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

    • The US Army Public Health Command Initiative:  Transforming Public Health Services for the Army John J. Resta Director – Army Institute of Public Health 29 October 2010 http://phc.amedd.army.mil UNCLASSIFIED
    • Briefing Outline PURPOSE: To provide an informational briefing on the US Army Public Health Command Initiative. • 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 John Resta/MCHB-IP/john.resta@us.army.mil UNCLASSIFIED Slide 2
    • US Health Indicators Key Facts • 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) John Resta/MCHB-IP/john.resta@us.army.mil UNCLASSIFIED Slide 3
    • 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 UNCLASSIFIED Slide 4
    • 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 UNCLASSIFIED Slide 5
    • 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 UNCLASSIFIED Slide 6
    • Strategic View of Public Health Public Health Command = Accountable and Responsible Agent Enhancing Health, Wellness and Optimizing Public Health Support to the Army and DoD Synchronized Public Health Services grate lth Surveillance, k Assessment, Integrate ease and Injury Community vention and Health Promotion Direct trol Veterinary Preventive Medical & IMCOM and Wellness
    • Revised CONOPS ONOPS MEDCOM This slide depicts nd VETCOM integrate functional areas C CHPPM Subordinate integrate into PHC der the C2 of the PHC Oversight (PH Missions) ve C2 of installation RMCs RMCs PHC missions RMCs RMCs RMCs oversee I-II VETSVCs; RMCs PHC oversees I-III PVNTMED oversight of level I-III missions through Coord inate / PHC  Collab (PH M o issions rate RPHC RPHC PHC ) RPHC PHC DoD MWD  have enterprise RPHC IPH (VS) Center nd monitoring Regions s) the level I-II VETSVC. sion H Mis (P itor authority infers a level Mon MTF PHC g, advising, MTF PHC n and collaboration MTF MTF PHC District MTF PHC District PHC execute oversight Coordinate / Collaborate District District (PH Missions) District vel of PH Services mmand Level (V) Lt Blue l  (V) Red Installation  Installation  Installation  Installation 
    • APHC Strategy Map Alignment to AMEDD BSC                         September 2010 World‐Class Provider of Public Health Services across DA and DoD.  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. Synchronize Public Maximize Value in Balance Innovation with Optimize Communication and Build the Team Health Health Services Standardization Knowledge Management CS 1.0   CS 2.0 CS 3.0           CS 4.0           nimized Diseases & Injuries  Enhanced Health & Well‐ Optimized Public Health  Optimized Animal Care of Military Significance Being  Programs and Practices CS 1.0, 2.0, 3.0 CS 1.0, 3.0 CS 1.0, 2.0, 3.0, 5.0 CS 4.0 P 5.0  Finalize Public Health  IP 6.0  Ensure Effective  IP 7.0  Ensure Safe DoD  IP 8.0  Improve Disease & Injury  Command  Feedback Adjusts Resourcing Decisions Public Health Oversight Food and Water Surveillance and Control Transition Process IP 7.0, 11.0, 12.0                                   IP 7.0                         IP 7.0, 10.0                                                                IP 7.0, 10.0  IP 9.0  Integrate Delivery of Health  IP 10.0  Minimize Risk from Occupational &  IP 11.0  Enhance Characterization and Analysis  Promotion and Wellness Services Environmental Health Hazards of Health Status and Threats IP 7.0                           IP 7.0, 10 .0                              IP 7.0 to AMEDD Strategic  IP 12.0  Ensure High Quality Veterinary  IP 13.0  Develop and Enhance Relationships with  shown in red Clinical Services Key Partners IP 8.0, 9.0                                      CS 6.0 , IP 13.0, 14.0 LG 14.0  Maximize & Sustain Workforce  LG 15.0  Standardize & Document  LG 16.0  Improve Knowledge Management
    • ventive Medicine Veterinary Health Services 40-5) (AR 40-3, AR 40-656, ease prevention and control AR 40-657, AR 40-905) d preventive medicine Integration Opportunities Veterinary Medical care for • Disease prevention and • Zoonotic disease Government-Owned Animals ironmental health control surveillance and • Field preventive medicine control cupational health • Environmental health • Food safety and Zoonotic disease • Health surveillance and food defense quality surveillance and control alth surveillance epidemiology assurance programs • Laboratory services epidemiology • Health risk assessment Food safety and dier, family, food defense quality assurance programs mmunity health, Emerging Programs • Army Wellness Centers Veterinary Medical care for health promotion • NAF One Fund Privately-Owned Animals icology • First Year Graduate Medical Education • Community Health Promotion Councils oratory Services alth risk assessment alth Risk Communication
    • C Organizational Structure FOC Command Level (HQ) Lt Blue evel (V) Red ortfolio Managers Green
    • ort Sam Houston, TX) (planned) PHCR‐PACIFIC (Tripler, HI) (planned) PHCR‐SOUTH (Fort Sam Houston, TX) UTE OF PUBLIC HEALTH (APG, MD) PHCD‐Central Pacific (Fort Shafter, HI) PHCD‐Fort Hood (Fort Hood, TX) Y WORKING  DOG CENTER  PHCD‐West Pacific (Apra Harbor, Guam) PHCD‐Fort Gordon (Fort Gordon, GA) TX) PHCD‐Korea (Yongsan, Korea) PHCD‐Fort Bliss (Fort Bliss, TX) (pending  PHCD‐Japan (Camp Zama, Japan)  analysis) (Landstuhl, Germany) rope (Kaiserslautern Military  PHCR‐NORTH (Fort Belvoir, VA) (planned) PHCR‐WEST (Joint Base Lewis‐McChord, WA) ermany) PHCD‐Fort Knox (Fort Knox, KY) PHCD‐Joint Base Lewis‐McChord (Joint Base  urope (Kaiserslautern, Germany) PHCD‐Fort Belvoir (Fort Belvoir, VA) Lewis‐McChord, WA)
    • Breadth of Knowledge on System Specialist Animal Care Specialist onal Health Nurse Safety and Occupational Health Specialist ar Medical Science Officer Medical Laboratory Specialist Environmental Scientist ogist Fire Protection Engineer Sanitary Engineer Chemist ogist Acoustical Engineer Veterinarian Geologist gist Wildlife Biologist Chaplain Audiologist Dental Officer mist Ergonomist orker Psychologist Health Physicist Dietitian Officer Physicist Optometrist ngineer Epidemiologist Engineer Marine Biologist cal Engineer Physical Therapist mental Engineer Industrial Hygienist mental Law Attorney Community Health Nurse
    • The US Army Public Health Command Initiative:  Transforming Public Health Services for the Army John J. Resta Director – Army Institute of Public Health