Volume 41, No. 7

A worldwide publication telling the Army Medicine Story ARMY MEDICINE MERCURY CONTENTS DEPARTMENTS

Racheal Lane, Active Duty Clinic, inspects Automated External Defibrillator (AED) equipment at the beginning of daily operations. The MS2 program is designed to reduce accidents by building a safety-conscious culture in the workplace through the execution of safety practices and procedures. (U.S. Army photo by Kimberly Fritz, Kenner Army Health Clinic Public Affairs)

FEATURE ARMY MEDICINE MERCURY US ARMY MEDICAL COMMAND ARMY MEDICINE PRIORITIES

Commander COMBAT CASUALTY CARE Lt. Gen. Patricia D. Horoho Army Medicine personnel, services, and doctrine that save Service members’ and DOD Civilians’ lives and maintains their health in all operational environments. Director of Communications Col. Jerome L. Buller Chief, MEDCOM Public READINESS AND HEALTH OF THE FORCE Affairs Officer Army Medicine personnel and services that maintain, restore, and improve the Jaime Cavazos deployability, resiliency, and performance of Service members. Editor Valecia L. Dunbar, D.M.

Graphic Designers READY & DEPLOYABLE MEDICAL FORCE Jennifer Donnelly Army Medicine (AMEDD) personnel who are professionally developed and resilient, Rebecca Westfall and with their units, are responsive in providing the highest level of healthcare in all operational environments.

The MERCURY is an authorized publication HEALTH OF FAMILIES AND RETIREES for members of the U.S. Army Medicine personnel and services that optimize the health and resiliency of Families Army Medical Department, published under the authority and Retirees. of AR 360-1. Contents are not necessarily official views of, or endorsed by, the U.S. SOCIAL MEDIA CENTER Government, Department of Defense, Department of the Army, or this command. FOLLOW US ON The MERCURY is published Army Medicine monthly by the Directorate of Communications, U.S. Army LTG Patricia D. Horoho Medical Command, 2748 CSM Donna A. Brock Worth Road Ste 11, JBSA Fort Sam Houston, TX 78234- 6011. BE CONNECTED ON Questions, comments Army Medicine or submissions for the MERCURY should be directed to the editor at SEE WHAT’S PLAYING ON 210-221-6722 (DSN 471-7), Army Medicine or by email; EXPLORE OUR PHOTOS ON Army Medicine The deadline is 25 days before the month of publication. Unless otherwise indicated, all photos are U.S. Army photos. START PINNING TODAY ON The MERCURY submission Army Medicine and style guide can be accessed JOIN THE CONVERSATION ON Army Medicine

3 | ARMYMEDICINE.MIL TSG SPEAKS! DHA: Unified Partnership By Lt. Gen. Patricia D. Horoho, U.S. Army Surgeon General

I want to take this opportunity to And you my friends, are at the epicenter extend my heartfelt thanks and sincere of this historical and innovative approach appreciation to all those dedicated and to the way military healthcare is managed hard-working DA Civilians and active- for the foreseeable future. As we move duty personnel who have made, or will forward, events around the world make, the transition from Army Medicine continue to remind us of the importance to the Defense Health Agency (DHA). of maintaining the medical readiness of Each of you has been the foundation and the force and a ready, deployable medical anchor of Army Medicine for many years. force. Although the structure and size You provided the much needed continuity of the military forces will change over that allowed us to focus on our primary the coming years, our medical readiness mission - taking care of our wounded, ill mission will not. Your work to reform and injured Soldiers, their Families, and how we meet our mission requirements our Veterans. in the face of these changes is necessary And now, as part of DHA, you will play and valued. I have no doubt you will all an even larger role as your expertise and Lt. Gen. Patricia D. Horoho be successful. I wish each and every one of knowledge will be shared by all military you the very best in the years to come. of the DHA back on October 1, 2013 services and their respective medical Army Medicine is, Serving to Heal... represented a starting point, not an end departments. As a result, all military Honored to Serve! point, to the military’s path for a stronger, Service Members, their Families and better, and more integrated system of care. Veterans will benefit. The establishment

4 | ARMYMEDICINE.MIL AMEDD GLOBAL Army Medicine Announces Inaugural Brain Health Consortium By Mike Elliott, Army Medicine Public Affairs World-renown medical leaders in recommendations for warfighters, the controls heartbeat, breathing, digestion, the military, academia, and research human dimension program and more. muscle movement, our five senses, and communities in neurology, neuroscience, “Brain health is the new frontier. is key to everything we do. It regulates psychiatry, and psychology are coming We are on the precipice of a major how we think, feel, and act. together in a first-of-its-kind Brain transformation to attain and sustain “The April Brain Health Consortium is Health Consortium, April 10-11. The optimum health, performance, and our first step towards building enduring goal is to better understand the state well-being. A major part of our relationships with academia, industry, of the science of brain health and to transformation has to do with the brain, and other experts to foster continued discuss ways to improve the brain health and how it influences health,” Horoho understanding of brain health. It will of Soldiers and the Army Family. The said. help the Army initiate a National consortium is being hosted by Lt. Gen. Brain plasticity is the brain’s unique dialogue to optimize health for the entire Patricia Horoho, the Army surgeon ability to constantly change, grow, and Army Family,” she said. general, and held at the Defense Health remap itself over the course of a lifetime. Outcomes of the Consortium will help Headquarters, Falls Church, Va. Army Medicine is transforming itself shape the future direction of brain health The theme for the two-day event is from an isolated, individual health for the Army, and will be leveraged to “Brain Health: Partnering to Explore service to an integrated System for strengthen the readiness and resilience of the New Frontier.” Among the topics Health. Soldiers, Families, and Retirees. being discussed are: The Performance Health is more than simply the Information on the Brain Health Triad (Sleep, Activity and Nutrition) absence of disease or injury. It’s a state of Consortium is available on the and its impact on brain health, readiness complete social, mental, spiritual, and Army Medicine Website at: http:// and resiliency, cognitive performance, physical well-being. The brain is the most armymedicine.mil/pages/Brain_Health_ neuroplasticity, mindfulness training and important part of the human body. It Consortium.aspx.

