Headquarters U.S. Air Force
Integrity - Service - Excellence




Air Force Global Health Pathways




               Lt Gen C. Bruce Green   CMSgt Charlie Cole
                    Surgeon General                CMEF
                                        7 November 2011



                                                            1
Moving Forward
2009: STRATEGIC IMPERATIVES
   The Future & Communicating the Vision


2010 : EXECUTING THE STRATEGY
   Focus on Alignment


2011: BREAKTHROUGH PERFORMANCE
   Tools, Incentives, and Rewards


2012: CULTURE OF ACCESS, INNOVATION & SERVICE
   Patient-Centered Care


             Integrity - Service - Excellence        2
AFMS Framework Provides
                  Focus and Alignment
                                     Strategies
 Overlapping
Mission Areas            Transform Deployable Capability
                      Rapid Response to Any Worldwide Contingency

     Fit
    Force                   Build Patient-Centered Care
                        Continuity & Prevention to Optimize Health


                     Invest in Education, Training & Research
                             Sustain Our Future Capabilities




    Strategy      Common Practice             Culture



            Integrity - Service - Excellence
We’ve Been Busy,
                                                                Readiness Still Priority #1
                   OIF Ends Operation
                   New Dawn Begins
READY




                                                                         CAF/MAF
                     CMSgt                                                                                                                                  Tornadoes
                   Etchberger                                                           1st Use Therapeutic
                  awarded MoH                                                            Hypothermia Iraq
BETTER HEALTH




                          Joint Suicide                                                                                        CAF
                                                                                     C-STARS                        Military - Civilian - Family
                        Task Force Report




                                                                                                         Physical




                                                                                                                             Social



                                                                                                                                        Mental



                                                                                                                                                       Spiritual
                                                                                                         I
                                                                                                         N
                                                                                                        Governance – CAIB                        Execution
                                    #29                                                                               – Support
                                                                                                                         Leadership
                                                                                                   Comprehensive Airmen Fitness

                Oct-Dec 2010                      Jan-Mar 2011                       Apr-Jun 2011                                        Jun-Sep 2011
BETTER CARE




                                                              Developing
                                                             Advanced ICU
                                                                                                                                                                        Open 1 Jun 11


                                          Must Seek                                                    DoD Efficiencies
BEST VALUE




                                        DOD Efficiencies                                                  Sought
                                         --Secretary Gates                            Continuing
                 METC                                                                 Resolution
                  IOC                                              Leesburg
                                                             “Aligned For Success”                                                                                      Partnerships


                 Single Mission e– Delivered v i c e - E AneIntegrated System
                            I n t g r i t y - S e r Within x c l l e n c e                                                                                                              4
CAF/MAF Improvement
                                                                                            Immediate
                                                                                             < 20 min
                                                                                                ER
                                                                                              < 2 hrs
 T+0 hrs                                                                   T+3 hrs
                                                                                             OR & ICU
                                                                                              < 3 hrs
                        EMEDS Health Response Team a Reality!




            Self-Aid    Combat Medics     Forward       In Theater Care   Definitive Care
           Buddy Care   Navy Corpsmen   Resuscitative   Rehab/Recovery    Home w/Family
                                           Care         AF Theater Hosp      SAMMC




Evolving Expeditionary Operations E x SavingcLives Globally!
            Integrity - Service -     cellen e
Innovation & Insight to
                           Recapture Care




Specialty Hospitals Focused on Currency and Recapture
         Integrity - Service - Excellence               6
Electronic Health Initiatives
                 Project (eHIP)




Integrity - Service - Excellence    7
Investing In Education,
                                    Training, & Research



  BALTIMORE    CINCINNATI    ST LOUIS

    Center for Sustainment of Trauma
    And Readiness Skills (C-STARS)

     Trauma & Surgical Skills (Baltimore)
        Advanced CCATT (Cincinnati)
          Trauma Skills (St. Louis)




Keeping Medics Ready Through Joint & Civilian Partnerships
                  Integrity - Service - Excellence
The Focus is On the MHS Now


                                 Walter Reed National                 San Antonio
                                Military Medical Center         Military Medical Center
                                       (WRNMMC)



