USMC Health Services: A Shared Vision

1
USMC Health Services A Shared Vision the
Way Ahead

• RDML Richard R. Jeffries
• Medical Officer of the Marine Corps
• Health Services OAG
• 27 March 2007

2
Vision for USMC Health Services

• As a community we share common goals and we can
  shape our future to improve health service
  support for the Marine Corps
• Our Shared Vision of future USMC health services
  will influence
• Development of future health services concepts,
  doctrine, capabilities, experimentation, and
  training
• Acquisition of medical material to meet approved
  requirements
• Acquisition of medical modeling and simulation
  tools

3
Vision for USMC Health Services

• Our Shared Vision for the future of USMC health
  service support is essential as we address
  complex and inter-related issues TODAY
• Operational leadership/Career Paths
• Medical Battalion Capabilities Enhancement
• Operational Stress Control - COSC
• Medical-Dental Alignment
• Electronic Health Record TMIP Lite and Health
  Reporting
• Marine Centered Care Initiatives
• Health Service Augmentation Program
• Garrison Care
• Future GMO
• Wounded Marine Care
• Pre-deployment Training
• Tactical Combat Causality Care/Live Tissue
  Training
• Advance Officer, SEL and 8404 training

4
Vision for USMC Health Services

• Complex and inter-related issues continued
• Traumatic Brain Injury (TBI)
• PTSD Mental Health
• IMR Deployment Limiting/Indeterminate
• PHA/PDHA/PDHRA/MEB/PEB/Family-EFMP
• SSTR, Dispersed/Distributed, HA/DR, Operations
• Injured Marine and Family Care Case Management
• Primary Care Manager Responsibilities
• Future Seabase and Healthcare Support
• Graying of Well Defined Levels of Care (Level
  II-III)
• End Strength Growth/MARSOC/NavMed Growth
• Military-Civilian Conversions/PDM IV Drawdown
• Unified Medical Command/Joint/Interagency/Coalitio
  n
• WRAMC Fall Out

5
Vision for USMC Health Services

• We require a Shared Vision as we restructure our
  health service support to provide essential
  operational medicine and Force Health Protection
  capabilities required to support the 21st century
  Marine Corps
• Concept of Naval Force Health Protection for the
  21st Century
• Provides the concept for future naval health
  services
• Emphasizes required capabilities across the
  pillars
• Healthy and Fit Force
• Prevention and Protection
• Casualty Care and Management
• Infrastructure Support Services

6
Shared Vision

• We Set The Gold Standard For Force Health
  Protection, Resuscitative Care and Enroute Care
  In Austere Expeditionary Environments

7
Vision for USMC Health ServicesStrategic Outlook
(TRA)

• New USMC Growth and NavMed/Marine Medical
  increases to support
• USMC will continue to be deployed world-wide in
  support of the GWOT
• USMC will seek improved interoperability with
  naval, joint and coalition partners and leverage
  the capabilities of government agencies, NGOs and
  PVOs
• USMC will face continued Congressional DoD
  requirements to improve force prevention and
  protection, deployment health surveillance and
  support for casualties
• We will be expected to set the standard for
  far-forward resuscitative care, and provide best
  in the world operational medicine and Force
  Health Protection

8
Vision for USMC Health ServicesStrategic Outlook
(TRA)

• Our Immediate Goals
• Optimize USMC health service capabilities
• Focus on our essential clinical capabilities
• Focus on essential enabling capabilities
• Be open to new ideas and alternative means to
  achieve our common needs and desires

9
Medical Officer Marine Corps Intent

• OUR FOCUSED GOALS AND OBJECTIVES IN IMPLEMENTING
  OUR USMC HEALTH SERVICES INITIATIVES WILL
  ENSURE TOTAL SUPPORT AND MISSION ACCOMPLISHMENT
  FOR THE UNITED STATES MARINE CORPS
• RDML Rich Jeffries MC USN
• The Medical Officer of the Marine Corps

10
Concerns From The Field

• Planning GMO and SEL
• Downsizing Impact of NavMed
• Mil-Civ Impact on HSAP, SSTR, HA/DR, MCO
• Senior MarMed Background Requirements
• Recruiting Problems to Fill GMO Alternatives
• Family Physician Readiness ER/ICU Skills
• CASEVAC Manning Requirement
• Training GMO, SEL, HSAP, 8404, Live Tissue
• National Provider Identifier (NPI) HIPAA
• Task Organize Healthcare Support vice well
  defined Levels of Care
• Garrison Care MANMED Standards and Policy
• Garrison Standards and Facility Funding

