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

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.

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.

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

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

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

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

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.

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

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.

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)

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

Contact Information OPNAV N0931: Mr. Goodin MAARS Support Team (Contractor): Debra Schnelle: 703-909-9745; debra.schnelle@trifecta-solutions.com

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