I n t e g r i t y - S e r v i c e - E x c e l l e n c e
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
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I n t e g r i t y - S e r v i c e - E x c e l l e n c e
Headquarters U.S. Air Force
Air Force Nursing“Caring For America’s Heroes”
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Lt Gen C. Bruce GreenSurgeon General
18 November 2011
Scottsdale Nursing
I n t e g r i t y - S e r v i c e - E x c e l l e n c e
We’re All In!
AF MissionThe mission of the
United States Air Force isto fly, fight and win,in air,
space and cyberspace
AFMS VisionWorld-Class Healthcare
for Our BeneficiariesAnywhere, Anytime
AFMS MissionSeamless Health Service
Support to USAF andCombatant Commanders
Through Global Vigilance, Reach, and Power!
I n t e g r i t y - S e r v i c e - E x c e l l e n c e
AFMS Framework ProvidesFocus and Alignment2
Transform Deployable CapabilityRapid Response to Any Worldwide Contingency
Build Patient-Centered CareContinuity & Prevention to Optimize Health
Invest in Education, Training & ResearchSustain Our Future Capabilities
FitForce
OverlappingMission Areas
Strategies
Strategy � Common Practice � Culture
I n t e g r i t y - S e r v i c e - E x c e l l e n c e
T+0 hrs
CAF/MAF Improvement
T+3 hrs
EMEDS Health Response Team a Reality!
Immediate< 20 min
ER< 2 hrs
OR & ICU< 3 hrs
Evolving Expeditionary Operations2 Saving Lives Globally!
ForwardResuscitative
Care
Definitive CareHome w/Family
SAMMC
Self-AidBuddy Care
Combat MedicsNavy Corpsmen
In Theater CareRehab/RecoveryAF Theater Hosp
I n t e g r i t y - S e r v i c e - E x c e l l e n c e
Patient-Centered Medical Home
� Family Health Clinics Implemented – 61� Enrolled FH Population – 622,224
� Pediatric Clinics Implemented – 11� Enrolled Population – 26,531
� Total Population Enrolled – 648,755� 57% of AFMS Enrollment
� 83% FH Enrollment� 11% Pediatric Enrollment
611/29/2011
DATE MAJCOM MTF Purpose
01 Oct ACC SeymourJohnson PCMH Sr Consultant visit
3-5 Oct PACAF Eielson PCMH visit #2
4-6 Oct AMC Dover PCMH Sr Consultant visit
10-12 Oct AETC Vance PCMH visit #1
12-13 Oct AETC Altus PCMH Sr Consultant visit
13-15 Oct AFMC Tinker PCMH Sr Consultant visit
18-20 Oct AFGSC Whiteman PCMH Sr Consultant visit
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
Data effective 1 Oct 11 from DSSenrollment numbers Sep 2011
I n t e g r i t y - S e r v i c e - E x c e l l e n c e
Recapturing Care TogetherWhere It Makes Sense
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Building Joint Capability...Expanding Services2Improving Currency
� 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
Nellis AFB, NV
Eglin AFB, FLElmendorf AFB, AK
Systems-Based ApproachRequired To Optimize OurIntegrated Delivery System
Langley AFB, VA
Keesler AFB, MS
Wright –PattersonAFB, OH
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Electronic Health InitiativesProject (eHIP)
I n t e g r i t y - S e r v i c e - E x c e l l e n c e
Investing In Education,Training, & Research
BALTIMORE CINCINNATI ST LOUIS
� Trauma & Surgical Skills (Baltimore)� Advanced CCATT (Cincinnati)
� Trauma Skills (St. Louis)
Center for Sustainment of TraumaAnd Readiness Skills (C-STARS)
Keeping Medics Ready Through Joint & Civilian Partnerships
Scottsdale Nursing
I n t e g r i t y - S e r v i c e - E x c e l l e n c e
Since 2006, 34 nursing research approved protocols!
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
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I n t e g r i t y - S e r v i c e - E x c e l l e n c e
Air Force Nursing Services
Nurse Corps� 5,417 Officers
� Entry level BSN
Aerospace Medical Tech� 11,792 Enlisted
� EMT-B’s; equivalent to LVNin practice
� Paramedic track
� Nurse EnlistedCommissioning Program
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Nursing Services Vital to AFMS Mission Success
I n t e g r i t y - S e r v i c e - E x c e l l e n c e
Global Operations> 1,400 Medics Deployed
MC14%
DC0.5%
NC16%
MSC4%
BSC5.5%
Enlisted60%
Distribution of CurrentTotal Force Deployments by Corps
Homeland ResponseNatural Disasters
HumanitarianAssistance
Building Partnerships& Partner Capacity
Major Conflict
I n t e g r i t y - S e r v i c e - E x c e l l e n c e
AF Nurse Corps Initiatives
Force DevelopmentMC & Researcher
DNP & PhD,USUHSMSN,
Flight Nurse, WSUMHNP, MH
Nursing CoursesParamedic TrainingCIV & Enlisted DT
Critical CareCourse
Global OpsTransform Flight
Nurse &AET Training
Enhance IHS RoleJoint/AF
Leadership RoleAPN Deployment
RoleBuild GlobalPartnerships
BattlefieldResearch
Force ManagementPursue DOPMA
ReliefBalance Grade
StructureBuild AFMS
Requirements &Force Sustainment
ModelRecruiting &
RetentionInitiatives
Nurse CorpsIncentive Special
Pay
Patient CenteredCare
FHI, DM, CM, UMInpt & SurgicalOptimization
Pt Safety & MagnetFellowships
Enlisted Scope ofPractice
Care of wounded,ill & injured
Expand MentalHealth capability
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I n t e g r i t y - S e r v i c e - E x c e l l e n c e
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
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Patient-Centered Care Begins with Access to Earn Trust!
I n t e g r i t y - S e r v i c e - E x c e l l e n c e
AFMS Making a Difference
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I n t e g r i t y - S e r v i c e - E x c e l l e n c e
“TRUSTED CARE ANYWHERE”
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