-partVI-chap81-subchapI-sec8111.pdf), The VA/DoD Health Resources Sharing and Emergency Operation Act
* [38 USC §8111Opens to U.S. Code text](https://www.govinfo.gov/content/pkg/USCODE-2011-title38/html/USCODE-2011-title38-partVI-chap81-subchapI-sec8111.htm), Sharing of Department of Veterans Affairs and Department of Defense Health Care Resources
* [10 USC §1104Opens to text of U.S. Code](https://www.govinfo.gov/content/pkg/USCODE-2010-title10/html/USCODE-2010-title10-subtitleA-partII-chap55-sec1104.htm), Sharing of health-care resources with the Department of Veterans Affairs; Post - MOU between the Veterans Health Administration and the Department of Defense Military Health System Health Care Resources Sharing Guidelines, dated April 20, 2020.

#### Health Executive Committee

The Health Executive Committee (HEC) works to institutionalize VA and DoD sharing and collaboration efforts to ensure the effective and efficient use of health services and resources. The HEC was established pursuant to Title 38 U.S.C. § 320 and operates in accordance with applicable Federal laws and regulations. The HEC is:

* Co-chaired by the Assistant Secretary of Defense (Health Affairs) and the VA Under Secretary for Health
* Reports directly to the VA/DOD [Joint Executive Committee (JEC)](https://www.health.mil/About-MHS/OASDHA/HSPO/DVPO/Joint-Oversight/JEC)

Charter

The Health Executive Committee (HEC):

* Oversees development & implementation of VA/DOD Joint Strategic Plan (JSP) 
* Oversees working groups
* Identifies opportunities (policy, operations, and capital planning) to enhance mutually beneficial coordination
* Submits Annual Report to the JEC on progress to-date on the JSP

Membership

Membership includes the following from the DOD and VA:

**DOD Membership**

**VA Membership**

* Assistant Secretary of Defense (Health Affairs) — Co-Chair
* Principal Deputy Assistant Secretary of Defense (Health Affairs)
* Surgeon General of the Army
* Surgeon General of the Navy
* Surgeon General of the Air Force
* Deputy Assistant Secretary of Defense (Health Budgets and Financial Policy)
* Deputy Assistant Secretary of Defense (Force Health Protection and Readiness)
* Deputy Assistant Secretary of Defense (Clinical and Program Policy)
* Deputy Director, Defense Health Agency
* Chief Information Officer, Military Health System

* Under Secretary for Health – Co-Chair
* Principal Deputy Under Secretary for Health
* Deputy Under Secretary for Health Operations and Management
* Chief of Staff, Under Secretary for Health
* Chief, DoD Coordination Officer
* Chief Financial Officer
* Chief Information Officer
* Chief Health Informatics Officer
* Chief Patient Care Services Officer
* Chief Public Health and Environmental Hazards Officer

#### Joint Executive Commitee

Charter

The Joint Executive Council (JEC):

* Oversees development & implementation of VA/DOD Joint Strategic Plan (JSP)
* Oversees Health & Benefits Executive Councils
* Identifies opportunities to enhance mutually beneficial services and resources
* Submits the Annual Report to Secretaries and Congress including progress of the JSP

Membership

Membership includes the following representatives from the DOD and VA:

**DOD Membership**

**VA Membership**

* Under Secretary of Defense (Personnel & Readiness) – Co-Chair
* Principal Deputy Under Secretary of Defense (Personnel & Readiness)
* Assistant Secretary of Defense (Health Affairs)
* Principal Deputy Assistant Secretary of Defense (Health Affairs)
* Principal Director Chief Information Officer
* Assistant Secretary of Defense (Reserve Affairs)
* Assistant Secretary of the Air Force (Manpower & Reserve Affairs)
* Assistant Secretary of the Army (Manpower & Reserve Affairs)
* Assistant Secretary of the Navy (Manpower & Reserve Affairs)
* Deputy Director, Program Acquisition and Contingency Contracting

