Transforming Medical Care: Modernization Directorat

1
Transforming Medical Care Modernization
Directorate
Col Deb Niemeyer, USAF, BSC Deputy Assistant
Surgeon General Chief Scientist,
Modernization Commander, AF Medical Support
Agency 28 February 2007
2
Purpose

• Purpose SGR Overview
• Classification Unclassified
• Type Informational
• Length of Briefing 2 hours
• Briefer SGR Team

3
Agenda

• Modernization Vision
• Organization
• History, Achievements Partnerships
• Modernization Process
• Inside the Divisions Missions Programs
• Future Efforts
• Questions Discussion

4
Who We Are
Air Force Surgeon Generals Modernization
Directorate
Provide oversight, direction, policy and
resources to leverage Science Technology,
Information Systems, Academia Industry
transforming medical capabilities to address
critical short-term and long-term challenges in
support of the Air Force and Joint Warfighter.
AFMS - CIO
5
Modernization Directorate
Asst SG, Modernization BGen Theresa Casey

AFMSA/CV Col Andy Stoehr
AFMSA/SGR Superintendent SMSgt Chuck Alexander
6
SGR Sites
Madigan CIF
Travis AFB
Falls Church Fort Belvoir Bolling AFB
Wright-Patterson AFB
AFRL/HE
Travis CIF
C-Stars Baltimore
Shriever AFB
C-Stars Chicago
C-Stars Cincinnati
C-Stars St Louis
Fort Detrick
Kirtland AFB
WHMC-BAMC CIFs
Keesler CIF
311th HSW
Lackland AFB Brooks City-Base KellyUSA
7
FHP Fellowship

• AFIT Fellowship started FY04
• Enhance understanding of AF and DoD agencies
  programs associated with RDA and Healthcare
  Operations
• Moved to SGR better access to a variety of
  agencies
• Special project participation (i.e., EOS / Avian
  Influenza Surveillance)
• Rotations Site visits AF/SG directorates,
  DTRA, NMRC, USAMRIID, USAMRICD, AMEDDCS, AFSF
  Center, JPEO-CBD
• Rotate through SGR
• Familiarization with Modernization processes
• Follow-on opportunities
• AF/SGR / AFMSA
• AFSF Center

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
8
History

• Established in 2003
• Grew out of Medical Readiness, Science
  Technology Directorate Medical ST Division
• Established with SG reorganization
• Vision to mirror LAF SGR to be medical
  acquisitions
• IM / IT realigned to SGR
• Ensure compatibility of IM/IT systems across the
  Enterprise
• CIO responsibility moved to SGR
• Policy integration with IM / IA / IT Modernization

9
Achievements

• SGROCC
• SGs Requirements for Operational Capabilities
  Council
• Integration with Capabilities Review Risk
  Assessment (CRRA) Process
• Medical RDTE / POM
• Human Systems Integration
• Support AIRPRINT Office
• Telehealth
• Epidemic Outbreak Surveillance ACTD Program
• Advanced Technology Demonstrations
• 30M Congressional Adds
• Assessment of Critical Medical Platforms
• IT Infrastructure Upgrades (Wireless)

10
SGR Partnerships
59th MW Surv/Diag TE
AFDW CBRN TE Spt
311th HSW Mod Spt
Army
Air Force
TATRC RD, IM/IT
AFRL, AFA, AF Security Forces Center, RD, Field
Experiments
Academia
UPMC, UIC, UTSA etc.
AIRPRINT HP, Systems Engineering
DHHS CDC LRN Surv/Diag
JPEO- CBD Med CB
Federal
DHS Surv/Diag
JMISO IM/IT

Joint / OSD
NHRC Surv/Diag
NMRC Surv/Diag
DTRA, DARPA
DoD GEIS Surveillance
Navy
Representative Listing
11
Defense Threat Reduction Agency (DTRA)

