Date of Conferral

2022

Degree

Doctor of Public Administration (D.P.A)

School

Public Policy and Administration

Advisor

Steven A. Matarelli

Abstract

In 2017, the U.S. Congress mandated a specific reorganization and centralized approach in military medicine. The Air Force developed a medical reform construct to organize military treatment facilities (MTFs). The leaders of each unit are required to comply with the reorganization using internal resources with no additional funding or personnel. The purpose of this study was to deliver a plan of action and milestones (POAM) suitable for workgroup implementation to achieve the mandated health unit integration at a medium-sized MTF. The practice-focused question asked how a POAM road map guides effective decision-making. A consultancy approach was used to assist leadership in planning and executing the reform with a POAM as a deliverable. Decision theory served as the interpretive lens to define and develop key POAM decision points. Using a case study approach, a POAM was developed using research data from public sources to illustrate decision points and key milestones used to effectively execute a complex reorganization project. A phased approach relative to supply chain management, decision theory, flow studies, and failure mode and effect analysis is illustrated in the POAM. This study contributes knowledge on the use of decision strategy and time line management. In addition, the study offers a model that the leaders of other military and civilian health care organizations can use amid structural change to achieve a successful program integration, these efforts may effect positive social change through greater efficiency and continuity in operations.

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