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




Air Force Medical Service Update

                             Lt Gen C. Bruce Green
                                  Surgeon General
                                            USAF


                             49 MDG Holloman AFB
                                   November 2011
We’re All In!
                            AF Mission
                           The mission of the
                       United States Air Force is
                      to fly, fight and win in air,
                        space and cyberspace


  AFMS Mission                                           AFMS Vision
Seamless Health Service                               World-Class Healthcare
 Support to USAF and                                   for Our Beneficiaries
Combatant Commanders                                    Anywhere, Anytime




        Through Global Vigilance, Reach, and Power!
                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                                                                                                              3
Globally Engaged Medics
                             49th MDG Deployments
                                   (as of 1 Nov 11)
                             CY10 Total Deployed = 19
                                  Currently: 16




                     HONDURAS      IRAQ
                     AFGHANISTAN UAE
                           GERMANY
                     KYRGYZSTAN    KUWAIT




Integrity - Service - Excellence
Our 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
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@ SavingcLives Globally!
            Integrity - Service - Excellen e
Continuous Learning@
                                                  Guarantees Success
                  Continuous Increase In Level of Care Provided
Level of Care




                                                                     Lvl-III/CSH, Definitive
                                           Lvl-II/Forward            EMEDS, EMF Care
                 Wounded      BAS
                                           Surgical Teams
                             Time
                     Learning From Coalition                             En Route Critical
                     Partners; Leveraging                                Care Rotary Transport
                     Registry Data To Build
                     Innovative Solutions
          Tactical Critical Care Evacuation Team

                 -DEPLOYED June 2011
                 - 77 Critical Patients Moved          KC-135 Lights          Portable, 2-Person Install
                 as of Oct 11                        Safe-to-Fly Certified             – 67 Min

                Capability Must Constantly Evolve to Meet Mission Requirements
                               Integrity - Service - Excellence
Activating Patients & Care Teams




 Health
 Team                                                              Patient
Decision                         Patient                          Decision
Support                                                           Support
                                Centered

PCMH Provides Improved Decision Support- For Patients c eHealthcare Teams
                Integrity - Service Excellen &
Electronic Health Initiatives
                 Project (eHIP)




Integrity - Service - Excellence    9
Recapturing Care Together
                                               Where It Makes Sense
               Delivering Patient Centered Care To Our Beneficiaries
               Creating Currency Opportunities To Support Readiness
               Allowing Medics To Practice Full Scope Of Care
               Tackling Per Capita Cost Through Targeted Investments




  Travis AFB, CA                         Wright –Patterson
                                             AFB, OH            Langley AFB, VA



                        Nellis AFB, NV
                                         Keesler AFB, MS

                          Systems-Based Approach
                         Required To Optimize Our
                         Integrated Delivery System             Eglin AFB, FL
Elmendorf AFB, AK

      Building Capability...Expanding Services@Improving Currency
                    Integrity - Service - Excellence                              10
Enduring
                      Academic Partnerships
       Physician/Dentist Education (GME/DME)
          Stand alone programs
          Masters with civilian universities
          Integrated/affiliated with Federal partners
          84 Advanced Education General Dentistry-1 slots/yr
          Dental Specialty certificate/Masters program opportunities

       Nurse Education (Transition Program)
          Increasing to 241 enrolled students in FY10
          New sites include: Cincinnati, OH & Scottsdale Healthcare, AZ
       Nurse Enlisted Commissioning Program (NECP)
          50 per year with school of their choice


       Research                             USAF Dental Hygiene Program
          Diabetes                            10 scholarships per year
          Telepathology                       Trident Technical College (SC)
          Teleradiology                       St. Petersburg College (FL)



Education & Research – Absolutely Critical to
  Building & Sustaining Medical Services
      Integrity - Service - Excellence
The Focus is on Us


                                 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


              Improving eSynergy Through E xCommon Vision
                    Int grity - Service - a cellence
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                13
“TRUSTED CARE ANYWHERE”




          Integrity - Service - Excellence   14

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Holloman SG Call Nov 2011

  • 1. Headquarters U.S. Air Force Integrity - Service - Excellence Air Force Medical Service Update Lt Gen C. Bruce Green Surgeon General USAF 49 MDG Holloman AFB November 2011
  • 2. We’re All In! AF Mission The mission of the United States Air Force is to fly, fight and win in air, space and cyberspace AFMS Mission AFMS Vision Seamless Health Service World-Class Healthcare Support to USAF and for Our Beneficiaries Combatant Commanders Anywhere, Anytime Through Global Vigilance, Reach, and Power! Integrity - Service - Excellence
  • 3. 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 3
  • 4. Globally Engaged Medics 49th MDG Deployments (as of 1 Nov 11) CY10 Total Deployed = 19 Currently: 16 HONDURAS IRAQ AFGHANISTAN UAE GERMANY KYRGYZSTAN KUWAIT Integrity - Service - Excellence
  • 5. Our 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
  • 6. 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@ SavingcLives Globally! Integrity - Service - Excellen e
  • 7. Continuous Learning@ Guarantees Success Continuous Increase In Level of Care Provided Level of Care Lvl-III/CSH, Definitive Lvl-II/Forward EMEDS, EMF Care Wounded BAS Surgical Teams Time Learning From Coalition En Route Critical Partners; Leveraging Care Rotary Transport Registry Data To Build Innovative Solutions Tactical Critical Care Evacuation Team -DEPLOYED June 2011 - 77 Critical Patients Moved KC-135 Lights Portable, 2-Person Install as of Oct 11 Safe-to-Fly Certified – 67 Min Capability Must Constantly Evolve to Meet Mission Requirements Integrity - Service - Excellence
  • 8. Activating Patients & Care Teams Health Team Patient Decision Patient Decision Support Support Centered PCMH Provides Improved Decision Support- For Patients c eHealthcare Teams Integrity - Service Excellen &
  • 9. Electronic Health Initiatives Project (eHIP) Integrity - Service - Excellence 9
  • 10. Recapturing Care Together Where It Makes Sense Delivering Patient Centered Care To Our Beneficiaries Creating Currency Opportunities To Support Readiness Allowing Medics To Practice Full Scope Of Care Tackling Per Capita Cost Through Targeted Investments Travis AFB, CA Wright –Patterson AFB, OH Langley AFB, VA Nellis AFB, NV Keesler AFB, MS Systems-Based Approach Required To Optimize Our Integrated Delivery System Eglin AFB, FL Elmendorf AFB, AK Building Capability...Expanding Services@Improving Currency Integrity - Service - Excellence 10
  • 11. Enduring Academic Partnerships Physician/Dentist Education (GME/DME) Stand alone programs Masters with civilian universities Integrated/affiliated with Federal partners 84 Advanced Education General Dentistry-1 slots/yr Dental Specialty certificate/Masters program opportunities Nurse Education (Transition Program) Increasing to 241 enrolled students in FY10 New sites include: Cincinnati, OH & Scottsdale Healthcare, AZ Nurse Enlisted Commissioning Program (NECP) 50 per year with school of their choice Research USAF Dental Hygiene Program Diabetes 10 scholarships per year Telepathology Trident Technical College (SC) Teleradiology St. Petersburg College (FL) Education & Research – Absolutely Critical to Building & Sustaining Medical Services Integrity - Service - Excellence
  • 12. The Focus is on Us 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 Improving eSynergy Through E xCommon Vision Int grity - Service - a cellence
  • 13. 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 13
  • 14. “TRUSTED CARE ANYWHERE” Integrity - Service - Excellence 14