• Medical ST for the Joint CB Defense Program
• Coordinate with DoD labs, Joint Requirements
  Office and the Joint PEO-CB Defense
• Coordinate with Academia and Industry
• International collaborations
• Capabilities Area Management
• Establish and Manage programs
• Consultants to AFMS, OSD, Joint Staff, NATO
• SGR DTRA Positions
• Therapeutics
• Diagnostics
• Emerging Threats/Chem Therapeutics,
  Non-Traditional Agents and Low Level

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
12
AF Security Forces Center (AFSFC)

• Protect Personnel, Facilities, Weapons Platforms
• Conglomerate of military, civil service and
  contract support personnel of various specialties
  / backgrounds working to enhance FP measures
  quickly
• Collaborate with other agencies, Academia and
  Industry
• Drives change in TTPs Doctrine
• Ranges from novel research technology use, to
  new applications of off-the-shelf solutions
• SGR AFSFC Positions
• Formerly AF FP Battlelab (changeover FY08)
• Senior Scientist
• Force Health Protection

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
13
The Modernization Life Cycle
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
14
Push Development Speed Acquisition

• AF contributes to and pushes technology
  development, transfer and delivery to the
  marketplace
• Govt buys off-the-shelf
• Promotes
• Focused RD
• Faster development
• Knowledgeable TE
• Smarter procurement
• Enabled transition
• Robust sustainment
• Steamlined Acquisition

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
15

• Maj Steve Quigley
• Chief, Requirements Development Division

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
16
RequirementsCol Washington
Mission
Establish guidelines, policies and procedures for
defining, developing, documenting, validating,
and managing Air Force Medical Service
operational capability requirements
Major Program Areas

• Requirements Policy
• Requirements Generation
• Requirements Development
• Requirements Integration

17
SGRR AFMS Capabilities Review Risk Assessment
AFMS CRRA Capabilities

• Detect, identify, quantify and mitigate both
  present and future health threats
• Provide prevention, medical diagnosis, and
  treatment
• Capture / access all health-related personnel
  data, cradle-to-grave
• Maximize Human Performance
• Enhance situational awareness across the battle
  space to include in-flight and ground-based
  elements
• Provide platform to sustain / enhance medical /
  surgical skills
• Provide medical response for on-base, off-base,
  and international incidents

18
A Capabilities-Based Approach Align Resources
with Capability Shortfalls
Research Development Division
1
5
SGRR Staffs
Capability Gaps Identified (vetted through
MAJCOM/SGR)
Pre-SGROCC Final Prep
AF RDTE
Validated Research/Development Requirement
Initial Capabilities Document submitted
6
Assigns Leader Facilitator
Analysis of Solutions
SGRR Staffs

• SGROCC

4
Validated Materiel Solution
Line DHP Congress
3
HPT Reviews Down-select Solution
HPT completes FSA and Requirements
SGRS Staffs
2
AFMS Med Mod Panel Prioritizes Programming
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
19
Unfunded AE RequirementsMapped to SGROCC
Initiatives

• Materiel Requirements
• CCATT-specific equipment
• Battery Life Optimization
• Wireless Capability
• Research Requirements
• Severe Traumatic Brain Injury CCATT
• Abdominal Extremity Compartment Syndromes
• AE-specific risk factors?
• Blast/Thermal mechanism risk factors for
  extremities?
• Fresh Whole Blood Systemic Inflammatory
  Response immediate / mid- / long-term outcomes

20

• Lt Col Tim Wiley
• AF Clinical Research Program Manager

21
Management Program SupportMr. McCarty
Mission
Provide program execution, resource management,
operations, and support services to the
Modernization Directorate
Major Program Areas

• Acquisition Services to support AFMS needs
• Resource Management (OM, RD, and OP)
• Program Management (includes Clinical
  Investigations, Epidemic Outbreak Surveillance
  EOS, Avian Flu Project, etc.)
• Congressional Programs

22
Clinical Investigations Research

• Objectives
• Improve the quality of patient care
• Support Graduate Medical Education
• Resident and Staff Research Initiatives
• Generate an atmosphere of inquiry responsive to
  the dynamic nature of the health sciences
• Promote high professional standing and
  accreditation of health education programs
• Source DoDI 6008.8 (draft)

