I n t e g r i t y - S e r v i c e - E x c e l l e n c e

Headquarters U.S. Air Force

Air Force Medical Service Update

55 MDG Offutt AFBNovember 2011

CMSgt Charlie ColeCMEF

Lt Gen C. Bruce GreenSurgeon General

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

We’re All In

AF MissionThe mission of the

United States Air Force isto fly, fight and win�in air,

space and cyberspace

AFMS VisionWorld-Class Healthcare

for Our BeneficiariesAnywhere, Anytime

AFMS MissionSeamless Health Service

Support to USAF andCombatant Commanders

Through Global Vigilance, Reach, and Power!

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

Globally Engaged Medics

55 MDG Deployments(as of 18 Nov 11)

CY10 Total Deployed = 69Currently: 35

HONDURAS QATAR UAEBAHRAIN AFGHANISTANKYRGYZSTAN KUWAIT

As Missions Transform, Readiness is Still Priority #1

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

Our Framework ProvidesFocus and Alignment?

Transform Deployable CapabilityRapid Response to Any Worldwide Contingency

Build Patient-Centered CareContinuity & Prevention to Optimize Health

Invest in Education, Training & ResearchSustain Our Future Capabilities

FitForce

OverlappingMission Areas

Strategies

Strategy � Common Practice � Culture

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

In Pursuit of Lighter &Leaner Medical Response

Humanitarian AssistanceRapid Response Team (HARRT)

Pursuing Perfection in Medical Response Capability

EarthquakesIndonesia

EarthquakesChile

EarthquakesHaiti

Airlift Deployment Requirements:

< 24 HRS +

Health Response Team (HRT)

Rapid Response Medical Capabilities:Emergency, Resuscitative, & Surgical Care

C-17’s

T+3 hrs

OperationalResults:

Immediate Care< 20 min

ER< 2 hrs

OR & ICU< 3 hrs

T+0 hrs

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

Continuous Advances inCasualty Care

Expeditionary Operations Evolving to Save Lives Globally

*AeroSpace Interoperability Council

INTERFLY AGREEMENTApplying Lessons Learned From the C-17

WWII30%

Korea25%

Vietnam24%

PersianGulf24%C

omba

t Mor

talit

y R

ate

Learning From Coalition Partners, WeLeveraged Trauma Registry Data To

Build Innovative Solutions> 80 Patients Moved as of Nov 11

Tactical Critical Care Evacuation Team (TCCET)

OIF/OEF<10%

Re-engineering Global Patient Staging

Creating a “patient staging” continuumModular Aeromedical Staging Capability (MASC)

New CASF Activated at SAMMC

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

PatientCentered

HealthTeam

DecisionSupport

PatientDecisionSupport

PCMH Provides Improved Decision Support For Patients & Healthcare Teams

Activating Patients & Care Teams

I n t e g r i t y - S e r v i c e - E x c e l l e n c e 8

Electronic Health InitiativesProject (eHIP)

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

Innovation & Insight toRecapture Care

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Specialty Hospitals Focused on Currency and Recapture

Travis AFB, CA Langley AFB, VA

Elmendorf AFB, AK

Eglin AFB, FL Keesler AFB, MS

WPAFB, OH

Nellis AFB, NV

� Delivering Patient-Centered Care To OurBeneficiaries

� Creating Currency Opportunities To SupportReadiness

� Allowing Medics To Practice Full Scope OfCare

� Tackling Per Capita Cost Through TargetedInvestments

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

Investing In Education,Training, & Research

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Keeping Medics Ready Through Joint & Civilian Partnerships

*METC Awarded Institute for CredentialingExcellence’s Presidential Citation 2011!

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

Establishing Partnerships toEnhance Our Capabilities

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Partnerships are Vital Tools to Build & Sustain Medical Services

Physician/Dentist Education (GME/DME)� Stand alone programs� Masters with civilian universities� Integrated/affiliated with Federal partners

Nurse Education (Transition Program)� New sites include: Cincinnati, OH & Scottsdale, AZ

Nurse Enlisted Commissioning Program (NECP)

Research

USAF Dental Hygiene Program

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

The Focus is on Us

Ft Belvoir CommunityHospital (FBCH)

Walter Reed NationalMilitary Medical Center

(WRNMMC)

Andrews AmbulatoryCare Ctr

AF Theater Hospital,Joint Base - Balad

San AntonioMilitary Medical Center

Wilford HallAmbulatory Surgery Center

San Antonio MilitaryHealth System

SAMHS

Craig Joint TheaterHospital - Bagram

Improving Synergy Through a Common Vision

Craig Joint TheaterHospital - Bagram

San AntonioMilitary Medical Center

Wilford HallAmbulatory Surgery Center

San Antonio MilitaryHealth System

SAMHS

Ft Belvoir CommunityHospital (FBCH)

Walter Reed NationalMilitary Medical Center

(WRNMMC)

Andrews AmbulatoryCare Center

AF Theater Hospital,Joint Base - Balad

Joint Healthcare

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

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

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Patient-Centered Care Begins with Access to Earn Trust!

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“TRUSTED CARE ANYWHERE”