* Deputy Secretary, Veterans Affairs – Co-Chair
* Under Secretary for Health
* Under Secretary for Benefits
* Assistant Secretary for Policy and Planning
* Assistant Secretary for Management
* Assistant Secretary for Operations, Security, and Preparedness
* Deputy Assistant Secretary for Enterprise Development
* Principal Deputy Assistant Secretary for Management
* Office of General Counsel

#### Joint Incentive Fund

The Joint Incentive Fund (JIF) was established under Section 721 of the FY 2003 National Defense Authorization Act to provide seed money and incentives for innovative DOD/VA joint sharing initiatives to recapture **Purchased Care**The TRICARE Health Program is often referred to as purchased care. It is the services we “purchase” through the managed care support contracts.purchased care, improve quality and drive cost savings at facilities, regional and national levels. The minimum annual contributions to the fund by DOD/VA are $15 million each, for a total of $30 million per year.

JIF is only designated for use by the Veterans Health Administration (VHA) and Defense Health Agency (DHA) entities for direct medial sharing initiatives or for services or systems that facilitate DOD/VA interoperability. JIF should not be used to hire military personnel, for major construction and/or major IT systems. Funds should also not be used for sustainment purposes. JIF initiatives should be executed to completion (and funding should be spent) within two years.

#### Direct Sharing with the VA

[Department of Defense (DOD) policyOpens Health.mil](https://www.health.mil/Reference-Center/Policies/1995/06/26/MOU-DoDVA-MCSCs-Entering-Into-Agreements-with-VA-Facilities) encourages Department of Veterans Affairs (VA) participation in TRICARE networks, and most VA facilities are TRICARE network providers.

* Many TRICARE beneficiaries are also VA beneficiaries so they can and do get health care through both departments. 
* Some TRICARE beneficiaries transition to VA once they separate or retire from the military.

VA facilities:

* Negotiate rates directly with the managed care support contractors
* Are subject to the same utilization management and quality assurance requirements as other network providers

Getting care at a VA facility depends on the sponsor's military status and the patient's health care needs. [>>Learn More about Using VA Facilities with TRICAREopens TRICARE.mil](https://www.tricare.mil/FindDoctor/AllProviderDirectories/VAFacilities)

#### Interagency Care Coordination Committee

Through the Interagency Care Coordination Committee (IC3), the Departments of Defense (DOD) and Veterans Affairs (VA) are working together to simplify the transition for service members who require complex care as they move from the DOD to VA, or within each system of care. The effort is designed to ease the burden for Service members/Veterans (SM/Vs), who have suffered illnesses or injuries so severe as to require the expertise provided by multiple specialties across both Departments.

One Mission - One Policy - One Plan

Under these guiding principles, the IC3 strives to streamline, synchronize, coordinate, and integrate the full spectrum of care, benefits, and services provided to Service Members and Veterans (SM/Vs) and their families as they transition between the the Department of Defense (DOD) and Department of Veterans Affairs (VA) and into the civilian community.

IC3 is tasked with developing:

1. A common, interagency, overarching guidance
2. A Community of Practice, connecting the DOD and VA clinical and nonclinical case managers of recovering SM/Vs
3. A single, shared comprehensive plan for each SM/V
4. The Interagency Comprehensive Plan information technology solution for care coordination to enable data exchange between VA and DOD care coordinators
5. The Lead Coordinator role to serve as a single point of contact for SM/Vs and their caregivers during recovery and transition between DOD and VA

The IC3 is built on the foundation of Trust, Teamwork, Adaptability, Accountability, and it's Outcomes-Focused.

Experience of Care

Through the IC3, the DOD and VA are working to provide you with:

* **One** primary point of contact to help you navigate the path of care, benefits and services.
* A **care management team** who knows your story and can easily communicate it.
* A **warm hand-off** from DOD to VA, or within each Agency for a more seamless transition experience for you and your family.

