Healthcare Transformation

Overview

From 2023 to 2025, Trilogy provided comprehensive support to a wide variety of OSP’s inter-agency efforts, including the annual VA/DOD Conference on Suicide Prevention, the Interagency Task Force on Suicide Prevention (ITF), and the Joint Executive Committee (JEC) / Joint Suicide Prevention and Associate Mental Health (J-SPAMH), reporting  to senior leadership within VA and to the White House Domestic Policy Council (DPC). Originally focused on providing project management and administrative support, the contract expanded to include event management, graphic design, and a wide variety of communications products.

Approach

By leveraging our Program Transformation and Project Management expertise and working closely with our clients and stakeholders in every project workgroup, Team Trilogy enhanced OSP’s ability to manage and track the productivity of its interagency efforts while providing reliable and responsive customer support and strategic communications services.

Results

Trilogy supported OSP in hosting the largest VA/DOD Conference on Suicide Prevention to date, with over 2,000 attendees, presenters, and exhibitors in Portland, OR from July 16-18, 2024. Trilogy provided many key deliverables for this effort, including a conference planning schedule, a robust communications plan, a detailed conference agenda and run-of-show, conference logos, invitations, and more. For the ITF and JEC/J-SPAMH, Trilogy facilitated in-person all-day events for all stakeholders, workgroup presentations, and both high-level and detailed reporting to the White House DPC. Each effort successfully brought together top researchers, clinicians, caregivers, and experts in Veteran and Service Member suicide prevention from across the country to make progress in this vitally important field.

Overview

Trilogy partners with the Office of Clinical Services (CS11) to drive the planning and execution of the Hannon Act Section 101 Strategic Plan. Our team supported both Part 1—implementation planning—and Part 2—analysis of expanded VA health care eligibility for Veterans during the first year following separation. Through comprehensive current-state assessments, evaluation of existing initiatives, and targeted opportunity analysis, Trilogy helped position CS11 to strengthen stakeholder engagement and improve the Veteran experience.

Approach

Trilogy delivers end-to-end program and project management for the overarching Integrated Project Team (IPT) and its six supporting workstreams. We provide centralized leadership through a lead program manager, complemented by dedicated project managers for each workstream. Working closely with VHA and program stakeholders, Trilogy facilitates regular collaboration to refine and advance an actionable implementation plan. In parallel, our team is conducting a detailed analysis of the legislative, policy, and regulatory actions required to enable VA health care access for any Veteran for one year following separation, culminating in comprehensive findings, and recommendations report.

Results

With Trilogy’s support, Clinical Services achieved a complete inventory of existing initiatives and programs across internal and external agencies. Trilogy translated these insights into actionable recommendations aligned with the Hannon Act’s strategic goals and objectives. To ensure clarity and transparency, Trilogy delivered communication tools that clearly articulated the implementation of Hannon Act Section 101, Parts 1 and 2, to VHA stakeholders, Veterans, Veteran Service Organizations, federal partners, and VA leadership and staff.

Overview
The Veterans Health Administration (VHA) delivers health care to millions of Veterans. A key component of that health care delivery is use of community care such as when services are not available within the VA network of facilities or when geographic distances or wait times negatively impact access to care. Trilogy has supported the VHA Office of Integrated Veteran Care (formerly the VHA Office of Community Care) since 2017, providing a wide variety of support including program and project management, strategic communications and change management, policy, data analysis, and automation.

Approach
Trilogy leverages formal project management processes as defined in the Project Management Body of Knowledge to support projects across the IVC portfolio. Trilogy specializes in providing expert project management support to initiatives that vary widely in both scope and complexity. In addition to our project management support, our team has provided critical strategic communications and change management support for key organizational transformations, supported development of a data governance concept of operations, performed ad hoc and recurring data analysis including geospatial analysis, and provided comprehensive policy support for the implementation of sweeping legislative changes such as the MISSION Act of 2018 and the COMPACT Act.

Results
Trilogy’s support has been a critical factor in IVC’s successful implementation of a multitude of projects over the past five years, including support for more than 25 projects in the first year of our current contract with IVC alone. The cumulative effect of our work has been to drive standardization and efficiency, enable the effective use of tools and reporting, improve programmatic outcomes, and prevent lost opportunities for IVC.

Overview
Trilogy supported Compensation Service critical programs and projects, responsible for assessing Veterans’ recognition of the effects of disabilities incurred or aggravated during active military service. Trilogy’s project management and strategic planning experts have helped CS Public Policy sector develop rules, policies, regulations, requirements and conduct field training and advisory reviews to ensure timely and accurate execution of the benefit program. Specifically, our team has provided support to the Office of the Director, Policy, Procedures and Interagency MilPay, Military Exposures Team, and Veteran Affairs Schedule for Rating Disabilities (VASRD) PMO Staffs.

Approach
Trilogy’s VBA CS PMO applied tailored project management and strategic planning best practices to manage and facilitate program and project initiation, planning, executing, modifying, and sustaining business documentation and updates for VBA trainings, policies, and regulations. Products include standardized project documentation for ongoing programs and projects, implementation assistance with development of agency-wide policies and guidance, and management of internal and external correspondence and actions.

Results
Trilogy’s support resulted in the successful implementation of two public laws: the Blue Water Navy Veterans Act 2019 and the Honoring our PACT Act 2022. Across its portfolio, Trilogy standardized project documentation and performance metric reporting, ensuring effective implementation of these landmark initiatives.

