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The US army public health command initiative  transforming public health services for the us army- resta
The US army public health command initiative  transforming public health services for the us army- resta
The US army public health command initiative  transforming public health services for the us army- resta
The US army public health command initiative  transforming public health services for the us army- resta
The US army public health command initiative  transforming public health services for the us army- resta
The US army public health command initiative  transforming public health services for the us army- resta
The US army public health command initiative  transforming public health services for the us army- resta
The US army public health command initiative  transforming public health services for the us army- resta
The US army public health command initiative  transforming public health services for the us army- resta
The US army public health command initiative  transforming public health services for the us army- resta
The US army public health command initiative  transforming public health services for the us army- resta
The US army public health command initiative  transforming public health services for the us army- resta
The US army public health command initiative  transforming public health services for the us army- resta
The US army public health command initiative  transforming public health services for the us army- resta
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The US army public health command initiative transforming public health services for the us army- resta

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  • 1. The US Army Public Health Command Initiative:  Transforming Public Health Services for the Army John J. Resta Director – Army Institute of Public Health UNCLASSIFIED 29 October 2010 http://phc.amedd.army.mil
  • 2. Briefing Outline • Key Facts • Change in Focus • Strategic View of Army Public Health • U.S. Army Public Health Command • CONOPS • Strategy Map • Integration Opportunities • FOC Operating Picture • FOC Location • Breadth of Knowledge • Questions PURPOSE: To provide an informational briefing on the US Army Public Health Command Initiative. John Resta/MCHB-IP/john.resta@us.army.mil Slide 2UNCLASSIFIED
  • 3. • Smoking - Percent of adults 18 years of age and over who currently smoke cigarettes: 21% (2006) • Alcohol Use - Percent of current drinkers who had five or more drinks on at least one day in the past year: 20% (2006) • Overweight Prevalence - Percent of non-institutionalized adults age 20 years and over who are obese: 32% • Health Insurance Coverage - Persons under age 65 – Number uninsured at the time of interview: 43.6 million (2008) – Percent uninsured at the time of interview: 17% (2008) – Percent with private insurance at the time of interview: 65% (2008) US Health Indicators Key Facts John Resta/MCHB-IP/john.resta@us.army.mil Slide 3UNCLASSIFIED
  • 4. Obesity Trends* Among U.S. Adults BRFSS, 2008 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% John Resta/MCHB-IP/john.resta@us.army.mil Slide 4UNCLASSIFIED
  • 5. TOBESAHOL DoD spends an estimated $2.1 billion per year for medical care associated with  TOBESAHOL.   (Tobacco, Obesity and Alcohol) John Resta/MCHB-IP/john.resta@us.army.mil Slide 5UNCLASSIFIED
  • 6. Change in Focus • “Health Care System” to a “System of Care” • AMEDD Balanced Scorecard Metrics – HEDIS Measures for Preventative Health Screening – ORYX Measures for preventative disease management – Reducing Workplace Injuries in MTFs – Healthy Population 2010 goals for overweight and obesity for family members and retirees – HPV vaccinations for AD and FM Females (70% by FY 11) – Emerging initiatives include improved tobacco use reduction campaigns, alcohol use reduction, enhanced employee wellness efforts and improved childhood immunization efforts. • Public Health Command John Resta/MCHB-IP/john.resta@us.army.mil Slide 6UNCLASSIFIED
  • 7. Enhancing Health, Wellness and Optimizing Public Health Support to the Army and DoD Direct Medical & IMCOMPreventiveVeterinary grate lth Surveillance, k Assessment, ease and Injury vention and trol Integrate Community Health Promotion and Wellness Public Health Command = Accountable and Responsible AgentPublic Health Command = Accountable and Responsible Agent Synchronized Public Health Services Strategic View of Public Health
  • 8. ONOPS nd VETCOM integrate C CHPPM Subordinate integrate into PHC der the C2 of the PHC ve C2 of installation missions oversight of level I-III missions through have enterprise nd monitoring the level I-II VETSVC. authority infers a level g, advising, n and collaboration execute oversight This slide depicts functional areas MEDCOM RMCsRMCsRMCsRMCsRMCs PHC RPHCRPHCRPHCRPHCPHC Regions MTF MTF MTFMTF MTF vel of PH Services mmand Level (V) l  (V) Red Lt Blue PHC District PHC District PHC District PHC District PHC District Installation  Installation  Installation  Installation  PHC IPH PHC  DoD MWD  (VS) Center Oversight (PH Missions) RMCs oversee I-II VETSVCs; PHC oversees I-III PVNTMED Revised CONOPS Coordinate / Collaborate (PH Missions) Coordinate / Collaborate(PH Missions) Monitor (PH Missions)
