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Military Health System

Transition Timeline

The Military Health System began planning and implementing broad-scale health care reform initiatives in 2017 in response to the National Defense Authorization Act for Fiscal Year 2017 and additional guidance that followed in the NDAAs for fiscal years 2018-2020.

This timeline highlights key dates in the transition of military hospitals and clinics to the Defense Health Agency.

October 2018

The former ASD for Health Affairs, Mr. Tom McCaffery, and former DHA Director, VADM Raquel Bono welcome the first MTFs to transition to the Defense Health Agency.

On Oct. 1, 2018, all military hospitals and clinics began to follow DHA standardized policies, procedures, and clinical and business practices. The DHA officially assumed management and administration of a handful of military hospitals and clinics, in addition to their existing management of Walter Reed National Military Medical Center and Fort Belvoir Community Hospital:

  • 81st Medical Group (Keesler Air Force Base)
  • 628th Medical Group (Joint Base Charleston)
  • Naval Hospital Jacksonville
  • 4th Medical Group (Seymour Johnson Air Force Base)
  • Womack Army Medical Center (Ft. Bragg)
  • 43rd Medical Group (Pope Field)

January 2020

By standardizing care and administrative functions within military medical facilities, DoD seeks to create a more medically ready force; one that provides safe, high-quality health care to service members, their families, and retirees and ensures the readiness of medical personnel who provide that care. (U.S. Navy photo by Petty Officer 1st Class Jacob Sippel)

On Jan. 30, 2020, facilities in four regions within the United States became the first military medical markets aligned by geographic location. The markets include hospitals and clinics in the National Capital Region (Washington, D.C., southern Maryland, and northern Virginia), Jacksonville, Florida; the Mississippi coast (Biloxi-Gulfport-Pascagoula); and Central North Carolina (Fayetteville).

September 2020

The transition to the domain incorporates new layouts and adds helpful features to enhance the user experience.

On Sept. 1, 2020 the Defense Health Agency launched 74 new military hospital and clinic Air Force websites – an important milestone in the effort to modernize the web presence of all military hospitals and clinics. Each website transitioned to the TRICARE domain to provide a standardized patient experience across the Military Health System. 

December 2020

The Defense Health Agency recently completed the migration of 140 military medical treatment facility websites, a key milestone in the transition of management and administration of the MTFs from the services to the DHA. (MHS graphic.)

On Dec. 20, 2020, the Defense Health Agency completed the migration of 140 military hospital and clinic websites to the domain, a key milestone in the transition of management and administration of the MTFs from the services to the DHA. The three-year project finalizes an effort to modernize the web presence of military hospitals and clinics worldwide and provide a standardized experience for patients throughout the Military Health System.

April 2021

Army Lt. Gen. Ronald Place, director of the Defense Health Agency, left, and Navy Rear Adm. Darin Via, director of the Tidewater Market, and commander, Naval Medical Forces Atlantic, unfurl the Defense Health Agency flag during a socially distanced establishment ceremony to mark the standup of the Tidewater Market, April 28, 2021. Tidewater Market is on the leading edge of the Military Health System’s historic change, following its certification by the Defense Health Agency on April 19, 2021 (Photo by: Navy Petty Officer 2nd Class Jessica Dowell, Naval Medical Forces Atlantic).

On April 19, 2021, the Tidewater Market became the fifth market to be established following a pause during the COVID-19 pandemic. The Tidewater Market serves 393,000 beneficiaries, and includes: Naval Medical Center Portsmouth, McDonald Army Health Center at Fort Eustis, and U.S. Air Force Hospital at Langley Air Force Base.

June 2021

The Colorado Market establishment ceremony at Peterson Air Force Base, Colorado, on June 22, 2021, included a cake cutting with Air Force Col. Patrick Pohle, 21st Medical Group commander, left, Army Col. Kevin R. Bass, Evans Army Community Hospital commander and Colorado Market director, Army. Lt. Gen. (Dr.) Ronald J. Place, director of the Defense Health Agency, Air Force Col. Christopher Grussendorf, 10th Medical Group commander, and Air Force Col. Shannon Phares, 460th Medical Group. (photo by Airman Aaron Edwards).

On June 22, 2021, the Colorado Market joined the Tidewater Market in being officially established by the Defense Health Agency.  Establishment of a second Wave 1 market is a significant milestone for the Military Health System Transformation and supports the Department of Defense’s National Defense Strategy in delivering a medically ready force and a ready medical force.

