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

49 MDG Holloman AFBNovember 2011

Lt Gen C. Bruce GreenSurgeon General

USAF

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

BETT

ER C

ARE

READ

YBE

TTER

HEA

LTH

BEST

VAL

UE

Joint SuicideTask Force Report

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

METCIOC

Must SeekDOD Efficiencies

--Secretary Gates

CMSgtEtchberger

awarded MoH

#29

Leesburg“Aligned For Success”

DevelopingAdvanced ICU

C-STARS

Partnerships

Open 1 Jun 11

CAF/MAF

Governance – CAIB Execution– Support

IN So

cial

Men

tal

Military - Civilian - FamilyCAF

Leadership

Comprehensive Airmen Fitness

P hys

ical

Spiri

tual

1st Use TherapeuticHypothermia Iraq

We’ve Been Busy,Readiness Still Priority #1

3Single Mission – Delivered Within An Integrated System

Tornadoes

DoD EfficienciesSought

ContinuingResolution

OIF Ends OperationNew Dawn Begins

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

49th MDG Deployments(as of 1 Nov 11)

CY10 Total Deployed = 19Currently: 16

HONDURAS IRAQAFGHANISTAN UAE

GERMANYKYRGYZSTAN KUWAIT

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

T+0 hrs

CAF/MAF Improvement

T+3 hrs

EMEDS Health Response Team a Reality!

Immediate< 20 min

ER< 2 hrs

OR & ICU< 3 hrs

Evolving Expeditionary Operations@ Saving Lives Globally!

ForwardResuscitative

Care

Definitive CareHome w/Family

SAMMC

Self-AidBuddy Care

Combat MedicsNavy Corpsmen

In Theater CareRehab/RecoveryAF Theater Hosp

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

Time

Wounded BAS Lvl-II/ForwardSurgical Teams

Lvl-III/CSH,EMEDS, EMF

DefinitiveCare

Continuous Increase In Level of Care Provided

Leve

l of C

are

En Route CriticalCare Rotary Transport

Learning From CoalitionPartners; LeveragingRegistry Data To BuildInnovative Solutions

Tactical Critical Care Evacuation Team

Continuous Learning@Guarantees Success

Capability Must Constantly Evolve to Meet Mission Requirements

-DEPLOYED June 2011- 77 Critical Patients Movedas of Oct 11

KC-135 LightsSafe-to-Fly Certified

Portable, 2-Person Install– 67 Min

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 9

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

Recapturing Care TogetherWhere It Makes Sense

10

Building Capability...Expanding Services@Improving Currency

� 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

Nellis AFB, NV

Eglin AFB, FLElmendorf AFB, AK

Systems-Based ApproachRequired To Optimize OurIntegrated Delivery System

Langley AFB, VA

Keesler AFB, MS

Wright –PattersonAFB, OH

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

Nurse Education (Transition Program)� Increasing to 241 enrolled students in FY10� New sites include: Cincinnati, OH & Scottsdale Healthcare, AZ

EnduringAcademic 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

Research� Diabetes� Telepathology� Teleradiology

Education & Research – Absolutely Critical toBuilding & Sustaining Medical Services

Nurse Enlisted Commissioning Program (NECP)� 50 per year with school of their choice

USAF Dental Hygiene Program� 10 scholarships per year� Trident Technical College (SC)� St. Petersburg College (FL)

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

13

Patient-Centered Care Begins with Access to Earn Trust!

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 14

“TRUSTED CARE ANYWHERE”