1. Health Readiness, In a Complex World Brain at War Conference
On behalf of LTG Patty Horoho, the Army Surgeon General, thank you for the invitation to attend and address this esteemed group
Intent to discuss 3 main things:
1. Overview of who is Army Medicine and how we are organized
2. Focus on excellence through our Soldiers and civilians
3. Key challenges to health and readiness and how Army Medicine is shaping our focus and efforts to address
Endstate desired: Capabilities of Army Medicine available to their Commands; Importance of improving health readiness of the Army (and the nation); how we are getting after it.
Brain at War Conference
BG Scott Dingle
15 OCTOBER UNCLASSIFIED
Strengthening the Health of our Nation,
by Improving the Health of our Army

2. OUTLINE Mission & Organization
Global Commitment and Regional Alignment
Our Strength, Our People
Readiness Challenges / Responses
System for Health
Performance Triad (P3)
Health Readiness Platforms
Medical Research
Closing thoughts and Questions

3. Army Medicine
Mission: Army Medicine provides a high quality, safe and consistent patient experience, influences healthier lifestyle and behaviors, focuses on health readiness, injury and illness prevention, saves lives, and enables optimal health outcomes in support of the Total Army.
Vision: Strengthening the Health of our Nation by improving the Health of our Army
Focus areas to accomplish mission / strive toward vision and provide Health Readiness as foundational capability to support the Army:
MHS Governance / MHS Review
System for Health Transformation
Performance Triad / Health Readiness
MEDCOM Regional Health Commands
High Reliability Organization
Operating Company / Service Lines
Consistent patient care experience
Optimize health outcomes & costs
Leader Dev / Executive Leadership
Global Health & Science Diplomacy
LTG Patricia D. Horoho
Army Surgeon General and Commanding General, US Army Medical Command
CSM Gerald C. Ecker
Command Sergeant Major US Army Medical Command
Health Readiness is the foundational capability of Army Medicine supported by 4 top priorities / lines of effort:
Combat Casualty Care
Health Readiness of the Force
Ready & Deployable Medical Force
Health of Families & Retirees

4. DoD Executive Agencies Health Readiness Center of
Organization
The Department of the Army
Office of The Surgeon General
(OTSG) Pentagon/ Falls Church, VA
Army Staff Element
Policy and Regulation
Represents the Army
US Army Medical Command
(MEDCOM) Fort Sam Houston, TX
Direct Reporting Unit (DRU)
Fixed Facility Healthcare
Doctrine
Training
Leader Development
Organizations
Materiel
Personnel
Facilities
TSG & CG
USAMEDCOM
Development, Policy Direction, Organization, and Overall Management of an Integrated Army-wide Health Service System
OneStaff
ARSTAF
Principal
DoD Executive Agencies
LTG Horoho is dual hatted as Surgeon General of the Army and Commander of the Army Medical Command. In these roles she provides advice and assistance to the Chief of Staff, Army (CSA) and to the Secretary of the Army (SECARMY) on all health care matters pertaining to the U.S. Army and its military health care system. OTSG/MEDCOM develops policy and manages the Army health system—from the battlefield to the medical center—and also we are the medical materiel developer for the Army. These duties include formulating policy regulations on health service support, health hazard assessment and the establishment of health standards.
Armed Forces Institute of Pathology
DoD Veterinary Services Activity
Armed Service Blood Program Office
Military Vaccine Program/Vaccine Hlth Care Netwk
Armed Forces Health Surveillance Center
Medical Research for Prevention, Mitigation
and Treatment of Blast Injuries
Investigational New Drugs Force Health Protection
Military Entrance Processing Command – (MEDICAL)
Warrior Transition
Command
Medical
Research and
Materiel
Command
Health Readiness Center of
Excellence
(AMEDD C&S)
Regional
Health
Commands (P/ I)
(5)