### Human Capital Office

What does the Chief Human Capital Office do for the Military Health System?

The Chief Human Capital Office (CHCO) supports the work force environment of the Military Health System (MHS) by examining and adjusting the MHS’s human resource policies, initiatives and solutions. With 167,000 military and civilian medical professionals in the MHS, CHCO focuses on developing and improving the MHS’s ability to recruit, retain, compensate and promote well-qualified health care professionals.

By serving as an advisor and advocate to the MHS leadership, as well as a core partner with the Services – Army, Navy and Air Force – CHCO creates and provides key recommendations on medical human capital issues to ensure the future of the MHS as a more competitive employment choice.

Strategic Objectives

* Support the development of Human Capital Life Cycle Strategies which ensures the MHS will accomplish its mission.
* Participate in making the MHS a more competitive employment choice for civilian health care professionals.
* Provide comprehensive human capital analysis which will enable leadership to make sound and strategic work force decisions.
* Market the CHCO's value as a human capital management advisor and advocate.

Mission

By facilitating human capital policies, initiatives, and solutions, we're able to build and maintain well qualified health care professionals for the MHS.

Vision

Pursue the best human capital solutions across the MHS.

## Defense Health Agency

The Defense Health Agency is a joint, integrated Combat Support Agency that enables the Army, Navy, and Air Force medical services to provide a medically ready force and ready medical force to Combatant Commands in both peacetime and wartime. The DHA uses the principles of [Ready Reliable Care](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Quality-And-Safety-of-Healthcare/Ready-Reliable-Care) to advance high reliability practices across the Military Health System by improving our system operations, driving innovative solutions, and cultivating a culture of safety.

What We Do

The DHA’s global workforce of almost 130,000 civilians and military personnel is committed to medical excellence, health care improvement and ensuring military personnel are ready to perform combat operations and humanitarian missions at home and abroad.

* Lead [Health Care Markets](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Military-Hospitals-and-Clinics/Market-Structure) to manage military hospitals and clinics
* Provide [Combat Support](https://www.health.mil/Military-Health-Topics/Health-Readiness) to Combatant Commands
* Deliver the [TRICARE Health Plan](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/TRICARE-Health-Plan) to 9.5 million beneficiaries worldwide
* Deploy [MHS GENESIS](https://www.health.mil/Military-Health-Topics/Technology/MHS-GENESIS), the new electronic health record, to military hospitals and clinics
* Offer [Education and Training](https://www.health.mil/Military-Health-Topics/Education-and-Training) to MHS providers to ensure a medically ready force

DHA At-a-Glance

* On Oct. 1, 2018, began a four-year [transition](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Military-Hospitals-and-Clinics/Market-Structure) to assume authority, direction and control of the DOD’s more than 400 clinics, hospitals, and medical centers.
* Currently Operates 10 [enterprise support activities前往企业支持活动](https://www.health.mil/About-MHS/OASDHA/Defense-Health-Agency#ESA) at the DHA Headquarters level to ensure standardization across the Military Health System.
* Manages procurement and distribution of an $11 billion a year medical supply chain including about 560,000 medical devices, for the Joint Force.
* Enables a global network of military and civilian health care professionals to provide care to 9.5 million service members, retirees and family members.

[Department of Defense Directive 3000.06向 DTIC 开放](https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodd/300006p.pdf), Effective July 8, 2016, Combat Support Agencies

### DHA Strategic Plan

The Defense Health Agency issued the [*DHA Strategic Plan*](https://www.health.mil/Reference-Center/Publications/2023/07/31/DHA-Strategic-Plan) for Fiscal Years 2023-2028.

It’s a forward-thinking plan that focuses on innovative and modern solutions. The plan drives the Agency’s efforts to modernize and stabilize our health care system. These efforts serve:

* Military departments.
* Combatant commands.
* Our 9.6 million beneficiaries.

