Maturing the ANSF Training Mission for 2012 & Beyond

30 Jan 2012

CAPT Philip Blaine, MSC, USN

The MHS: Healthcare to Health

NMT-A / CSTC-A

Has no real or apparent

conflicts of interest to report.

Conflict of Interest DisclosurePhilip J. Blaine, CAPT, MSC, USN, PharmD, MA

ANSF Healthcare Transition Obj

“An interdependent, professionally led ANSF Health Function that generates & sustains sufficient police & army medical personnel, infrastructure, services & logistics capabilities, with accountable & effective health systems to support ANSF”

Lines of Effort

Training– Training Military Medical Competencies

Ministerial Development– Develop, Foster, and Mature Healthcare

Administrative Systems and Processes

Lines of Effort

Institutional Development– Enact, Enforce, and Engage Accepted

Healthcare Standards Across Regions– Institutionalize Afghan Led Training of Medical

Competencies

Direct Provision of Healthcare• Specific to Defenders of the Afghan Nation

ANSF Healthcare Transition Obj

Conduct SAVs

1.2

An interdependent,professionally –

led ANSFHealth Function which generates

and sustains sufficient police

and army medical personnel,

infrastructure, services and

logistics capabilities, with accountable and effective health

systems that support the ANSF

Institutional Development

Hospitals PreventiveMedicine

MedicalLogistics

Command& Control

Direct Provision of Healthcare

MOD / MOIFormal

Guidance

Objective2.5

UnitValidations

Training

Ministerial Development

RoutineSAVs

RegionalMedic

Course

Doctrine & Policies

Validation Team

Tiered Afghan

Healthcare Stds

CM-1A CM-1B CM-2A CM-2B CM-3 CM-4

AFAMS

FieldSanitation

Course

Validation Team Formation

Multidisciplinary Healthcare Team – Implement Tiered Afghan Healthcare

Standards– Standardize Ministerial and Institutional

Development Plan Measures (Capability Milestone [CM] Ratings)

– Horizontally Integrate Efforts and Effects Across the Battle Space

Validation Team Formation

Bio-Med Equip Tech

Executive Leadership

Medical Validation Team

Clinical Lead Clinician

Nursing Lead

Preventive Med Lead Prev Med Tech

Pharmacy Lead

Medical Logistics

Medical Facilities Lead

Bio Medical Equip Lead

Security Lead

Physical Therapy Lead

Dental Lead

Validation Team Drives Horizontal Integration

Executive Leadership

ANSF Healthcare Advisors by 2014

ANSF Healthcare advisors

ANSF Healthcare advisors

2014

Mentor

Partner Advisor

Partners:ISAF forces who live and operate together with their Afghan partners

Limited Partners:Partnering at a lessened ratio but maintaining key enablers

Advisors:Enhanced mentor teams that include those enablers that the ANSF cannot self-generate, but are essential to the completion of the mission, and force protection for the mentor personnel

Mentors:Experienced teams that guide and advise their Afghan partners, influencing through enduring relationships

2010 2011 2012 2013

Glide path to ANSF Transition

Pre-Deployment Training

Wide Variation in Current Training– Range from 6/10/19/30/60 Days

Efforts to Refine the Curricula with Target of ~30 Days to Achieve Right Mix of Mentor/Advisor Training and Combat Skills

Pre-Deployment Training

Enhanced POI and Training – Will Never Be Enough to Prepare Many US

Medical Personnel Mindset• US Medical Personnel Commitment to Providing

US Standard of Care• Translates to a Commitment to Mentor/Advise to

the Same Standard

Pre-Deployment Training

If “US Standard” is Not Met– Culture Shock– Anger– Frustration– Withdrawal– Get “Too Close”– Potential Long Term Mission Consequences

Way Forward

Improve Training Model– AT A MINIMUM

• Practice Scenarios Experienced in Theater• Develop Skills to Address Situations Not Normally

Encountered• Ability to Anticipate the Disconnect and Process

Ahead of Time• Ability to Mitigate Culture Shock Up Front

Way Forward

Use Scenarios Developed From In Theater Engagements as Lessons Learned– Progressively Challenging Scenarios

• Progress from “Meet and Greet” to Complex Scenarios

– Scenarios Developed From Actual Encounters• Accountability, Clinical Competence & Healthcare

System, Communication, Culture, Learning/Teaching, Management/Leadership

Training Common Components

Didactic Training Areas– Overview of Afghanistan– Afghan Tier One Standards of Care– Ministry of Public health (MoPH) Basic and

Essential Health Care Packages– Working With Interpreters– Mentoring Approaches, Outcomes, End States– Medical Class VIII Logistical System

Summary

Mature and Integrate Validation Team Integration of NTM-A/CSTC-A Campaign

Plan– Long Range Goal to Integrated Afghan Led

ANSF Healthcare Development with GIRoA & MoPH Plans

Surge in Efforts Toward Class VIII Logistics, Preventive Medicine, Patient Movement & C2

Press for Enhanced Pre-Deployment Training

ANSF Training Mission 2012 & Beyond

Questions?