5 | ARMYMEDICINE.MIL AMEDD GLOBAL Army Wounded Warrior Program (AW2) Commemorates 10th Anniversary By Warrior Transition Command Communications Division

With a mission of providing said Col. Johnny Davis, AW2 director. personalized support to the Army’s most “Through the personalized support of severely wounded, ill, and injured, the AW2 advocates, our program ensures U.S. Army Wounded Warrior Program continuity of care throughout the (AW2) has impacted more than 19,000 recovery and transition process, whether Soldiers, Veteran, and Families since Soldiers return to the force or transition 2004. to civilian life.” Recognizing the changing face of Today, AW2 is closely integrated into warfare and advances in Army Medicine the Army’s broader Warrior Care and that enabled more Soldiers to survive Transition Program (WCTP). Building battlefield injuries, the Army took a on the depth of their experience with historic step in creating this unique the most severely wounded, AW2 program. transition professionals provide input “This program plays an essential role to policy and guidance for many in fulfilling the Army’s sacred obligation elements of the recovery and transition Transition Units (WTUs) and nine to support the Army’s most severely process, impacting the more than 6,000 Community-Based Warrior Transition wounded, ill, and injured Soldiers, wounded, ill, and injured Soldiers Units (CBWTUs) throughout the Veterans, their Families, and caregivers,” recovering at the Army’s 29 Warrior country. AW2 Advocates on site at these units actively collaborate with other members of the interdisciplinary team on all aspects of the Soldier’s Primary Injuries Types Facing Comprehensive Transition Plan (CTP). Eligible Soldiers are enrolled in AW2 AW2 Population as soon as possible upon arrival at the WTU, and AW2 advocates participate in Soldier’s recovery and transition meetings. By working with AW2 Note: Many Soldiers/Veterans have multiple injuries. Advocates on site in the Veterans These numbers reflect the primary injuries facing the AW2 Affairs system, they facilitate a seamless population. transition and continuity of care for those Soldiers who transition out of the • PTSD: 65% Army. • TBI: 10% As AW2 commemorates a decade • Amputations: 6% of service, the program honors the service and sacrifice of every Soldier • Other behavioral health conditions: 4% who becomes wounded, ill, or injured • Extremity impairments: 3% while wearing the uniform, as well as • Other: 3% the Families, and caregivers who support • Paralysis: 2% them. • Disease: 2% For more information, please visit: • Blindness/Vision Loss: 2% http://wtc.armylive.dodlive.mil/ • Spinal/Vertebra Injuries: 2% category/warrior-transition-command/ uncategorized/page/10/ • Burns: 1%

6 | ARMYMEDICINE.MIL AMEDD GLOBAL Defense Health Agency Meets Major Milestones By Karen Carstens, Military Health System

In its first 150 days, the Defense He also underscored that the contracts.” Health Agency has stayed on track Military Health System must adapt This “has allowed us to move more to meet major milestones in an to meet the needs of its beneficiaries quickly than we had anticipated, and unprecedented effort to streamline in the 21st century, just as the U.S. we have identified savings of almost $25 healthcare delivery and better integrate healthcare system is undergoing a major million in this fiscal year,” said Robb, the efforts of the different military transformation. who is a lieutenant general in the Air service branches, the military’s top The Defense Health Agency handles Force. doctor, and the agency’s director said at a many common functions for the The most significant potential cost recent congressional hearing. Army, Air Force, and Navy medical savings, he continued, “still remains in Assistant Secretary of Defense for departments. purchased healthcare” or TRICARE, Health Affairs Jonathan Woodson The first five of those common which is part of the $50 billion annual and Defense Health Agency Director functions, or shared services, were Military Health System budget. Douglas Robb testified before the House implemented when the agency was This involves efforts to improve the Armed Services Subcommittee on established last year. They include the administration of TRICARE, he said. Military Personnel in Washington, D.C. TRICARE health plan; pharmacy In this arena, a key decision was made on Feb. 26. operations; medical logistics; health to move TRICARE’s customer service in Members of the committee questioned information technology; and facility the U.S. entirely online or by phone as them about the new Defense Health planning. A sixth shared service, budget of April 1. Agency. Members also heard from and resource management, began “This initiative recognized that an official from the Government operations on Feb. 9, and procurement/ walk-in customer service was often Accountability Office, which has been contracting, commenced on March 1. inconvenient to many beneficiaries, tasked to review the agency’s progress Three additional shared services will be greatly underutilized (accounting for during the initial transition period. added later this year. less than 10 percent of all customer Woodson said that he recently service inquiries) and becoming outlined six lines of effort in support increasingly cost prohibitive,” Woodson of Secretary Hagel’s priorities for the and Robb said in a joint prepared Defense Department. These include statement submitted to the congressional “modernizing MHS management with committee. an enterprise focus,” the subject of that “Our business case analysis revealed day’s hearing. Robb highlighted a few early success that the department was paying $30 on Enter the Defense Health Agency, stories that, he said, “illustrate the value average for each walk-in visit, as opposed established on Oct. 1, 2013, which, of the path that we are on” and provide to $6 per call and much less for online Woodson said, “serves as a starting “the reason for our optimism for the inquiries,” they added. point” for comprehensive reform. future.” The first major initiative of the “We have good evidence that joint, In medical logistics, for example, Robb Defense Health Agency in the pharmacy integrated care improves results in said the agency had initially projected division, meanwhile, was to implement combat,” he said, adding that the a nominal investment, or additional the TRICARE For Life Home Delivery cutting-edge combat care provided by cost, would be needed in 2014 in order pilot program, which requires TRICARE Army, Navy, and Air Force military to achieve future savings. However, the For Life beneficiaries to obtain their medical personnel working side-by- Defense Health Agency medical logistics maintenance medications for chronic side during more than a dozen years of team “identified opportunities to change medical conditions from either military warfare paved the way for the creation of the buying behaviors,” he said. “As a treatment facilities or the TRICARE the Defense Health Agency. result we are on a path to … save over mail order program. “This has come about not by chance, $10 million. “We will remain on target to achieve but by designing a data-driven, “Similarly, in the health information our projected cost savings in this area as integrated system focused on Wounded and technology shared service, there well,” Woodson and Robb said in their Warrior care and improving outcomes,” are a number of initiatives to reduce said Woodson. redundancy and consolidate IT