We are transitioning military health care into a more person-centric and integrated system. This brings greater value to our beneficiaries while keeping our medical readiness.

We’ll do this by delivering cutting-edge:

* Technologies.
* Products.
* Services.

We’ll provide extraordinary experiences and exceptional outcomes to all beneficiaries: ***Anytime, Anywhere – Always.***

DHA Values

Dependability

We are trustworthy, honest about our performance, and follow through on our commitments.

Humility

We focus on listening, we are compassionate, and we take an active interest in understanding the needs and concerns of our teammates, partners, and patients.

Agility

We adapt quickly and innovate effectively when presented with new opportunities and new challenges.

Mission

The Defense Health Agency supports our Nation by improving health and building readiness—making extraordinary experiences ordinary and exceptional outcomes routine.

Vision

Unrelenting pursuit of excellence as we care for our joint force and those that we are privileged to serve. Anytime, Anywhere—Always.

Priorities

* Enabling Combat Support to the Joint Force in Competition, Crisis, or Conflict

Deliver agile and scalable combat support capabilities to the Combatant Commanders and Joint Force through operation of agreed upon clearly defined functions in competition, crisis, or conflict. Listen better, address comprehensively, and respond with urgency to challenges—and bring flexible solutions, to any place around the globe that our mission requires.

* Building a Modernized, Integrated, and Resilient Healthcare Delivery System

Achieve new levels of excellence by fully leveraging emerging scientific and technological advancements, expanding partnerships, and adopting new models of health and wellness to optimize the health and care experience of our beneficiaries while improving preparedness of our medical teams. Use authorities to continuously pilot demonstration projects that reward outcomes over production, value over volume, and optimize delivery options to provide information, care, and transparency using the most appropriate venues for our beneficiaries, patients, and stakeholders.

* Dedicated and Inspired Teams of Professionals Driving Military Health’s Next Evolution

Create a fulfilling and revitalizing workplace where purpose drives performance, people are the primary focus, and the principles of high reliability nurture and energize each individual, driving the entire organization in support of our pursuit of excellence.

Strategic Functions & Initiatives

* Combat Support

Delivering scalable and agile solutions around the globe.

* Provide scalable and agile capabilities to meet validated Combatant Commander requirements.
* Healthcare Delivery

Providing excellent patient-centered, evidence-based care.

* Optimize healthcare delivery in the new paradigm.
* Leverage technology to improve the patient experience.
* Fully integrated healthcare delivery system for the person.
* Enterprise Support

Enabling optimal combat support and healthcare delivery capabilities for beneficiaries and stakeholders.

* Accelerate transformative innovation throughout the DHA enterprise by rapidly implementing new and emerging technology in the delivery of healthcare.
* Accelerate modernization of medical readiness and care through integrated research, acquisition, logistics, and contracting. 
* Effective and timely acquisition, development, retention, and management of Agency's total workforce.
* Drive decision making at all levels of the organization with data.
* Cross Functional Initiative

Implement [Ready Reliable Care](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Quality-And-Safety-of-Healthcare/Ready-Reliable-Care)

### DHA Equal Opportunity and Diversity Management (EODM)

The DHA EODM Office is responsible for the overall management of the Equal Employment Opportunity (EEO) Program.

* DHA is committed to providing equal opportunity for all employees, former employees, and applicants for employment on the basis of merit and without regard of race, color, national origin, sex (to include sexual orientation or pregnancy discrimination), religion, age, retaliation, genetic information, or physical and/or mental disability.
* Within the agency, every effort will be made to ensure that all employment decisions and personnel actions, including recruitment, selection, training, promotion, transfer, and benefits are administered in conformance with federal statutes and regulations governing equal employment and personnel management.

