Brig. Gen. George Appenzeller, deputy commanding general, Regional Health Command-Pacific, and market manager, Puget Sound Military Health System, second from left; greets Mr. Thomas McCaffrey, acting assistant secretary of defense for Health Affairs, second from right; Nov. 14 ahead of an office call and meeting between the two individuals. McCaffrey visited Regional Health Command-Pacific at Joint Base Lewis-McChord, Washington, and toured Madigan Army Medical Center, as part of a visit to the Pacific Northwest for the MHS GENESIS Recognition Ceremony taking place Nov. 15, which commemorates the completion of go-live activities of the new Department of Defense electronic health record at Fairchild Air Force Base, Naval Health Clinic Oak Harbor, Naval Hospital Bremerton and Madigan.