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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