7 | ARMYMEDICINE.MIL AMEDD GLOBAL

joint statement. personnel.” the director of the Defense Logistics On Oct. 1, 2013, the Joint Task Force Ranking committee member Susan Agency, Robb said the benefits of National Capital Region Medical was A. Davis, D-Calif., asked Woodson and the new Defense Health Agency are dissolved and replaced with the newly Robb about significant increases in staff invariably always clear to everyone. created National Capital Region Medical numbers in the area of health IT. “They are pleased that we can present a Directorate, which was made part of the Woodson said that this is a perfect single point of contact for MHS issues,” Defense Health Agency. example of the opportunity afforded by he said. “And, the refrain from both our This consolidation resulted in the the Defense Health Agency. He noted internal and external partners was the NCR directorate’s headquarters staff that the military service branches wanted same: ‘We should have been doing this being reduced from 152 employees to shift their health IT responsibilities sooner.’” to 42, a figure that committee chair onto the Defense Health Agency. All “But we are not looking backwards, Rep. Joe Wilson, R-S.C., clearly found health IT personnel were transferred to we’re looking to the future, proud of the impressive. When Woodson mentioned the new agency. As a result, the Defense work we have accomplished, but even it, Wilson exclaimed, “my goodness.” Health Agency was able to “immediately more eager to identify ways that we can According to the statement see duplications in positions,” Woodson integrate our system on behalf of the by Woodson and Robb, further said. Over time, the agency will be able incredible people we are privileged to opportunities for reducing staffing to begin reducing headquarters personnel serve,” Robb said. within the Defense Health Agency without diminishing the level of service “should come about as … more efficient provided to its internal customers. [business] processes reduce the need for In dealings with military partners like Army Surgeon General Hosts Executive Health and Wellness Program Lt. Gen. Patricia Horoho hosted commander); Linda Via (Gen. Dennis of staff); Dr. Carol Brooks (Gen. Vincent an Executive Health & Wellness L. Via, USA Materiel Command); K. Brooks, commander, USARPAC); Jill Program last month for the spouses Army Surgeon General Lt. Gen. Patricia Cone (Gen. Robert W. Cone, TRADOC of several Army general officers. The Horoho; Linda Odierno (Gen. Raymond commander); Virginia Rodriguez (Gen. event included the development of a T. Odierno, Army chief of staff). Back David M. Rodriguez, AFRICOM personalized health plan, seminars with row, left to right: Ginger Perkins (Lt. commander) and Debra Allyn various health experts, and a cooking Gen. David Perkins, commanding (Gen. Daniel B. Allyn, FORSCOM demonstration. Attendees were: Front general, U.S. Army Training and commander). (U.S. Army photo by Sgt. row, left to right: Charlene Austin Doctrine Command); Ann Campbell 1st Class Manuel Moreira) (Gen. Lloyd Austin III, CENTCOM (Gen. John F. Campbell, Army vice chief

8 | ARMYMEDICINE.MIL AMEDD GLOBAL Army Medicine Program Management Office Achieves Full Operational Capability By Susan Davis, U.S. Army Medical Command On 1 April, the Army Medicine (OTSG/MEDCOM) projects in subject matter expertise to MSC, RMC, Program Management Office (PMO), development. The PMO Liaison works and MTF project leads and teams as we in the Army Medical Department directly with project teams as a PM move forward to implement standardized (AMEDD) Transformation Directorate subject matter expert; facilitates and PM processes and procedures across the (ATD), achieved full operational guides the use of standard processes, enterprise. capability. The Army Medicine PMO tools, and templates; and supports Current initiatives supported by the is a key component of the Surgeon project leads and senior leadership PMO include the Operating Company General’s efforts to institute project in the management of issues, risks, Model initiatives in Performance portfolio management (PPM) as a changes, and schedules. The PMO Management and Consistent Patient standard business practice across the can assist in the development of new Experience; Surgical Services Service enterprise, comparable to successful project proposals for submission through Line; and Vision and Hearing. In private sector healthcare enterprises. The the Army Medicine Campaign Plan addition to supporting project teams, PMO drives project excellence through governance process. the PMO also serves as the project lead process standardization, integration, and All PM training materials, tools for major transformation projects such accountability; alignment of projects and templates are available to OTSG/ as the Workforce 2020 and the Warrior with strategic objectives; and project MEDCOM, Major Subordinate Transition Unit Restructure Project. management (PM) support to project Command (MSC), Regional Medical In the coming months, the PMO teams throughout the project life-cycle. Command (RMC), and Military will continue to improve and mature its PMO processes are integrated with the Treatment Facility (MTF) staffs on the services, processes, tools, and templates campaign assessment and performance PMO SharePoint site located at this based on feedback and lessons learned management processes of the Army link: https://mitc.amedd.army.mil/sites/ working these projects and supporting Medicine Campaign Plan and contribute Communities/OCMTPMO/Pages/ the organization. Constructive to the transition of the enterprise to an default.aspx. feedback is always welcome. Feedback Operating Company. While direct support and assignment is integral to the process of continuous The PMO provides PM training, of PMO Liaisons is currently provided improvement, further advancing the customized tools and templates, and to OTSG/MEDCOM projects, PMO tenets of PPM for the AMEDD. assigns PMO Liaisons for Office of the personnel are available to provide Surgeon General/Medical Command consultation, instruction, and PM

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Members of Army Medical Command’s Workforce 2020 Project team of more than 45 members located in San Antonio, Texas; Washington, D.C.; and Joint Base Lewis McChord, Wash., is responsible for leading the enterprise-wide initiative chartered by the MEDCOM chief of staff to identify and develop process improve- ments to inform workforce restructuring decisions. (From left): Helen Edwards, MEDCOM medical services portfolio manager; representatives from the ATD Program Management Office: Debra Caraway, Jeff Matney, and Lt. Col. Charles Burton; MEDCOM G1 Military Personnel: Carey Klug, director, AMEDD Transformation, and Nancy Quick, MEDCOM Civilian Corps specific branch proponent officer (CSBPO). An Update from the Workforce 2020 Working Group The Workforce 2020 project is questions to ensure they are on the right the required time to develop feasible and ambitious due to the breadth of potential path. The Regional Medical Commands sustainable process(es) will be allocated. impacts. The primary objectives are: chiefs of staff recently joined the WG to The emphasis is on using existing to avoid/minimize a reduction in force ensure they have the right visibility of manpower processes, personnel tools, (RIF), minimize negative impact on issues, concerns, and potential solutions. and automated systems, if possible. The personnel, retain experienced personnel, The WG is charged to look at all WG will consult with the people who identify mission priorities, and identify possible courses of action to identify the will be required to execute processes and processes to shape the future force. best solution, to take care of our people, procedures. This will ensure the selected Two key business benefits on which and our mission areas. They conduct a processes and procedures are “user the project is focused are, aligning the monthly In Progress Review (IPR) with friendly” to ensure the desired outcome workforce with enduring mission, and the Headquarters Medical Command can be achieved. maintaining productivity by sustaining (HQ MEDCOM) chief of staff (CoS). Look for future updates as they positive morale. The IPR provides dedicated time to move forward with the effort to create The Working Group (WG) is discuss findings and receive guidance. As the environment that will provide comprised of knowledgeable OneStaff stated by the CoS, success is avoiding a opportunity for job security and mission members that bring significant insight RIF. success. and expertise. They also engage subject The project is not a short term matter experts to address technical endeavor. The CoS has made it clear

