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Scottsdale Nursing (18 Nov 011)
                              Lt Gen Green (30-Minute)

Meeting: Nursing Students, 18 November 2011, 1030-1100

Theme: Focus on the AFMS

Audience: 22 2Lt Nurses; Nurse Instructors, Comm Partners, ~ 30 personnel

Purpose: Nursing and the AFMS

Design: Leadership Brief

Format: Unclassified

Sources: NOVA, MHS Capstone, AMSUS 2011, 2011 SLW




              Integrity - Service - Excellence                              1
Headquarters U.S. Air Force
Integrity - Service - Excellence




            Air Force Nursing
 “Caring For America’s Heroes”



                           Lt Gen C. Bruce Green
                                Surgeon General
                               18 November 2011

                              Scottsdale Nursing
                                                   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
AFMS Framework Provides
                  Focus and Alignment2
                                     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
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




Evolving Expeditionary Operations2 SavingcLives Globally!
            Integrity - Service - Excellen e
Patient-Centered Medical Home
     Family Health Clinics Implemented – 61
                                              DATE        MAJCOM   MTF                Purpose
        Enrolled FH Population – 622,224                           Seymour
                                              01 Oct      ACC                         PCMH Sr Consultant visit
                                                                   Johnson
     Pediatric Clinics Implemented – 11       3-5 Oct     PACAF    Eielson            PCMH visit #2

        Enrolled Population – 26,531          4-6 Oct     AMC      Dover              PCMH Sr Consultant visit

                                              10-12 Oct   AETC     Vance              PCMH visit #1
     Total Population Enrolled – 648,755                           Altus
                                              12-13 Oct   AETC                        PCMH Sr Consultant visit
        57% of AFMS Enrollment                13-15 Oct   AFMC
                                                                   Tinker
                                                                                      PCMH Sr Consultant visit

            83% FH Enrollment                 18-20 Oct   AFGSC    Whiteman           PCMH Sr Consultant visit

            11% Pediatric Enrollment          24-26 Oct   USAFA    USAFA              PCMH visit #2

                                              26-Oct      ACC      -ellis             PCMH Sr Consultant Visit

                                              1- 5 -ov    PACAF    Anderson           PCMH visit #2

                                              1 -5 -ov    PACAF    Kadena             PCMH visit #2

                                              1-5 -ov     PACAF    Osan               PCMH visit #2

                                              2 -ov       AFSPC    Peterson           PCMH Sr Consultant visit

                                              2 -ov       ACC      Dyess              PCMH visit #1




11/29/2011         Integrity - Service - Excellence                           Data effective 1 Oct 11 from DSS
                                                                               enrollment numbers Sep 2011
                                                                                                                 6
Recapturing Care Together
                                               Where It Makes Sense
               Delivering Patient Centered Care To Our Beneficiaries
               Creating Currency Opportunities To Support Readiness
               Allowing Medics To Practice Full Scope Of Care
               Tackling Per Capita Cost Through Targeted Investments




  Travis AFB, CA                         Wright –Patterson
                                             AFB, OH            Langley AFB, VA



                        Nellis AFB, NV
                                         Keesler AFB, MS

                          Systems-Based Approach
                         Required To Optimize Our
                         Integrated Delivery System             Eglin AFB, FL
Elmendorf AFB, AK

   Building Joint Capability...Expanding Services2Improving Currency
                    Integrity - Service - Excellence                              7
Electronic Health Initiatives
                 Project (eHIP)




Integrity - Service - Excellence    8
Investing In Education,
                                    Training, & Research



  BALTIMORE    CINCINNATI    ST LOUIS

    Center for Sustainment of Trauma        Scottsdale Nursing
    And Readiness Skills (C-STARS)

     Trauma & Surgical Skills (Baltimore)
        Advanced CCATT (Cincinnati)
          Trauma Skills (St. Louis)




Keeping Medics Ready Through Joint & Civilian Partnerships
                  Integrity - Service - Excellence
Nursing Research
Active research in deployed locations:
   Joint Combat Casualty Care Research Team
TriService Nursing Research Program
   Conducted by active duty, reserve, guard
Collaboration with Veterans Administration