23
Clinical Investigations Research Sites
24
Wilford Hall Medical CenterClinical
Investigation Facility

• Staffing
• Active Duty 9
• Civilian 26
• Contractors 5

• Mission
• Surgical Residency
• Flow Cytometry
• ECMO
• Ventilator Studies

• HIV Program
• Nursing Research
• K-9 program
• IRB fellowship

25
David Grant Medical CenterClinical Investigation
Facility

• Staffing
• Active Duty 14
• Civilian 8
• Contractors 4

• Mission
• Molecular Biology Center
• Surgical Residency
• Immunology

• EOS RPM testing and validation
• JBAIDS clinical trials
• Food Water

26
Keesler Medical CenterClinical Investigation
Facility

• Staffing
• Active Duty 8
• Civilian 7
• Contractors 0

• Mission
• Surgical Residency
• Genetics
• Dental Residency
• Recovering capabilities, post-Hurricane Katrina

27
Advanced Medical Surveillance Diagnostics

• Perform world-wide Public Health Screening/
  Surveillance and rapid diagnostics capabilities
  using advanced/novel technological solutions
• Incremental, Integrated Family of Systems

28

• Lt Col Phil Livingstone
• Deputy Program Manager, Epidemic Outbreak
  Surveillance Program

29
Epidemic Outbreak Surveillance (EOS) Program

• Program Goals
• Improve near real time notification of BMTs
  presenting to HCP with FRI
• Evaluate new technologies for near real time
  identification of respiratory pathogens
• Improve identification of uncultivable
  respiratory pathogens
• Improve surveillance for emerging/re-emerging
  respiratory pathogens
• Provide surveillance for agents of BT/BW
• Integrate new data streams into surveillance
  system

30
Epidemic Outbreak SurveillanceMaking the
Difference
31
EOS Integrated Capabilities
Advanced Diagnostics
Real Time Medical Surveillance Situational
Awareness
Bioinformatics
Real World Infectious Disease Outbreaks -
Controlled Test Population - Wing/Group CC
Support

• Advanced Diagnostics Platforms
• - Multiplexed Pathogens
• Host Response Array

Real World Assessment
ELSI - Policy
Information Technology
- Platform Independent and Scalable -
Integration of Legacy Data Sources - Interfaces
to CCs and Stakeholders
32
Disease SurveillanceAdvanced Diagnostics Lab
(ADL)
33
EOS Transitions Impacts

• Spans full operational spectrum
• Protects forces during planning, deployment,
  execution, redeployment phases of joint
  operation
• Transformation of massive data sets to
  decision-quality information in real time
• Enabling CC with enhanced situational awareness
  and readiness assurance

Operations
Scheduling
Epidemic Containment
Command and Control
The right decisions
All data sources
Iraq
United States
The right data
The right information
COHORT
RT-PCR
Microarray
34
EOS Summary

• To develop a testbed at Lackland Air Force Base
  to improve national bio surveillance capability
  to prevent or mitigate the outbreak of natural
  occurring endemic diseases and/or eliminate the
  threat of a covert or overt release of biological
  agents.
• Improve situational awareness by integrating
  innovative technologies for rapid pathogen
  identification with relevant information systems
  currently in operations at LAFB.
• Provide a unique opportunity to identify, define
  and validate capabilities using a real life local
  outbreak model prior to deploying the bio
  surveillance system on a national level.
• Demonstrate how a host of technologies can be
  integrated to provide an effective homeland
  security and public health bio surveillance
  system.

