how the military grows a healthcare cio...or, everything you always wanted to know about the army...
TRANSCRIPT
How the Military Grows How the Military Grows a Healthcare CIOa Healthcare CIO
Colonel Barclay P. Butler, PhD, CPHIMSColonel Barclay P. Butler, PhD, CPHIMSCIO, US Army Medical DepartmentCIO, US Army Medical Department
[email protected]@us.army.mil
Major Peter V. Marks, PhDMajor Peter V. Marks, PhDChief, Information Management Training BranchChief, Information Management Training Branch
U.S. Army Medical Dept. Center and SchoolU.S. Army Medical Dept. Center and [email protected]@us.army.mil
PurposePurpose•• Present an overview of the Chief Present an overview of the Chief
Information Officer (CIO) training Information Officer (CIO) training program in the US Army Medical program in the US Army Medical Department to share:Department to share:•• Training principlesTraining principles•• Training executionTraining execution•• Lessons learnedLessons learned
•• With the intent of providing With the intent of providing insight for other CIO training insight for other CIO training programsprograms
AgendaAgenda
Overview of the military health systemOverview of the military health systemDepartment of Defense (DoD)Department of Defense (DoD)The Army Medical Department (AMEDD)The Army Medical Department (AMEDD)
Why is a CIO training program important?Why is a CIO training program important?Training objectivesTraining objectivesProgram contentProgram contentLessons learnedLessons learnedConclusionConclusion
Overview of the Military Overview of the Military Health SystemHealth System
Department of DefenseDepartment of Defense
Military Health SystemMilitary Health SystemMissionMission
Two parts:Two parts:
Provide medical services and Provide medical services and
support to our armed forcessupport to our armed forces
during military operationsduring military operations
Maintain health and provide Maintain health and provide
medical services to the armedmedical services to the armed
forces, family members and forces, family members and
other designated other designated
beneficiariesbeneficiaries
Military Health SystemMilitary Health SystemLevels of CareLevels of Care
Theater Theater HospitalizationHospitalization
First ResponderFirst Responder
Enroute CareEnroute Care
Forward Forward Resuscitative SurgeryResuscitative Surgery
Care Outside TheaterCare Outside Theater
Deployed ForcesSustaining Base
MilitaryMilitaryMedicalMedical
ReadinessReadiness
Military Health SystemMilitary Health SystemIM Strategic DirectionIM Strategic Direction
Overview of the Army Overview of the Army Medical Department Medical Department
Size and ScopeSize and Scope
8 Medical Centers20/76 Hospitals / Clinics
174 Dental Clinics304 Veterinary Clinics23 Other
605 Facilities
Fixed FacilitiesFixed Facilities Field UnitsField Units
29 Combat Hospitals8 Field Hospitals6 General Hospitals
35 Forward Surgical 223 Other 301 Units
$8.5 Billion
Yearly BudgetYearly Budget
493K Active Duty723K Family Members664K Retired749K Family Members Retired365K Other
2,994K Beneficiaries
BeneficiariesBeneficiaries AMEDD PersonnelAMEDD Personnel
4,187 Medical Corps1,002 Dental Corps8,495 Other Officers
30,784 Enlisted 29,114 Civilian73,582 People
Size & Size & ScopeScope
Army Medical Army Medical Department Department Average DayAverage Day
41,400 DentalProcedures1,342 Beds Occupied
366 Patients Admitted
53,360 Laboratory Procedures
25,168 X-rays
37,566 Clinic visits
5,421 Immunizations
74,738 PharmacyProcedures
1,724 Vet Outpatient Visits $18M of Food Inspected
600,000 E-mails
Army Medical Department Army Medical Department (AMEDD) (AMEDD)
Information Management Information Management OfficersOfficers
But first, some But first, some Arrrrrrmmmmeeeee training, sir!Arrrrrrmmmmeeeee training, sir!
Or, everything you always wanted to Or, everything you always wanted to know about the Army but were know about the Army but were
afraid to ask!afraid to ask!
