77X - Ready Reliable Care: The DoD’s Approach to High Reliability Organizations

Wednesday, March 22

9:00–10:30 a.m.

High reliability is the overarching framework guiding the Military Health System every day. The Ready Reliable Care journey is about the Defense Health Agency supporting every aspect of the MHS. Ready Reliable Care provides a unified lens through which MHS components can learn from past experiences then build on and mature interoperable high reliability capabilities that support warfighters and facilitate a consistent patient experience across the MHS. The DHA is embarking on an HRO Baseline Assessment, which will identify the current maturity state of Military Medical and Dental Treatment Facilities within the high reliability journey. This assessment will support the determination of capabilities needed to advance the maturity of the system. Maturity is assessed against the RRC Maturity Model developed by MHS subject matter experts. Existing MHS data sources will be aligned with the capability components of the RRC Maturity Model to determine current phase of RRC maturity.

A case study of Enterprise Imaging addressing the RRC Domain of Change Culture of Safety will be reviewed to highlight an example of preoccupation with failure and sensitivity to operations. This case study will demonstrate how applying high reliability principles can take a collection of complex, innovative, cross-disciplinary initiatives and implement them successfully across the enterprise to comprehensively image-enable electronic health records and to integrate all forms of clinical and diagnostic imaging for seamless global availability across the continuum of patient care.

Learning Objectives

• Define high reliability organization concepts in direct clinical and indirect clinical care delivery areas.
• Explain high reliability maturity and assess organizational maturity.