b'THE DEFENSE The Modernization of the Defense Medical SystemMEDICAL SYSTEM 20 LARGE HEALTHCARE MARKETSREPORTING DIRECTLY TO THE DHAMilitary Treatment Facilities (MTFs) provide a wide range of clinical services depending on size, mission, and level of capabilities. MTFs provide inpatient and outpatient medical care and dental services. The National Defense Authorization Act directs several modernization efforts of the Defense Medical System, including:Reassignment of responsibilities for administering MTFs from each respective Service Surgeon General to the DHA Director Evaluation and realignment of the Military Health Service (MHS) staffing to the Defense Health Agency (DHA) Evaluation and restructuring the mission and scope of each MTF. Congress directed these reforms to streamline the MHS, enhance medical force readiness, improve access and quality of care, and create a better experience for beneficiaries. Continued Transformation of the MHS with the transition of MTFs to MHA expected to be completed this year. MHS is focusing on three key areas of organizational reform:consolidated management of the direct care and purchased care systems a focus on readiness within the direct care system optimizing the size and composition of the military medical force.166the directory VETERANS AFFAIRS'