Surgeon General

Surgeon General Statement on Military MTF Transition

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R 051709Z AUG 19




RMKS/1.  This NAVADMIN provides Sailors and their families with information 
about the transition of Navy military medical treatment facilities (MTF) to 
the Defense Health Agency (DHA).  The Department of Defense Military Health 
System (MHS) is undergoing a transition as administration and management of 
the Services' hospitals and clinics are transferred to DHA.  This is 
occurring over several years with a goal envisioned by Congress that the MHS 
become a more standardized and a more integrated system of healthcare 
services.  The Services have been working closely with DHA on the details and 
specifics of this transition.

2.  This transition should be seamless to you.  During this transition, you 
should see no immediate impact to access, healthcare services, or the things 
you and your families need.  As this is a new role for DHA, the Services have 
continued, and will continue, to provide support and assistance to ensure our 
MTF's remain fully functional, and there is no immediate impact to care or 
services during transition until DHA is able to assume full administrative 
and management responsibility.  Likewise, our Fleet and Fleet Marine Force 
Commanders should see no changes in Fleet or Fleet Marine Force support.  
Medical and medical support services required for operational support, all 
personnel who provide those services, and all uniformed personnel will remain 
within the Navy lifelines and under Navy control.

3.  This transition is a multi-year effort, which started for the Navy in 
October 2018 when Naval Hospital Jacksonville transferred under DHA's 
administration and management.  On 1 October 2019, more Navy MTFs in the U.S. 
will transition to the DHA.  OCONUS MTFs, in a phased approach, will 
transition after all CONUS facilities, with the transfer of administration 
and management completed no later than 30 September 2021.

4.  As we shift administration and management responsibilities of these MTFs 
to DHA, it will create opportunity for Navy Medicine to increase focus on 
operational support and keeping Service Members healthy and on the job.  It 
will also enable us to enhance focus on unit support during sustained high 
tempo operations while creating opportunities for us to better prepare the 
medical force to deliver high combat survival and support in the future.  We 
make a commitment to every Sailor, Marine, and their family that we will 
provide them the best care our nation can offer and do all in our power to 
return them home safely and alive.   This transition will assist us in 
honoring that commitment.

5.  For additional information, contact your local MTF or ask your care 
providers.  More information on the overall initiative can be found at

6.  We at Navy Medicine will always honor the trust placed on us to provide 
the best care possible to those who defend our freedom and their families.  
Wherever a Sailor or Marine goes, Navy Medicine will always be there.  My 
commitment is to keep you fully informed as this continues.  Thank you so 
much for the trust and faith you place in Navy Medicine every day.

7.  Released by Ms. Steffanie B. Easter, Director, Navy Staff.//


U.S. Navy Surgeon General Visits Europe to Discuss Readiness and Medical Health Care Transition

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By Petty Officer 1st Class John Kotara, U.S. Navy Bureau of Medicine and Surgery Public Affairs

WASHINGTON (NNS) — Vice Adm. Forrest Faison, Navy surgeon general and chief, U.S. Bureau of Medicine and Surgery discussed the future of Navy Medicine, and plans to prepare medical personnel for the next fight, while visiting Rota, Spain, and Naples and Sigonella, Italy, July 17-23.

Faison, accompanied by Force Master Chief Hosea Smith, Hospital Corps director, spoke with leaders and Sailors at Naval Hospital Rota, Naples and Sigonella about important changes occurring within the military health system, in particular the transition of all military treatment facilities (MTFs) to the administration and management of the Defense Health Agency (DHA).

“These changes that are occurring,” said Faison, “will allow Navy Medicine to shift our focus from managing buildings and health care benefits to ensuring its people, doctors, nurses, and hospital corpsmen have the skills and experience to keep Sailors and Marines, healthy, ready, and on the job. This transition will allow us to promote Navy Medicine readiness across the world.”

During the multi-day trip, Faison had the privilege to conduct facility tours, admiral’s calls and leadership briefings.

“There is no greater responsibility than then to provide a highly trained medical force that is ready and prepared to save the lives of our nation’s armed forces,” Faison said. “We had a 97 percent survival rate coming out of Iraq and Afghanistan, the highest in all our history, and we had every conceivable advantage, including uncontested air superiority, aeromedical evacuation on demand, seamless communications, and our hospital corpsman, the most important asset on the field.”

Faison explained these advantages may not exist in the next conflict if adversaries are near-peers who can also project sea power. That’s why Navy Medicine has to be prepared for a very different threat and challenge.

Partnerships that prepare Navy Medicine’s Sailors for future conflicts can build on the successes of existing ones, such as Hospital Corpsman Trauma Training, a Navy Medicine program where hospital corpsman have gained hands-on trauma experience at John H. Stroger Jr. Hospital of Cook County, and the University of Florida Health Jacksonville.

“We must show that we are worthy of the trust that is placed in our hands,” said Faison. “We are the ones that care for the 1% of individuals that freely volunteered to uphold our freedom and democracy of this land, and we will do whatever we can to help these military members carry on, in order to defend this country and return them home to their loved ones.”

Navy Medicine is a global health care network of 63,000 personnel that provide health care support to the U.S. Navy, Marine Corps, their families and veterans in high operational tempo environments, at expeditionary medical facilities, medical treatment facilities, hospitals, clinics, hospital ships and research units around the world.

Prepared Statements from Recent Congressional Testimony

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Here are all the prepared statements from the recent Congressional testimony about the FY20 budget if you want to read them. Both are pretty quick reads.


Senate Appropriations Committee

04.03.19–Bono Testimony

04.03.19–Faison Testimony – Services Turn Focus to Warfighters as DHA Takes Over Military Hospitals

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Here’s a link to this article that discusses the recent congressional testimony by the various SGs and DHA:

Services Turn Focus to Warfighters as DHA Takes Over Military Hospitals