5. Army Medicine Regionally Aligned
Regional Health Command – Central (RHC-C)
Regional Health Command – Atlantic (RHC-A)
Regional Health Command – Europe (RHC-E)
Four Multi-Disciplinary RHCs
- Single Point of Accountability for Health Readiness
- Integrates Public Health, Dental and Warrior Care
- Aligns with Corps in CONUS & ASCCs OCONUS
RHC-E aligns with USAREUR & USARAF
Bavaria
Grafenwoehr
Hohenfels
Ansbach
Vilseck
Wainwright
Landstuhl
DENCOM-E
PHC-E
WTB
Stuttgart
SHAPE
Baumholder
Wiesbaden
Vicenza
JBLM
eMSM
RHC-P HQs (REAR)
DCG aligns with
I Corps
Drum
BALANCES:
MEDCOM with HQDA, MHS and DOD Strategies
Warrior Care, Public Health, Dental, and Medical within MEDCOM and Regional HQs Staffs
Integrated Health Readiness accountability and responsibility at the MEDCOM and Regional Level
AMEDD Center and School with Army for training and doctrine development
Army Medical Research and Materiel priorities with MHS and DoD requirements
ALIGNS:
Mission Command with Health Readiness
Health Regions with CONUS Corps/OCONUS ASCCs
JBLM and Fort Wainwright health readiness platforms with Pacific Region
Dental and Public Health Regions under Regional Health Commands
Health Readiness staff functions and service lines from MEDCOM to Installation level organizations
KEY OUTCOMES:
Single point of accountability for Health Readiness
Alignment with Corps HQs, and Asia-Pacific Rebalance
Efficient and Integrated Mission Command
Expanded Branch Immaterial leader development
Decreased variance across Army Medicine
IOC/Provisional: 8 JUL 15; FOC: 8 JUL 17
TSG tearline sent to Senior Army Leaders:
On 8 JUL 2015, U.S. Army Medical Command (MEDCOM) began transformation into a more flexible and agile design that fully integrates Medical, Warrior Care and Transition, Dental, and Public Health from the strategic level down to the smallest installation in order to enhance quality, access, safety, and health readiness for our Soldiers, Family Members, and Retirees.
This is the largest transformation of the MEDCOM since its activation over 20 years ago.
- MEDCOM will improve efficiencies and mission command effectiveness by transforming fifteen regional level commands into four multi-functional Regional Health Commands (RHCs) that will each provide a single point of accountability for health readiness to regionally aligned forces around the globe.
West Point
Carlisle
APG
Detrick
Meade
MRMC (Detrick)
Monterey
Leavenworth
Myer
WTB (Belvoir)
Carson
Lee
eMSM
(Rotating)
Riley
JBLE
OTSG/MEDCOM (NCR)
Knox
Leonardwood
RHC-A (Belvoir)
aligns with XVIII ABN Corps
Irwin
Campbell
Bragg
Huachuca
eMSM
White
Sands
Sill
Redstone
Jackson
Yongsan
Benning
Gordon
Hood
WTB
Stewart
Zama
PHC-P (HQ)
Rucker
Bliss
DENCOM-C
Polk
MEDCOM (JBSA)
Schofield
JBSA
RHC-P HQs (MAIN)
CG aligns with USARPAC
Miami
Tripler
eMSM
eMSM
(Rotating)
PHC-C
AMEDDC&S HRCoE (JBSA)
RHC-C (JBSA) aligns with III Corps
Puerto Rico
Regional Health Command – Pacific (RHC-P)

6. Army Medicine Globally Committed
AMEDD Center & School
International Education
Regional Health Command- Central (P)
DCoS Dental (P)
CONUS/DOMESTIC
Ebola Response
Soldiers Actively Deployed ISO NORTHCOM Missions
NATO: Coalition Operations & Interoperability Development
Soldiers Forward Stationed or Deployed ISO EUCOM Missions
EUCOM
Georgia: Cooperative Threat Reduction; Proposed Build Partnership Capacity
Medical Research & Materiel Command
Western Region Medical Command (thru 4QFY16)
NORTHCOM
DCoS Public Health (P)
Regional Health Command- Europe (P)
Soldiers Actively Deployed ISO CENTCOM Missions
Regional Health Command- Atlantic (P)
DCoS Warrior Care / Transition (P)
CENTCOM
Pakistan: Foreign Military Sales
Israel: Data Exchange Agreement
Afghanistan/ Pakistan: AFPAK Hands
Cuba: Medical Care to Detainee Operations
AFRICOM
Regional Health Command- Pacific (P)
Dominican Republic: SME Exchange
Thailand: AFRIMS Lab; Proposed SME
Philippines: TSC Exercise, “Balakatan”
PACOM
Honduras: JTF Bravo
Liberia: Operation United Assistance
Presence is the #1 rule of Army Medicine in its global commitment; Army Medicine is everywhere, able to tailor and conform to strategic, operational and tactical needs anywhere in the world
Army Medicine supports the mission of ACOMs, Component Commands and COCOMs anywhere in the world
Army Medicine includes worldwide research on medical threats to combat care, constantly striving to improve far-forward based medical capabilities to save lives during any contingency, and improving medical inter-operability with international partners worldwide
MEDCOM Regional Health Commands (Provisional)…CONUS focus aligned with Corps HQ and OCONUS focus aligned with ASCC all focused on Health Readiness to Total Army
Capable of impacting the Total Army (AC/AR/N)G with improving health and readiness from a geographic perspective and across the full spectrum of medical, public health, veterinary and dental 
(RC) Next time we do this brief we should include a slide of State Partnership country locations as part of the Army Global Medicine footprint.
Kenya: MRMC Lab
Soldiers Forward Stationed or Deployed ISO PACOM Missions
Soldiers Actively Deployed ISO AFRICOM Missions
SOUTHCOM
Soldiers Actively Deployed ISO SOUTHCOM Missions
PACOM
LEGEND
MEDCOM HQ Element/ Asset
MEDCOM SPT to COCOM Missions
MEDCOM Global Health Support
MEDCOM Regional Health Commands align Health Readiness to Total Army