Walter ReedWalter Reed
Ft DetrickFt Detrick
Ft Sam Houston Ft Sam Houston
1818thth Medical CommandMedical Command
U.S. Army Medical U.S. Army Medical Command (MEDCOM)Command (MEDCOM)
Office of the Surgeon Office of the Surgeon General (OTSG)General (OTSG)
Combat Combat CommandsCommands
U.S. Army Medical U.S. Army Medical Department Center & Department Center & School (AMEDD C&S)School (AMEDD C&S)
Center for Health Center for Health Promotion and Preventive Promotion and Preventive
Medicine (CHPPM)Medicine (CHPPM)
U.S. Army Veterinary U.S. Army Veterinary Command (VETCOM)Command (VETCOM)
U.S. Army Dental U.S. Army Dental Command (DENCOM)Command (DENCOM)
U.S. Army Medical U.S. Army Medical Research and Materiel Research and Materiel
Command (MRMC)Command (MRMC)InstallationsInstallationsU.S. Army Regional U.S. Army Regional
Medical CommandsMedical Commands
A short lesson about the structure A short lesson about the structure of the AMEDD…of the AMEDD…
PacificPacific
WesternWesternSoutheastSoutheast
North AtlanticNorth Atlantic
Great PlainsGreat Plains EuropeEurope
4444thth Medical BrigadeMedical Brigade
3030thth Medical BrigadeMedical Brigade
Executive Agencies Executive Agencies for Trifor Tri--Service Service Functions (7)Functions (7)
A short lesson about the Army A short lesson about the Army grade structure…grade structure…
PromotionPromotion
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Career MatrixCareer Matrix
2 NDLieutenant
1st Lieutenant
Colonel
Lieutenant Colonel
Major
Captain
Combat Medicine
A short lesson about Army jobs…A short lesson about Army jobs…
Two types of assignments..Two types of assignments..
Combat jobsCombat jobs Garrison jobsGarrison jobs
Health CareFacilities
Career assignments Career assignments AMEDD Officers can AMEDD Officers can
expect…expect…
22ndnd and 1and 1stst Lieutenants Lieutenants
PromotionPromotion
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Career MatrixCareer Matrix
Combat medical jobs Combat medical jobs Platoon LeaderPlatoon Leader
Garrison jobs Garrison jobs Deputy Hospital Deputy Hospital IMO/CTO IMO/CTO
X 30
X 10
100 – 200Beds
AssignmentsAssignmentsLieutenantsLieutenants
AssignmentsAssignmentsCaptainsCaptains
Captains Captains
PromotionPromotion
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Career MatrixCareer Matrix
Combat medical jobs Combat medical jobs Company CommanderCompany CommanderBattalion Battalion Communications Communications OfficerOfficer
Garrison jobs Garrison jobs Hospital IMOHospital IMOHealth Care Staff Health Care Staff OfficerOfficer
X 100
X 40
100 – 200Beds
AssignmentsAssignmentsMajorsMajors
MajorsMajors
PromotionPromotion
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Career MatrixCareer Matrix
Combat medical jobs Combat medical jobs Battalion Executive Battalion Executive OfficersOfficersBrigade Brigade Communications Communications OfficersOfficers
Garrison jobs Garrison jobs Deputy Medical Center Deputy Medical Center CIO/CTO CIO/CTO
X 400
X 160
400 - 600Beds
AssignmentsAssignmentsLieutenant ColonelsLieutenant Colonels
Lieutenant Colonel Lieutenant Colonel
PromotionPromotion
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Career MatrixCareer Matrix
Combat medical jobs Combat medical jobs Battalion CommanderBattalion CommanderBrigade Staff OfficerBrigade Staff Officer
Garrison jobs Garrison jobs Army Medical Center & Army Medical Center & Regional CIORegional CIO
X 400
X 160
1,000 –2,000 Beds
AssignmentsAssignmentsColonelsColonels
Colonel Colonel
PromotionPromotion
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Career MatrixCareer Matrix
Combat medical jobs Combat medical jobs Brigade CommanderBrigade CommanderDivision Staff OfficerDivision Staff Officer
Garrison jobs Garrison jobs CIO CIO –– Army Medical Army Medical DepartmentDepartment
X 1,600
X 500
2M Beneficiaries605 Hospitals/Clinics301 Combat Units
IMO Positions in the AMEDD…IMO Positions in the AMEDD…
8 Medical Centers20/76 Hospitals / Clinics
174 Dental Clinics304 Veterinary Clinics23 Other
605 Facilities
Fixed FacilitiesFixed Facilities
Field UnitsField Units
29 Combat Hospitals8 Field Hospitals6 General Hospitals
35 Forward Surgical 223 Other 301 Units
IMOIMOCombat SystemsCombat Systems
1010
IMOIMOStaff OfficersStaff Officers
1010
CIOCIOMedical RegionMedical Region
55
Senior Staff Senior Staff OfficersOfficers
1010
Total: 101Total: 101
CIOCIOCombat SystemsCombat Systems
55
IMOIMOHospital / ClinicHospital / Clinic
3030
CTOCTOMedical CenterMedical Center
88
CIOCIOMedical CenterMedical Center
88
RankRankJob TitleJob TitlePositionsPositions
Congratulations, you Congratulations, you have completed your have completed your Arrrrrmmmmmmeeee Arrrrrmmmmmmeeee
training!training!
