Clinical Informatics

Client

Office of the Surgeon General (OTSG) and Headquarters U.S. Army Medical Command (USAMEDCOM)

Description

The MEDCOM has 27,000 soldiers and 28,000 civilian employees, and another 20,000 active-duty medical soldiers assigned to field units.  It operates eight Army medical centers, 26 Army community hospitals and numerous clinics worldwide. The headquarters staff is a dual component staff that operates seamlessly - the Army surgeon general's staff, located in Washington, D.C. and the MEDCOM staff located at Fort Sam Houston, TX.  The OTSG explains the medical budget to Congress and the MEDCOM oversees the spending of the budget.

The Challenge

Managing an information technology capability that integrates across such a diverse corporation and serves as the main platform that enables the delivery of healthcare to more than 5 million beneficiaries has proven extremely complex. Due to the challenges of the current electronic health record (EHR), the delivery of care has been stressed, and physicians, nurses, and many others of the healthcare team have lost confidence in the EHR.  

The Solution

tiag provided clinical and functional informatics professionals who assisted in the development and re-engineering of the first Office of the Chief Medical Information Officer.  The office was established to rebuild the trust of physicians and serve as their advocate in the design, selection, implementation and sustainment of clinical information systems.

tiag  assisted in the development of operational capabilities in Business Process Management and Clinical Business Intelligence, to serve as the single point of entry for innovation and information technology used to support healthcare delivery, and in many ways leading the Military Health Systems effort to redesign the EHR.

The Result

The Office of the Chief Medical Information Officer (OCMIO) has developed into a premier staff office for the Office of the Surgeon General.  It has lead the charge in transforming the organization into a knowledge driven, fact based organization that is focused on clinical outcomes and the system of healthcare instead of a healthcare system.  The OCMIO has achieved such a high level of success, that the Surgeon General recently named the CMIO as the Chief Information Officer for the entire Army Medical Department.  This is a first for a physician, and is a direct reflection of the work performed by tiag executive thought leaders providing informatics consulting services to the OTSG.

Results Delivered

National Institute for Occupational Safety and Health (NIOSH)

NIOSH needed a cost-effective, and operationally feasible solution, to support the secure transmission of imaging data from over 300 sites to a central location.   tiag defined a solution supporting surveillance activities required by federal law that includes a secure image transfer mechanism that accepts digital images from the x-ray facilities while complying with evolving government network security rules. Read More...

Office of the Surgeon General (OTSG) and Headquarters U.S. Army Medical Command (USAMEDCOM)

USAMEDCOM operates eight Army medical centers, 26 Army community hospitals and numerous clinics worldwide.    tiag provided clinical and functional informatics professionals who assisted in the development and re-engineering of the first Office of the Chief Medical Information Officer.Read More...