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

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Air Force Global Health Pathways

Lt Gen C. Bruce GreenSurgeon General

CMSgt Charlie ColeCMEF

7 November 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

Moving Forward

� 2009: STRATEGIC IMPERATIVES� The Future & Communicating the Vision

� 2010 : EXECUTING THE STRATEGY� Focus on Alignment

� 2011: BREAKTHROUGH PERFORMANCE� Tools, Incentives, and Rewards

� 2012: CULTURE OF ACCESS, INNOVATION & SERVICE� Patient-Centered Care

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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

AFMS 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

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

4Single 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

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

Innovation & Insight toRecapture Care

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Specialty Hospitals Focused on Currency and Recapture

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 7

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

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

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 the MHS Now

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

Synergy Begins Through Common Vision & Greater Integration

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

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

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!

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

SSG Shilo A. Harris

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“Everything in your life is agift. Sometimes, it’s not the

gift you want, but yourealize that your challenges

are a new beginning.”- SSG Shilo Harris

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

“TRUSTED CARE ANYWHERE”