1. Keeping Our Promise Through Medical Research and Development 5 th Annual Air Force Medical Research Symposium August 24, 2010 Dr. George Peach Taylor Deputy Assistant Secretary of Defense for Force Health Protection & Readiness

2. “No Higher Priority” “Beyond waging the wars we are in, treatment of our wounded, their continuing care, and eventual reintegration into everyday life is my highest priority. “I consider this a solemn pact between those who have risked and suffered, and the Nation that owes them its eternal gratitude.” Robert M. Gates Secretary of Defense

3. Force Health Protection and Readiness Shapes defense-wide health care and deployment medical support capabilities to improve, protect, and conserve the health and resilience of Service members for optimal mission performance across global military activities and operations.* *Joint FHP CONOPS

4. FHP&R Program Directorates FHP&R is responsible for military health care policy and is comprised of nine Program Directorates: Civil – Military Medicine Force Readiness and Health Assurance Medical Logistics Deployment Technologies and Support Programs Defense Health Program Medical Research and Development Operational Medicine and Medical Force Readiness International Health Medical Countermeasures Psychological Health

5. The Military Health System The MHS is a large and complex organization  Integral component of America ’ s fighting forces – and a military medical system unlike any other in the world  A hospital system – 59 hospitals worldwide  An integrated medical system – 364 medical clinics, 282 dental clinics  An education, training and research institution Medical school and graduate programs 36 medical research laboratories Scholarship programs across most major universities Comprehensive medical research & development programs  A health insurance plan 9.6 million covered lives Over 300,000 network providers

6. Manage Beneficiary Care Deploy Healthy Force Manage Beneficiary Care Patient Care, Sustain Skills and Training Promote & Protect Health of the Force Deploy to Support the Combatant Commanders toand 9 Manage Beneficiary Care Deploy Healthy Force Deploy Medical Force Military Health System Mission – Peacetime and Wartime

7. Continuum of Care

8. DHP Medical Research and Development Develops R&D planning, programming, budgeting, and execution strategies Communicates guidance to organizations using DHP RDT&E funds Focal point for all DHP medical R&D actions and communications.

9. S trategic Drivers of “Enhanced” Medical Research & Development Funding Capability gaps identified from Joint Capability Documents/Functional Needs Assessments Capabilities – Based Assessment “I request the development of a tailored plan to provide R&D investments that advance state-of- the-art solutions for world class medical care with an emphasis on Post Traumatic Stress Disorder, Traumatic Brain Injury, Prosthetics, Restoration of Sight & Eye-Care, and other conditions directly relevant to the injuries our soldiers are currently receiving on the battlefield.” Secretary of Defense Robert Gates June 26, 2008

10. Execution Process for Medical Research and Development “Enhanced” Program SecDef Direction JFHP CONOPS JCDs MHS Strategic Imperatives Capability Gap Assessment Joint Program Committees (JPCs) R&D Opportunities (PA/RFI/RFP) USAMRMC Program Management Support Translate Guidance into R&D Needs Medical Training, Modeling/Simulation Infectious Diseases Combat Casualty Care Operational Medicine Clinical and Rehabilitation Medicine Radiobiology + Execution Agents USAMRMC USUHS ONR AFOSR BUMED AFSG Academia/Industry/Gov Peer/Program Reviews & Acquisitions Science Gap Assessment Scientific Peer Review of Research Proposals Program Review of Research Proposals + Urgent User Needs

11. Defense Health Program RDT&E Funding

12. Scope of Defense Health Program Research and Development Funding for FY 2010 PE 0601101HP PE0601117HP PE0602115HP PE0602787HP PE0603002HP PE0603115HP PE0604110HP PE0605013HP PE0605145HP PE0605502HP PE0607100HP Science & Technology Advanced Development Total Appropriation $1.28B Presidents Budget Request (PBR) $613M $372M of PBR was added to “Enhance” Medical R&D Congressional Earmarks $675M DOD APPROPRIATION TITLE VI; DEFENSE HEALTH PROGRAMS BUDGET ACTIVITY 2 FY11 will likely be under a CRA (may move schedule to right)

13. 13 Major Program Areas of Medical Research and Development FY 2010 Appropriation (Includes Congressional Marks) Clinical and Rehabilitation Medicine Health IT, Medical Training and Simulation Military Operational Medicine Combat Casualty Care Infectious Diseases Radiation Health Effects $500M $350M $10M $175M $200M$50M Actual values subject to scientific/program review of proposals, awards & research support costs Regenerative Medicine Neuromusculoskeletal Injury Acute/Chronic Pain Mgmt Sensory System Injury Cancer Muscular Dystrophy Multiple Sclerosis Autisim Diabetes Mild Traumatic Brain Injury Injury Prevention & Reduction Psychological Health & Resilience Physiological Health Environmental Health & Protection Diagnostic Biodosimetry Countermeasures - Protection - Treatment Wound Infection - Prevention - Management - Treatment Pathogen Detection HIV Prevention H1N1 Diagnostics Damage Control Resuscitation Penetrating Traumatic Brain Injury Combat Trauma Therapies Health Monitoring & Diagnostic Technology EHR Applications Med-Surgical Simulation Technologies Skills Retention/Transference Re-entry

14. $24.149M 37% $19.391M 29% $11.095M 17% $4.229M 6% $3.110M 5% $0.241K 0% $3.8M 6% Could change as additional funding becomes available FY2010 Intramural Awards Statistics for “Enhanced” DHP R&D

15. 15 Medical R&D Development  Diagnosis and Treatment of Brain Injury  Polytrauma and Blast Injury  Infectious Diseases  Radiobiology  Operational Health and Performance  Rehabilitation  Psychological Health and Well-Being for Military Personnel and Families  Medical Training Systems, Modeling and Simulations Polytrauma & Blast Injury Evacuation Applications. Applied research leading to advanced, automated, and portable medical systems for forward critical care and ground and aeromedical patient transport including but not limited to closed-loop control of delivery of life support interventions (i.e., ventilation, oxygen, and fluids) and advanced litter technologies to reduce impact of G-forces and vibration on casualties. Funding Opportunities for the “Enhanced” Part of the DHP R&D Program

16. How to Compete for FY 2011 Intramural R&D Funding Must be an Intramural Investigator – a DoD employee working within a DoD facility Must respond to Program Announcements (PA) – disseminated across the MHS and on the web at http://fhpr.osd.mil/ and http://www.health.mil/ Must go through Proposal Approval Process – Pre-proposal submission – Compliance and programmatic relevance review by a JPC – Invite full proposal submission – External scientific peer review – Military relevance and programmatic review by a JPC – OML established – Written notification to PI of proposal funding recommendation

17. BRAC: Creating Research Centers of Excellence Battlefield Health and Trauma Research at Fort Sam Houston, TX Infectious Disease Research at Walter Reed, Forest Glen, MD Aerospace Medicine Research at Wright Patterson AFB, OH Joint Biomedical Research, Development and Acquisition Management Center at Fort Detrick, MD. Medical Biological Defense Research at Fort Detrick, MD Chemical Biological Defense Research, Development & Acquisition at Aberdeen Proving Ground, MD

18. “No Higher Priority” “Beyond waging the wars we are in, treatment of our wounded, their continuing care, and eventual reintegration into everyday life is my highest priority. “I consider this a solemn pact between those who have risked and suffered, and the Nation that owes them its eternal gratitude.” Robert M. Gates Secretary of Defense

19. Keeping Our Promise Through Medical Research and Development 5 th Annual Air Force Medical Research Symposium August 24, 2010 Dr. George Peach Taylor Deputy Assistant Secretary of Defense for Force Health Protection & Readiness