Requirement Briefing Slides (Government Healthcare Track_20 November 2024).pptx

DHA Government Healthcare Track 2024

Requirements Briefings

ALAMO ACE - 20 NOVEMBER 2024

Palo Duro Pavilion

Agenda

Improving Health and Building Readiness. Anytime, Anywhere — Always

Remote Health Readiness Program – 4th Generation Jennifer Kaczynski

ALAMO ACE - 20 NOVEMBER 2024

Contract Information Description

Acquisition Plan

Contract Description: The Remote Health Readiness Program (formerly Reserve Health Readiness Program) or RHRP supports and complements the DoD Individual Medical Readiness (IMR) Program in its efforts to promote and sustain a medically ready force throughout the continuum of military operations and deployments. The RHRP is DHA’s primary support for Reserve Component (RC) and TRICARE Prime Remote (TPR) service members (SMs). The RHRP provides required IMR (Medical and Dental) services, deployment readiness medical services, physical exams (accession, retention, occupational health, and specialty), and RC dental care. These activities support the Services’ efforts to meet or exceed established DoD IMR standards, deployment health-related initiatives, and Force Health Protection (FHP) requirements and goals. The RHRP supports the RC, TPR services members (Army, Navy, and Marine Corps), U.S. Coast Guard SMs (active duty and Reserve) and re-deploying DoD civilians from participating DoD Agencies.

Estimated Total Contract Value: Projected $2B Ceiling over 10 years

Jennifer Kaczynski, Sr Asst Program Manager Requirement - Summary The RHRP is a recurring readiness support requirement since 2001. The optional use contracting vehicle provides capabilities to ensure medical readiness requirements are met for each Service Component. The requirement for medical readiness support to the Reserve Components has been met through previous contracts such as FEDS HEAL (Federal Strategic Health Alliance), RHRP-I, RHRP-II, and currently RHRP-3.

Details:

The Contractor provides medical, dental, and behavioral health readiness services. The Contractor supports these services by providing assessments, physical exams, labs, diagnostics, audiology, optometry, immunizations, dental exams, and dental treatment.

Single contracting vehicle providing readiness services to support the DoD IMR program, which is tracked by individual service components and directly aligned to the FY25-30 DHA Strategic Plan.

QUESTIONS

https://forms.osi.apps.mil/Pages/ResponsePage.aspx?id=Q6QDiTOv1E6s9e5hO8svWQXt-Vb3CPJPpyq3dr6JGKNUNkpHUlY3NUQ2S1FHQU9JR09ZOEEwSlpUSi4u

DHA Enterprise Coding Jennifer Kaczynski

Contract Information Description

Acquisition Plan

Contract Description: Utilize the best commercial medical coding practices in conjunction with military directives and parameters to produce efficient medical coding services of Military Treatment Facilities both CONUS and OCONUS.

Contract Type: Firm Fixed Price, Base plus 4 Option Years

Estimated Total Contract Value: Projected $300M Ceiling over 5 years

Enterprise Medical Coding

Requirement - Summary The DHA Enterprise Medical Coding Contract requires medical coding support to process both backlogged and current medical encounters (CONUS and OCONUS MTFs) documented in the MHS Genesis system.

Details:

The Contractor codes all medical services, including but not limited to same-day surgery, inpatient care, primary care, specialty care, emergency department care, and observation.

Single enterprise contracting vehicle to establish pool of coding professionals capable of closing incomplete and uncoded encounters within 31 days of date of service delivery or patient discharge. This optimizes MHS Genesis capability and maximizes timely receipt of reimbursements.

Enterprise Medical Coding https://forms.osi.apps.mil/Pages/ResponsePage.aspx?id=Q6QDiTOv1E6s9e5hO8svWQXt-Vb3CPJPpyq3dr6JGKNUNkpHUlY3NUQ2S1FHQU9JR09ZOEEwSlpUSi4u

DHA Enterprise (Off-Site) Teleradiology Services Michael Bilicki

Contract Information Description

Acquisition Plan

Contract Description:

Non-personal contractor services providing a standardized high-quality teleradiology interpretive services available for all Defense Health Agency (DHA) Military Medical Treatment Facilities (MTFs) – with the intent to optimize radiology services capabilities throughout the DHA enterprise, particularly for on-call/after normal duty hours support and overflow work.

Images are transmitted from the MTF through the MHS Genesis database interface where they are analyzed by licensed contractor radiologists and then the diagnosis/analysis is transmitted back to the MTF for incorporation in the patient care/treatment plan.

Services are supplemental in nature, not intended to replace MTF radiology departments.