7. A Snapshot of Excellence / Partnering to Advance the Science
Army Medicine
A Snapshot of Excellence / Partnering to Advance the Science
US Army EMT pass rate = 94% (compared to 76% in civilian sector)
US Army Paramedic pass rate = 96% (compared to 85% in civilian sector)
US Army Grad Program in Anesthesia Nursing #1 (out of 113)
US Army-Baylor Doctoral Program in Physical Therapy #5 (out of 218)
US Army-Baylor Masters in Health and Business Admin #7 (out of 100)
US Army Physician’s Assistant Program #11 (out of 171)
Army Physicians first time board pass rate= 95% (national average: 86%)
Time to life-saving & sustaining capability - not time to traditional fixed facility
White House
MLB
NFL
NCAA
Caterpillar
Culinary Institute America
RAND
AAFES GE
Partnerships
At the strategic level we will continue to leverage partnerships such as NFL on Traumatic Brain Injury research and several partnerships related to Human Performance but what we want to highlight at the tactical level is the expertise in your medical staff and implore you to continue to push your unit medical staff to get the appropriate medical contingency training that is available from the Medical Simulation Training Center to maintain EMT and Paramedic certifications.
Continue to proactively support medics getting Tactical Combat Casualty Care certifications and providers the Trauma Care Management Course in a timely manner to prepare for full spectrum operations and Global Response Force preparations.
Even Medical Stability Operations or Defense CBRN Response Force training certifications as certain contingencies dictate a need.
These courses will continue to be improved as Combat Casualty Care prepares for pushing the Advanced life-saving & Sustaining Capabilities as far-forward as possible and re-tailor capabilities of aid stations / surgical teams / combat support hospitals as needed:
Sustaining life in Prolonged Field Care scenarios:
Agile approaches to hemorrhage control & resuscitation
Novel methods for airway management
Neuro-preservation after TBI (‘time is brain’)
Manage critical patients in constrained environments (advanced en-route care)
New forward surgical capabilities & enhanced care via decision support (‘tele-enabled’)
Extra-corporeal organ support & replacement
Scientific excellence, clinically aligned, leveraged with partnerships to deliver new, more agile capabilities for future scenarios – “win in a complex world”

8. Army Medicine Lines of Effort
TSG four Line Of Effort for Army Medicine underlined by how they are inter-connected and inter-dependent in providing the structure for achieving readiness across the Total Army Force and Army Medicine

