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

AMSUS IHS(6 Nov 2011)Lt Gen Green (30-Minute)

� Meeting: AMSUS IHS Outbreak, 6 November 2011, 1430

� Theme: “Transformational Pathways to Global Healthcare”

� Audience: ~ 70 International Health Specialists (IHS)

� Purpose: Updates on AFMS and IHS Future

� Design: AFMS future updates, AFMS mission/strategy

� Format: Unclassified

� Sources: NOVA brief, SLW brief, iEHR brief, Dental Updates

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Headquarters U.S. Air Force

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Air Force Pathways toGlobal Healthcare

Lt Gen C. Bruce GreenSurgeon General

6 Nov 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

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

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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

Expeditionary Operations) Evolving to Save Lives!

ForwardResuscitative

Care

Definitive CareHome w/Family

SAMMC

Self-AidBuddy Care

Combat MedicsNavy Corpsmen

In Theater CareRehab/RecoveryAF Theater Hosp

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Global Reach:IHS Supporting National Priorities

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Providing Medical Stability and Building Global Partnerships

1 Jan 10 - 30 Jun 11, 275 Missions in 81 Countries

Belize

UkraineMozambique

PacificAngel

Honduras

DominicanRepublic

Kyrgyzstan

VietnamIndonesia

Timor

Sierra Leone

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Generating Knowledge)

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PRIMARY CARE 2025: A Scenario Exploration of Forces,Challenges, and Opportunities Shaping Primary Care in the U.S.

DOD/VA iEHR and GOVERNMENT HIE SUMMIT:Establishing a Common Roadmap for Today,

Tomorrow, and the Future

OPEN SOURCE SOFTWARE of the MILITARY HEALTH SYSTEM:A Product Lifecycle Management Workshop

VETERANS AFFAIRS ROUNDTABLE: Future Performance Metrics toAssess Population Health, Patient Experience, and Healthcare Value

GENOMIC MEDICINE: An Active Consortium of Government,Academic, and Industry Leaders in the Field of GenomicMedicine Providing Expert Direction for PC2Z Program

Innovative Collaboration to Shape the Future of Healthcare

USU-HJF Military Medicine Symposium:The TBI Spectrum, Challenges, Initiatives, & Prevention

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Building Partnerships: WholeGovernment Approach

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BP is an interagency activity led by Department of State (outside of USborders) and Department of Homeland Security (w/in US borders)

Source: USAF Building Partnerships Master Plan Draft (Aug 10)

HHS

Development

DiplomacyDefense

“The Foreign policy of the United States is built on the threeDs: defense, diplomacy, and development.”

– Secretary of State Hillary Clinton

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AFMS Continuum of GlobalHealth Engagement

Extend operationalreach of the Joint

Forces

Enhance partner nationcapability for force health

protection, homeland defense, andhealth services

Optimize partner nationAirpower concepts

Communicate, advise,build partnerships

Train, mentor,expand capabilities

Educate,aerospace expertise,

interoperability

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Global Health Engagement

Total Force program addressingevolving global health issues to

support US Mission/CCDRsecurity cooperation initiatives

USAF only Service with IHS capability

60 full-time positions (+6 on JMD)

250+ AF medics are IHS specialists

2000+ AF medics with languageproficiency in 65 languages

CAPABILITIES:

Foreign language skills

Cross-cultural competency

Geopolitical insights

Regional health expertise

Interagency & security cooperation

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IHS Training:Phased in FY11-13

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10-13 wks

-IHS Orientation + JHOC (1-wk)-Overseas Course--DISAM (1-wk)-Embassy Immersion--POLAD (5-wk)-Regional Security Center—AOR specific (1-4 wk)-Air Advisor--AETC (2-wk)

Trained,Capable &

Effective IHS *

CAPABILITIES•Foreign language skills•Cross-cultural competency•Geopolitical insight•Regional health expertise•Interagency coordination•Security cooperation expertise

*Additional training required for membersassigned to IHS UTC (e.g., EMEDS)

CNAF/SGs may mandate additional training appropriate to AOR

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Building Success

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LINES OF EFFORT• Prevent: Build partnerships and trust• Protect: Enhance partner nation capability for force health

protection, homeland defense and health services• Respond: Capability; coalition & optimize PN air capability

• 1 AF: Collaboration with inter-agencies on a routine basis• 3 AF: Wounded Warrior Workshop; DIMO training in exercise• 9 AF: “Deep Dives”Lcritical analysis to inform strategy• 12 AF: Developing strategy to task; integration with A5• 13 AF: Partnership with AFRC for personnel/capability• 17 AF: Partnership with ANG/State Partnership Program

Leveraging Federal Capabilities Internationally

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Creating Global Partnerships

Macedonia(Host Nation)

MEDCEUR Partner Nations

Building International Trust Through World-Class Training

-EMEDSResponse

- Disaster Planning- Public HealthDisaster Mgmt

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Setting the Stage

� Regional Outreach� Veterinarian Subject Matter Expert Exchange Events (SMEE)� Annual Nursing Symposium� International Exercises/Real World Events� Partnerships with USAID and other NGOs

� ANG State Partnership Programs� Humanitarian Assistance/Disaster Response� MEDLITE 2011

� Air Evacuation Missions and Training

� Strategic Communication Initiatives

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Building a Better Tomorrow Through Partnerships

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Patient-Centered Care, Anywhere� 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 haveavailable in their medical record

� Respectful: Always answer phone calls/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!

GOAL!

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“TRUSTED CARE ANYWHERE”