35
Advanced DevelopmentCenter (ADC Skyline)

• Build, Modify, Assess Demonstrate Advanced
  Informatics
• Next Generation IM / IT to improve the health
  welfare of our military force and beneficiary
  population

36
Applied Technology CenterAFIOH, Brooks City-Base

• Evaluate, identify, minimize, prevent personnel
  exposure to, and improve patient treatment
  resulting from exposure to environmental hazards
  and CBRN agents
• Supports Demonstrations, Test Eval
• Advanced Surveillance Diagnostics Demos, MEFPAK
  Assessments
• JBPDS, JBAIDS Blocks I II
• Next Generation
• ART-Fever (Non-invasive fever determination)
• Handheld Radiac Devices
• Handheld Diagnostic Systems
• Aptamers Nanotechnology

37

• Maj Mike Dempsey
• Chief, Bioinformatics

38
Avian Flu Surveillance ProjectSilent Guardian II
Family of Systems
Pathogen Detection
Kiosk
Vital Signs Data Collection
Advanced RT-PCR
Goal Institute worldwide real-time Public Health
Screening/ Surveillance for H5 (Avian Influenza)
at 6 sites initially, up to 20 if desired, using
advanced real-time PCR

• Timeline / Accomplishments
• Ops Demo at LAFB (25-27 Sep 06) 2 clinics live
• AFIOH Stood up, Oct 06
• Senior AFMS Briefing, 21 Nov 06
• AFDW hosting JFCOM Demo, Mar 07
• Stand up 5 -9 MTFs this FY

• Develop near real-time C2 with
• bidirectional information flow
• Partnered with CDC LRN Increase
• number of avian designated sites

39

Silent Guardian II CONOPS
40
Laboratory

• Equipment / supply package ready
• Hardware consumables provided
• Site-specific items as required
• Training plan underway
• On-site documentation includes QA/QC pkg.
• Approx. 5 days all equipment and protocols
• Labs upgrading to CDC / LRN Avian status
• Critical in order to obtain the CDC H5 assay and
  protocol

41
Silent Guardian II Reporting

• Real time alerting on H5
• User-defined views
• Event filtering

42
Tier 1 Sites Avian Flu
2. Travis,AFB, CA
3. Andrews AFB, MD
4. Incirlik, Turkey
5. Osan AB, Korea
1. Lackland AFB. TX
AFIOH Results Validation Reach- back
Capability
Tier 1 Sites Regions with
H5N1 cases
43
What We Have Right Now
SG II Package AB 7000 Roche MagNA Pure
Compact Vital signs kiosk COHORT Web
application DITSCAP in process Contract vehicles
in place Upgrade sites to LRN / Avian designated
status
Result Real-time influenza surveillance
allowing Commanders and PHOs the opportunity to
be proactive with infection prevention and
control measures
Operational AFIOH reference lab LAFB 2
clinics COHORT Web Application
Pre-Operational Andrews AFB, MD (- go active by
16 Mar) Travis AFB, CA Incirlik AB Turkey Osan AB
Korea
No other real-time influenza A/H5 surveillance
capability in DoD or US Government
44
Research DevelopmentCol(s) Deltuva
Mission
Identify medical research solutions to address
capability gaps in Air Force medical care
Major Program Areas

• Medical Research (includes CIin Research Program)
• Bioeffects Medical Research
• Environmental Occ Health Research
• Medical Technology