9. Medically Non-Available Risk
Risk of Medical Non-availability (% increase by Risk Factor)
Risk Factor
Body Mass Index > 30 (Obese)
APFT Failure
Musculoskeletal Encounters
On Sleep Medication
100%
50%
75%
25%
200%
300%
348%
> 5 encounters vs. none
86%
vs. BMI < 25
279%
16%
81%
1 encounter vs. none
293%
2-4 encounters vs. none
FY14 data: 302,214
active duty sample
179,582
18,892
From MRAT experts: The way to describe the risk increases is, for example, to say there is an 81% increase in the risk of being Medically Non-Available when you have a history of one encounter for an Musculo-Skeletal (MSK) problem, compared to a soldier with none.
Takeaway message to Commanders: Medical Readiness Assessment Tool is being rolled out that can help your organic unit medical leaders and installation MEDCOM team quickly identify Soldiers in your formation who can get care proactively to improve Health Readiness, as well as implement the Performance Triad.
Proactively lowering medically non-available risk raises Soldier Performance and unit readiness
NOTE (Sleep Meds): There are over 16,000 Soldier encounters for Sleep medications and it increases risk of being medically non-available by 16% compared to Soldiers not taking Sleep medications
NOTE2 (MSK injuries): There are nearly 180,000 Soldier encounters with musculoskeletal injuries and with a greater emphasis on injury prevention with organic medical resources and emphasis on PRT a unit could increase unit readiness dramatically
NOTE3 (BMI > 30 Obese): Nearly 65,000 Obese Soldiers who are 48% more likely to sustain injuries and increase their risk of being medically non-available by 86%; dropping these obese Soldiers to just overweight (BMI < 25) would decrease injury risk to just 15% or 3 times less than Obese Soldiers
NOTE4 (APFT Failure): If you did the math here, about 1 in 20 fail the APFT. Need to charge the NCOs with impacting this effort and doing so smartly without increasing the risk of injury. That is how Army Medicine can make a huge impact in your formations, raise health readiness without raising injury rates
Working to move take as much of our capabilities outside our bricks and mortar and put them where the Soldiers having them help decrease musculo-skeletal injuries by having physical therapists and athletic trainers help with prevention strategies and overall health.
64,799
16,148 0%

10. Enabling Land Power Through the Human Dimension
UNCLASSIFIED
System for Health:
Enabling Land Power Through the Human Dimension
MEDCOM LINES OF EFFORT: Combat Casualty Care | Readiness & Health of the Force | Ready & Deployable Medical Force | Health of Families & Retirees
Performance Triad
Delivery of Health
Healthy Environments
Army Medicine: Readiness Platform
Healthcare To
Health
Enhanced Performance & Readiness of the Force
Enables Health of Soldiers, Families, and Retirees
The Army recognizes the need to maintain readiness and resilience by optimizing physical, emotional, social, spiritual, and family fitness of the Total Army as described by the Human Dimension Concept published in Oct14.
There is overwhelming proof that optimal sleep, activity, and nutrition are required to empower the physical, emotional, and cognitive dominance needed to enhance the Professional Soldier Athlete and build strong Army Families.
Army Medicine is transitioning from a healthcare system that focuses on disease and injury treatment to a health promotion and disease prevention focused System for Health.
The System for Health proactively focuses on improving health and wellness while delivering consistent, safe, and quality health care.
The System for health develops engaged and empowered beneficiaries to take personal responsibility to improve, restore, and maintain health of the Total Army Family. There are components of a System for Health:
- The Performance Triad improves health, readiness, resilience, and performance through teaching and coaching healthy Sleep, Activity, and Nutrition behaviors and choices.
- Army Medicine is a Health Readiness Platform that Delivers Health thorough access to evidence-based, safe, quality, person-centered, proactive and collaborative care.
- Health Environments maintain health in safe, sustainable communities that support informed choices and health lifestyles.
MTF to HRP: Platform for Health Readiness
Foundation of Human Performance Optimization
Sleep, Activity, & Nutrition Enables Physical, Emotional, & Cognitive Dominance
Physical | Emotional | Social | Spiritual | Family
Landpower Requirements
UNCLASSIFIED