10 | ARMYMEDICINE.MIL AMEDD GLOBAL EAGLE DUSTOFF and JTTS Make Army Medicine History in Afghanistan By Maj. Mario A. Rivera, ECCN, Charlie Co., 7-101st GSAB Bagram, Afghanistan

On February 13, Flight Medics and conducted from a DUSTOFF unit. It is MEDEVAC En Route Critical Care Nurses (ECCN) only fitting that a 101st unit lead the way,” allows healthcare from Charlie Company, 7-101st General said Col. Kirby Gross, U.S. CENTCOM providers caring Support Aviation Battalion (EAGLE JTTS director. for that casualty DUSTOFF) made Army Medicine The rigorous nature and quickness of at Role 3 to history by hosting the first U.S. Central the Army’s MEDEVAC mission demands transfuse lifesaving blood components that Command (CENTCOM) Joint Theater an ability to implement immediate might stabilize and improve the patient’s Trauma System (JTTS) Casualty Care lifesaving measures in a restricted space survivability at a higher level of care. Conference from a deployed medical and time-frame from Flight Medics Furthermore, hosting the weekly theater evacuation (MEDEVAC) company. and ECCNs. At times it is difficult to conference exposed EAGLE DUSTOFF The weekly theater conference provides understand the roles of medical care flight medics and ECCNs deployed Tri-Service healthcare providers with during a seven-minute POI MEDEVAC throughout Afghanistan to the mission a platform for discussing the combat (occasionally under enemy fire) or a two- and goals of the JTTS. By sharing casualty care delivered to our Wounded hour tail-to-tail casualty transfer at night specific interventions and knowledge Warriors across the Military Health in a remote forward operating base. gained, performance improvement System (MHS) continuum, from Point of Hosting the weekly conference provided may be implemented across the roles of Injury (POI), to far-forward resuscitative deployed EAGLE DUSTOFF flight medical care. In the same manner, these surgical capabilities, Landstuhl Regional medics and ECCNs with an opportunity professional discussions represent the Medical Center, and ultimately military to understand the relationship between foundation for evidence-based revisions treatment facilities (MTF) in the their interventions in the back of a to our JTTS clinical practice guidelines. Continental United States (CONUS). HH-60M MEDEVAC helicopter and EAGLE DUSTOFF’s contributions to the “Conducting the weekly Thursday the combat casualty care delivered at conference underscore the importance of Theater Casualty Care conference from POI and throughout the military health an integrated, multidisciplinary approach EAGLE DUSTOFF is groundbreaking. system continuum. For instance, a patent for the improvement of tactical combat The weekly Thursday Theater Casualty peripheral intravenous catheter inserted casualty care and patient outcomes. Care Conference has never been on a polytrauma casualty during a POI

Col. Kirby Gross (front row, holding phone), U.S. CENTCOM JTTS director, moderates the U.S. CENTCOM Joint Theater Trauma System (JTTS) healthcare casualty care conference along with EAGLE DUSTOFF Flight Medics and ECCNs currently deployed to Afghanistan. (U.S. Army photo by Capt. Brent Heber, Charlie Co., 7-101st GSAB (EAGLE DUSTOFF) ECCN)

11 | ARMYMEDICINE.MIL AMEDD GLOBAL FEATURE Month of the Military Child “Young Lives, BIG Stories” In 1986, Secretary of Defense Caspar sponsor various fun and educational the sacrifices our children make daily, W. Weinberger designated each April events to celebrate children’s and is committed to maintaining as “The Month of the Military Child” contributions and recognize their excellence in schools, youth services, and and Army installations around the sacrifices through teen lock-ins, youth child care to support our children and world have recognized the sacrifices bike rodeos, children book fairs, their Families. The Army is delivering on and applauded the courage of military parades, and other community events these promises by providing programs children. As Soldiers are transitioning designed to highlight the resiliency of with an increased emphasis on school home from over twelve years of conflict military children. support and school transition services around the world, many challenges This year’s theme, “Young Lives, and standardizing and funding programs continue for our military Families and BIG Stories” highlights the unique worldwide that support the military their children. These children bravely lifestyles, contributions and sacrifices child. endured the effects of war, and still, in military children make to our nation. Why is this important to the Army? recent years, approximately two million Throughout the month of April, U.S. The men and women in uniform children have witnessed the deployment Army organizations worldwide (Active, cannot focus on the missions or of one or both parents. Guard and Reserve) will hold a variety challenges ahead, if they are concerned The Month of the Military Child of fun and exciting events to officially about their children at home. Providing creates awareness of the service and recognize the resilience of our military a safe, nurturing environment for sacrifices of the military’s children. It children. Army leaders will take part in military children creates a stronger more is an opportunity to thank children for events recognizing the unique challenges resilient fighting force. The Month their support to the nation’s warfighters that military children face and reinforce of the Military Child reinforces this and recognize the important role they the Army’s commitment to maintain the concept, reminds the nation that the play in the strength of the nation by quality of life for both Soldiers and their Service members’ children also serve, contributing to the strength of the Army Families. and gives communities an opportunity Family. What continued efforts does the to share their gratitude for the service What has the Army done? Army have planned for the future? of military children who have “Young Installations across the Army will The Army recognizes and appreciates Lives, BIG Stories.”

