Military Health Institute

Briefing to the Council of Principal Investigators

Byron C. Hepburn, MD, Maj Gen USAF (Ret)January 21, 2015

1

San Antonio: Military City, USA

Ft Sam Houston

Lackland AFB

Randolph AFB

Camp Bullis

2

San Antonio: Military Medical City, USASan Antonio Military Health System

Taylor Burk Health Clinic

Randolph Clinic

Schertz Medical Home

Fort Sam Houston Primary Care Clinic

North Central Federal Clinic

Wilford Hall Ambulatory Surgical Center

3

Medical & Education Training Campus

Institute of Surgical Research Burn Center

San Antonio Military Medical Center

(Level 1 Trauma Center)

TriService Research Laboratory

Audie L. Murphy VA Hospital

Polytrauma Center

Center for the Intrepid

San Antonio: Military Medical City, USA

4

Building Partnerships

Military Health Institute established October 1, 2014to strengthen and expand collaboration with the DoD and VA

Army MEDCOM

5

Mission

The mission of the UT Health Science Center’s Military Health Institute is

to improve the health of our nation’s military

service members, veterans and their families through collaborative education,

research and clinical care.

6

UT Health Science CenterLongstanding Military Collaborations

• Military health professionals were integral to the establishment of the university

• 12% of faculty/staff have a military background • 231 students funded by VA/Hazelwood Act • 64 active duty military student scholarships• $10 million in DoD funded research annually

7

Education

School of Medicine• DoD scholarship students (HPSP)• Integrated Psychiatry residency and

Nephrology fellowship• Multiple clinical rotations for undergraduate

and graduate students• Graduate Medical Education: shared Grand

Rounds

School of Dentistry• DoD scholarship students (HPSP)• Masters in Dental Sciences

Diagnostics/Periodontics/Prosthodontics• Partnering with Endodontics, Periodontics,

Oral and Maxillofacial Surgery 8

Education

AnesthesiologyCritical Care Medicine

SAUSHEC SurgeryCritical Care Medicine

Surgery Critical Care Medicine

Critical Care Fellowship Consortium

9

Education

10

Education

School of Nursing • Active duty and veteran presence

in undergraduate and graduate programs• Penny Flores, PhD, RN, Advancing Care

Excellence for Veterans

Graduate School of Biomedical Science

Military advanced degree students

School of Health Professions

Army paramedic training

11

Research

• The Military Health Institute will endorse, present and champion new local and national research collaborations with the DoD and VA.

• The UT Health Science Center will seek opportunities that align directly with:• Defense Medical Research and

Development Program• Congressionally Directed Medical Research

Program• TriService Nursing Research Program • VA Cooperative Studies Program

12

School of Medicine: Alan Peterson, PhD, STRONG STAR multi-disciplinary PTSD Research Consortium, aims to reduce or eliminate combat related PTSD

in active duty military and recently discharged veterans

Research Partnerships: STRONG STAR-CAP

13

Research Partnerships: Remote Trauma Outcomes Research Network (RemTORN)

14

Research Partnerships

School of Dentistry

Kenneth Hargreaves, DDS, PhD, research in non-narcotic pain management

School of MedicinePaula Shireman, MD, VA Vascular Injury Study (VAVIS): VA/DoD extremity injury outcomes collaboration

15

Defense Medical Research and Development Program (DMRDP)

Priorities:

• Diagnosis and treatment of brain injury• Poly-trauma and blast injury• Psychological health and wellness

for military personnel and families• Operational health and performance• Infectious diseases• Radiobiology• Rehabilitation • Medical training systems, models

and simulations 16

Congressionally Directed Medical Research Programs (CDMRP)

• Alcohol and Substance Abuse • Amyotrophic Lateral Sclerosis• Autism• Bone Marrow Failure • Breast Cancer • Duchenne Muscular Dystrophy • Epilepsy• Gulf War Illness • Joint Warfighter • Lung Cancer • Burns• Multiple Sclerosis• Neurofibromatosis

• Parkinson's • Orthotics and Prosthetics • Ovarian Cancer• Alzheimer's • Cancer• Medical Research • Orthopaedics• Prostate Cancer • Spinal Cord Injury• Tuberous Sclerosis Complex • Vision

17

TriService Nursing Research Program

Priorities:

• Force health protection • Nursing competencies and practice• Leadership, ethics and mentoring

18

Clinical Care

• Seek to enhance the level of military/VA beneficiary participation with UT Medicine

• Seek opportunities for UT Medicine/UT Nursing Clinical Enterprise to partner with the DoD/VA on process improvement, patient safety and new practice models

• 6% of UT Medicine patients are funded by TRICARE 19

Moving Forward

• Military Health Institute charter established• Strategic plan in development• Military Health Student Special Interest

Group active• Military Health Institute Seminar Series

featuring two lectures per semester• DoD Grant Seekers Workshop: March 2015• DoD Grant Seekers Mentoring Program • UT System Office of Federal Relations

creating Military Health Working Group, cross collaboration among UT Health Institutions

• Regular interface with VA Health Services Research Group 20

Military Health Institute

Briefing to the Council of Principal Investigators

Byron C. Hepburn, MD, Maj Gen USAF (Ret)January 21, 2015

21