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

Scottsdale Nursing (18 Nov 011)Lt Gen Green (30-Minute)

� Meeting: Nursing Students, 18 November 2011, 1030-1100

� Theme: Focus on the AFMS

� Audience: 22 2Lt Nurses; Nurse Instructors, Comm Partners, ~ 30 personnel

� Purpose: Nursing and the AFMS

� Design: Leadership Brief

� Format: Unclassified

� Sources: NOVA, MHS Capstone, AMSUS 2011, 2011 SLW

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Headquarters U.S. Air Force

Air Force Nursing“Caring For America’s Heroes”

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Lt Gen C. Bruce GreenSurgeon General

18 November 2011

Scottsdale Nursing

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!

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AFMS Framework ProvidesFocus and Alignment2

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

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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 Operations2 Saving Lives Globally!

ForwardResuscitative

Care

Definitive CareHome w/Family

SAMMC

Self-AidBuddy Care

Combat MedicsNavy Corpsmen

In Theater CareRehab/RecoveryAF Theater Hosp

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Patient-Centered Medical Home

� Family Health Clinics Implemented – 61� Enrolled FH Population – 622,224

� Pediatric Clinics Implemented – 11� Enrolled Population – 26,531

� Total Population Enrolled – 648,755� 57% of AFMS Enrollment

� 83% FH Enrollment� 11% Pediatric Enrollment

611/29/2011

DATE MAJCOM MTF Purpose

01 Oct ACC SeymourJohnson PCMH Sr Consultant visit

3-5 Oct PACAF Eielson PCMH visit #2

4-6 Oct AMC Dover PCMH Sr Consultant visit

10-12 Oct AETC Vance PCMH visit #1

12-13 Oct AETC Altus PCMH Sr Consultant visit

13-15 Oct AFMC Tinker PCMH Sr Consultant visit

18-20 Oct AFGSC Whiteman PCMH Sr Consultant visit

24-26 Oct USAFA USAFA PCMH visit #2

26-Oct ACC -ellis PCMH Sr Consultant Visit

1- 5 -ov PACAF Anderson PCMH visit #2

1 -5 -ov PACAF Kadena PCMH visit #2

1-5 -ov PACAF Osan PCMH visit #2

2 -ov AFSPC Peterson PCMH Sr Consultant visit

2 -ov ACC Dyess PCMH visit #1

Data effective 1 Oct 11 from DSSenrollment numbers Sep 2011

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Recapturing Care TogetherWhere It Makes Sense

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Building Joint Capability...Expanding Services2Improving 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

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Electronic Health InitiativesProject (eHIP)

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Investing In Education,Training, & Research

BALTIMORE CINCINNATI ST LOUIS

� Trauma & Surgical Skills (Baltimore)� Advanced CCATT (Cincinnati)

� Trauma Skills (St. Louis)

Center for Sustainment of TraumaAnd Readiness Skills (C-STARS)

Keeping Medics Ready Through Joint & Civilian Partnerships

Scottsdale Nursing

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

Since 2006, 34 nursing research approved protocols!

Nursing Research

� Active research in deployed locations:� Joint Combat Casualty Care Research Team

� TriService Nursing Research Program� Conducted by active duty, reserve, guard

� Collaboration with Veterans Administration

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Air Force Nursing Services

Nurse Corps� 5,417 Officers

� Entry level BSN

Aerospace Medical Tech� 11,792 Enlisted

� EMT-B’s; equivalent to LVNin practice

� Paramedic track

� Nurse EnlistedCommissioning Program

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Nursing Services Vital to AFMS Mission Success

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Global Operations> 1,400 Medics Deployed

MC14%

DC0.5%

NC16%

MSC4%

BSC5.5%

Enlisted60%

Distribution of CurrentTotal Force Deployments by Corps

Homeland ResponseNatural Disasters

HumanitarianAssistance

Building Partnerships& Partner Capacity

Major Conflict

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AF Nurse Corps Initiatives

Force DevelopmentMC & Researcher

DNP & PhD,USUHSMSN,

Flight Nurse, WSUMHNP, MH

Nursing CoursesParamedic TrainingCIV & Enlisted DT

Critical CareCourse

Global OpsTransform Flight

Nurse &AET Training

Enhance IHS RoleJoint/AF

Leadership RoleAPN Deployment

RoleBuild GlobalPartnerships

BattlefieldResearch

Force ManagementPursue DOPMA

ReliefBalance Grade

StructureBuild AFMS

Requirements &Force Sustainment

ModelRecruiting &

RetentionInitiatives

Nurse CorpsIncentive Special

Pay

Patient CenteredCare

FHI, DM, CM, UMInpt & SurgicalOptimization

Pt Safety & MagnetFellowships

Enlisted Scope ofPractice

Care of wounded,ill & injured

Expand MentalHealth capability

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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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AFMS Making a Difference

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“TRUSTED CARE ANYWHERE”