12 | ARMYMEDICINE.MIL AMEDD GLOBAL Army Soldier Centered Medical Care - ‘The Line Mission is Our Mission’ By Rebecca Shinneman, MEDCOM PCMH Task Force

The Army Soldier Centered Medical readiness standpoint as well as the Home (SCMH) is the Soldier’s version types of illnesses and injuries. To meet of the Patient Centered Medical Home the needs of our Soldiers, our primary (PCMH). PCMH is defined by the customers, we modified the standard ability to provide comprehensive PCMH model to meet those needs.” In primary care, promote wellness through addition to the PCMH model, SCMH empowered patients, and seamlessly integrates physical therapy assets and coordinate care within the “medical better aligns our behavioral health neighborhood” to achieve optimal health specialists to meet Soldier needs. technology, and other equipment for our beneficiaries. Fandre stated, “The greatest benefit requirements are planned. Initially, The SCMH mission is to improve of SCMH is the integration of the brigade combat teams (BCTs), combat and enhance individual and unit organic unit medical team with the aviation brigades, and regiments were medical readiness by utilizing the hospital medical providers and staff. first priority, but SCMH is intended PCMH multidisciplinary healthcare This provides true continuity for for all brigade-sized equivalents, team approach. This consists of primary both the Soldiers and the staff, even United States Army Special Operations care, behavioral health (BH), clinical during deployments and training Command (USASOC), and U.S. Army pharmacy, physical therapy, nutrition exercises. Furthermore, we can use our Training and Doctrine Command care, and nurse case management; extended team members to maximize (TRADOC) units. operating in a proven model of performance, reduce injuries, and SCMHs will tailor the Soldier’s integrated, comprehensive, proactive improve readiness.” medical readiness needs in a single site care. The SCMH targets all active duty The SCMH is to be as near the aligned by the Soldier’s unit and chain of Soldiers. Soldier’s workplace as possible to command, delivering 90% of all Soldier Lt. Col. Matthew Fandre, SCMH minimize time away from their unit. care at one location. All SCMHs must program manager, MEDCOM PCMH SCMH is designed around the brigade meet the same recognition standards Task Force, explained the evolution of or brigade equivalent troop population as PCMHs through the National SCMHs. “We recognize that our Soldiers (~4000 Soldiers) as the scalable unit for Committee for Quality Assurance have unique needs, both from a medical which support staff, facility, information (NCQA). The Army currently has ten SCMHs caring for 86,000 Soldiers. Those locations have shown an improvement in medical readiness, decreases in polypharmacy and no-show rates, and increased efficiency of staff and resources. When fully implemented, 65 SCMHs will provide Soldier care across Army Medicine. PCMH is designed around one core principle: putting patients first. SCMH focuses on meeting the needs of the Soldier, or as Fandre explained “the line mission is our mission; we now have the system structured to maximize Soldier care.” For more information, visit: http:// www.army.mil/article/120159/Army_ Soldier_Centered_Medical_Care__The_ SCMH integrates the unit medical team with the hospital medical providers and staff to provide 90% of all Soldier care at one location. (U.S. Army Photo) Line_Mission_Is_Our_Mission/

13 | ARMYMEDICINE.MIL AMEDD GLOBAL April is Sexual Assault Awareness Month By Kirk Frady, Army Medicine Public Affairs

Army Medicine joins the Department and healthy environment for those leadership on this issue, and we share his of Defense (DOD) as it recognizes in their charge and must take action commitment to doing whatever it takes Sexual Assault Awareness Month during to prevent sexual assault and reduce to solve this problem.” He continued, April. Army Medicine, like DOD, stigma of reporting. The Army must “All of us at DOD have a responsibility is fully committed to eliminating continue to provide assistance and for the health and well-being of our sexual assault and harassment, “… not care to protect and support sexual people, and, as I have made clear to only because the Army has directed assault victims/survivors from harm, DOD’s senior leaders, our success it, but because it is absolutely the reprisal, retribution, and retaliation. depends on a dynamic and responsive right thing to do” said Army Surgeon Sexual Assault Response Coordinators approach to all issues that affect our General Lt. Gen. Patricia D. Horoho (SARCS) are the commanders’ front line men and women, particularly sexual in a recent videotaped message to the prevention forces to fight against sexual assault. We must continually strive to Army Medical Command. She added, assault – a crime that erodes readiness improve our prevention and response “This type of behavior is unacceptable and violates Army values. programs.” anywhere, and Army Medicine While the Army’s Sexual Harassment/ must lead the way by fostering an Assault Response & Prevention Program environment of mutual respect, (SHARP) leads the way towards working dignity, and trust.” to eliminate sexual assault among its Soldiers and Department of the ranks, Army Medicine continues to Army (DA) Civilians are all duty provide quality healthcare to sexual bound to intervene, act, and motivate assault victims that is compassionate and others to eliminate sexual assault and dignified. harassment by creating a climate that Army Medicine’s role in the health of respects the dignity of everyone. Soldiers and Families is one of treatment Horoho insisted, “The priority for and support to ensure recovery from the Army is to make sure the right the physical injury and psychological policies are in place to prevent sexual trauma victims experienced. These harassment and sexual abuse, and to efforts are to ensure they are able to ensure the best medical capabilities return to a state of wellness -- physically, are available to protect and care psychologically, and spiritually. As the for victims.” She added, “We have Army observes Sexual Assault Awareness to be able to focus our efforts on Month, every member of the Army prevention.” While sexual abuse will Medicine Family needs to understand never be eliminated 100 percent, their roles and responsibilities in there are ways leaders can provide a providing comprehensive medical safer environment and Soldiers can response to victims of sexual assaults. protect themselves by recognizing the “The Army must continue to hold “red flags.” “It is important members offenders accountable by taking all are aware of how predators operate, appropriate administrative and judicial and for Soldiers to look out for each actions based on facts and circumstances other.” of each case,” said Horoho. She Sexual assault is a violent crime added, “As an Army, we are strongest that is devastating to the victim and U.S. Secretary of Defense Chuck together when we have the personal is a betrayal of Army values. The Hagel talked about the importance and collective courage to end sexual Army’s commitment is to respond to of eradicating sexual assaults saying, harassment and assault. Army Medicine every Soldier who has been sexually “Eliminating sexual assault in the is fully committed toward this end.” assaulted with compassion, expedience, military is one of the Department and sensitivity. Leaders at all levels of Defense’s highest priorities. We are responsible for providing a safe welcome President Obama’s continued

14 | ARMYMEDICINE.MIL Army, Navy, Air Force, Offer New Enrollment Options Oahu Tricare Beneficiaries By Kelly Wheeler, Tripler Army Medical Center Health System Specialist