 Walter Reed National                                                                                   San Antonio
Military Medical Center                                                                           Military Medical Center
       (WRNMMC)
                                                   Joint Healthcare
                                                                 San Antonio Military
                                                                   Health System
                                                                      SAMHS
                                                                                                   San Antonio Military
                                                                                                     Health System
                                Ft Belvoir Community                                                    SAMHS
                                   Hospital (FBCH)
 Ft Belvoir Community
   Hospital (FBCH)



                          AF Theater Hospital,                        Craig Joint Theater
                                                                    Wilford Hall Theater
Andrews Ambulatory         JointJoint BaseHospital,
                               AF Theater
                                 Base- Balad- Balad
                                Andrews Ambulatory
                                                                         Craig Joint
                                                                      Hospital Center
                                                                          Hospital - - Bagram
                                                              Ambulatory SurgeryBagram
                                                                                                      Wilford Hall
                                                                                                Ambulatory Surgery Center
     Care Ctr                        Care Center


Synergy Begins t e g r i t y -Common Visione &l Greater Integration
            I n Through S e r v i c e - E x c l e n c e
Generating Knowledge
             PRIMARY CARE 2025: A Scenario Exploration of Forces,
          Challenges, and Opportunities Shaping Primary Care in the U.S.

          GENOMIC MEDICINE: An Active Consortium of Government,
            Academic, and Industry Leaders in the Field of Genomic
            Medicine Providing Expert Direction for PC2Z Program

               DOD/VA iEHR and GOVERNMENT HIE SUMMIT:
                Establishing a Common Roadmap for Today,
                         Tomorrow, and the Future

         OPEN SOURCE SOFTWARE of the MILITARY HEALTH SYSTEM:
                A Product Lifecycle Management Workshop

        VETERANS AFFAIRS ROUNDTABLE: Future Performance Metrics to
        Assess Population Health, Patient Experience, and Healthcare Value

                    USU-HJF Military Medicine Symposium:
             The TBI Spectrum, Challenges, Initiatives, & Prevention


Innovative Collaboration to Shape the Future of Healthcare
              Integrity - Service - Excellence                               10
Patient-Centered Care
Ready: Reassure patient that you “know them”
Accessible: Be there when the patient needs you
Prepared: Respect patient and their time
Precise: Clarify all treatment and follow-up
Organized: Don’t ask patient what you should know or have
available in their medical record
Respectful: Always answer phones/resolve patient concerns
Thorough: Tell patient what to do if they feel worse




Patient-Centered Care Begins with Access to Earn Trust!
            Integrity - Service - Excellence                11
SSG Shilo A. Harris



“Everything in your life is a
gift. Sometimes, it’s not the
   gift you want, but you
realize that your challenges
   are a new beginning.”
      - SSG Shilo Harris




             Integrity - Service - Excellence         12
“TRUSTED CARE ANYWHERE”




