About Tri-Service Workflow

Tri-Service Workflow (TSWF) innovation is a multi-disciplinary approach to the integration of IT systems into the clinical environment, leveraging template management and evaluating and re-engineering clinical workflows. The team is composed of experienced professionals with a deep understanding of MHS policies, clinical environments, and training modalities.

While TSWF is widely known for evaluating and re-engineering workflows within MHS clinics worldwide, the team also serves as a communication gateway within the DHA. Because of our constant boots-on-ground presence, we’re able to provide critical feedback to DHA and support the vision of SDD through our products and innovations.

  • Defense Health Agency (DHA) supports delivery of health services across the MHS and determines integration of clinical and business practices
  • Solutions Delivery Division (SDD) – provides and sustains information technology capabilities that support the delivery of healthcare to our service members from battlefield to the homefront
  • Customer Deployment Support (CDS) – serves as the integrating point of contact for clinical systems support to customers during deployment or sustainment operations impacting the military hospitals and clinics
  • Tri-Service Workflow Team – supports the vision of DHA/SDD through boots-on-ground training, products, and innovations

Awards & Achievements

  • 2014 Government Computer New (GCN) Magazine honorable mention for innovation
  • 2013 selected to present as part of the MHS Healthcare Innovations Program
  • 2012 selected to present as part of the MHS Healthcare Innovations Program
  • 2011 Chief of Staff Team Excellence Award
  • $70M cost avoidance; NICoE project cited by DCMO as a best practice for inclusion in Draft 2014 Congressional Report on Business Operations
  • More than 85 million form loads to-date


  • Develop & field integrated workflow solutions
  • Support the MHS Quadruple AIM
  • Improve health and readiness of population
  • Enhance patients’ care experience
  • Decrease per capita costs
  • Utilize standardized workflow and documentation platform
  • Integrate evidence-based medicine into care delivery and documentation


  • To standardize clinical documentation and workflows
  • To enhance provider efficiency and patient safety
  • To benefit providers by embedding clinical decision support tools
  • To provide role-based screening and patient counseling tools
  • To structure organizational change management
  • To reduce morbidity, mortality, hospitalizations, and overall costs
  • To improve resource utilization


  • On-site Training
  • Pre/Post Clinic Huddles
  • Live & Recorded Virtual Training (DCS)
  • Online Interactive Training


  • Training Slide Presentations (For Trainers)
  • User Guides (For End-Users)
  • AHLTA Downtime Sheets
  • Form-Related Tools


  • milSuite Forums
  • Efficiency Visits
  • Advocacy Team (CAT)
  • TSWF Mobile App (Coming Fall 2016)

Where We Are

2014-2015 included 28,500 TSWF training instances, with 167 sites visited around the globe. In these boots-on-ground trainings, we’ve had the privilege of coming alongside clinical staff to provide support for our products and assist in increasing documentation efficiency. Some effects of TSWF training include notable increase in documentation of Low Back Pain Red Flags, increased use of appropriate diabetic medications, and an increase in appropriate depression screenings.