Place of Performance:

Multiple DHA MTFs facilities located in both the Continental United States and Outside the Continental United States

Requiring Activity/Owner:

DHA Program Execution Office J6, - Integrated Clinical Systems (ICS) Program Management Office, Solutions Delivery Division Requirement Title/Name:

DHA Enterprise (Off-Site) Teleradiology Services Previous Contract Number (if re-compete):

HT001521D0001

Contracting Officer Representative:

Ms. Marsha Marinich, ICS/SDD Contract Period of Performance/Duration:

31 Jan 2022 – 30 Jan 2027

Contracting Agency:

Enterprise Medical Services Contracting Division Contracting Officer:

Mr. Michael T. Bilicki

Integrated Clinical Solutions – Solutions Delivery Division – J6 Michael Bilicki, Contracting Officer Requirement: DHA Enterprise (Off-Site) Teleradiology Services

Summary: The contractor shall provide standardized high-quality teleradiology interpretive services available for all Defense Health Agency (DHA) Military Medical Treatment Facilities (MTFs).

Details:

One centralized ordering vehicle, with decentralized task order execution Currently 55 active task orders Contractor must be complaint with all DoD cyber security guidance Usage increasing - critical shortage of radiologists nationally (both civilian & military)

Integrated Clinical Solutions – Solutions Delivery Division – J6 Michael Bilicki, Contracting Officer https://forms.osi.apps.mil/Pages/ResponsePage.aspx?id=Q6QDiTOv1E6s9e5hO8svWQXt-Vb3CPJPpyq3dr6JGKNUNkpHUlY3NUQ2S1FHQU9JR09ZOEEwSlpUSi4u

Domain and Directory Services Branch (DDSB) Sustainment & Operations Contract Stephani Preusser

Contract Information Description

Acquisition Plan

Contract Description:

IT Architectural, Engineering, and expert technical operations and sustainment support for IT systems and services, providing broad support of DoD Zero Trust Strategy, DoD ICAM Strategy, DoD Digital Modernization Strategy and DoD Cybersecurity Reference Architecture;

Provide services required by the Government for 24-hour operational support;

Standardized designs and solutions for directory services, Public Key Infrastructure (PKI), identity management, access management, and Public Key Enabling (PKE) activities;

Maintain high-availability, reliable and secure IT infrastructures environments. Ensure systems under DDSB’s areas of responsibility maintain compliance with DoD cybersecurity requirements and meet Risk Management Framework (RMF);

Configuration Management to include Change Enablement, Knowledge Management, and technical documentation development for all technical and presentation requirements;

Requiring Activity/Owner:

Program Executive Office Medical Systems/Chief Information Officer (J-6), Infrastructure and Operations Division (IOD), Domain & Directory Services Branch (DDSB) Requirement Title/Name:

Domain and Directory Services Branch (DDSB) Sustainment & Operations Contract Previous Contract Number (if re-compete):

HT0011-21-F-0060 (47QTCA21D0029)

Domain and Directory Services Branch (DDSB) Sustainment & Operations Contract – J6 Stephani Preusser, Contracting Officer Requirement: Domain and Directory Services Branch (DDSB) Sustainment & Operations Contract

Summary: Support services for activities involved with application development and support to include analysis, design, development, coding, testing, and release packaging, as well as support of off-the-shelf Business Applications

Details: Will Provide IT Architectural, Engineering, and expert technical operations and sustainment support for IT systems and services

Domain and Directory Services Branch (DDSB) Sustainment & Operations Contract – J6 https://forms.osi.apps.mil/Pages/ResponsePage.aspx?id=Q6QDiTOv1E6s9e5hO8svWQXt-Vb3CPJPpyq3dr6JGKNUNkpHUlY3NUQ2S1FHQU9JR09ZOEEwSlpUSi4u

Network Engineers and Specialists (NE&S) Stephani Preusser

Contract Information Description

Acquisition Plan

Contract Description:

The objective of this tasking is for the contractor to provide network (i.e. local and wide area network) sustainment and deployment support services to the Military Health System (MHS) Medical Treatment Facilities (MTFs) , which includes hospitals, clinics, and other remote elements throughout CONUS and OCONUS locations. This work includes functions such as network performance measurement and monitoring, assistance with network development, network measurement, customer service in the form of trouble tracking and troubleshooting at the Tier 0 level, onsite support for both contractor and Government support teams for escalated trouble tickets, as well as maintenance and sparing support. Such services will be provided in accordance with stated MHS and specific Medical Component priorities. Services shall also comply with existing and evolving technical architecture guidance from international, commercial, Department of Defense (DoD), and Health Affairs (HA) sources.