          Integrity - Service - Excellence

AMSUS Plenary Nov 2011

  • 1.
    Headquarters U.S. AirForce Integrity - Service - Excellence Air Force Global Health Pathways Lt Gen C. Bruce Green CMSgt Charlie Cole Surgeon General CMEF 7 November 2011 1
  • 2.
    Moving Forward 2009: STRATEGICIMPERATIVES The Future & Communicating the Vision 2010 : EXECUTING THE STRATEGY Focus on Alignment 2011: BREAKTHROUGH PERFORMANCE Tools, Incentives, and Rewards 2012: CULTURE OF ACCESS, INNOVATION & SERVICE Patient-Centered Care Integrity - Service - Excellence 2
  • 3.
    AFMS Framework Provides Focus and Alignment Strategies Overlapping Mission Areas Transform Deployable Capability Rapid Response to Any Worldwide Contingency Fit Force Build Patient-Centered Care Continuity & Prevention to Optimize Health Invest in Education, Training & Research Sustain Our Future Capabilities Strategy Common Practice Culture Integrity - Service - Excellence
  • 4.
    We’ve Been Busy, Readiness Still Priority #1 OIF Ends Operation New Dawn Begins READY CAF/MAF CMSgt Tornadoes Etchberger 1st Use Therapeutic awarded MoH Hypothermia Iraq BETTER HEALTH Joint Suicide CAF C-STARS Military - Civilian - Family Task Force Report Physical Social Mental Spiritual I N Governance – CAIB Execution #29 – Support Leadership Comprehensive Airmen Fitness Oct-Dec 2010 Jan-Mar 2011 Apr-Jun 2011 Jun-Sep 2011 BETTER CARE Developing Advanced ICU Open 1 Jun 11 Must Seek DoD Efficiencies BEST VALUE DOD Efficiencies Sought --Secretary Gates Continuing METC Resolution IOC Leesburg “Aligned For Success” Partnerships Single Mission e– Delivered v i c e - E AneIntegrated System I n t g r i t y - S e r Within x c l l e n c e 4
  • 5.
    CAF/MAF Improvement Immediate < 20 min ER < 2 hrs T+0 hrs T+3 hrs OR & ICU < 3 hrs EMEDS Health Response Team a Reality! Self-Aid Combat Medics Forward In Theater Care Definitive Care Buddy Care Navy Corpsmen Resuscitative Rehab/Recovery Home w/Family Care AF Theater Hosp SAMMC Evolving Expeditionary Operations E x SavingcLives Globally! Integrity - Service - cellen e
  • 6.
    Innovation & Insightto Recapture Care Specialty Hospitals Focused on Currency and Recapture Integrity - Service - Excellence 6
  • 7.
    Electronic Health Initiatives Project (eHIP) Integrity - Service - Excellence 7
  • 8.
    Investing In Education, Training, & Research BALTIMORE CINCINNATI ST LOUIS Center for Sustainment of Trauma And Readiness Skills (C-STARS) Trauma & Surgical Skills (Baltimore) Advanced CCATT (Cincinnati) Trauma Skills (St. Louis) Keeping Medics Ready Through Joint & Civilian Partnerships Integrity - Service - Excellence
  • 9.
    The Focus isOn the MHS Now Walter Reed National San Antonio Military Medical Center Military Medical Center (WRNMMC) Walter Reed National San Antonio Military Medical Center Military Medical Center (WRNMMC) Joint Healthcare San Antonio Military Health System SAMHS San Antonio Military Health System Ft Belvoir Community SAMHS Hospital (FBCH) Ft Belvoir Community Hospital (FBCH) AF Theater Hospital, Craig Joint Theater Wilford Hall Theater Andrews Ambulatory JointJoint BaseHospital, AF Theater Base- Balad- Balad Andrews Ambulatory Craig Joint Hospital Center Hospital - - Bagram Ambulatory SurgeryBagram Wilford Hall Ambulatory Surgery Center Care Ctr Care Center Synergy Begins t e g r i t y -Common Visione &l Greater Integration I n Through S e r v i c e - E x c l e n c e
  • 10.
    Generating Knowledge PRIMARY CARE 2025: A Scenario Exploration of Forces, Challenges, and Opportunities Shaping Primary Care in the U.S. GENOMIC MEDICINE: An Active Consortium of Government, Academic, and Industry Leaders in the Field of Genomic Medicine Providing Expert Direction for PC2Z Program DOD/VA iEHR and GOVERNMENT HIE SUMMIT: Establishing a Common Roadmap for Today, Tomorrow, and the Future OPEN SOURCE SOFTWARE of the MILITARY HEALTH SYSTEM: A Product Lifecycle Management Workshop VETERANS AFFAIRS ROUNDTABLE: Future Performance Metrics to Assess Population Health, Patient Experience, and Healthcare Value USU-HJF Military Medicine Symposium: The TBI Spectrum, Challenges, Initiatives, & Prevention Innovative Collaboration to Shape the Future of Healthcare Integrity - Service - Excellence 10
  • 11.
    Patient-Centered Care Ready: Reassurepatient that you “know them” Accessible: Be there when the patient needs you Prepared: Respect patient and their time Precise: Clarify all treatment and follow-up Organized: Don’t ask patient what you should know or have available in their medical record Respectful: Always answer phones/resolve patient concerns Thorough: Tell patient what to do if they feel worse Patient-Centered Care Begins with Access to Earn Trust! Integrity - Service - Excellence 11
  • 12.
    SSG Shilo A.Harris “Everything in your life is a gift. Sometimes, it’s not the gift you want, but you realize that your challenges are a new beginning.” - SSG Shilo Harris Integrity - Service - Excellence 12
  • 13.
    “TRUSTED CARE ANYWHERE” Integrity - Service - Excellence