FIGURE 5-1 Organizational relationships for health-care activities in DoD. ASD(HA) = assistant secretary of defense for health affairs, CINCs = regional combatant commanders, CJCS = chairman of Joint Chiefs of Staff, DEPSECDEF = deputy secretary of defense, MCSCs = managed-care support contractors, MTFs = medical-treatment facilities; SECDEF = secretary of defense, TMA = TRICARE Management Activity, USD(P+R) = undersecretary of defense for personnel and readiness.

FIGURE 5-1 Organizational relationships for health-care activities in DoD. ASD(HA) = assistant secretary of defense for health affairs, CINCs = regional combatant commanders, CJCS = chairman of Joint Chiefs of Staff, DEPSECDEF = deputy secretary of defense, MCSCs = managed-care support contractors, MTFs = medical-treatment facilities; SECDEF = secretary of defense, TMA = TRICARE Management Activity, USD(P+R) = undersecretary of defense for personnel and readiness.

The policy organization starts with the secretary of defense and runs through the under secretary for personnel and readiness to the assistant secretary of defense for health affairs, ASD(HA). The ASD(HA) has no direct-line command and control relationship with the surgeons general of the military departments. However, policy guidance issued by the secretary of defense through the ASD(HA) is binding on the military departments.

Military Health System

The 2007 MHS Strategic Plan1 states that its primary mission is to “provide a medically ready and protected force and medical protection for communities—we continuously monitor health status, identify medical threats and find ways to provide protection and improve health

1

MHS, DoD. 2008. The Military Health System Strategic Plan: A Roadmap for Medical Transformation. http://www.health.mil/StrategicPlan (accessed April 3, 2009).



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