Place of Performance:

102 Military Treatment Facilities and DHA locations, OCONUS and CONUS

Requiring Activity/Owner:

Program Executive Office Medical Systems/Chief Information Officer (J-6), Infrastructure and Operations Division (IOD), Network Modernization Branch (NMB)

Network Engineers & Specialists Services

Requirement: Network Engineers and Specialists Support

Summary: Provides network sustainment and deployment support services to the Military Health System (MHS) Medical Treatment Facilities (MTFs)

Details: This effort will provide enterprise network improvements across the Defense Health Agency’s Military Health System (MHS) Medical Treatment Facilities (MTFs), ensuring enhanced contract vehicles for the sustainment and deployment support services to the MHS MTFs

Network Engineers and Specialists (NE&S) https://forms.osi.apps.mil/Pages/ResponsePage.aspx?id=Q6QDiTOv1E6s9e5hO8svWQXt-Vb3CPJPpyq3dr6JGKNUNkpHUlY3NUQ2S1FHQU9JR09ZOEEwSlpUSi4u

Competitive Plans Demonstration – (CPD) Expanded Hilary Lewis and Marcus Webb

Competitive Plans Demonstration – (CPD) Expanded Hilary Lewis and Marcus Webb Active Portfolio of Major Contracts

9.6 Million TRICARE Beneficiaries worldwide

Managed Care Support Regional Contracts T-2017 East $56.5B T-2017 West $26B T-5 East $70.9B T-5 West $65.1B TRICARE Overseas Program

TOP 21 $1.1B

TRICARE Pharmacy TPharm5 $5.1B

Designated Providers 6 Regional Hospitals $21.5B TRICARE Medicare Eligible

TMEP $402.1M

TRICARE Dental & Active Duty Dental

TDP (T-16) $2.6B

TDP6 $3B

ADDP3 $1B

Quality Control Suite

TQMC (T-24) $40.3M

TCRS (T-17) $39.2M

Total Active Portfolio $ 253.4B

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Contract Information Description

Acquisition Plan

Contract Description:

Anticipated Award Date: 30 Sept 2026

1 January 2027 – 31 December 2030 (TBD)

TRICARE Health Plan The Defense Health Agency (DHA) is planning to expand a demonstration for competition for TRICARE beneficiaries at the local and regional level, through the Competitive Plans Demonstration (CPD) project. Awarded CPD contractors will compete for beneficiary enrollment to provide the TRICARE benefit. The CPD contractors will provide networks, customer service, records management, referral management, and healthcare operations to TRICARE-eligible beneficiaries. The Government is also interested in testing alternative payment and delivery models and understanding a local or regional health plan’s willingness to take a percentage of the financial risk for the healthcare and administrative costs for a population of enrollees.

Estimated Total Contract Value: $100M - $250M

“The What”:

“The Why”: NDAA 2017 Section 705: VALUE-BASED PURCHASING AND ACQUISITION OF MANAGED CARE SUPPORT CONTRACTS FOR TRICARE PROGRAM “ensure that local, regional, and national health plans have an opportunity to participate in the competition for managed care support contracts under the TRICARE program.”

“The How”

“The How”: CPD hypotheses framed from NDAA 2017 Sec.705(c)(1)(A)–(E) requirements.

Vision: “The Competitive Future of TRICARE!”

Competitive Plans Demonstration – (CPD) Expanded Hilary Lewis and Marcus Webb

Potential competition in 23 geographic areas; aligned to potential 2017 NDAA, Sec 703 impact areas Once awarded, beneficiaries will have enrollment choices based on quality/access EEE contract will be smaller to support the CPD only Transition and integration with DMDC (eligibility/enrollment) DHA for encounter updates to Medical Data Repository (MDR) Plus create a TRICARE Exchange for beneficiaries to enroll

Testing Better Health

Improve health outcomes e.g. Improved condition management

Testing Better Care

Improve access to care e.g. Improved patient satisfaction

Improve the quality

Testing Lower Costs

Testing Better Care e.g. Improved HEDIS measures e.g. Adjusting for total cost of demo and care

Cost neutral to the DoD

Competitive Programs Demonstration 2.0 CPD complies with National Defense Authorization Act (NDAA) 2017, Section 705(c)(3) to ensure local and regional health plans have an opportunity to participate in the competition for managed care support contracts under the TRICARE program using value-based approaches.

CPD also incorporates NDAA 2022, Section 703 Revisions to TRICARE Provider Networks, which authorizes “multiple provider networks” in the same geographical area (i.e., overlapping) under TRICARE Select and TRICARE Prime to give beneficiaries choice of different plans.

