Assessing U.S. Navy Global Health Engagements
Mr. Joe Goodin, Navy Surgeon Generals Office Dr. Damita J. Zweiback, LT, USNR Ms. Debra D. Schnelle, Trifecta Solutions Disclosures The presenter has no financial relationships to disclose.
This continuing education activity is managed and accredited by ProfessionalEducation Services Group in cooperation with AMSUS. Neither PESG,AMSUS, nor any accrediting organization support or endorseany product or service mentioned in this activity. PESG and AMSUS staff has no financial interest to disclose. Commercial support was not received for this activity. Learning Objectives: At the conclusion of this activity, the participant will be able to: 1.Understand and define measures of effectiveness in the context of DoD Global Health Engagements. 2.Understand how to assess partnering and interoperability in the context of DoD Global HealthEngagements. 3.Plan global health engagements within a framework aimed toward capacity building and sustainability. Overview Purpose History CHE Assessment Concept PP14 Results
What Have We Learned? Whats Next? COCOM MOE Engagement Purpose
Collaborate with the Naval Components of SOUTHCOM,AFRICOM, and PACOM in developing a common set ofmeasures that can be used to assess the success ofmedical support to PP, CP, and APS missions. Develop a common process/system for collecting, storing andreporting mission data Develop health system assessments thatencourage a long- term approach to engagement Develop measures that inform planners of achievableobjectives in support of strategic goals that supportprocessimprovement COCOM MOE Engagement History
Aug 11:Agile Capabilities WG partners with Align with FHIP MOEinitiative Oct 11:Workshop at FHIP meeting developed a strategicframework for assessment and defined strategic objectives forcooperative health engagements May-Sep 12:PACFLT tested an early version of the assessmentconcept and data collection in PP12; developed MAARS, v1 Oct 12 Apr 13:applied lessons learned from PP12, refinedAssessment Concept, and developed MAARS, version 2 May-Aug 13:deployed assessment concept and MAARS on PP13 Sep 13:develop draft health engagement planning guidance withFleet Surgeon input at FHIP meeting Oct 13 Mar 14:refine and finalize health engagement planningguidance and event type capabilities for input into the GlobalHealth Engagement DCR May Sep 14:Deploy updated assessment concept and MissionAnalysis & AssessmentReporting System (MAARS), v3 in PP14 Oct 14 Sep 15:Deploy MAARS on PP15 Cooperative Health Engagements: Assessment Concept
Thesis:the professional exchange of medical andengineering services, and knowledge, has proveneffective in enhancing relationships with othernations Successful global health engagements: Services are a match for the HNs ability to contribute We do the right things With the right people In the right way Reach out to HN stakeholders (local, regional, NGO, PN) Learning in partnership with the HN & PNs Mission Objectives & Effects
Theater Security Cooperation Plan Objectives Effect Mission Objectives & Effects MOE Cooperative Health Engagement Objectives Improved Partnerships Improved U.S. Interoperability Improved Population Outcome in Disasters Reduce Host Nation Burden of Disease Improved Health Delivery Infrastructure LINES OF EFFORT Direct Medical Services Professional Exchange Health System Support HA/DR Development MOP EVENTS (MEDCAP, DENCAP, VETCAP, SMEE, Other) Effort Multiple Activities The foundation for all cooperative health engagements is to partner with theHost Nation in building and sustaining their health care capacity. Assessment Framework Ultimate Goal: HN Serves as Regional Partner
HNCAPACITY LINES OF EFFORT Direct Medical Services Professional Exchanges Health System Support HA/DR Development Leveraging Mission staff is supporting HN in deploying clinical services to remote locations or other nations Bi-lateral exchanges with HN counterparts on a variety of health topics Mission staff & HN counterparts work together in multi-national coalitions to address regional health issues Mission staff & HN fully participate in a national or multi-national HA/DR field exercise Maintaining Mission staff is supporting the HN in providing clinical care, working in HN facilities Mission staff & HN counterparts participate jointly in medicalprofessional exchanges on specialty care topics Coalition bldg:consultative spt to HN on infrastructure issues Prev Med:public hlth surveillance Veterinary:OIE PVS review BMET: training HN biomed repair techs Mission staff support HN in developing/refining written plans or procedures; sponsor a TTX or symposium Strengthening Mission staff provides direct clinical care to HN population in collaboration with HNproviders Focus on chronic disease mgmt or on topics relevant to selected health outcomes Coalition bldg:Facilitating sharing of HN best practices Preventive medicine focus is on disease monitoring & prevention with HN counterparts Veterinary:working with HN counterparts; herd hlth assessments BMET: repair of critical items Mission staff support HN leaders in developing planning & preparedness capabilities Developing Mission staff provides direct clinical care to HN population with minimal participation from HN providers Focus on public health topics and emergency treatments Coalition bldg:learning the elements of the Hn system; working to improve referral process Preventive medicine focus is on potable water, sanitation education of population Veterinary:animal husbandry education of local population Mission staff support local HN leaders in identifying community hazards & threats GROWTHIN PARTNERSHIPENGAGEMENT What is MAARS? Mission Analysis & Assessment System MAARS is an automated data analysis application, featuring a central warehousing function that allows multiple sources of related information to be easily retrieved, compared, and analyzed according to a HADR framework for effective mission planning and execution. What is the Value of MAARS?
Value Added Tells us what we DID Tells us HOW we did it Archives events and event activities Flexible use for multiple mission configurations Analyzes mission performance Indicates the direction of mission effectiveness Joint Operations Capability Capable data links to existing systems Captures a directory of HN POCs (by event activities) Comprehensive data warehousing for future analysis & reporting Readiness, Interoperability and Partner Nation Jointness Analysis Collects information from multiple perspectives (Planners, Participants, Stakeholders) What is in the Future? Develop Web-MAARS & refine Ship-MAARS
Web-MAARS will be hosted on Navy Medicine On-Line andwill support: All planning and assessment activities Archive all mission data Allow data mining of mission data in support of benchmarking,analysis, etc Ship-MAARS:MS Access data file will support all executionactivities Contact Information OPNAV N0931:Mr. Goodin MAARS Support Team (Contractor):Debra Schnelle: ; Obtaining CME/CE Credit
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