45
Trauma RegistryAFTTR / JTTR
Description of the project Data collection
system designed for patient information to
include demographics, mechanism of injury,
associated circumstances, documentation of
physical exams (injuries, tests/ procedures,
disposition) improve outcome
Funding Congressional Sponsor AF/SGR,
ACC/SG Estimated Deployment Date Summer 2007
Demonstration Air Force Medical Evaluation
Support Activity (AFMESA). Fielding In
coordination with Pilot Unit, CENTAF CENTCOM
EMEDS Theater Hospitals Eventual tie-in with
JTTR/S / TMIP
46
Brain Acoustic MonitorBAM
Description of the project Small, portable,
non-invasive monitor of cerebral perfusion
pressure, to be used at all echelons of care
Funding WRAP Sponsor AF/SGR,
AF/SG3 Estimated Deployment Date June 2008
Demonstration R. Adams Cowley Shock Trauma
Center, Baltimore, Maryland, and the Maryland
Institute for Emergency Medical Systems
(MIEMS) Fielding Plan in progress - From field
to CONUS Tertiary Care MTFs
47
Directed EnergyNLW / DE
Description of the project Small group of
projects centered on laser eye protection and
detection of laser injury. Includes laser
detection, flash protection, nonlinear optical
coatings, and biomarker injury detection.
Funding Congressional Sponsor AF/SGR
Research Sites University of Illinois (Chicago)
and AFRL (Brooks City-Base Wright Patterson
AFB)
48
Food Water Assays
Description of the project Development of
Real-time PCR probes for food and water
pathogens. Assay Information transferred to the
JPEO- CBD Critical Reagents Program repository
for JBAIDS use
Funding RDTE Sponsor AFMOA, ACC/SG,
JPEO-CBD (JBAIDS Office) Estimated Deployment
Date FY 2008
Research Sites AFIOH Applied Technology Center,
Travis CIF
49
Microarray
Description of the project Assessment of
advanced microarray system for multiple marker,
multiple pathogen identification
Funding RDTE Sponsor AF/SGR (EOS)
Research Sites AFIOH Applied Technology Center
50
BREAK/QUESTIONS?
51
Healthcare InformaticsCol Harford
Mission
Develop and coordinate AFMS information
management strategic planning and tactical
execution to support business intelligence
Major Program Areas

• Air Force Medical Service CIO
• Data Modeling and Analysis (includes
  Bioinformatics)
• Knowledge Management
• Enterprise Architecture and Integration
• Population Health Support

52

• Maj Letitia McGee
• Clinical Systems Consultant

53
IT SystemsCol Hall
Mission
Integrate information technology (IT) initiatives
across the AFMS to provide requirements-driven
technological solutions. Transition Military
Health System (MHS) and Air Force systems to the
AFMS user
Major Program Areas

• Expeditionary and Business
• Information Assurance
• Information Technology Support
• Medical Systems Integration

54
Medical Systems Infrastructure Modernization -
MISM

• Started in 1994
• Flexible, robust, resilient network
• Comprehensive, scalable telecommunications and
  networking infrastructure
• Support emerging technology and requirements,
  e.g. digital radiology, telehealth AHLTA
  (Electronic Health Record)

55
MSIM Wireless Update

• Opportunities
• Timely access to patient data
• Multi-user workstation
• Medical record documentation at the end of day

• Wireless Benefits
• Mobility and real-time access to patient data
• Improved productivity
• Faster care and more RVUs
• Higher accuracy of records
• Multi-user logon
• Provider satisfaction

• Align with AF Line 2nd Generation Wireless
  Local Area Network implementations

56
ITS / Clinical ServicesCol Ibanez-Pabon
Mission
Serve as primary AF liaison among MHS program
offices, AF leadership, contractors, and
end-users to optimize development of new clinical
systems and their interface with existing
systems. Ensure that soundly applied information
systems support optimum healthcare through
orchestrated, AF-specific implementation,
deployment, and transition support.
Major Program Areas

• AHLTA
• DoD/VA Sharing
• EWS-R
• Cache
• Telehealth
• ICDB

57
AHLTA Update

• Block 1 (Outpatient) deployment completed 2 Nov
  06
• All 83 brick mortar Air Force MTFs trained
• Percent of total encounters documented per
  Service
• AFMS 90 Army 86 Navy 81
• AHLTA is meeting operational requirements
  threshold for speed/reliability
• Performance enhancements new functionality
  continue to be developed and fielded
• Block 2 (Dental) Operational Test Evaluation,
  May 07
• AF Dental Test sites Tinker AFB Sheppard AFB
• Anticipate full deployment decision for Block 2
  Sep 07
• Block 3 (Ancillary) acquisition strategy under
  revision

58
Telehealth

• Move electrons instead of people
• Bring care to where the patient is rather than
  bringing the patient to the provider
• Maximize limited resources
• Improve care

