PARATUS - The Way Ahead_2026 MHS Conference.pptx

PARATUS: The Way Ahead CDR John de Geus MD

UNCLASSIFIED

Agenda Overview of PARATUS Intent System Design Intent Capability Roadmap Timeline Proof of Concept Discussion

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Speaker Introduction

Name & Credentials CDR John de Geus MD Defense Health Agency Commander de Geus currently serves as the Innovation and Information Lead for the Office of Warfighting Health Advantage (OWHA) at the Defense Health Agency (DHA). A board-certified family physician and clinical informaticist, he drives strategic efforts to accelerate disruptive capabilities, advance operational medical integration, and deliver a decisive warfighting health advantage to the Joint Force. Previously, CDR de Geus served as the Navy Chief Health Informatics Officer and Director of Healthcare Informatics, where he spearheaded Navy Medicine’s Digital Transformation Strategy and the development of the PARATUS joint readiness system. His extensive operational background includes deployments as a Group Surgeon and Command Element Surgeon with the Marine Corps. He earned his Doctor of Medicine from the Uniformed Services University and holds specialized expertise in strategic innovation and enterprise systems modernization.

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REQUIRED - Learning Objectives - Option 1 Explain how PARATUS unifies service-specific readiness systems through a FHIR-based joint architecture Describe the digital profiling workflows and their operational benefits for clinicians and commanders Recognize how predictive analytics and real-time data integration improve deployment planning and force health management Identify best practices in data harmonization, governance, and user-centered design from PARATUS implementation Apply lessons learned to other Military Health System modernization initiatives

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Medical Readiness, Deployability, & Employability

DHA Cloud

Accessions

Training

Garrison Deployment Separation

Medical Examination General Duty Waivers Initial Profile

IMR

Screenings & Waivers Special Duty Living Profile Injuries & Treatment

SERVICE MEMBER MEDICAL LIFE CYCLE

Deployment specific IMR

PDHA

DLMC Waivers Living Profile Intra-Deployment injuries & care

PHA / IMR

Screenings & Waivers Special Duty Location-specific Living Profile DLMC Management Routine and emergency medical care

SHA

PEB/ DES

Living Profile Profile Updates Permanent Profiles

PARATUS

MHS GENESIS/ JLV

Connected via HL7/FHIR Connected via Cloud/ MIP interface “Every Visit is a Readiness Visit”

CO Readiness Dashboard

Real-Time Data Flow Reserve/ Guard will cycle between Garrison, Deployment and Separation multiple times within a career

JOMIS

Alpha Temporarily Non-Deployable, but accommodations can easily be made based on Commander’s direction Bravo Temporarily Non-Deployable, but accommodations may be made based on Commander’s gaps Charlie Temporarily Non-Deployable, but accommodations must be made based on Commander’s critical gaps

Deployability Category (DCAT) 1 & 2 Deployers

Garrison

CO’s Readiness Dashboard

Deployment

Monitoring and Directing Command Medical Readiness Activities to Proactively Mitigate Risk

Conceptual Categories Only

Employability Categorization for DCAT 3

Readiness Generation

Readiness Sustainment *Garrison Access to Care*

Profiling / Waivers

Temporary Profile

Permanent Profile

PEB/DES

IMR / Health Assessments

DRHAs

Theater Healthcare

Profiling

MEDEVACs

COCOM / Sea Duty Waivers

Deployability Assessment Profiling / Employability Condition-based Profiling Medical Waiver Management (Deployment, Accessions, etc.)

Medical and Dental Readiness Readiness Case Management

PARATUS

Combatant Component Services DHA Units

Commanders All Service Components

Healthcare Delivery

Deployed Medical Readiness Management Team Service Members

Garrison

Medical Readiness Reporting (Individual, Tactical, Operational, Strategic Levels) Medically-Related Personnel Actions DES Preparation and Coordination Provider Management SM Individual Accountability

Medical Readiness Management PARATUS Conceptual Operational View - 1

Reports MHS Genesis Clinical System TBD Service Personnel Systems Service Medical Readiness System Other TBD Other TBD DHA Cloud New Clinical Data Real Time Data – HL7/FHIR PARATUS Conceptual System View - 1

Profiles

Future

TBD

Waivers

IMR

Deploy-ability

Health Assess-ments Modules

Dash-boards

Queries

Visualizations

JOMIS

Secure Role-Based Access

System technical Capabilities Data Storage

External Data (Intermittently Updated)

Operational/ Transaction Data (Local/ Persistent)

Communications Task/Workflow Management BI/Reporting Analytics/AI/ML Algorithms Tools

Future

TBD

Commanders MedHUB/MAVEN

ADVANA

Service Systems

Clinical Staff

MHS GENESIS

Service Portal (Authentication)

Service Members & Family Members Patient Portal Direct Access Service Portal (Authentication)

Administrative Teams

MHS GENESIS

Service Portal (Authentication)

Deployability Assessment at Every Medical Encounter

Program Status Approved JROCM Contracting actions in development with anticipated Q4 2026 award

Approach Rapid prototype development to demonstrate operational value Service partnership on capability objectives for development

Service Equities No immediate funding requests from the Services Functional personnel to support capability objectives development Commitment to complimenting existing initiatives Mindful of several on-going efforts across services to enhance operational readiness Commitment to future discussion on capability overlap once Service requirements met

PARATUS Overview

Key Takeaways PARATUS program of record is being established DHA is the executive agent PARATUS contracting strategy is finalizing soon PARATUS architecture will be supported by the DHA Federated Data Strategy PARATUS proof of concept is being implemented to promote Combat Support Agency requirements of DHA

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REQUIRED - References None

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Thank You!

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