The document summarizes initiatives to improve future family care in the U.S. Air Force Medical Service (AFMS). It discusses implementing patient-centered medical homes, increasing enrollment and continuity of care, reducing emergency department utilization, and improving health outcomes. It also covers investing in education, research, and partnerships; providing accessible and respectful patient-centered care; and integrating new technologies like portable surgical tools to support the AFMS mission.

1. Headquarters U.S. Air Force
Integrity - Service - Excellence
Future Family Care Initiatives
Lt Gen C. Bruce Green
Air Force Surgeon General
21 Nov 2011
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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!
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3. VIDEO
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4. AFMS 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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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 Transition from Alaska Shelters to Utilis
AK Shelter Compatible; Decreased Build Time
Joint Program Testing w/ Collective Protection
Developing “Portable” Functional Supply
Earthquakes System (ER/OR/ICU/Peds/GYN/etc)
Improved Storage/Shipping
Haiti Secure/Weather Proof Versus Triwalls/Ropak
Standardized Packing Portable Drawer Modules
MSC/Technician Role: Plans, Logistics, & Development
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6. Future Based Agile Thinking for 2045
Drivers Scope the Trajectory
Drivers are key factors that influence the future. FBAT researched
to fully define and characterize each driver, its polar description, its
constituent elements, and its current status and indicated trajectory
Identify key Determine Adjust Maintain
Build
drivers of strategic Organization Learning &
Scenarios
change implications Strategy Monitor
Primary Drivers
- Knowledge: Science & Technology AFMS Vector
or String
- Geopolitics
- Culture
- Resources: Economic & Human
Coloring Drivers 2
0
- Environmental Change 1
2
0 2
- Human Factors 5 2 0 2
7 3 0
5 4
5
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7. AFMS Strategies – 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
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8. Create The Setting
For “Right” Behaviors
Percent of Patients Satisfied* Continuity of Care
Other Provider
$
Family Health Providers at PCMH Sites MTF Primary Care Visit Distribution*
100% Family Health / PCMH Patients
100%
21471
95% 90% PCMH Team
64954
% Satisfied
80% 42400
90% UP is 70%
Good 60%
PCMH PCM
85% 50%
PCMH TEAM
40%
80% 30% 123681 121580 Continuity
20% Other Provider
75% 10% (Family Health
Jan-11 Mar-11 May-11 Jan-11 Mar-11 May-11 0% Clinic)
Non-PCMH Sites (41/322163) PCMH Sites (34/351952) PCM
PCMH Aggregate Non-PCMH Aggregate (Non-PCMH
Dec 2010 - May 2011 Sites)
Satisfaction: Goal > 95% Continuity: Goal > 90%
$ $
Monthly Emergency Department and Urgent Care Utilization* HEDIS Measures - Patients Enrolled to PCMH Clinics
Per 100 PCMH Patients
10 40
Average Monthly Visit Rate (per 100)
8 30
6
Score
20
4
DOWN 10 UP is
2 is Good
$
Good
0 0
Dec-10 Feb-11 Apr-11 Dec-10 Feb-11 Apr-11 Dec-10 Feb-11 Apr-11 Dec-10 Feb-11 Apr-11
PCMH Aggregate Non PCMH Aggregate PCMH Aggregate Non-PCMH Aggregate
ED/Urgent Care Rate: Goal < 3/100 HEDIS Aggregate: Goal > 40
Inspiring Trust & Confidence by Measuring and Rewarding Outcomes
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9. Leveraging Medical Informatics
DATA INFORMATION KNOWLEDGE WISDOM CHANGE
Better Care
TMDS Clinical
Through
Practice
Evidence Based
Guidelines
DEERS Practice
CarePoint Medication Better Health
PDTS Health
Alerts Enhanced Patient
Services Registries
Data Safety
$ / M2 Warehouse
User Home Best Value
(HSDW)
Interfaces Sensors Healthy Behavior
DMHRS
i Better Care
Expedited
EHR Test Results Improved Patient
Experience
Accelerating Information Exchange with Patient Activation
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10. Activating Patients & Care Teams
Health
Team Patient
Decision Patient Decision
Support Support
Centered
PCMH Is The LynchpineTorBetter Decision Support ForlPatients & Health Teams
Int g ity - Service - Excel ence

11. Investing In Education, Training,
Research, & Partnerships
Physician/Dentist Education (GME/DME) Research
Stand alone programs Diabetes
Masters with civilian universities Telepathology
Integrated/affiliated with Federal partners Teleradiology
84 Advanced Education General Dentistry-1 slots/yr
Dental Specialty certificate/Masters program opportunities
Nurse Education (Transition Program)
Increasing to 241 enrolled students in FY10
New sites include: Cincinnati, OH & Scottsdale Healthcare, AZ
Education, Research, Partnerships – Absolutely Critical to
Building & Sustaining Medical Services
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12. 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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13. “TRUSTED CARE ANYWHERE”
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14. Integrating New Technology
Hand-held,
Battery-powered,
Laser Cautery &
Ablation Tool
From Force Health Protection To Logistics To Portable Surgical Tools
Automated
Directed Information
Energy & Data
Sensors Collection
(AIDC) Future CCATT Mission -
Current CCATT Mission
Wireless
Reaching Beyond with Evolutionary Advances and Concepts
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