59
Telehealth Near-term
Radiology
Dermatology
Expeditionary Telehealth
Pathology
Ophthalmology
60
Telehealth Way Forward
Air Force Enterprise-Wide Telehealth
Imaging Tele-Consultation 2010
Provider-Patient Live Teleconsultation 2012
RadNet 2009
To Be Doctors just Electrons away
As Is
Existing Digital Infrastructure (PACS) Regional
Teleradiology
Some Tele-Dermatology
61

• Lt Col Sue Harmon
• Deputy Director, Integration, Test, and
  Transition
• Maj(s) Dave Hagerty
• Chief, Training and Transition Branch

62
Integration, Test TransitionCol Griffith
Mission
Integrate and transition technology solutions to
the AFMS end user through provision of testing,
training assessment and coordinating the smooth
transition and sustainment
Example Programs Projects

• Joint Capability for Airborne Networking System
  (JCAN)
• Patient Controlled Analgesia pumps (PCA)
• EDOCS-120B - O2 concentrator for deployed med
  facilities
• Joint Biological Agent Id Diagnostic System
  (JBAIDS)
• Mobile Molecular Technology Laboratory (MMTL)

63
Test EvaluationFort Detrick LAFB

• Key Responsibilities
• Operate AF Medical Evaluation Support Activity
  (AFMESA) and Experimentation, Technology
  Integration (XTI) Test Bed
• Systems integration, testing, utility
  assessments
• Formal technology insertion into MEFPAK process
• Modeling Simulation
• Key Partners
• AFOTEC, MAJCOMs, 311 HSW, Defense Medical
  Standardization Board (DMSB), Telemedicine
  Technology Research Center (TATRC), AF Medical
  Logistics Office (AFMLO)

64
Mobile Molecular Technology Laboratory (MMTL)

• Congressional plus-up 2004 (1M RDTE funds)
• Vital Probes awarded contract from AFRL, WPAFB
• Briefed Nov 04 (SGR, ATL, JPEO-CBD, DTRA)
• Purpose Construct a vehicle that contains
  equipment facilities found in fully-operational
  stationary lab which could be deployed to
  off-road or urban locations operate near hot
  zone
• Prototype delivered to AFIOH 2005
• MMTL can use external water power in addition
  to the internal water supply and power generator
• Two technical assessments accomplished over the
  last 6 months
• Certified as BSL 2 and 3 lab
• Operational assessment in the near future

65
Training Transition Branch

• Key Responsibilities
• Transition of Medical Modernization projects to
  the field
• Liaison between SGR project team and sustainment
  entity
• Ensure project team is incorporating effective
  and accessible training into acquisition
  strategies
• Key Partners
• DoD MHS, HQ AF/SG1, HQ AF/SG3, AFMOA, MAJCOMs,
  MEFPAKs, AETC, USAFSAM, UTC Pilot Units, AFMLO

66
Patient Controlled Analgesia (PCA)

• PCA pumps for multi-Service en route care
• Assessed performance of four candidate PCAs in
  Army, Navy and Air Force Treatment facilities,
  exercises and aircraft
• Results endorsed by DMSB/Service SGs as the Joint
  solution
• Coordinating quick transition to field for
  todays pain management needs

67
Joint Bio Agent Identification Diagnostic
System (JBAIDS)

• Validated JBAIDS sensitivity and usability with
  new DNA/RNA extraction kit
• Boosted sensitivity while eliminating 150-lb
  centrifuge permitting shipboard operations
• Recently completed JBAIDS EC/IC assessment
• Updating AF training documents for HLD LRT BAT

68
Research Oversight ComplianceLt Col Narrigan
Mission
Provides regulatory oversight and ethical
guidance for all research conducted or supported
by the USAF involving both humans and/or animals
Major Program Areas

• AF review of sister Service NLW / DE protocols
• 1st Research Reviewer certification training
• Site visits Focus on ed / training /
  communication
• SG the accountability point for Subjects
  Protection