That’s the fact, Jack!
Why is a Formal CIO Why is a Formal CIO Training Program Training Program
Important?Important?
Why Have a Program?Why Have a Program?
LeadershipLeadershipHealth Care, Business, TechnologyHealth Care, Business, Technology
CommunicationCommunicationBusiness Process Reengineering, Business Process Reengineering, Project Management, IT OperationsProject Management, IT Operations
Business AdministrationBusiness AdministrationReturn on Investment, Value of Return on Investment, Value of InvestmentInvestment
Magazine
What are the Principles of What are the Principles of the Army Medical the Army Medical
Department Training Department Training Program?Program?
Training PrinciplesTraining Principles
Fully qualified officer:Fully qualified officer:Leadership / Management qualificationsLeadership / Management qualifications
CommunicationCommunicationDecision makingDecision makingPlanningPlanningAnd more…And more…
Education qualifications (Education qualifications (the trifectathe trifecta))Health Care AdministrationHealth Care AdministrationBusiness AdministrationBusiness AdministrationManagement Information SystemsManagement Information Systems
Training Principles EvolutionTraining Principles Evolution
100%
50%
0%
Product and technical skills(e.g., languages, code, tools,
network administration)
Business management skills(e.g., risk analysis, benefit delivery, financial analysis,
vendor negotiation)
Technology management skills(e.g., project mgmt, system
integration, marketing, architectural design, strategic planning, standards)
Training MethodologiesTraining Methodologies
MethodsMethodsMilitary EducationMilitary Education
Leadership and IM/ITLeadership and IM/ITCivilian EducationCivilian EducationContinuing EducationContinuing EducationAssignmentsAssignmentsProfessional AffiliationsProfessional Affiliations
Military EducationMilitary Education
LeadershipLeadership
Military EducationMilitary EducationLeadershipLeadership
Army Leadership TrainingArmy Leadership TrainingIntroduce officers to tenets of leadership and military Introduce officers to tenets of leadership and military tasks throughout their careerstasks throughout their careers
Decision makingDecision makingPlanningPlanningTeam buildingTeam buildingCommunicationCommunicationThe Business of the Business!The Business of the Business!
