1. Headquarters U.S. Air Force
Integrity - Service - Excellence
Total Force Pathways to
Global Healthcare
Lt Gen C. Bruce Green
Surgeon General
5 Nov 2011
1

2. 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

3. 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
Collaborating to Shape the Future of Healthcare
Integrity - Service - Excellence 3

4. Flight Surgeon Updates
Current manning 81%, functional manning 66% (deployments)
Projected 85% in Fall 2012
USUHS Initiatives:
Strongly encouraging AF USUHS students complete AMP 101
Encouraging students; AMP 201-202 as 4th year elective
Setting up USUHS student “Senior Mentors” with RAMS in NCA
HPSP Initiatives:
Developing FSO specific “clinical” rotations at large ops bases
Streamline Training Affiliation Agreements (TAA) for civ HPSP
Pushing AMP 101 for All HPSP
Other Initiatives:
Facilitate split deployments of 90 days/less for ARC
Integrity - Service - Excellence 4

5. Flight Nurse Training
7 Days SERE B-Level Training
20 Days 10 Days 42 Days
Pre-requisite FN/AET Flt Upgrade Mission
4NO 5-level School House FTU Ready
46N3
Course I
AE Basics
10 days
Program Gains
Altitude
Chamber
Course II Standard, seamless training
Equip/AC Revw
2 days 5 days w/controlled length/flexible curriculum
Course III
Decreased TDY costs
Mission Prep Single agency for instruction,
5 days
staffing & equipping
Reduced Training Time by 125+ Days
Integrity - Service - Excellence

6. ARC Issues
How are We Doing?
TFI Occupational Support
Director of Psychological Health
Mission Transitions – DOMOPS
IDES & Continuity Medical Cell
HSI Transitions – Limited Scope Facilities
TBI, PTSD, Suicides
AFMS Vision: World-Class Healthcare Anywhere, Anytime
Integrity - Service - Excellence 6

7. “TRUSTED CARE ANYWHERE”
Integrity - Service - Excellence