**Who May File a Complaint?**

Any employee or applicant of the DHA who feels that he/she has been discriminated against may file an EEO complaint. The alleged discrimination must be on the basis of race, color, sex ( to include sexual harassment, pregnancy, sexual orientation, and gender identity), disability, age (40 or older), reprisal, national origin, religion, or genetic information. Additional Information: [Right to File an EEO Complaint.](https://www.health.mil/Reference-Center/Policies/2021/01/22/Right-to-File-Policy)

**Where should I File my Complaint?**

Any DHA employee, former employee, or applicant for employment requiring more information regarding the EEO complaint process or would like to file an EEO complaint with DHA can contact the Equal Opportunity and Diversity Management (EODM) Office at [dha.ncr.eeo.mbx.eodm@health.milEmail us for more information or to file a complaint](mailto:dha.ncr.eeo.mbx.eodm@health.mil) or or [dha.eodm@health.mil](mailto:dha.eodm@health.mil). Email us for more information or to file a complaint.

**Personal Assistance Services (PAS)**

The Defense Health Agency continuously strives to meet its PAS obligations by developing policies, practices, and procedures that ensure the provision of PAS be provided to DHA employees and applicants who are seeking and being considered for employment. PAS are defined as "assistance with performing activities of daily living that an individual would typically perform if he or she did not have a disability, and that is not otherwise required as a reasonable accommodation.

Section 501 of the Rehabilitation Act of 1973, requires the provision of PAS to certain employees with targeted disabilities who request and require non-medical and non-work task personal assistance, unless doing so would impose an undue hardship on the agency. More information on PAS can be found at [DHA AI 1020-01, Reasonable Accommodations (RA)](https://www.health.mil/Reference-Center/Policies/2020/11/02/DHA-AI-1020-01) or contact DHA Disability Program Manager at [dha.ncr.eeo.mbx.dpm@health.milEmail the DHA Disability Program Manager](mailto:dha.ncr.eeo.mbx.dpm@health.mil?subject=DHA%20Personal%20Assistant%20Services%20(PAS)).

### Office of General Counsel

The Office of General Counsel operates under the direction, authority, and control of the Department of Defense Legal Services Agency and is assigned to the Executive Director, Defense Health Agency, to:

* Provide legal services to be performed within and involving the DHA and its mission to manage TRICARE, administer and manage the Defense Health Program appropriations, support the Uniformed Services in the management and administration of the TRICARE Program, and administer the Civilian Health and Medical Program of the Uniformed Services.
* Manage the TRICARE Appeals and Hearings system
* Manage all aspects of the TRICARE debt collection program

The OGC consists of two divisions:

* [General Law Division](https://www.health.mil/About-MHS/OASDHA/Defense-Health-Agency/Office-of-General-Counsel/General-Law-Division) with offices in Aurora, Colorado and Falls Church, Virginia 
* [Appeals, Hearings and Claims Collection Division](https://www.health.mil/About-MHS/OASDHA/Defense-Health-Agency/Office-of-General-Counsel/Appeals-Hearings-and-Collections-Division) with an office in Aurora, Colorado

The OGC National Capital Directorate office provides legal counsel to the Joint Task Force National Capital Region integrated system of healthcare delivery.

* [Walter Reed National Military Medical Center's Office of General CounselGoes to the Walter Reed Website](https://walterreed.tricare.mil/About-Us/Office-of-General-Counsel)
* [Alexander T. Augusta Military Medical Center (Formally Fort Belvoir Community Hospital)Goes to A. T. Augusta MMC site](https://belvoirhospital.tricare.mil/)

The OGC San Antonio office provides legal advice to DHA Health Information Technology Directorate.

### DHA Office of the Inspector General

The Defense Health Agency Office of the Inspector General shall provide IG advice, services, and support to the DHA, DHA activities and subordinate organizations, and as assigned to other organizational entities within the DHA and members of the OASD(HA); and administer the [Department of Defense IG programsOpens the DOD IG webpage](http://www.dodig.mil/) authorized by DOD in accordance with applicable issuances.