11. Professional Soldier Athlete Social, Family, Spiritual
2015 Performance Triad
Professional Soldier Athlete
Physical Dominance
Cognitive Dominance
Emotional Dominance
Sustained Operations
Social, Family, Spiritual
OPORD for Life
Performance Triad
WHY?: There is a cost to pay (human, fiscal) in one form or another; any given day over 12 BCTs ( ~ 3 Divisions) of Soldier combat power is not available to deploy
Performance Triad – is designed to influence health readiness behaviors and the readiness quotient – especially as it relates to injury and obesity
One of the key findings from the 2014 Pilot was that engaged leadership was most important to gain Soldier buy-in and that leaders create culture and provide resources to facilitate personal readiness
Current pilot sites: AMEDDC&S (BOLC, CCC, ALC, SLC); ARNG – Oregon; USAR – 48th CSH; DLI – Monterey; DISA – Europe
FORSCOM sites: currently in pre-implementation phase; six month program evaluation starts in Sep/Oct 15 at JBLM (555 EN BDE), FT Bragg (44 MED BDE), FT Campbell (2/101 AASLT); FT Riley (1/1 ID); comparison BDE at FT Carson
The P3 targets and program design are based on 2014 pilot results and further evaluation will help determine how to scale Army wide; wearable technology being tested in two Bridages
Family members, DA Civilians, retirees are specifically engaged in this pilot; robust social media campaign developed
The built environment a major focus – for example, DFAC, post offerings – trying to influence through design, re-design and planning after thorough assessments to make the healthy choice the easy choice
2014 Pilot reinforced the need to influence health readiness and update/evaluate the program design:
Poor sleep was associated with increase in # and length of medical profiles
Increase activity was associated with increase in medical appointments and need for injury prevention emphasis
Higher vegetable consumption was associated with less acute medical appointments
Higher fruit consumption was associated with lower # of temporary profiles
Leader’s Kit Bag:
Enables Competent Counselors
to: Teach, Coach, Mentor
Execute at First Line Leader level through
“under the oak tree” counseling techniques,
competitions, and leveraging technology
Performance Triad enables: leader, environment, culture & Soldier change to optimize performance and unit readiness

12. Health Readiness Platforms
Unclassified//FOUO
Health Readiness Platforms
Daily Actions in Support of a Senior Mission Commander to Ensure Readiness of the Force
Bi-directional Impacts
Theme: MTFs as Readiness and Training Platforms to improve and maintain the health of the force
Training base: complex cases (GME)
MOS Proficiency Training
Health readiness support to Commanders
Daily Medical Skills Readiness to Ensure
a Ready and Deployable Medical Force
MTF-Based Training Programs, Collective/Team Training, Training of Deployable Unit Personnel, Medical Readiness & Profiling, MTF-Based Research Programs, Leader Development (64% of AMEDD Leaders), Proximity to Soldier Population to Prevent Loss of Training Hours/Days, A Beneficiary Population that Contributes to Case Complexity
Unclassified//FOUO

13. Army Medicine Advances in Military Medicine
Goals:
Return to Duty
High Performance Lifestyle
Blast Injury Expertise
Expand Patient Base
Sustain Competency
Limb Salvage
ISR Burn Center Model
Sports Medicine Rehab
Advancing the Science
Medical/ Surgical Interventions
Patient Registry
Advanced Rehabilitation
Prosthetics and Orthotics
Regenerative Medicine
Community Reintegration
National/ International Leadership
SPC Brendan Marrocco
Double Arm Transplant
Key Successes
Unprecedented survival
and return to duty rates
98% return-to-duty rate for in-theater concussive care centers
Reduced mortality rate of massive transfusion casualties from 40% to less than 20%
Decreasing case fatality rate despite increases in battlefield injury severity
SGT Jerrod Fields
World Class Athlete Program
SFC Leroy Petry
Medal of Honor Recipient
COL Greg Gadson
Installation Commander
LTC Dave Rozelle
Battalion Commander
Army Medicine’s tip of the spear for combat casualty care enhancements is the Medical Research and Materiel Command (MRMC) with AMEDD Center and School setting future capability requirement needs and implementing training platforms thereafter. We are proud of the on-going efforts in this area that have resulted in historically high battlefield survival rates
MRMC’s current research focus is linked to Army Operating Concepts, the evolving strategic environment and tenets of Force 2025B to shape future research and development efforts
Capitalize on lessons learned and leading practices from OCO experience
Paradigm shift from the “golden hour” to medical facility to Time to life-saving & sustaining capability
Leverage and develop key allied nation, academic and civil sector partnerships
Recent Military Health System Research Symposium (AUG 15)
US-UK Service Personnel, Families, and Veterans Task Force
Cooperative Research Agreement with the Israeli Defense Force- modern combat casualty care experiences
Key on-going combat casualty care R&D efforts include:
Brain Injury triage and treatment
Eliminating heat injuries through physiological monitoring (smartphone apps)
~ 2K cases in military/ yr; 93% from non-combat opns
Cold-Store Platelets
June 2015 FDA ruling clearing the use of cold-stored apheresis platelets for the resuscitation of bleeding patients