PromotionPromotion
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Career MatrixCareer Matrix
Officer Basic Course (OBC)Officer Basic Course (OBC)Duration Duration -- 3 ½ months3 ½ monthsFort Sam Houston, TexasFort Sam Houston, TexasIndoctrination into the military and the Indoctrination into the military and the AMEDD.AMEDD.Military laws, customs, and how the Military laws, customs, and how the military fights and wins the nations military fights and wins the nations warswars
Military EducationMilitary EducationLeadershipLeadership
PromotionPromotion
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Career MatrixCareer Matrix
OBC
Officer Advanced Course (OAC)Officer Advanced Course (OAC)Duration Duration -- six months @ Fort Sam Houston, Texassix months @ Fort Sam Houston, TexasPrepare officers for commandPrepare officers for command
Combined Arms and Services Staff School Combined Arms and Services Staff School (CAS3)(CAS3)
Duration six weeks @ Fort Leavenworth, Kansas Duration six weeks @ Fort Leavenworth, Kansas Leadership for primary staff officersLeadership for primary staff officers
Decision makingDecision makingStaff operationsStaff operationsCommunicationsCommunications
Military EducationMilitary EducationLeadershipLeadership
PromotionPromotion
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Career MatrixCareer Matrix
OAC CAS3
Command and General Staff College (CGSC)Command and General Staff College (CGSC)Attend between years 12 and 15Attend between years 12 and 15DurationDuration
In residence In residence –– one year @ Fort Leavenworth, one year @ Fort Leavenworth, KansasKansasDistance learning Distance learning –– three yearsthree years
Masters Degree equivalentMasters Degree equivalentPrepares midPrepares mid--grade officers to work as primary staff grade officers to work as primary staff officers for executive staff sectionsofficers for executive staff sections
Military EducationMilitary EducationLeadershipLeadership
PromotionPromotion
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Career MatrixCareer Matrix
CGSC
Senior Service College (SSC)Senior Service College (SSC)Attend between years 18 and 22Attend between years 18 and 22Duration Duration –– one year @one year @
Washington, DC (National Defense University) Washington, DC (National Defense University) Carlisle Barracks, PA (Army)Carlisle Barracks, PA (Army)Newport, RI (Navy)Newport, RI (Navy)Montgomery, AL (Air Force)Montgomery, AL (Air Force)
Prepares senior officers to work at the highest levels of the Prepares senior officers to work at the highest levels of the military military –– Pentagon StaffPentagon Staff
Military EducationMilitary EducationLeadershipLeadership
PromotionPromotion
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Career MatrixCareer Matrix
SSC
Military EducationMilitary Education
Information Management & Information Management & Information Technology Information Technology
(IM&IT)(IM&IT)
Major Peter V. Marks, Ph.D.Major Peter V. Marks, Ph.D.
•• DoD / Army IM & IT TrainingDoD / Army IM & IT TrainingArmy Medical Department CoursesArmy Medical Department Courses
Medical Information Management CourseMedical Information Management CourseHealth Systems Functional Proponent Course Health Systems Functional Proponent Course
Federal ProgramsFederal ProgramsDefense Acquisition UniversityDefense Acquisition University
Acquisition Certification Acquisition Certification National Defense University National Defense University
Federal CIO CertificateFederal CIO Certificate
Military EducationMilitary EducationIM & ITIM & IT
Army Medical Department’s Army Medical Department’s Medical Information Medical Information Management CourseManagement Course
Military EducationMilitary EducationIM & ITIM & IT
Medical Information Management CourseMedical Information Management CourseInitial qualifying course for Medical Information Initial qualifying course for Medical Information Management OfficersManagement Officers
IM/IT PolicyIM/IT PolicyTechnical training Technical training –– security, server admin, security, server admin, networking and communicationsnetworking and communications
DurationDuration90 hours of distance learning90 hours of distance learningEight weeks in residence @ Fort Sam Houston, Eight weeks in residence @ Fort Sam Houston, TexasTexas
1st Lieutenant
Captain
Military EducationMilitary EducationIM & ITIM & IT
PromotionPromotion
242423232222212120201919181817171616151514141313121211111010998877665544332211Years ofYears ofServiceService
Career MatrixCareer Matrix
Foundation of Medical Information Management Foundation of Medical Information Management Course:Course:
StrategyBPR and Strategic Planning
IM OperationsAcquisition
OrganizationsSecurity