   Since 2006, 34 nursing research approved protocols!
            Integrity - Service - Excellence             10
Air Force Nursing Services

Nurse Corps               Aerospace Medical Tech
 5,417 Officers               11,792 Enlisted

 Entry level BSN              EMT-B’s; equivalent to LVN
                              in practice
                              Paramedic track
                              Nurse Enlisted
                              Commissioning Program




  Nursing Services Vital to AFMS Mission Success
            Integrity - Service - Excellence               11
Global Operations
                                      > 1,400 Medics Deployed
                        Distribution of Current
                  Total Force Deployments by Corps
                                           MC
                                           14%
                                                DC
                                               0.5%
                                                          Major Conflict
 Natural Disasters
                                        NC
Homeland Response       Enlisted       16%
                         60%
                                                 MSC
                                                 4%

                                              BSC
                                              5.5%
   Humanitarian                                   Building Partnerships
    Assistance                                     & Partner Capacity
                  Integrity - Service - Excellence
AF Nurse Corps Initiatives



Force Development       Global Ops      Force Management      Patient Centered
 MC & Researcher     Transform Flight     Pursue DOPMA                Care
                          Nurse &              Relief         FHI, DM, CM, UM
    DNP & PhD,
      USUHS            AET Training       Balance Grade        Inpt & Surgical
                     Enhance IHS Role        Structure          Optimization
       MSN,
                          Joint/AF          Build AFMS       Pt Safety & Magnet
Flight Nurse, WSU                         Requirements &
                      Leadership Role                            Fellowships
     MHNP, MH                           Force Sustainment
                     APN Deployment            Model          Enlisted Scope of
 Nursing Courses            Role                                    Practice
Paramedic Training                         Recruiting &
                        Build Global         Retention        Care of wounded,
 CIV & Enlisted DT     Partnerships          Initiatives         ill & injured
   Critical Care         Battlefield       Nurse Corps         Expand Mental
      Course             Research        Incentive Special    Health capability
                                                 Pay

         Integrity - Service - Excellence                                         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!
            Integrity - Service - Excellence                14
AFMS Making a Difference




Integrity - Service - Excellence   15
Integrity - Service - Excellence   16
“TRUSTED CARE ANYWHERE”