July 2021

Army Lt. Gen. Ronald J. Place, director of the Defense Health Agency, unfurls the DHA flag as Air Force Brig. Gen. Jeannine M. Ryder, 59th Medical Wing commander and San Antonio Market director, unveils the new San Antonio Market flag during the market establishment ceremony at Brooke Army Medical Center, Fort Sam Houston, Texas, July 16, 2021. Army Command Sgt. Maj. Michael L. Gragg, Defense Health Agency senior enlisted leader, and Air Force Chief Master Sgt. Marc Schoellkopf assist in unveiling the flags. (U.S. Army photo by Jason W. Edwards)

On July 16, 2021, the San Antonio Market was officially established by the DHA. The San Antonio Market is comprised of Brooke Army Medical Center, Wilford Hall Ambulatory Surgical Center, 10 stand-alone military treatment facilities, and more than 100 specialty services – staffed by about 11,000 Army, Navy, Air Force, civilian and contract personnel. As the DOD’s only Level I Trauma Center, the market partners with the community’s trauma system to administer critical care to civilian emergency patients across 22 counties in Southwest Texas. Additionally, all military medical enlisted forces train at the Medical Education Training Campus on Fort Sam Houston.

July 2021

generic market image

On July 26, 2021, eight large single-service markets and two large multi-service markets were added to the ever-growing number of geographically-determined markets under the management of the DHA, bringing the total number of markets to 17.

The 10 newly established markets are:

  • Puget Sound (multi-service)
  • Hawaii (multi-service)
  • Southwest Kentucky
  • Southwest Georgia
  • Central Texas
  • Coastal North Carolina
  • Low Country (Georgia)
  • San Diego
  • Augusta (Georgia)
  • Sacramento

September 2021

On Sept. 10, 2021, the El Paso and Florida Panhandle Markets were officially established by the DHA. The El Paso Market is a single service market comprised of William Beaumont Army Medical Center and its subordinate clinics at Fort Bliss, Texas.  Florida Panhandle Market is a multi-service market comprised of the 96th Medical Group at Eglin Air Force Base, 325th Medical Group at Tyndall Air Force Base, the 1st Special Operations Medical Group at Hurlburt Field, and Naval Hospital Pensacola and its subordinate clinics.

September 2021

The Alaska Market is a multi-service market comprised of Army and Air Force medical facilities that was established on Sept. 30, 2021. DHA also established the Small Market and Stand-Alone Military Treatment Facility Organization (SSO) on this date. The SSO provides executive management and oversees clinical operations, business operations, analytics and strategy for 17 small markets and many stand-alone medical facilities.

February 2022

On Feb. 24, 2022, a memorandum was signed that directs the continued implementation of the Military Health System organizational reform. The memo directs the Defense Health Agency to assume authority, control and direction of military hospitals and clinics and dental treatment facilities in overseas area.

September 2022

DHA director, Lt. Gen. Ronald Place (left) and DHAR-IP director, Maj. Gen. Joseph Heck (right), unfurl flags during the formal DHAR-IP Establishment Ceremony at Tripler Army Medical Center on September 27, 2022. (U.S. Army Photo by Mr. Cody Ford)

DHA Director Lt. Gen. Ronald J. Place hosted the Defense Health Agency Region Indo-Pacific Establishment Ceremony at Tripler Army Medical Center, Sept. 27, 2022. The Region, led by Army Maj. Gen.Joseph J. Heck, consists of joint military medical treatment facilities located in Hawai'i, Mainland Japan, Okinawa, Korea, and Guam that support 235,000 eligible beneficiaries.

October 2022

The Defense Health Agency formally establishes the DHA Region Europe Oct. 25, 2022

U.S. Army Lt. Gen. Ronald Place presided over a ceremony in Germany Oct. 25, establishing the DHA Region Europe. Led by U.S. Army Brig. Gen. Clinton K. Murray, the region oversees health care delivery for more than 135,000 beneficiaries currently enrolled in military hospitals and clinics in Iceland, the United Kingdom, Belgium, Germany, Spain, Italy, Greece, Turkey, Bahrain, and Kuwait. It supports service, joint, and multi-national combined activities, programs, and operations across three U.S. combatant commands–U.S. European Command, U.S. Central Command, and U.S. Africa Command.

Last Updated: October 31, 2022
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