A new enrollment policy for non- convenient,” stated Brig. Gen. Dennis active duty TRICARE beneficiaries on Doyle, Enhanced Multi-Service Market the island of Oahu allows enrollment to (eMSM) manager and commanding any Hawaii Military Treatment Facility general for Pacific Regional Medical (MTF) regardless of the beneficiary’s Command and Tripler Army Medical service branch affiliation. Center. “This creates a patient-centered Under the new policy, for example, approach to healthcare delivery an Army or Air Force beneficiary (active while optimizing the MTF resources support the TRICARE beneficiary duty Family member, Retiree, their throughout the Hawaii market.” population. The open enrollment Family member, or survivor) living on As part of the National Defense policy for non-active duty TRICARE the Windward side of Oahu now has Authorization Act (NDAA) of 2013, beneficiaries is a first indication of their the option to enroll to the Naval Health governance of the Military Health efforts. Clinic Hawaii-Marine Corps Base System (MHS) has resulted in the If you are a TRICARE beneficiary Hawaii in Kaneohe instead of having to consolidation, integration, and living on Oahu and would like more drive to Tripler Army Medical Center or standardization of shared services and information on enrollment, primary care the 15th Medical Group, Joint Base Pearl functions within the MHS. manager changes, or other TRICARE Harbor-Hickam (Air Force). Army, Navy, and Air Force medical information, call United Healthcare “The intent of this market-wide policy treatment facilities on Oahu have Military & Veterans at 1-877-988- is to allow our beneficiaries access to partnered together with the goal of WEST (1-877-988-9378) or visit online military healthcare where it is most creating a single healthcare system to at https://www.uhcmilitarywest.com.

World Health Day - April 7: Protect Yourself from Vector-borne Diseases World Health Day is celebrated on April 7 every year to mark the anniversary of the founding of World Health Organization (WHO) in 1948. Each year a theme is selected that highlights a priority area of public health. The day provides an opportunity for individuals in every community to get involved in activities that can lead to better health. More than half of the world’s population is at risk from vector-borne diseases such as malaria and dengue. Yet, we can protect ourselves and our Families by taking simple preventive measures, including vaccination. Vectors are small organisms such as mosquitoes, bugs, ticks, and freshwater snails, that can carry disease from person to person and place to place. They can put our health at risk, at home and when we travel. The World Health Day 2014 campaign focuses on some of the main vectors and the diseases they cause, and what we can all do to protect ourselves. For information visit: http://www.who.int/campaigns/world-health-day/2014/event/en/

15 | ARMYMEDICINE.MIL IMCOM, MEDCOM Host Performance Triad Nutrition Class and Demo By Dr. Valecia Dunbar, Army Medicine Public Affairs Col. Christine Edwards, deputy avoid this and save money for more program manager dietetics, at U.S. important pursuits like Family Army Medical Command (MEDCOM) events is planning. “Planning is a key conducted a “Lunch & Learn” class ingredient to good nutrition,” said held at the Installation Management Edwards. The Performance Triad is Command (IMCOM) Academy recently the Army surgeon general’s initiative as part of Nutrition Month activities. and vision to improve the health of The nutrition class and demo offered Soldiers and Civilians to optimize attendees information on meal planning, performance and improve resilience accessing online tools, and how to through changes in behavior and design recipes to support their personal attitudes related to Sleep, Activity, nutrition needs. Nutrition is one of the and Nutrition. key tenets of the Army surgeon general’s For more information on the Army Performance Triad and is part of the Surgeon General’s Performance Triad, Army’s Ready and Resilient Campaign. visit the Performance Triad website Edwards says the average American at: http://armymedicine.mil/Pages/ Family of four throws away $2,000 performance-triad.aspx worth of food annually. The way to Madigan Opens Renovated, Expanded Sleep Laboratory By Madigan Army Medical Center Public Affairs

A state-of-the art sleep facility, said Lt. Col. (Dr.) Vincent Mysliwiec, during a sleep study is used as part dedicated to improving the sleep quality Madigan sleep medicine chief. “All of a comprehensive sleep medicine and mission readiness of military of the laboratory construction and evaluation to ensure Service members personnel through enhanced sleep enhancements were carefully planned to receive an accurate diagnosis for their studies, officially opened its doors Feb. create an ideal sleep experience for our sleep disturbances,” said Mysliwiec. 25 at Madigan Army Medical Center. patients.” The newly renovated and expanded Beyond the hotel-styled rooms, the sleep laboratory boasts eight comfortable sleep laboratory features a control room beds each situated in separate, sound where technologists monitor and record resistant rooms featuring double blinds patients’ brain waves, eye movements, to block all ambient light. and heart rates, among other items, “At Madigan we perform assessments throughout the night. for the full spectrum of sleep disorders,” “Everything we capture and observe

16 | ARMYMEDICINE.MIL April is National Child Abuse Prevention Month April is National Child Abuse Child Abuse Prevention and Treatment Services, is the Federal agency charged Prevention Month, a time to recognize Act (CAPTA), in 1974. While CAPTA with supporting States, Tribes, and that we each can play a part in has been amended many times over communities in providing programs promoting the social and emotional the years, most recently with the and services to protect children and well-being of children and Families in CAPTA Reauthorization Act of 2010, strengthen Families. communities. the purpose of the original legislation For more information or to access Increasing public awareness of the remains intact. Today, the Children’s tools such as activity calendars need to ensure the safety and welfare of Bureau, within the Administration for visit: https://www.childwelfare.gov/ children led to the passage of the first Children and Families (ACF) at the preventing/preventionmonth/ Federal child protection legislation, the U.S. Department of Health and Human National Public Health Week The first week in April is National Be Physically Active 350,000 infections and saved more Public Health Week. It is celebrated • About 42,000 adults and 300 than $125 billion in medical costs. by focusing attention on issues that children die every year from vaccine- • If every state without a promote health, wellness, and safety preventable disease. Every dollar comprehensive smoke-free policy across the country. spent on childhood immunizations adopted such a policy, they could Public health saves lives and saves alone saves $18.40. reduce smoking-related deaths money. Public Health Week is about by 624,000; thereby, saving more raising awareness of the value of public • If 10 percent of adults began than $316 million in lung cancer health and prevention in our lives, our walking regularly, $5.6 billion in treatment and more than $875 health, and our pocketbooks. heart disease costs could be avoided. million in heart attack and stroke Here are some real-life examples of the treatment over five years. public health return on investment from • From 1991 to 2006, investments in For more information: publichealth. the American Public Health Association. HIV prevention averted more than va.gov/national-public-health-week.asp

Got Drugs? National Prescription Drug Take-Back Day is April 26 The National Prescription Drug Take- Day the American people turned in the seven events to date are combined, the Back Day, April 26, aims to provide a 647,211 pounds (324 tons) of expired and DEA and its state, local, and tribal law- safe, convenient, and responsible means unwanted medications for safe and proper enforcement and community partners have of disposing of prescription drugs, while disposal at the 5,683 take-back sites that removed over 3.4 million pounds (1,733 also educating the general public about the were available in all 50 states, the District of tons) of medication from circulation. potential for abuse of medications. Columbia, and U.S. territories. This is the For more information visit: http://www. During the most recent DEA-led second-largest collection of medications in deadiversion.usdoj.gov/drug_disposal/ National Prescription Drug Take-Back seven Take-Back Days. When the results of takeback/

17 | ARMYMEDICINE.MIL SYSTEM FOR HEALTH.