  • 9. CS 1.0   nimized Diseases & Injuries  of Military Significance CS 2.0 Enhanced Health & Well‐ Being  CS 3.0           Optimized Public Health  Programs and Practices IP 6.0  Ensure Effective  Public Health Oversight LG 16.0  Improve Knowledge Management APHC Strategy Map Alignment to AMEDD BSC                         September 2010 Maximize Value in Health Services Synchronize Public Health Build the Team Balance Innovation with Standardization Optimize Communication and Knowledge Management Feedback Adjusts Resourcing Decisions LG 14.0  Maximize & Sustain Workforce  IP 9.0  Integrate Delivery of Health  Promotion and Wellness Services IP 11.0  Enhance Characterization and Analysis  of Health Status and Threats IP 10.0  Minimize Risk from Occupational &  Environmental Health Hazards IP 13.0  Develop and Enhance Relationships with  Key Partners IP 8.0  Improve Disease & Injury  Surveillance and Control P 5.0  Finalize Public Health  Command  Transition Process IP 7.0  Ensure Safe DoD  Food and Water World‐Class Provider of Public Health Services across DA and DoD.  IP 12.0  Ensure High Quality Veterinary  Clinical Services LG 15.0  Standardize & Document  CS 4.0           Optimized Animal Care Promote health and prevent disease, injury, and disability of Soldiers and military retirees,   their Families,  and DA Civilian employees;  assure effective execution of full spectrum  veterinary service for Army and DOD Veterinary missions. CS 1.0, 2.0, 3.0 CS 1.0, 3.0 CS 1.0, 2.0, 3.0, 5.0 CS 4.0 to AMEDD Strategic  shown in red IP 7.0, 11.0, 12.0                                   IP 7.0                         IP 7.0, 10.0                                                                IP 7.0, 10.0  IP 7.0                           IP 7.0, 10 .0                              IP 7.0 IP 8.0, 9.0                                      CS 6.0 , IP 13.0, 14.0
  • 10. ventive Medicine 40-5) ease prevention and control d preventive medicine ironmental health cupational health alth surveillance epidemiology dier, family, mmunity health, health promotion icology oratory Services alth risk assessment alth Risk Communication Veterinary Health Services (AR 40-3, AR 40-656, AR 40-657, AR 40-905) Veterinary Medical care for Government-Owned Animals Zoonotic disease surveillance and control Food safety and food defense quality assurance programs Veterinary Medical care for Privately-Owned Animals • Disease prevention and control • Field preventive medicine • Environmental health • Health surveillance and epidemiology • Laboratory services • Health risk assessment • Zoonotic disease surveillance and control • Food safety and food defense quality assurance programs Integration Opportunities Emerging Programs • Army Wellness Centers • NAF One Fund • First Year Graduate Medical Education • Community Health Promotion Councils
  • 11. C Organizational Structure FOC Command Level (HQ) evel (V) ortfolio Managers Lt Blue Green Red
  • 12. ort Sam Houston, TX) (planned) UTE OF PUBLIC HEALTH (APG, MD) Y WORKING  DOG CENTER  TX) (Landstuhl, Germany) rope (Kaiserslautern Military  ermany) urope (Kaiserslautern, Germany) PHCR‐PACIFIC (Tripler, HI) (planned) PHCD‐Central Pacific (Fort Shafter, HI) PHCD‐West Pacific (Apra Harbor, Guam) PHCD‐Korea (Yongsan, Korea) PHCD‐Japan (Camp Zama, Japan)  PHCR‐NORTH (Fort Belvoir, VA) (planned) PHCD‐Fort Knox (Fort Knox, KY) PHCD‐Fort Belvoir (Fort Belvoir, VA) PHCR‐SOUTH (Fort Sam Houston, TX) PHCD‐Fort Hood (Fort Hood, TX) PHCD‐Fort Gordon (Fort Gordon, GA) PHCD‐Fort Bliss (Fort Bliss, TX) (pending  analysis) PHCR‐WEST (Joint Base Lewis‐McChord, WA) PHCD‐Joint Base Lewis‐McChord (Joint Base  Lewis‐McChord, WA)
  • 13. on System Specialist Animal Care Specialist ogist gist onal Health Nurse mist cal Engineer Officer ngineer Engineer orker mental Engineer mental Law Attorney ogist Health Physicist Safety and Occupational Health Specialist Acoustical Engineer Medical Laboratory Specialist Fire Protection Engineer Psychologist Veterinarian Sanitary Engineer Wildlife Biologist Epidemiologist Physical Therapist Industrial Hygienist Chaplain Optometrist Community Health Nurse Chemist Ergonomist Dental Officer ar Medical Science Officer Marine Biologist Dietitian Geologist Environmental Scientist Audiologist Physicist Breadth of Knowledge
  • 14. The US Army Public Health Command Initiative:  Transforming Public Health Services for the Army John J. Resta Director – Army Institute of Public Health

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