2. Briefing Outline
• Key Facts
• Change in Focus
• Strategic View of Army Public Health
• U.S. Army Public Health Command
• CONOPS
• Strategy Map
• Integration Opportunities
• FOC Operating Picture
• FOC Location
• Breadth of Knowledge
• Questions
PURPOSE: To provide an informational briefing on the US Army Public Health
Command Initiative.
John Resta/MCHB-IP/john.resta@us.army.mil Slide 2UNCLASSIFIED
3. • Smoking - Percent of adults 18 years of age and over who
currently smoke cigarettes: 21% (2006)
• Alcohol Use - Percent of current drinkers who had five or
more drinks on at least one day in the past year: 20% (2006)
• Overweight Prevalence - Percent of non-institutionalized
adults age 20 years and over who are obese: 32%
• Health Insurance Coverage - Persons under age 65
– Number uninsured at the time of interview: 43.6 million
(2008)
– Percent uninsured at the time of interview: 17% (2008)
– Percent with private insurance at the time of interview:
65% (2008)
US Health Indicators Key Facts
John Resta/MCHB-IP/john.resta@us.army.mil Slide 3UNCLASSIFIED
4. Obesity Trends* Among U.S. Adults
BRFSS, 2008
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
John Resta/MCHB-IP/john.resta@us.army.mil Slide 4UNCLASSIFIED
6. Change in Focus
• “Health Care System” to a “System of Care”
• AMEDD Balanced Scorecard Metrics
– HEDIS Measures for Preventative
Health Screening
– ORYX Measures for preventative
disease management
– Reducing Workplace Injuries in MTFs
– Healthy Population 2010 goals for
overweight and obesity for family
members and retirees
– HPV vaccinations for AD and FM
Females (70% by FY 11)
– Emerging initiatives include improved
tobacco use reduction campaigns,
alcohol use reduction, enhanced
employee wellness efforts and
improved childhood immunization
efforts.
• Public Health Command
John Resta/MCHB-IP/john.resta@us.army.mil Slide 6UNCLASSIFIED
7. Enhancing Health, Wellness and Optimizing
Public Health Support to the Army and DoD
Direct
Medical & IMCOMPreventiveVeterinary
grate
lth Surveillance,
k Assessment,
ease and Injury
vention and
trol
Integrate
Community
Health Promotion
and Wellness
Public Health Command = Accountable and Responsible AgentPublic Health Command = Accountable and Responsible Agent
Synchronized
Public Health
Services
Strategic View of Public Health
8. ONOPS
nd VETCOM integrate
C
CHPPM Subordinate
integrate into PHC
der the C2 of the PHC
ve C2 of installation
missions
oversight of level I-III
missions through
have enterprise
nd monitoring
the level I-II VETSVC.
authority infers a level
g, advising,
n and collaboration
execute oversight
This slide depicts
functional areas
MEDCOM
RMCsRMCsRMCsRMCsRMCs
PHC
RPHCRPHCRPHCRPHCPHC
Regions
MTF
MTF
MTFMTF
MTF
vel of PH Services
mmand Level (V)
l (V) Red
Lt Blue
PHC
District
PHC
District
PHC
District
PHC
District
PHC
District
Installation
Installation
Installation
Installation
PHC
IPH
PHC
DoD MWD
(VS) Center
Oversight (PH Missions)
RMCs oversee I-II VETSVCs;
PHC oversees I-III PVNTMED
Revised CONOPS
Coordinate / Collaborate
(PH Missions)
Coordinate / Collaborate(PH Missions)
Monitor (PH Missions)
9. CS 1.0
nimized Diseases & Injuries
of Military Significance
CS 2.0
Enhanced Health & Well‐
Being
CS 3.0
Optimized Public Health
Programs and Practices
IP 6.0 Ensure Effective
Public Health Oversight
LG 16.0 Improve Knowledge Management
APHC Strategy Map Alignment to AMEDD BSC September 2010
Maximize Value in
Health Services
Synchronize Public
Health
Build the Team
Balance Innovation with
Standardization
Optimize Communication and
Knowledge Management
Feedback Adjusts Resourcing Decisions
LG 14.0 Maximize & Sustain Workforce
IP 9.0 Integrate Delivery of Health
Promotion and Wellness Services
IP 11.0 Enhance Characterization and Analysis
of Health Status and Threats
IP 10.0 Minimize Risk from Occupational &
Environmental Health Hazards
IP 13.0 Develop and Enhance Relationships with
Key Partners
IP 8.0 Improve Disease & Injury
Surveillance and Control
P 5.0 Finalize Public Health
Command
Transition Process
IP 7.0 Ensure Safe DoD
Food and Water
World‐Class Provider of Public Health Services across DA and DoD.
IP 12.0 Ensure High Quality Veterinary
Clinical Services
LG 15.0 Standardize & Document
CS 4.0
Optimized Animal Care
Promote health and prevent disease, injury, and disability of Soldiers and military retirees,
their Families, and DA Civilian employees; assure effective execution of full spectrum
veterinary service for Army and DOD Veterinary missions.
CS 1.0, 2.0, 3.0 CS 1.0, 3.0 CS 1.0, 2.0, 3.0, 5.0 CS 4.0
to AMEDD Strategic
shown in red
IP 7.0, 11.0, 12.0 IP 7.0 IP 7.0, 10.0 IP 7.0, 10.0
IP 7.0 IP 7.0, 10 .0 IP 7.0
IP 8.0, 9.0 CS 6.0 , IP 13.0, 14.0
10. ventive Medicine
40-5)
ease prevention and control
d preventive medicine
ironmental health
cupational health
alth surveillance
epidemiology
dier, family,
mmunity health,
health promotion
icology
oratory Services
alth risk assessment
alth Risk Communication
Veterinary Health Services
(AR 40-3, AR 40-656,
AR 40-657, AR 40-905)
Veterinary Medical care for
Government-Owned Animals
Zoonotic disease
surveillance and control
Food safety and
food defense quality
assurance programs
Veterinary Medical care for
Privately-Owned Animals
• Disease prevention and
control
• Field preventive medicine
• Environmental health
• Health surveillance and
epidemiology
• Laboratory services
• Health risk assessment
• Zoonotic disease
surveillance and
control
• Food safety and
food defense quality
assurance programs
Integration Opportunities
Emerging Programs
• Army Wellness Centers
• NAF One Fund
• First Year Graduate Medical Education
• Community Health Promotion Councils
13. on System Specialist Animal Care Specialist
ogist
gist
onal Health Nurse
mist
cal Engineer
Officer
ngineer
Engineer
orker
mental Engineer
mental Law Attorney
ogist
Health Physicist
Safety and Occupational Health Specialist
Acoustical Engineer
Medical Laboratory Specialist
Fire Protection Engineer
Psychologist
Veterinarian
Sanitary Engineer
Wildlife Biologist
Epidemiologist
Physical Therapist
Industrial Hygienist
Chaplain
Optometrist
Community Health Nurse
Chemist
Ergonomist
Dental Officer
ar Medical Science Officer
Marine Biologist
Dietitian
Geologist
Environmental Scientist
Audiologist
Physicist
Breadth of Knowledge
