1. 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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2. Headquarters U.S. Air Force
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Air Force Pathways to
Global Healthcare
Lt Gen C. Bruce Green
Surgeon General
6 Nov 2011
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3. Our Framework Provides
Focus and Alignment)
Strategies
Overlapping
Mission Areas Transform Deployable Capability
Rapid Response to Any Worldwide Contingency
Fit
Force Build Patient-Centered Care
Continuity & Prevention to Optimize Health
Invest in Education, Training & Research
Sustain Our Future Capabilities
Strategy Common Practice Culture
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4. CAF/MAF Improvement
Immediate
< 20 min
ER
< 2 hrs
T+0 hrs T+3 hrs
OR & ICU
< 3 hrs
EMEDS Health Response Team a Reality!
Self-Aid Combat Medics Forward In Theater Care Definitive Care
Buddy Care Navy Corpsmen Resuscitative Rehab/Recovery Home w/Family
Care AF Theater Hosp SAMMC
Expeditionary g r i t y - S e r v i c e - E x c e l l to Save Lives!
I n t e Operations) Evolving e n c e

5. Global Reach:
IHS Supporting National Priorities
Kyrgyzstan
1 Jan 10 - 30 Jun 11, 275 Missions in 81 Countries
Ukraine
Dominican
Republic Mozambique
Timor
Pacific
Belize Angel
Honduras Indonesia Vietnam
Sierra Leone
Providing Medical Stability and Building Global Partnerships
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6. Generating Knowledge)
PRIMARY CARE 2025: A Scenario Exploration of Forces,
Challenges, and Opportunities Shaping Primary Care in the U.S.
GENOMIC MEDICINE: An Active Consortium of Government,
Academic, and Industry Leaders in the Field of Genomic
Medicine Providing Expert Direction for PC2Z Program
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 to
Assess Population Health, Patient Experience, and Healthcare Value
USU-HJF Military Medicine Symposium:
The TBI Spectrum, Challenges, Initiatives, & Prevention
Innovative Collaboration to Shape the Future of Healthcare
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7. Building Partnerships: Whole
Government Approach
BP is an interagency activity led by Department of State (outside of US
borders) and Department of Homeland Security (w/in US borders)
Development
HHS
Defense Diplomacy
“The Foreign policy of the United States is built on the three
Ds: defense, diplomacy, and development.”
– Secretary of State Hillary Clinton Source: USAF Building Partnerships Master Plan Draft (Aug 10)
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8. AFMS Continuum of Global
Health Engagement
Extend operational Enhance partner nation Optimize partner nation
reach of the Joint capability for force health Airpower concepts
Forces protection, homeland defense, and
health services
Educate,
Communicate, advise, Train, mentor,
aerospace expertise,
build partnerships expand capabilities
interoperability
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9. Global Health Engagement
USAF only Service with IHS capability
60 full-time positions (+6 on JMD)
250+ AF medics are IHS specialists
2000+ AF medics with language
proficiency in 65 languages
Total Force program addressing
evolving global health issues to
support US Mission/CCDR CAPABILITIES:
security cooperation initiatives Foreign language skills
Cross-cultural competency
Geopolitical insights
Regional health expertise
Interagency & security cooperation
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10. IHS Training:
Phased in FY11-13
*Additional training required for members
assigned to IHS UTC (e.g., EMEDS)
CNAF/SGs may mandate additional training appropriate to AOR
-IHS Orientation + JHOC (1-wk)
-Overseas Course--DISAM (1-wk) Trained,
10-13 wks -Embassy Immersion--POLAD (5-wk) Capable &
-Regional Security Center—AOR specific (1-4 wk) Effective IHS *
-Air Advisor--AETC (2-wk)
CAPABILITIES
•Foreign language skills
•Cross-cultural competency
•Geopolitical insight
•Regional health expertise
•Interagency coordination
•Security cooperation expertise
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11. Building Success
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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12. Creating Global Partnerships
MEDCEUR Partner Nations
- Disaster Planning -EMEDS
- Public Health Response
Macedonia
Disaster Mgmt (Host Nation)
Building International Trust Through World-Class Training
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13. 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
Building a Better Tomorrow Through Partnerships
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14. 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 GOAL!
Organized: Don’t ask patient what you should know or have
available in their medical record
Respectful: Always answer phone calls/resolve patient concerns
Thorough: Tell patient what to do if they feel worse
Patient-Centered Care Begins with Access to Earn Trust!
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15. “TRUSTED CARE ANYWHERE”
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