14. Closing Thoughts . . .
Army Medicine stands ready to lead and provide Health Readiness in support of the Army…and the Nation.
System For Health Prevention Focus: “Manage Sleep, Activity and Nutrition like we manage our weapon systems, vehicles and protective equipment.”
The past 14 years of conflict have advanced the science of military medicine and warrior care; we must maintain our medical skills readiness and trauma training based on these advancements.
During the last 14 years of war, we had 2 DIV worth of Soldiers who were medically non-deployable and not ready to fight; 14 years of war and the Families have been there to support us – we owe a focus to those Families now to decrease the impacts on those Families and make sure the Families improve their health readiness as well; what TSG is passionate about is improving the health of our Soldiers and Families, ask Command teams to focus on what they are passionate about.
“No nation has ever survived, and no nation ever will survive, whose people are not physically, mentally, and morally fit for survival”
- U.S. Army Training Manual No. 1 (1922)

15. Army Medicine; Army Strong! Serving to Heal…Honored to Serve!

16. BACK UP SLIDES

17. U.S. Army Medical Research & Materiel Command (USAMRMC)
USAMRMC Actual Personnel – 31 MAY 2015
MILITARY
CIVILIAN
CONTRACTOR
TOTAL
1111
2369
4042
7522
15%
31%
54%
100.00%

18. Recent USAMRMC Successes
Providing Soldier-based solutions throughout the military
medical lifecycle – from concept to delivery.
Assessed physical performance tests and standards for
combat-related military occupational specialties to develop gender
neutral tests and standards (USARIEM).
Partnered with Veterans Affairs Office of Research and
Development to execute and manage two consortia focused on
improving diagnosis and treatment of post-traumatic stress disorder
(CDMRP).
Approved through the FDA the use of a combo cream,
Topical Paromomycin and Gentamicin, for the treatment of
cutaneous Leishmaniasis (USAMMDA).
Led Army medicine’s efforts in the evaluation of promising
Ebola virus medical countermeasures in animal models, including the
ZMapp therapeutic and the VSV vaccine (USAMRIID/WRAIR/MHRP).
Fielded 7,500 pieces of medical equipment and 2,386 medical sets.
Procured and fielded more than $77 million in medical materiel set kits,
outfits and medical equipment (USAMMA).

19. Behavioral health readiness
12 Integrated Behavioral Health Programs Centered on the Patient in Support of Health and Readiness
FAMILIES
BH in
Patient Centered Medical Home (PCMH) 1* 2*
Child & Family
BH System
(CAFBHS)
Family
Advocacy Program
(FAP) 3*
Integrates BH providers within primary care clinics that deliver care to Active Duty Family members to screen and treat common BH problems.
BH services to support military families, and the Army community using school based care, tele-consultation and clinic-based care services.
Provides domestic and child abuse prevention, education, prompt reporting, investigation, intervention and treatment.
Referral to MTF
Behavioral Health Services/
IOPs/RTFs
12 * Connect Care
Provides care management for Soldiers and FMs
referred to civilian inpatient facilities to ensure high quality and coordinated BH care.
SOLDIERS
BH in Soldier Centered Medical Home (SCMH)
Embedded Behavioral Health (EBH)
Multi-Disciplinary Behavioral Health Services (MultiD)
Intensive Outpatient Programs (IOP)
Inpatient Behavioral Health
Services
Residential Treatment Facilities (RTF) 4* 5* 6* 7* 8* 9*
Key points:
- Depicts the BH System of Care, which MEDCOM has been transforming since 2012.
- The 12 standard programs are a result of a 5 year process to analyze the over 200 BH programs previously in use across the field to identify and replicate the most effective and efficient.
Its important for commanders to know that NLT 1OCT16, all operational units will receive their outpatient BH care in the Embedded BH model (program #5 above), which places a BH provider into direct support of each battalion size unit and locates BH team in or near the brigade area, wherever possible. 58 Embedded BH teams are now in place, out of the 65 that will be required at end state.
Non-operational units will receive dedicated BH support through Multi-Disciplinary BH clinics (program #6 above)
We highly encourage senior line leaders to ensure their subordinate commanders to create regular venues to communicate with the BH providers supporting their unit to identify Soldiers at risk and mitigate concerning trends.
(RC) This would be a place where we could have a back up slide on the DPH program in the RC
Integrates BH providers within primary care clinics that deliver care to Active Duty Soldiers to screen and treat common BH problems.
Provides
multidisciplinary,
Behavioral healthcare
to Soldiers in close
proximity to their
units and in coordination
with their unit leaders.
Provides
general and sub-specialty BH services to Soldiers and Families through prevention, advocacy and treatment.
Treats patients
presenting with
substance use disorder
and/or BH problems utilizing a multi-week intensive outpatient treatment strategy.
Provides inpatient BH services to treat acute BH conditions to enable rapid symptom resolution and safe transfer of care to outpatient settings.
Provides an interdisciplinary program in a 24-hour,live-in, multi-week setting targeting substance use disorders and other chronic conditions.
Tele-Behavioral Health: Transmitting BH Clinical Capability Virtually
10*
11*
Tracks patient outcomes, patient satisfaction, and risk factors via web application