Technology and SystemsTactical IM
Foundation
Military EducationMilitary EducationIM & ITIM & IT
StrategyStrategyTraining in Skill DomainsTraining in Skill DomainsBPR and Strategic PlanningBPR and Strategic Planning
IM OperationsIM Operations
Information Information ManagerManager
AcquisitionAcquisition
OrganizationsOrganizationsSecuritySecurity
Technology and SystemsTechnology and SystemsTactical IMTactical IM
5%10%
5%
10%5%
50%5%
10%
Military EducationMilitary EducationIM & ITIM & IT
Health Systems Functional Health Systems Functional Proponent CourseProponent Course
Military EducationMilitary EducationIM & ITIM & IT
Health Systems Functional Proponent CourseHealth Systems Functional Proponent CourseBusiness value of ITBusiness value of IT
Brings together information managers with senior Brings together information managers with senior functional managers functional managers Systems development & implementation through Systems development & implementation through trained project teamstrained project teamsDurationDuration
22 hours of distance learning22 hours of distance learningTwo weeks in residence @ Fort Sam Houston, Two weeks in residence @ Fort Sam Houston, TexasTexas
Captain Major Lieutenant Colonel
Military EducationMilitary EducationIM & ITIM & IT
PromotionPromotion
242423232222212120201919181817171616151514141313121211111010998877665544332211Years ofYears ofServiceService
Career MatrixCareer Matrix
StrategyStrategyBPRBPR
RequirementsRequirementsFunctional Functional ProponentProponent
AcquisitionAcquisition
SystemsSystemsOrganizationsOrganizations
25%10%
20%15%20%
10%
Training in Skill DomainsTraining in Skill Domains
Military EducationMilitary EducationIM & ITIM & IT
Defense Acquisition UniversityDefense Acquisition University
Military EducationMilitary EducationIM & ITIM & IT
Military EducationMilitary EducationIM & ITIM & IT
AcquisitionAcquisitionAuditingAuditingBusiness, Cost Business, Cost Estimating, and Estimating, and Financial ManagementFinancial ManagementContractingContractingFacilities EngineeringFacilities EngineeringContract Project Contract Project ManagementManagementInformation Information TechnologyTechnologyProduction, Quality, Production, Quality, and Manufacturingand Manufacturing
Purchasing and Purchasing and Procurement TechnicianProcurement TechnicianSystems Planning, Systems Planning, Research, Development Research, Development and Engineering and Engineering ––Science and Technology Science and Technology ManagerManagerSystems Planning, Systems Planning, Research, Development Research, Development and Engineering and Engineering ––Systems EngineeringSystems EngineeringTest and EvaluationTest and EvaluationProgram ManagementProgram Management
Defense Acquisition University Mission:
- “Provide functional practitioner training andservices to enable the acquisition, technology,
and logistics workforce to make smartbusiness decisions.”
CertificationsCertifications
Defense Acquisition UniversityDefense Acquisition UniversityThree Certification LevelsThree Certification LevelsInformation TechnologyInformation Technology
Identification of requirementsIdentification of requirementsWrite and review specificationsWrite and review specificationsIdentifying costs Identifying costs –– Total Cost of OwnershipTotal Cost of OwnershipObtain resources (manpower, funding, and training)Obtain resources (manpower, funding, and training)Test, evaluate, plan, and manage life cycle developmentTest, evaluate, plan, and manage life cycle development
Military EducationMilitary EducationIM & ITIM & IT
PromotionPromotion
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Career MatrixCareer Matrix
Level 1 Level 2 Level 3
National Defense UniversityNational Defense University
Military EducationMilitary EducationIM & ITIM & IT
Federal CIO certificateFederal CIO certificateClinger Clinger –– CohenCohenFederal government CIO standardFederal government CIO standardDurationDuration
Two years in distance learningTwo years in distance learning<OR><OR>
Eight weeks in residence in Wash, D.C.Eight weeks in residence in Wash, D.C.
Military EducationMilitary EducationIM & ITIM & IT
PromotionPromotion
242423232222212120201919181817171616151514141313121211111010998877665544332211Years ofYears ofServiceService
Career MatrixCareer Matrix
Lieutenant Colonel
Chief Information Officer Certificate ProgramChief Information Officer Certificate ProgramCompetenciesCompetencies
Military EducationMilitary EducationIM & ITIM & IT
Civilian EducationCivilian Education
Civilian EducationCivilian Education
Long Term Health Education and Long Term Health Education and TrainingTraining
Training With Industry Training With Industry Masters DegreeMasters DegreePh.D.Ph.D.