Competitive Programs Demonstration 2.0 CPD, along with Enrollment, Eligibility, and Encounter (EEE) pilot (, seeks to increase collaboration between local and regional private sector health plans and DHA, increase competition, improve quality, improve beneficiary satisfaction, and contain costs.

CPD tests cost impact of implementing Risk-Adjusted Capitation Payments Risk Scores used to compute capitation rates Alternative Payment Models authorized Medical Loss Ratio reporting required https://forms.osi.apps.mil/Pages/ResponsePage.aspx?id=Q6QDiTOv1E6s9e5hO8svWQXt-Vb3CPJPpyq3dr6JGKNUNkpHUlY3NUQ2S1FHQU9JR09ZOEEwSlpUSi4u

Health Care Delivery IT Solutions End User Experience Sonya Edom

Program Executive Office Defense Healthcare Management System (PEO DHMS) Health Care Delivery IT Solution (HCDS) Sonya Edom

Digital Adoption Platforms Cloud scalability Leverage data for targeted optimization efforts Gamify training Business Process Reengineering of existing workflows as part of the targeted optimization efforts

Artificial Intelligence Wearables Patient Experience Revenue Recapture

MHS will not be able to successfully coordinate and document patient care.

Innovation

Initiative

Trends

Priorities

Opportunities

Contract Information Description

Acquisition Plan

Contract Description:

Innovative commercial solution/ service to improve:

Patient Outcomes: Prioritize holistic wellness while collaborating with the patient to improve well being User Satisfaction: Foster a workforce that is engaged and healthy Revenue Recapture: Close patient encounters Return on Investment: Remain responsible stewards of resources

Guiding Principles Maximize value through business process reengineering, adoption and implementation over technology Provide timely and complete communication, training, and tools to ensure optimal stakeholder experience Enable full patient engagement in their health by prioritizing their User Experience Enhance patient safety through solutions that reduce harm, improve care, reduce waste, and improve efficiency

Place of Performance: PEO DHMS – Arlington, VA

Requirement – Health Care Delivery Solution End User Experience

Summary: The contractor shall provide innovative commercial solution/services that maximize the value of the existing solution, provide timely and complete communication, training, and tools to ensure optimal stakeholder experience, and enable full patient engagement in their health by prioritizing their user experience

Details:

End User training – Supports new and existing users of the solution for the continued use and adoption with minimal to no downtime required Organizational Change Management – increase user adoption, end user satisfaction, and proficiency Minor modifications – changes to the system that do not impact the enterprise, cybersecurity posture, or Help Desk – Tier 1 and Tier 2 help desk support that may include agentless support

Metric:

Customer Application Adoption, Increased Revenue Recapture, Improved User Satisfaction, Abandonment Rate

Program Executive Office Defense Healthcare Management System (PEO DHMS) Health Care Delivery IT Solution (HCDS) Sonya Edom NOTE: Still completing market research. The requirement as defined will continue to evolve.

Contract Information Description

Acquisition Plan

Contract Description:

MHS GENESIS system documentation is lacking with respect to the sustainment processes and procedures and internal interface configurations. Other technical documentation, such as architecture artifacts and system/sub-system design documents, are understandable to the current prime contractor and Government team but needs to be revised so they are understandable to a third party.

This would include documenting how the system is configured, how the system is maintained and operated, and who is responsible for various functions. Because MHS GENESIS is in the process of migrating to the cloud, the documentation would need to be developed during the migration and completed within approximately six months after the cloud migration is complete.

Requirement – Health Care Delivery IT Solution Documentation

Summary: Innovative commercial solution to support the technical documentation services for the entire MHS GENESIS solution to ensure completeness and consistency

Details:

Document the processes, solutions, interfaces, and all necessary components of system integration Playbook that describes the detailed environment along with relationships. Describes the “what”, “who”, and “how”.

Metric:

Acceptance of Deliverable(s) on first submission

Program Executive Office Defense Healthcare Management System (PEO DHMS) Health Care Delivery IT Solution (HCDS) Sonya Edom

Program Executive Office Defense Healthcare Management System (PEO DHMS) Health Care Delivery IT Solution (HCDS) Sonya Edom https://forms.osi.apps.mil/Pages/ResponsePage.aspx?id=Q6QDiTOv1E6s9e5hO8svWQXt-Vb3CPJPpyq3dr6JGKNUNkpHUlY3NUQ2S1FHQU9JR09ZOEEwSlpUSi4u

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