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 LIEUTENANT GENERAL (DR.) CHARLES B. GREEN
Air Force surgeon general details 'Trusted Care Anywhere' and efficiencies for House panel

Posted 3/16/2011 Email story   Print story

    


by G.W. Pomeroy
Air Force Surgeon General Public Affairs


3/16/2011 - WASHINGTON (AFNS) -- The Air Force Medical Service's simple mantra, "trusted care anywhere," fits what AFMS does today and will continue to do in years ahead, the Air Force surgeon general told Congress March 15.

In testimony before the House Armed Services Committee's subcommittee on military personnel with his military health system counterparts, Lt. Gen. (Dr.) Charles B. Green said "trusted care anywhere" means creating a system that can be taken anywhere in the world and be equally as effective whether in war or for humanitarian assistance.

"Military health system achievements have changed the face of war," Doctor Green said.

"We deploy and set up hospitals within 12 hours of arrival anywhere in the world," he said. "We move wounded warriors from the battlefield to an operating room within minutes and have achieved and sustained a less than 10 percent died-of-wounds rate. We move our sickest patients in less than 24 hours of injury and get them home to loved ones within 3 days to hasten recovery."

Doctor Green said more than 85,000 patients have been safely evacuated from Afghanistan and Iraq since October 2001. In 2010, 11,300 patients, many of whom were critically injured, were safely evacuated.

To further advance these capabilities, Doctor Green pointed out that Air Combat Command now has an expeditionary medical system deployable hospital capable of seeing the first patient within one hour of arrival and performing the first surgery within 3 to 5 hours.

"These systems are linked back to American quality care and refuse to compromise on patient safety," Doctor Green said, referring to the diagnostic informatics, which have also advanced greatly, both from deployed locations and in garrison, since the war began.

Doctor Green also emphasized the Air Force Medical Service focus on patients and populations.

"Patient-centered care builds new possibilities in prevention by linking the patient to a provider team, and both patient and provider team to an informatics network dedicated to improving care," he said.

"Efficient and effective health teams allow recapture of care in our medical treatment facilities to sustain currency," he said. "Continually improving our readiness ensures patients and warfighters always benefit from the latest medical technologies and advancements."

Air Force officials support the DOD strategy to control health care costs, and they believe it is the right approach to manage the benefit while improving quality and satisfaction, he said.

"By the end of 2012, Air Force patient-centered medical homes will provide one million of our beneficiaries new continuity of care via single provider-led teams at all Air Force facilities. We will do all in our power to improve the health of our population while working to control the rising costs of health care."

Doctor Green closed his comments by noting that Air Force Medical Service officials, through partnerships with the Army, Navy, Veterans Administration, civilians and academic partners, "leverage all the tools you (Congress) have given us to improve retention and generate new medical knowledge.

"We will continue to deliver nothing less than world-class care to military members and their families, wherever they serve around the globe," he said.

In addition to his testimony, Doctor Green also answered questions from committee members.

In response to a question from committee chairman Rep. Joe Wilson about examples of efficiencies in the AFMS, Doctor Green said AFMS officials had decreased headquarters manning to increase staffing at clinics, looked closely at support staff ratios, and spent considerable effort looking at the management of operating rooms and emergency rooms.

"Operating room throughput has increased as much as 40 percent," he said, and because of patient-centered medical homes, patient satisfaction and patient access measures are up.

Doctor Green added that improved disease management and case management are increasing efficiency across the services.



tabComments
3/30/2011 9:41:42 AM ET
@Legman working in the medical field I will not say the system is perfect neither is the civilian side. Nevertheless the initiatives LTG Green is pursuing will help move us from providing sick care to focusing more on health. You as a patient in that system will be provided more information and given the opportunity to be more involved in your own health vice blaming the system when you get sick. It won't happen over night but if we meet his vision health care in the AF will truly be trusted care anywhere.
RMA, SA
 
3/18/2011 6:39:49 AM ET
I don't trust them and they don't seem to care about my health. What a joke.
Legman, SWA
 
3/18/2011 3:42:39 AM ET
I am in no way trying to lessen the previous poster's concerns but I have a few points to make. Civilian healthcare is no better and even worse with regard to getting a timely appointment. I moonlight in a civilian facility and I am able to compare the delivery of timely care between civilian and military. If you were suddenly impanelled to a civilian doctor or provider you would soon learn about the problem with access and how providers are pushed to meet volume requirements by their owning institution. Second motrin does in fact help with many maladies. It is a common belief among military members that motrin is thrown at them for just about anything. Motrin is an anti-inflammatory and there is a significant amount of credible research available that support its use for many complaints. In my experience which is significant in both military and civilian sectors the major complainers are the ones who have not ever really experienced any significant care on the outside.
AF Medic, Texas
 
3/18/2011 2:41:52 AM ET
Capt Kirk and BetsyHave either of you consulted with a patient advocate regarding your respective situations? It is important to have dialogue with the medical treatment facility if you are having problems. There is a standard for being able to get appointments and if the MTF cannot meet that standard you should be referred to the network.
Chief, Ramstein
 
3/17/2011 8:47:27 PM ET
They gave me a little booklet on home health care and was told to only use the clinic if really necessary as they don't have enough staffing to adequately take care of everyone on base and they got rid of sick call and gave supervisors the ability to give folks the day off if they are sick. And don't miss a PHA because that's how the Air Force keeps you healthy and it will keep your name off slides.
Sgt Peanut, conus
 
3/17/2011 2:40:39 PM ET
My husband and i have been trying to get an annual exam since last October to no avail. Every time we call we are told no appointments call back in a few days. How is this world-class care? We both work and have a busy family and it is really hard to keep calling considering it takes a long time to eventually get a live person who will then turn you away. Luckily for us we are relatively healthy, but going over a year without being able to see our provider is no way to practice preventive medicine.
BetsyGT, San Antonio
 
3/17/2011 8:05:58 AM ET
We will continue to deliver nothing less than world-class care to military members.....Is that why you can barely tell your doc what issues your having before you're rushed out the door with a prescription for Motrin? While the care received may be better than what some militaries receive in foreign countries, it most definitely leaves a lot to be desired based on the standards of civilian medical care. Motrin does not cure everything and just because some of us are stateside does mean we should get less concentrated care. If the military care system was more engaged in taking care of it's members while they're in, the would be paying out less when we retired.
Capt Kirk, NCR
 
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