Captain Major
PromotionPromotion
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Career MatrixCareer Matrix
Civilian EducationCivilian EducationTraining with IndustryTraining with Industry
Bridge the links between civilian and Bridge the links between civilian and military organizationsmilitary organizationsOne officer per yearOne officer per year
MicrosoftMicrosoftKaiserKaiser--PermanentePermanenteAlways recruiting…Always recruiting…
Civilian EducationCivilian Education
Masters DegreeMasters DegreeTwo to four starts per yearTwo to four starts per year
ProgramProgramMasters of Health Care AdministrationMasters of Health Care Administration
Baylor UniversityBaylor UniversityMasters of Business Administration with Masters of Business Administration with a minor in Information Technologya minor in Information Technology
University of Texas at San AntonioUniversity of Texas at San Antonio
Civilian EducationCivilian EducationMastersMasters
44Officers Officers scheduled to scheduled to attend school attend school next yearnext year
44Officers currently Officers currently in schoolin school
3737Officers with Officers with Masters degreesMasters degrees
4646Positions that Positions that need Masters need Masters degreesdegrees
101101OfficersOfficers
Civilian EducationCivilian EducationPh.D. Ph.D.
One start every two to four yearsOne start every two to four yearsDegreesDegrees
MISMISOperations ResearchOperations ResearchBio MedBio MedMedical InformaticsMedical InformaticsComputer Science / Artificial Computer Science / Artificial IntelligenceIntelligence
Civilian EducationCivilian EducationPh.D.Ph.D.
00(Next start (Next start –– Fall ’04)Fall ’04)
Officers Officers scheduled to scheduled to attend school attend school next yearnext year
11Officers currently Officers currently in schoolin school
44Officers with Officers with Ph.D. degreesPh.D. degrees
77Positions that Positions that need Ph.D. need Ph.D. degreesdegrees
101101OfficersOfficers
Continuing EducationContinuing Education
Continuing EducationContinuing EducationConferences:Conferences:
HIMSSHIMSSCPHIMSCPHIMS
Army Medical Department CIO ConferenceArmy Medical Department CIO ConferenceOfficer professional development programOfficer professional development programGartner ConferencesGartner ConferencesACHE ACHE
Diplomat ACHE Diplomat ACHE Distance Learning:Distance Learning:
Skillsoft trainingSkillsoft training
Professional Professional OrganizationsOrganizations
Professional OrganizationsProfessional Organizations
College of Hospital Management ExecutivesCollege of Hospital Management ExecutivesAmerican College of Health Care ExecutivesAmerican College of Health Care ExecutivesHealth Care Information and Management Health Care Information and Management Systems SocietySystems SocietyAmerican Medical Informatics AssociationAmerican Medical Informatics AssociationAmerican Health Information Management American Health Information Management AssociationAssociation
Training OutcomesTraining Outcomes
COL Barclay P. Butler, Ph.D., CPHIMSCOL Barclay P. Butler, Ph.D., CPHIMS
What is the Deliverable?What is the Deliverable?
Leadership / management qualificationsLeadership / management qualificationsCommunicationCommunicationDecision makingDecision makingPlanningPlanningAnd more…And more…
Education qualifications (Education qualifications (the trifectathe trifecta))Health Care AdministrationHealth Care AdministrationBusiness AdministrationBusiness AdministrationManagement Information SystemsManagement Information Systems
Lessons LearnedLessons LearnedRisk of officer attritionRisk of officer attrition
Army is cashArmy is cash--poor for salary but trainingpoor for salary but training--richrichCTO to CIOCTO to CIODeployments Deployments -- FamilyFamilyNonNon--CIO jobsCIO jobs
On average, over 25% of the training elements On average, over 25% of the training elements change every yearchange every yearEasier to train officers early in their careers because Easier to train officers early in their careers because of:of:
Training structureTraining structureTimeTime
Utilizing quality distance learning helps with this issueUtilizing quality distance learning helps with this issue
Conclusion…Conclusion…The training of an Army Medical The training of an Army Medical Department CIO is a programmed Department CIO is a programmed event that is intended to produce a event that is intended to produce a leaderleader who possess the following who possess the following core competencies:core competencies:
Health Care AdministrationHealth Care AdministrationBusiness AdministrationBusiness AdministrationInformation Systems ManagementInformation Systems Management
Questions?Questions?
Major Peter V. Marks, PhDMajor Peter V. Marks, [email protected]@us.army.mil
Colonel Barclay Butler, PhDColonel Barclay Butler, [email protected]@us.army.mil