1. Assessing U.S. Navy Global Health Engagements
Mr. Joe Goodin, Navy Surgeon General’s Office
Dr. Damita J. Zweiback, LT, USNR
Ms. Debra D. Schnelle, Trifecta Solutions

2. Disclosures The presenter has no financial relationships to disclose.
This continuing education activity is managed and accredited by Professional Education Services Group in cooperation with AMSUS.
Neither PESG,AMSUS, nor any accrediting organization support or endorse any product or service mentioned in this activity.
PESG and AMSUS staff has no financial interest to disclose.
Commercial support was not received for this activity.

3. Learning Objectives:
At the conclusion of this activity, the participant will be able to:
1. Understand and define measures of effectiveness in the context of DoD Global Health Engagements.
2. Understand how to assess partnering and interoperability in the context of DoD Global Health Engagements.
3. Plan global health engagements within a framework aimed toward capacity building and sustainability.

4. Overview Purpose History CHE Assessment Concept PP14 Results
What Have We Learned?
What’s Next?

5. COCOM MOE Engagement Purpose
Collaborate with the Naval Components of SOUTHCOM, AFRICOM, and PACOM in developing a common set of measures that can be used to assess the success of medical support to PP, CP, and APS missions.
Develop a common process/system for collecting, storing and reporting mission data
Develop health system assessments that encourage a long- term approach to engagement
Develop measures that inform planners of achievable objectives in support of strategic goals that support process improvement

6. COCOM MOE Engagement History
Aug 11: Agile Capabilities WG partners with Align with FHIP MOE initiative
Oct 11: Workshop at FHIP meeting developed a strategic framework for assessment and defined strategic objectives for cooperative health engagements
May-Sep 12: PACFLT tested an early version of the assessment concept and data collection in PP12; developed MAARS, v1
Oct 12 – Apr 13: applied lessons learned from PP12, refined Assessment Concept, and developed MAARS, version 2
May-Aug 13: deployed assessment concept and MAARS on PP13
Sep 13: develop draft health engagement planning guidance with Fleet Surgeon input at FHIP meeting
Oct 13 – Mar 14: refine and finalize health engagement planning guidance and event type capabilities for input into the Global Health Engagement DCR
May – Sep 14: Deploy updated assessment concept and Mission Analysis & Assessment Reporting System (MAARS), v3 in PP14
Oct 14 – Sep 15: Deploy MAARS on PP15

7. Cooperative Health Engagements: Assessment Concept
Thesis: the professional exchange of medical and engineering services, and knowledge, has proven effective in enhancing relationships with other nations
Successful global health engagements:
Services are a match for the HN’s ability to contribute
We do the right things
With the right people
In the right way
Reach out to HN stakeholders (local, regional, NGO, PN)
Learning in partnership with the HN & PNs

8. Mission Objectives & Effects
Theater Security Cooperation Plan Objectives
Effect
Mission Objectives & Effects
MOE
Cooperative Health Engagement Objectives
Improved Partnerships
Improved U.S. Interoperability
Improved Population
Outcome in Disasters
Reduce Host Nation
Burden of Disease
Improved Health
Delivery Infrastructure
LINES OF EFFORT
Direct Medical Services
Professional Exchange
Health System Support
HA/DR Development
MOP
EVENTS
(MEDCAP, DENCAP, VETCAP, SMEE, Other)
Effort
Multiple Activities
The foundation for all cooperative health engagements is to partner with the Host Nation in building and sustaining their health care capacity.

9. Assessment Framework Ultimate Goal: HN Serves as Regional Partner
HN CAPACITY
LINES OF EFFORT
Direct Medical Services
Professional Exchanges
Health System Support
HA/DR Development
Leveraging
Mission staff is supporting HN in deploying clinical services to remote locations or other nations
Bi-lateral exchanges with HN counterparts on a variety of health topics
Mission staff & HN counterparts work together in multi-national coalitions to address regional health issues
Mission staff & HN fully participate in a national or multi-national HA/DR field exercise
Maintaining
Mission staff is supporting the HN in providing clinical care, working in HN facilities
Mission staff & HN counterparts participate jointly in medical professional exchanges on specialty care topics
Coalition bldg: consultative spt to HN on infrastructure issues
Prev Med: public hlth surveillance
Veterinary: OIE PVS review
BMET: training HN biomed repair techs
Mission staff support HN in developing/refining written plans or procedures; sponsor a TTX or symposium
Strengthening
Mission staff provides direct clinical care to HN population in collaboration with HN providers
Focus on chronic disease mgmt or on topics relevant to selected health outcomes
Coalition bldg: Facilitating sharing of HN best practices
Preventive medicine focus is on disease monitoring & prevention with HN counterparts
Veterinary: working with HN counterparts; herd hlth assessments
BMET: repair of critical items
Mission staff support HN leaders in developing planning & preparedness capabilities
Developing
Mission staff provides direct clinical care to HN population with minimal participation from HN providers
Focus on public health topics and emergency treatments
Coalition bldg: learning the elements of the Hn system; working to improve referral process
Preventive medicine focus is on potable water, sanitation education of population
Veterinary: animal husbandry education of local population
Mission staff support local HN leaders in identifying community hazards & threats
GROWTH IN PARTNERSHIP ENGAGEMENT

11. What is MAARS?
Mission Analysis & Assessment System MAARS is an automated data analysis application, featuring a central warehousing function that allows multiple sources of related information to be easily retrieved, compared, and analyzed according to a HADR framework for effective mission planning and execution.

12. What is the Value of MAARS?
Value Added
Tells us what we DID
Tells us HOW we did it
Archives events and event activities
Flexible use for multiple mission configurations
Analyzes mission performance
Indicates the direction of mission effectiveness
Joint Operations Capability
Capable data links to existing systems
Captures a directory of HN POCs (by event activities)
Comprehensive data warehousing for future analysis & reporting
Readiness, Interoperability and Partner Nation Jointness Analysis
Collects information from multiple perspectives (Planners, Participants, Stakeholders)

13. What is in the Future? Develop Web-MAARS & refine Ship-MAARS
Web-MAARS will be hosted on Navy Medicine On-Line and will support:
All planning and assessment activities
Archive all mission data
Allow data mining of mission data in support of benchmarking, analysis, etc
Ship-MAARS: MS Access data file will support all execution activities

14. Contact Information
OPNAV N0931: Mr. Goodin
MAARS Support Team (Contractor): Debra Schnelle: ;

15. Obtaining CME/CE Credit
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