11
Marines and Navy Medicine A Special Bond
12
Medical Officer Marine Corps Intent

• WE WILL REMAIN THE WORLDS FOREMOST HEALTH
  SERVICE SUPPORT ELEMENT SERVING THE WORLDS
  GREATEST EXPEDITIONARY WARFIGHTING ORGANIZATION.
• WE WILL RELY ON OUR CORE CAPABILITIES IN FORCE
  HEALTH PROTECTION TO PROVIDE A HEALTHY AND FIT
  FORCE, PROTECTED FROM HEALTH THREATS, USING STATE
  OF THE ART PREVENTIVE MEDICINE AND SURVIELLANCE
  TOOLS WHILE PROVIDING THE HIGHEST QUALITY
  CASUALTY CARE EVER KNOWN.
• RDML Rich Jeffries MC USN
• The Medical Officer of the Marine Corps

13
Medical Officer Marine Corps Intent

• WE WILL ENHANCE AND EXPAND OUR CAPABILITIES
  THROUGH AGGRESSIVE FIELDING OF ADVANCE
  TECHNOLOGY, ASSIST WITH DATA COLLECTION AND
  RESEARCH STUDIES AND EDUCATE AND TRAIN MARINES
  AND SAILORS IN ADVANCE HEALTHCARE SKILLS.
• TRANSFORMING CONCEPTS WILL IMPROVE THE CONTINUUM
  OF CARE NOT ONLY WITH THE NAVY-MARINE CORPS TEAM
  BUT JOINTLY WITHIN DoD, INTERAGENCY, COALITIONS
  AND EVEN HOST NATIONS AND NON-GOVERNMENT
  ORGANIZATIONS.
• RDML Rich Jeffries MC USN
• The Medical Officer of the Marine Corps

14
Medical Officer Marine Corps Intent

• WE MUST IMPROVE FLEXIBILITY, MOBILITY,
  MODULARITY, AND INFORMATION MANAGEMENT TO
  INCREASE AGILITY AND SPEED IN OPERATIONS IN ORDER
  TO CONTINUE TO FULLY SUPPORT OUR COUNTRYS
  EXPEDITIONARY WARFIGHTER.
• WE NEED A USMC HEALTH SERVICES CAMPAIGN PLAN TO
  MORE FULLY VISUALIZE AND IDENTIFY OUR CORE
  SUPPORT FUNCTIONS AS THEY TRANSFORM TO SUPPORT
  TODAYS NEEDS AND ENSURE PROPER ALIGNMENT WITH
  TOMORROWS 21ST CENTURY USMC.
• RDML Rich Jeffries MC USN
• The Medical Officer of the Marine Corps

15
Vision for USMC Health ServicesGuidance

• Essential Clinical Capabilities
• Preventive Medicine/Public Health/Epidemiology
• Disease Surveillance Reporting
• Deployment Health Surveillance
• Environmental Health
• Industrial Hygiene
• Entomology
• Infectious Disease
• Primary Care Services
• Sick Call
• Womens Healthcare
• Aviation Medicine
• Diving Medicine
• Dental
• Sports Medicine
• First Responder Care (Self-aid, Buddy-aid,
  Combat Lifesaver, and Corpsmen)
• Advanced Trauma Management
• Mass Casualty Teams
• Combat Operational Stress Control (OSCAR)

16
Vision for USMC Health ServicesGuidance

• Essential Clinical Capabilities (Cont.)
• Far-forward Resuscitative Surgery (FRSS)
• Forward Resuscitative Surgery (Surgical Company)
• Clinical Laboratory Capability
• Identification of Chemical/Biological Warfare
  Agents During Patient Care
• Blood Management
• Diagnostic Imaging
• Pharmacy
• Infection Control
• Temporary Holding with Critical Care to
  Stabilize Patients for Evacuation
• Enroute Care during RW Evacuation
• Enroute Care during Ground Evacuation
• Remote Physiological Monitoring of Marines and
  Patients
• Telemedicine Capability, to include Reach-back
  to MTFs Outside the Theater
• Patient Decontamination Capability
• Provide limited medical care for civilian
  casualties, EPWs, and Detainees

17
Vision for USMC Health ServicesGuidance

• Essential Enabling Capabilities
• Automated Systems to Collect and Manage Patient
  Information
• Theater Medical Information Program
• SAMS / Medical Readiness reporting System
• Combat Trauma Registry
• Casualty/Patient Tracking and Reporting
• Medical Planning
• Medical Intelligence
• Medical Logistics
• Supply Chain Management
• Material Handling
• Biomedical Repair Maintenance
• Medical Modeling and Simulation
• Medical and Operational Training