69

• New Initiatives
• Col Deb Niemeyer

70
The Texas Biomedical Science Consortium - TBSC
Meeting a Vital National Interest Reducing Cost
and Time to Equip Medical Forces

• Public/private partnership
• To U.S. Air Force a technology accelerator
• To San Antonio and Texas an economic generator
• Technology Strategic Planning
• Proponency Network Development
• Peer Reviews
• Systems Engineering Requirements Analyses
• Market Technology Reviews
• Commercial Assessments and Cost/Benefits Analyses

71
The Texas Biomedical Science Consortium - TBSC
72
ST Transformation

• AFMS ST Transformation Contributor
• SGR Addresses
• Near-term urgent compelling needs
• Mid-term capability gaps
• Longer-term solutions (RD)
• AFMS Transformation
• A multi-disciplinary -agency approach
• Modernize Medical capabilities
• Areas
• Occupational Toxicology
• Care in the Air
• Advanced Diagnostics
• Directed Energy
• Service Unique Needs

73
Big Science

• Multi-disciplinary
• Biomedicine Moving towards Big Digital
• Knowledge Science Computing
• Knowledge-Sharing across Basic Science Clinical
  Communities
• Connected, Networked Data Investigators
  Clinicians
• Translational Science

SGR brings People, Platforms, Data together
Poised to Exploit Big Science
74
Medical Innovations
The world requires at least ten years to
understand a new idea, however important or
simple it may be. Sir Ronald Ross

• System-Level Experimentation (SLE)
• Discovery Experiments to Drive Disruptive
  Innovation
• Employment of Novel Technology / Novel Use of
  Technology
• Changes how we Fly Flight Before the Fight
• Forces Adversary to React to our Innovations
• Medical Innovations Office Parallel LAF

75

• On the Horizon
• Col Deb Niemeyer

76
Human Performance Wing

• Restore Iron Triangle of Research, Training
  Operations
• Co-locate align AFRL 311th HSW
• USAFSAM
• AFIOH Applied Tech Center
• Support activities
• SGR interface Enhance not duplicate
• Requirements, RD, Compliance, TE
• Policy Program oversight
• Compliment Unified Medical Command

Assets infrastructure LEANED and
Consolidated under new Wing
77
Unified Medical Command

• Mandated to stand up UMC
• Combined Medical RD Command under USAMRMC
• TSG Work Group charted convened 26 Jan 07
• Aggressive timeline IOC Jan-Mar 08
• Opportunities
• Address Total Lifecycle Management
• Fix Requirements Process
• Push AFMS as lead Medical Tester
• Delineate what each Service is good at --
  Reduce redundancy
• Human Performance Optimization (HPO) a core focus
• Strategy
• Place Senior Personnel in key positions
• Maximize Virtual alignment Retain personnel
  (TACON)

78
Key Message

• SGR Role Lead AFMS Transformation
• Requirements will drive the Process
• Personnel are Key to making it Happen
• We are a service Staff
• Serve those in the field
• Serve other Air Staff functions (Ops, Plans,
  etc.)
• Serve the Joint Community Beneficiary
  Population
• Pushing the Envelope to Support the Warfighter!

79
Questions?
80

• Back Up Slides

81
Real World TestbedLackland AFB

• Advanced Epidemiology

• Advanced Technologies

• Genomes Gene Expression

• Proactive ELSI Support

• IM / IT Test Site

82
Silent Guardian IAdvanced Technology Demo

• 10,000 microarray chips
• Up to 300 Assays per Day
• Surge to 450 if Required

• WRMC

• NNMC

• New Standard for Bio-surveillance
• Cut Diagnosis Time From Weeks to Hours
• Combined With Near Real Time Q5 Minute From AF
  Medical Treatment Facilities
• Pushed Evaluated the Science
• IOC 6 Dec 04
• FOC 20 Dec 04
• Goal 1 Mar 05

PROCESS

• Bolling

• Pentagon

Reporting Q5 Min
NRL

• Malcom Grow

NRL