Blanchfield Hosts Love Your Heart Health Fair By Stacy Rzepka, Blanchfield Army Community Hospital More than 520 Fort Campbell Soldiers, Family members, and community members participated in the Love Your Heart Health Fair, 10K, 5K, and one-mile Fun Run at the Freedom Fighter Physical Fitness Center. Children in strollers, Warrior Transition Battalion Soldiers on hand cycles, and oth- ers in funky outfits joined together in the kick-off event for the second annual Eagle Challenge Fitness Tour (ECFT), hosted by the 86th Combat Support Hospital and Morale, Welfare and Recreation. Children lead the pack during the Love Your Heart “Proper sleep, activity, and nutrition are vital to our overall health,” Blanchfield one-mile Fun Run Saturday at Freedom Fighter Phys- Army Community Hospital Commander Col. George N. Appenzeller told the crowd ical Fitness Center. The Love Your Heart Health Fair before the runners stepped off to the starting gun into the unseasonably warm spring and 10K, 5K, and Fun Run kicked off the 2nd annual Fort Campbell Eagle Challenge Fitness Tour, a series morning. of more than a dozen fitness activities designed to Appenzeller said that the ECFT falls in line with the Army surgeon general’s Perfor- promote healthy living and lifestyles throughout the mance Triad of Sleep, Activity, and Nutrition, encouraging the Fort Campbell com- post and the surrounding communities. munity and the nearby communities to incorporate exercise into their lives. The ECFT offers more than a dozen fitness opportunities thru November around the Fort Campbell, Hopkinsville, Ky., and Clarksville, Tenn., communities. Omar Mascareñas, the first-place finisher in the male 5K category, said that he has been running with his father, Dental Command 1st Sgt. Omar Mascareñas, since he was 6 years old. “He’s motivated me to push hard every time,” said the Fort Campbell High School junior. In addition to the run events, participants also spoke with health and wellness experts from BACH at the health fair tables inside Freedom Fighter Physical Fitness Center. Children enjoyed free face painting and hip-hop dance music while parents brushed up on their knowledge of BACH services. Friends Lisa Ackermann and Honey Bartel ran the one-mile fun run with their children then hit the health fair indoors. “We wanted to educate them about health and have a good time,” said Ackermann. Their children paid close attention as Sgt. 1st Class Emmanuel Ballares from BACH’s Nutrition Care Division held up vials con- taining the amount of fat and sugar found in many popular foods. “I think these are good visuals,” said Ackermann. “We tell them, ‘That has too much sugar,’ or, ‘That’s not healthy,’ but here they can actually see how much sugar is in a soda or a glass of juice.” Attendees also took the opportunity to sign up for Relay Health – the Army’s new secure medical messaging system – at the BACH primary care table. Extracorporeal Membrane Oxygenation (ECMO) Patient Celebrates her Second Birthday

Brooke Army Medical Center’s first patient treated with Extracorporeal Membrane Oxygenation, also known as ECMO, at San Antonio Military Medical Center celebrated her second birthday this year. Access the full story at: http://www.bamc. amedd.army.mil/articles/2014/ecmo-patient-celebrates-second-birthday.asp

18 | ARMYMEDICINE.MIL AMEDDC&S U.S. ARMY MEDICAL DEPARTMENT CENTER & SCHOOL School Celebrates National Children’s Dental Health Month By Esther Garcia, AMEDDC&S Public Affairs Office Approximately 800 students in learned how to brush and floss. Using bad foods, brushing, flossing, and grades pre-k to fifth grade attending an oversized toothbrush and dentures, going to the dentist. Fort Sam Houston Elementary School students Specs. Kristyn Ollison and Dressed as the tooth fairy, student learned how to brush, floss, and eat Sara Newton, attending the Preventive Sgt. Elizabeth Ibabao led the skit that well-balanced meals to keep their teeth Dentistry Course at AMEDDC&S, included student Spc. Artiana Bolls, in good condition during a dental fair demonstrated the proper technique Qwameshia Gaines, Agnes Powell, held at the school in recognition of to brush and floss each day and and Pfc. Andrea Sims dressed as February’s National Children’s Dental encouraged the students to do so after superheroes complete with red capes Health Month. meals and before bedtime. representing teeth, fluoride, floss and Sponsored by the Dental Activity, overall dental care coming to the rescue Budge Dental Clinic, and with support of students, Specs Dominici Owens, by the Department of Dental Science, Darnel Williams, Marcus Jackson , Preventive Dentistry Department, U.S. mock patients who presented with Army Medical Department Center and tooth decay and missing teeth to the School (AMEDDC&S), the children doctor, student Spc. Hemantu Dahal. switched between four stations to learn Sims said, “We came here to talk to about oral hygiene. the kids about oral hygiene. We let In one station the students lined them show us how they brushed and up to receive a visual dental health flossed and then we gave them tips how Evan Garcia, a student at Fort Sam Houston Elemen- screening by Budge Dental Clinic tary School, shows off his pearly whites to Capt. Kurt to brush and floss.” staff, Capt. Kurt Goodell, Dr. Taheia Goodell, Budge Dental Clinic, Fort Sam Houston, Amy Chicon, who has been with the Texas, during an examination at a dental fair held at Turner, and Torri Espinoza-Logan. the school. Each child at the school received a visual elementary school for 22 years said, The screening does not take place of a dental health screening by dental clinic staff. (U.S. “This program has been in place for 22 Army photo by Esther Garcia) regular check-up since no x-rays were years. I think it is a benefit for the kids. taken, nor any instruments were used. Petty Officer Oscar Carrera, dental We can teach them to do these things, Goodell, a dentist for two years assistant, Michele Cerda, registered their parents can teach them and they said, “The kids are excited to show us dental hygienist, and Pfc. Sarah Sierra, may already know it, but when they their wiggly teeth and they talk about Spc. Billy Kinnaman, Sharol Ramirez, hear it from somebody else they listen.” getting money from the tooth fairy. registered dental hygienist with Budge At the end of the day, each student This is a good program and the kids Dental Clinic, talked about reducing took home a bag filled with dental are having some fun. We are creating sweets and sodas, how often to change literature and included a coloring book, awareness for oral health and hopefully a tooth brush, and what foods keep a toothbrush, and floss courtesy of provide some feedback to the parents.” their teeth clean. The children were Budge Dental Clinic. If the staff observes something also told how important it is to brush Each February, the American unusual with a child’s teeth, before bedtime to get the bugs out of Dental Association sponsors National then a form is sent to the parents their mouth. Children’s Dental Health Month to recommending the child be seen by Norma Espinoza, who recently raise awareness about the importance a dentist for a thorough checkup, or retired from AMEDDC&S, of oral health. According to ADA, if a child had an excessive amount of Department of Dental Science, has developing good habits at an early age plaque on their teeth, encourage the been part of the program for more than and scheduling regular dental visits parents to monitor toothbrush skills. twenty years. helps children get a good start on a Overall Goodell said he is impressed “We have been supporting this lifetime of healthy teeth and gums. You with the oral health of the kids. program for more than 20 years. We can find more information about dental In another station, the students have a skit and talk about good foods, care at www.ada.org.