DHA OIG conducts, supervises, monitors and initiates inspections, investigations, and audits relating to DHA programs and operations to deter fraud, waste, and abuse while promoting accountability, integrity, and efficiency.

### Administration & Management

The Administration and Management Directorate includes:

[**DHA Publications Library**](https://www.health.mil/Reference-Center/DHA-Publications)

The [DHA Charter - DOD Directive 5136.13DODD 5136.13](https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodd/513613p.pdf) delegates the DHA Director authority to establish and maintain, for functions assigned, a publication system for regulations, instructions, and reference documents. As publications are completed and cleared for public release, they will be made available in the digital [DHA Publications Library](https://www.health.mil/Reference-Center/DHA-Publications).

[**Employment Office**](https://www.health.mil/About-MHS/Employment)

Choosing a career with the Military Health System is a great way for professionals to serve our nation. Visit our [Careers page](https://www.health.mil/About-MHS/Employment) to learn more!

[**Freedom of Information Act**](https://www.health.mil/About-MHS/OASDHA/Defense-Health-Agency/Administration-and-Management/FOIA)

Since 1967, the [Freedom of Information Act](https://www.health.mil/About-MHS/OASDHA/Defense-Health-Agency/Administration-and-Management/FOIA) has provided the public the right to request access to records from any federal agency. It is often described as the law that keeps citizens in the know about their government. Federal agencies are required to disclose any information requested under the FOIA unless it falls under one of [**nine exemptions**](https://www.health.mil/Reference-Center/Fact-Sheets/2018/06/15/FOIA-Exemptions) which protect interests such as personal privacy, national security, and law enforcement.

To help you determine if filing a FOIA request is the best option for you, visit [**www.FOIA.govGoes to FOIA website**](https://www.foia.gov/).

Medical Coding Program Office

The Medical Coding Program Branch is focused on enhancing data transparency, improving the timely and accurate capture of medical information, and improving medical reimbursements across the Military Health System enterprise. For questions or comments, please [send an email message](mailto:UBO.Helpdesk@intellectsolutions.com) or call 1-703-817-4030 and leave a message.

[**Privacy and Civil Liberties Branch**](https://www.health.mil/Military-Health-Topics/Privacy-and-Civil-Liberties)

The [Defense Health Agency Privacy and Civil Liberties Office](https://www.health.mil/Military-Health-Topics/Privacy-and-Civil-Liberties) is responsible for safeguarding Military Health System individuals and information by administering compliance programs. We oversee the protection of personally identifiable information/protected health information within the MHS, one of the largest integrated health care delivery systems in the United States, serving more than 9.6 million eligible beneficiaries.

Records Management

The Records Management Program supports all Health Affairs/DHA components to ensure proper maintenance, use, and disposition of paper and electronic records, in accordance with federal laws, regulations, and DOD guidance regarding the protection of sensitive information. Questions?

### Strategy, Plans & Functional Integration

Strategy, Plans, and Functional Integration (J5) includes:

* Strategy Management
* [Health Care Surveys & Reports](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Health-Care-Program-Evaluation)
* [HIPAA Transactions, Code Sets and Identifiers Office](https://www.health.mil/Military-Health-Topics/Technology/HIPAA-TCSI)

Decision Support

Our goal is to generate timely, useable and objective research to help improve the Military Health System (MHS) to advance the health of DoD beneficiaries.

* Functional proponent for corporate data systems:
	+ Identify requirements for all stakeholders
	+ Develop methods and algorithms to implement requirements
	+ Ensure data is accurately processed 
	+ Detect data and computational errors
* Survey programs: 
	+ Beneficiary and provider satisfaction surveys 
	+ Population health surveys (measuring disease prevalence, burden of illness and lifestyle behaviors) 
	+ Ad hoc surveys (upon request or necessity) 
	+ MHS contractor incentive fee surveys (mail order pharmacy, health care services and support contractors)
* Health care survey operations and information control 
* MHS evaluation (programs, policies and practices) 
* Health related studies and analyses

### Information Operations

**Mission**

Implement, manage, and sustain an affordable, integrated, and protected medical information enterprise in order to ensure the right information is accessible to the right customers at the right time and in the right way.

