This document summarizes initiatives by the U.S. Air Force Surgeon General to improve global healthcare delivery. It discusses the evolution of expeditionary medical support from point of injury care through recovery. It also outlines collaborations between the Air Force, Navy, VA and academic partners to develop genomic medicine, electronic health records, and shape the future of healthcare. Flight surgeon and nurse training programs are highlighted that reduce time spent in training status. Issues facing Air National Guard and Reserve medical personnel are raised. The overall vision presented is for the Air Force Medical Service to provide world-class healthcare anywhere, anytime.

1. Headquarters U.S. Air Force
Integrity - Service - Excellence
Total Force Pathways to
Global Healthcare
Lt Gen C. Bruce Green
Surgeon General
5 Nov 2011
1

2. 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
Expeditionary g r i t y - S e r v i c e - E x c e l l to Save Lives!
I n t e Operations Evolving e n c e

3. 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
Collaborating to Shape the Future of Healthcare
Integrity - Service - Excellence 3

4. Flight Surgeon Updates
Current manning 81%, functional manning 66% (deployments)
Projected 85% in Fall 2012
USUHS Initiatives:
Strongly encouraging AF USUHS students complete AMP 101
Encouraging students; AMP 201-202 as 4th year elective
Setting up USUHS student “Senior Mentors” with RAMS in NCA
HPSP Initiatives:
Developing FSO specific “clinical” rotations at large ops bases
Streamline Training Affiliation Agreements (TAA) for civ HPSP
Pushing AMP 101 for All HPSP
Other Initiatives:
Facilitate split deployments of 90 days/less for ARC
Integrity - Service - Excellence 4

5. Flight Nurse Training
7 Days SERE B-Level Training
20 Days 10 Days 42 Days
Pre-requisite FN/AET Flt Upgrade Mission
4NO 5-level School House FTU Ready
46N3
Course I
AE Basics
10 days
Program Gains
Altitude
Chamber
Course II Standard, seamless training
Equip/AC Revw
2 days 5 days w/controlled length/flexible curriculum
Course III
Decreased TDY costs
Mission Prep Single agency for instruction,
5 days
staffing & equipping
Reduced Training Time by 125+ Days
Integrity - Service - Excellence

6. ARC Issues
How are We Doing?
TFI Occupational Support
Director of Psychological Health
Mission Transitions – DOMOPS
IDES & Continuity Medical Cell
HSI Transitions – Limited Scope Facilities
TBI, PTSD, Suicides
AFMS Vision: World-Class Healthcare Anywhere, Anytime
Integrity - Service - Excellence 6

7. “TRUSTED CARE ANYWHERE”
Integrity - Service - Excellence