          Integrity - Service - Excellence

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Scottsdale Nursing Nov 2011

  • 1. Scottsdale Nursing (18 Nov 011) Lt Gen Green (30-Minute) Meeting: Nursing Students, 18 November 2011, 1030-1100 Theme: Focus on the AFMS Audience: 22 2Lt Nurses; Nurse Instructors, Comm Partners, ~ 30 personnel Purpose: Nursing and the AFMS Design: Leadership Brief Format: Unclassified Sources: NOVA, MHS Capstone, AMSUS 2011, 2011 SLW Integrity - Service - Excellence 1
  • 2. Headquarters U.S. Air Force Integrity - Service - Excellence Air Force Nursing “Caring For America’s Heroes” Lt Gen C. Bruce Green Surgeon General 18 November 2011 Scottsdale Nursing 2
  • 3. 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
  • 4. AFMS Framework Provides Focus and Alignment2 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. 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 Evolving Expeditionary Operations2 SavingcLives Globally! Integrity - Service - Excellen e
  • 6. Patient-Centered Medical Home Family Health Clinics Implemented – 61 DATE MAJCOM MTF Purpose Enrolled FH Population – 622,224 Seymour 01 Oct ACC PCMH Sr Consultant visit Johnson Pediatric Clinics Implemented – 11 3-5 Oct PACAF Eielson PCMH visit #2 Enrolled Population – 26,531 4-6 Oct AMC Dover PCMH Sr Consultant visit 10-12 Oct AETC Vance PCMH visit #1 Total Population Enrolled – 648,755 Altus 12-13 Oct AETC PCMH Sr Consultant visit 57% of AFMS Enrollment 13-15 Oct AFMC Tinker PCMH Sr Consultant visit 83% FH Enrollment 18-20 Oct AFGSC Whiteman PCMH Sr Consultant visit 11% Pediatric Enrollment 24-26 Oct USAFA USAFA PCMH visit #2 26-Oct ACC -ellis PCMH Sr Consultant Visit 1- 5 -ov PACAF Anderson PCMH visit #2 1 -5 -ov PACAF Kadena PCMH visit #2 1-5 -ov PACAF Osan PCMH visit #2 2 -ov AFSPC Peterson PCMH Sr Consultant visit 2 -ov ACC Dyess PCMH visit #1 11/29/2011 Integrity - Service - Excellence Data effective 1 Oct 11 from DSS enrollment numbers Sep 2011 6
  • 7. Recapturing Care Together Where It Makes Sense Delivering Patient Centered Care To Our Beneficiaries Creating Currency Opportunities To Support Readiness Allowing Medics To Practice Full Scope Of Care Tackling Per Capita Cost Through Targeted Investments Travis AFB, CA Wright –Patterson AFB, OH Langley AFB, VA Nellis AFB, NV Keesler AFB, MS Systems-Based Approach Required To Optimize Our Integrated Delivery System Eglin AFB, FL Elmendorf AFB, AK Building Joint Capability...Expanding Services2Improving Currency Integrity - Service - Excellence 7
  • 8. Electronic Health Initiatives Project (eHIP) Integrity - Service - Excellence 8
  • 9. Investing In Education, Training, & Research BALTIMORE CINCINNATI ST LOUIS Center for Sustainment of Trauma Scottsdale Nursing And Readiness Skills (C-STARS) Trauma & Surgical Skills (Baltimore) Advanced CCATT (Cincinnati) Trauma Skills (St. Louis) Keeping Medics Ready Through Joint & Civilian Partnerships Integrity - Service - Excellence
  • 10. Nursing Research Active research in deployed locations: Joint Combat Casualty Care Research Team TriService Nursing Research Program Conducted by active duty, reserve, guard Collaboration with Veterans Administration Since 2006, 34 nursing research approved protocols! Integrity - Service - Excellence 10
  • 11. Air Force Nursing Services Nurse Corps Aerospace Medical Tech 5,417 Officers 11,792 Enlisted Entry level BSN EMT-B’s; equivalent to LVN in practice Paramedic track Nurse Enlisted Commissioning Program Nursing Services Vital to AFMS Mission Success Integrity - Service - Excellence 11
  • 12. Global Operations > 1,400 Medics Deployed Distribution of Current Total Force Deployments by Corps MC 14% DC 0.5% Major Conflict Natural Disasters NC Homeland Response Enlisted 16% 60% MSC 4% BSC 5.5% Humanitarian Building Partnerships Assistance & Partner Capacity Integrity - Service - Excellence
  • 13. AF Nurse Corps Initiatives Force Development Global Ops Force Management Patient Centered MC & Researcher Transform Flight Pursue DOPMA Care Nurse & Relief FHI, DM, CM, UM DNP & PhD, USUHS AET Training Balance Grade Inpt & Surgical Enhance IHS Role Structure Optimization MSN, Joint/AF Build AFMS Pt Safety & Magnet Flight Nurse, WSU Requirements & Leadership Role Fellowships MHNP, MH Force Sustainment APN Deployment Model Enlisted Scope of Nursing Courses Role Practice Paramedic Training Recruiting & Build Global Retention Care of wounded, CIV & Enlisted DT Partnerships Initiatives ill & injured Critical Care Battlefield Nurse Corps Expand Mental Course Research Incentive Special Health capability Pay Integrity - Service - Excellence 13
  • 14. 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! Integrity - Service - Excellence 14
  • 15. AFMS Making a Difference Integrity - Service - Excellence 15
  • 16. Integrity - Service - Excellence 16
  • 17. “TRUSTED CARE ANYWHERE” Integrity - Service - Excellence