Overview
Trilogy supported Compensation Service (CS) critical programs and projects, responsible for assessing Veterans’ recognition of the effects of disabilities incurred or aggravated during active military service. Trilogy has helped CS Operations staff provide VA employees with the software, systems, training, and quality assurance resources needed to be successful in the field and fulfill the VA mission of serving Veterans and their dependents.  Specifically, our team has provided support to the Training, Quality Assurance, and Systems Support & Operational Review divisions.

Approach
Trilogy’s team of skilled process improvement, project management, instructional design experts applied proven best practices in each area of support to implement systems, training, and quality updates. Products include facilitation and development of project management artifacts, dashboards, and high-level briefing materials to support quality management, systems updates, CS Infrastructure, training curriculum management, Warrior Training Advancement Course (WARTAC), as well as operational functions of large-scale implementations such as the Promise to Address Comprehensive Toxics (PACT) Act and the Blue Water Navy (BWN) Veterans Act.

Results
Trilogy support resulted in successful and efficient migration to SharePoint Online, operational readiness for BWN and PACT Act implementations, as well as multiple VBA-wide process improvement and automation efforts.

Overview

The Veterans Health Administration (VHA), Discovery, Education and Affiliate Networks (DEAN), Office of Health Innovation’s (OHIL) Center for Care and Payment Innovation (CCPI) is exploring a pilot program to redesign care management and coordination for Veterans who have been diagnosed with or are at risk for Type II Diabetes with comorbidities. Pilot objectives include improving care delivery efficiency, enhancing Veteran experience, and improving clinical outcomes.

Approach

The Diabetes Care Management Pilot model will combine and build on two existing VA diabetes-focused pilots that innovate the standard of care and are proven to be safe and effective at improving glycemic control and reducing disease-related distress. By improving care team coordination and expanding on the current standard of diabetes care, this pilot aims to improve healthcare access, patient & care team satisfaction, care delivery efficiency, and health equity to better serve Veterans affected by diabetes.

Results

Trilogy helped CCPI refine its vision for diabetes care in the VA, utilizing best practices from a survey of external- and internal-to-VA diabetes care programs to develop a pilot design that aims to improve diabetes outcomes. The pilot draws on Trilogy-led interviews with VA subject matter experts and front-line staff to identify and alleviate pain points in care delivery. In addition, Trilogy developed pilot key performance indicators and an approach for pilot assessment to facilitate CCPI’s mission of testing and propagating value-based care initiatives.

Overview

Trilogy administered the Veteran’s Health Administration (VHA) Chief Strategy Office (CSO) Survey of Veteran Enrollees’ Health and Use of Health Care (Survey of Enrollees), which collects data annually on enrolled Veterans’ health status, insurance coverage, use of VA and non-VA health services and programs, and other factors that influence use of health care. Survey of Enrollees data is used to inform VHA projections of enrollment, utilization, and expenditures, as well as a variety of high level VHA budget and policy-related analyses.

Approach

Trilogy applied the highest research standards to develop, design, implement, and summarize the multi-modal, representative Survey of Enrollees. This included sample design and allocation; preparing, printing, and mailing survey correspondences to identified samples; staffing, training, and managing the Survey of Enrollee Help Center; data collection and statistical analysis, including weighting adjustments; and developing reports, dashboards, and analyses that provide VHA with statistically valid, policy-ready data.

Results

Amidst declining survey response rates, Trilogy successfully administered the Survey of Enrollees for four years, surpassing the overarching survey goal of collecting 42,000 responses, as well as all market- and strata- specific targets, on schedule every year. Our work provided VHA with meaningful data, representative of the target population, so VHA CSO, VISN strategic planners, and program office directors can better anticipate the health care needs of all enrolled Veterans and provide improved programs and services to those who need them.

Overview

From 2021 to 2025, Trilogy managed a high performing team to help the Veterans Health Administration’s (VHA) Workforce Management and Consulting (WMC) implement priority projects and process efficiency initiatives as part of VHA HR modernization. This support helped streamline services to improve customer service and enable VHA’s more than 360,000 employees to deliver care and services to nine million Veterans. Projects encompassed a series of initiatives including policy changes, process improvement, and IT systems enhancement. Trilogy’s expert team enabled an agile response to the complex, competing, and evolving needs of the HR modernization initiative.

Approach

Team Trilogy worked with VHA’s WMC staff and other stakeholders to quickly understand the scope and impact of projects needing our support, and where those projects were in the project management lifecycle. We worked closely with project teams to build trust with our VHA stakeholders through the adoption of new standards, practices, and tools, grounded in Agile project management and Lean Six Sigma best practices. Through value-stream mapping, we identified and helped WMC implement changes that would provide the highest impact to VHA’s employees and the Veterans they serve.

Results

Trilogy successfully supported over 30 concurrent projects each year to deploy best practices, innovate business operations, remove wasteful activities, and optimize service delivery to 12 HR business lines serving 360,000 employees across the country. Highlights included revamping VHA’s HR Hub to improve VHA employee access to critical HR information through a customer-centric information platform, establishing service line profiles to improve timeliness of service delivery throughout the field, and restructuring the IT requirements process to better align with stakeholder metrics and standards.