20. Who We Are… Who We Serve AMEDD at a Glance
Personnel
AMEDD Total
OTSG/MEDCOM
Total AC1
51,056
27,259
Civilian (All Medical)*2
43,226
40,613
Contractors3
~7,789
~5,559
Compo 2/3
49,4204
1,6985
Total
151,491
75,129
Resourcing6
FY15 Funded: $11.83B
(all appropriations)
*AMEDD: All of MC/CS/W00LAA +All Army CP53; OTSG/MEDCOM is Appr Funds
Only (No LN/NAF) and includes CS/W00LAA OTSG pay & nonpay
Beneficiaries9
Active Duty (AD)
499K
Family Members (AD)
758K
Dependant Survivor
235K
Eligible NG/RC
108K
Family Members of NG/RC
159K
Retired
812K
Family Members Retired
984K
Inactive G/R
100K
Family Member IGR
158K
Other
24K
Total
3.84M
Army TDA Facilities8
Medical Centers 8
Community Hospitals 14
Health Centers 10
Primary Care Clinics
125
Occupational Health Clinics 26
Dental Clinics
135
Veterinary Facilities 51
Research & Development Laboratories 37
Laboratory Support Activities 5
Over 1000 individual administrative and healthcare buildings totaling over 24 million square feet
Personnel: military- Mr. “Chris” Christopher/ civilian- Ms. Shelly Heath/ Contractors/ Dr. Mark Perry/ Compo 2/3- Mr. Chris Christopher/COL David Floyd
Resourcing: Mr. Jason Willard
TDA Facilities: LTC John Smith
FY14 SRC08 EAB TOE Units: LTC Kalamaras
Beneficiaries: Mr. Greg Lutter
FY15 SRC08 EAB TOE Units7
Active / Reserve
Combat Spt Hosp (CSH)
10 / 16
FWD Surg Tm (FST)
16 / 22
Other Active Units
88/ 0
Other Army NG Units
0 / 53
Other Army AR Units
0 / 134
AC / NG / AR Deployable Units
116 / 53 / 172
(341 Total)
1 MODS, 21 AUG 2015
2 DCPDS/ Boxi/ HQACPERS, 21 SEP 2015
3 TDAs, 31 MAR 2013
4 MODS, 21 SEP 2015
5 G-3/5/7 RAMC/ MOB 90 Day BOG, 31 MAR 2013
6 GFEBS/ PBAS, 31 MAR 2013
7 FMS Web Latest Approved FY14 documents, 31 MAR 2013
8 DMIS/Baseline Inventory DB, SEP 2015
9 TRICARE Operations Center, AUG 2015 ao 15 SEP 2015

21. A Day in Army Medicine 71 births 84,806 laboratory procedures
57,365 outpatient pharmacy prescriptions filled
12,852 radiology procedures
9,388 immunizations
1,083 beds occupied
253 patients admitted
24,915 dental procedures
$23.3M of food inspected
401 food safety visits
Army Medicine is the largest of the uniformed health services in terms of: personnel, expeditionary capability, capacity, scope of footprint and size of beneficiary population.
In addition to the work load metrics seen on this slide; Army medicine is focused on the TSGs/ CG, MEDCOMs four priorities of:
Combat casualty care (field and hospitals)
Ensuring a ready and deployable medical force in support of Army, joint and combined operations
Ensuing the health readiness of the force
Maintaining the health of Family members and retirees
Care to over 4 million Soldiers & beneficiaries worldwide and operational facilities across 5 continents 9