1. Headquarters U.S. Air Force
Integrity - Service - Excellence
Air Force Medical Service Update
Lt Gen C. Bruce Green CMSgt Charlie Cole
Surgeon General CMEF
55 MDG Offutt AFB
November 2011

2. We’re All In
AF Mission
The mission of the
United States Air Force is
to fly, fight and win in air,
space and cyberspace
AFMS Mission AFMS Vision
Seamless Health Service World-Class Healthcare
Support to USAF and for Our Beneficiaries
Combatant Commanders Anywhere, Anytime
Through Global Vigilance, Reach, and Power!
Integrity - Service - Excellence

3. Globally Engaged Medics
55 MDG Deployments
(as of 18 Nov 11)
CY10 Total Deployed = 69
Currently: 35
HONDURAS QATAR UAE
BAHRAIN AFGHANISTAN
KYRGYZSTAN KUWAIT
As Missions Transform, Readiness is Still Priority #1
Integrity - Service - Excellence

4. 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
Integrity - Service - Excellence

5. In Pursuit of Lighter &
Leaner Medical Response
Humanitarian Assistance Health Response Team (HRT)
Rapid Response Team (HARRT)
Airlift Deployment Requirements:
Earthquakes
Indonesia < 24 HRS +
C-17’s
Rapid Response Medical Capabilities:
Emergency, Resuscitative, & Surgical Care
Earthquakes
Chile T+0 hrs Operational
Results:
Immediate Care
< 20 min
ER
Earthquakes < 2 hrs
Haiti OR & ICU
< 3 hrs
T+3 hrs
Pursuing Perfection in Medical Response Capability
Integrity - Service - Excellence

6. Continuous Advances in
Casualty Care
WWII
30% Learning From Coalition Partners, We
Leveraged Trauma Registry Data To
Build Innovative Solutions
> 80 Patients Moved as of Nov 11
Combat Mortality Rate
Korea
25% Tactical Critical Care Evacuation Team (TCCET)
Vietnam
24%
INTERFLY AGREEMENT
Applying Lessons Learned From the C-17
*AeroSpace Interoperability Council
Persian
Gulf
24% Creating a “patient staging” continuum
Modular Aeromedical Staging Capability (MASC)
OIF/OEF New CASF Activated at SAMMC
<10%
Re-engineering Global Patient Staging
Expeditionaryt Operationse Evolving tocSave n c e Globally
I n e g r i t y - S r v i c e - E x e l l e Lives

7. Activating Patients & Care Teams
Health
Team Patient
Decision Patient Decision
Support Support
Centered
PCMH Provides Improved Decision Support- For Patients c eHealthcare Teams
Integrity - Service Excellen &

8. Electronic Health Initiatives
Project (eHIP)
Integrity - Service - Excellence 8

9. Innovation & Insight to
Recapture Care
Delivering Patient-Centered Care To Our
Beneficiaries
Creating Currency Opportunities To Support Travis AFB, CA Langley AFB, VA
Readiness
Allowing Medics To Practice Full Scope Of
Care
Tackling Per Capita Cost Through Targeted Nellis AFB, NV Elmendorf AFB, AK
Investments
Eglin AFB, FL Keesler AFB, MS
WPAFB, OH
Specialty Hospitals Focused on Currency and Recapture
Integrity - Service - Excellence 9

10. Investing In Education,
Training, & Research
*METC Awarded Institute for Credentialing
Excellence’s Presidential Citation 2011!
Keeping Medics Ready Through Joint & Civilian Partnerships
Integrity - Service - Excellence 10

11. Establishing Partnerships to
Enhance Our Capabilities
Physician/Dentist Education (GME/DME)
Stand alone programs
Masters with civilian universities
Integrated/affiliated with Federal partners
Nurse Education (Transition Program)
New sites include: Cincinnati, OH & Scottsdale, AZ
Nurse Enlisted Commissioning Program (NECP)
USAF Dental Hygiene Program
Research
Partnerships are Vital Tools to Build & Sustain Medical Services
Integrity - Service - Excellence 11

12. The Focus is on Us
Walter Reed National San Antonio
Military Medical Center Military Medical Center
(WRNMMC)
Walter Reed National San Antonio
Military Medical Center Military Medical Center
(WRNMMC)
Joint Healthcare
San Antonio Military
Health System
SAMHS
San Antonio Military
Health System
Ft Belvoir Community SAMHS
Hospital (FBCH)
Ft Belvoir Community
Hospital (FBCH)
AF Theater Hospital, Craig Joint Theater
Wilford Hall Theater
Andrews Ambulatory JointJoint BaseHospital,
AF Theater
Base- Balad- Balad
Andrews Ambulatory
Craig Joint
Hospital Center
Hospital - - Bagram
Ambulatory SurgeryBagram
Wilford Hall
Ambulatory Surgery Center
Care Ctr Care Center
Improving eSynergy Through E xCommon Vision
Int grity - Service - a cellence

13. 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
Patient-Centered Care Begins with Access to Earn Trust!
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14. “TRUSTED CARE ANYWHERE”
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