**Vision**

A joint, integrated, premier system of health information technology, enabling integrated healthcare delivery for those who serve in the defense of our country.

Key Functions

The Program Executive Officer (PEO) for Medical Systems/Chief Information Officer (J-6) is responsible for policies, management, and execution of information technology operations at and between the military medical treatment facilities. Our portfolio includes:

**Division**

**What We Do**

Portfolio & Resource Management

Provide planning, programming, budgeting, financial execution and contract tracking, rationalization and acquisition strategy approval processing support to enable PEO MS/CIO (J-6) delivery of IT solutions and services in support of the MHS enterprise.

Engineering Solutions Architecture & Business Analytics

Recommend and advise on the technical strategy, business operations, and security architecture of IT infrastructure, networks, and platforms delivered to the global DOD Healthcare enterprise.

[Solution Delivery](https://www.health.mil/Military-Health-Topics/Technology/Solution-Delivery-Division)

Provide and sustain information technology capabilities that support the delivery of health care to our service members from battlefield to the home front.

Infrastructure and Operations

Deliver and sustain computing and communications infrastructure (C&CI) information technology capabilities that enable the full spectrum of health care delivery for more than 9.6 million eligible beneficiaries.

Market Technology Integration Office

Serve as the Information Management/Information Technology (IM/IT) central trusted leader for CIOs/IT Directors by championing unified communications and business services.

[Risk Management Executive (RME) /Cyber](https://www.health.mil/Military-Health-Topics/Technology/Cybersecurity-Awareness)

Ensure the security of MHS health care/readiness IT systems through execution of a robust, agile and cost effective cybersecurity program that balances risk and mission execution.

### Education and Training Directorate

The DHA Education and Training Directorate (J7):

* Leads a standardized, high value education and training across the Military Health System (MHS) 
* Implement an enterprise wide learning system maximizing education resources.

Our Training Opportunities

[DHA Learning Management System (hosted by Joint Knowledge Online)](https://www.health.mil/Military-Health-Topics/Education-and-Training/Learning-Management-System)

[Defense Medical Readiness Training Institute](https://www.health.mil/Military-Health-Topics/Education-and-Training/DMRTI)

[Leadership, Education, Analysis, Development, Sustainment](https://www.health.mil/Military-Health-Topics/Education-and-Training/LEADS)

[Medical Modernization and Simulation Division](https://www.health.mil/Military-Health-Topics/Education-and-Training/MMSD)

MHS Medical Library

The Military Health System Medical Library provides access to high-quality, evidence-based medical, nursing, and allied health information resources for MHS personnel.

## Uniformed Services University of the Health Sciences

The [Uniformed Services University of the Health Sciences (USU)Goes to the USUHS website](https://www.usuhs.edu/) is the nation’s only Federal health sciences university. USU educates, trains, and comprehensively prepares uniformed services health professionals, scientists, and leaders to support the Military and Public Health Systems, the National Security and National Defense Strategies of the United States, and the readiness of our Uniformed Services.

USU consists of the:

* F. Edward Hebert School of Medicine 
* Daniel K. Inouye Graduate School of Nursing 
* Postgraduate Dental College 
* College of Allied Health Sciences

USU is the only institute of higher learning to provide a military unique curriculum, in a joint environment, that educates and trains leaders in health care relevant to the military missions.

USU is a global leader in state-of-the-art research including TBI, PTSD, precision medicine, rehabilitation and prosthetics, emerging infectious diseases, tropical medicine, and cancer.

USU faculty serve as a direct connection for DOD for expertise in centers and programs related to global health, TBI, PTSD, disaster medicine, neuroscience, rehabilitation medicine, cancer and human performance.