19 | ARMYMEDICINE.MIL ASBP ARMED SERVICES BLOOD PROGRAM 44th Medical Brigade’s Day of Giving Back By Armed Services Blood Program Public Affairs

Bright and early on a chilly winter morning, the 44th Medical Brigade started out the day by giving back. At 6:30 a.m. sharp, the brigade lined up outside the Fort Bragg Blood Donor Center doors ready to roll up their sleeves to donate blood, register for the C. W. Bill Young Department of Defense Marrow Donor Program, or participate in a brigade run. More than 350 Soldiers and Family members rolled up their sleeves and swabbed their cheeks to give back. With so many donors coming through the doors, the Fort Bragg Blood Donor Center staff was lucky enough to have Soldiers from the 28th Combat Support Hospital and the Soldiers from the 44th Medical Command wait in line to register for the C.W. Bill Young Department of De- fense Bone Marrow Donor Program. More than 350 Soldiers from the 44th Medical Command came out to 432nd Blood Support Detachment the Fort Bragg Blood Donor Center to give back to their fellow service members. (U.S. Army Photo) helping with donors and assisting with the bone marrow registry throughout Cold was pronounced cancer free. too. the day. Every Soldier who was able to donate All-in-all, the day was filled with “Today we are at a different venue during the blood drive received a three- Families and Soldiers coming together to give you an opportunity to give day pass. If donors were ineligible or a to save lives of ill or injured Service back,” said Army Col. Jeffery Johnson, Family member donated in their place, members, Veterans, and their Families commander of the 44th Medical the pass was still given to the Soldier. worldwide. Brigade, as he addressed his Soldiers For some, the command took the “Now that our Soldiers know a before the day’s activities began. “Just gratitude one step further – if Soldiers little more about donating blood and this weekend, we had one of our own and their Family members donated, what it is all about, you will continue who received 16 units of blood. It was they received a four-day pass. The to see an influx of donors, which is a because of people like you.” passes were a way for Johnson to thank good thing,” said Army Sgt. 1st Class Johnson was followed by Army the Soldiers and their Families for their Chadley Blackburn, the blood drive Maj. Teresa Terry, chief of transfusion generosity and support of the Armed coordinator. services at the Womack Army Medical Services Blood Program. To find out more about the Armed Center. After the run was completed Johnson Services Blood Program or to schedule “We thank you for supporting went through the Fort Bragg Blood an appointment, please visit us online: our mission and for giving us the Donor Center to thank the Soldiers www.militaryblood.dod.mil. To opportunity to be a part of such a who were busy making their way interact directly with some of our staff, wonderful event,” Terry said. through the donation process. see more photos or to get the latest Nancy Colt, a bone marrow The Fort Bragg Family Readiness news, visit us here: www.facebook. recipient, told her personal journey and Group also had the chance to take part com/militaryblood, www.flickr.com/ why it is important to register for the in the day’s action. After the morning militaryblood and www.twitter.com/ bone marrow program. In 2010, Colt rush of donors from the 44th Medical militaryblood. was diagnosed with leukemia. After Brigade, Family members began to fighting the disease for 10 months and stream through the blood donor center spending 100 days in the hospital, doors, ready to roll up their sleeves,

20 | ARMYMEDICINE.MIL DENCOM DENTAL COMMAND Paratrooper Named Dental Officer of the Year By Spc. Eliverto Larios, 2nd Brigade Combat Team, 82nd Airborne Division Life is full of twists and turns. officer. After his command time with president three out of the four years he That was true for Maj. Russell D. the 3rd Battalion, 4th Air Defense was there. Taylor, the dental surgeon for the 2nd Artillery Regiment, he was assigned to Motivated to become a dentist and Brigade Combat Team, 82nd Airborne the Falcon Brigade as the air defense using the leadership skills he acquired Division. officer. It wasn’t until he deployed with while in the Army, Taylor graduated Growing up, Taylor never expected the brigade in support of Operation with a Doctorate of Dental Surgery. to be where he’s at today, let alone, be Iraqi Freedom that he realized he After a year of residency to hone his recognized as one of the best at what he wanted to become a dentist. new skill, Taylor decided it was time to does. Taylor was named this year’s U.S. come home. Army Forces Command Junior Dental “I requested to come back to the Officer of the Year. 82nd,” said Taylor. “I think I work well The award is a way of recognizing in this environment.” five outstanding junior officers in Taylor claims to be no different than the Army’s dental community. The any other brigade’s dentist in the clinic, recipients were selected from various but he does credit his 14 years in air components and commands. Each of defense for his success and ability to the officers showed great military and relate to his patients. clinical potential for future leadership “I am able to talk to them in their in the Dental Corps. own language and connect with them,” Taylor said he was taken by surprise Maj. Russell Taylor, U.S. Army Forces Command he said. “I know that Soldiers who Junior Dental Officer of the Year, working at when he got the call from the U.S. LaFlamme Dental Clinic at Fort Bragg, N.C. Taylor come in have days that are usually Army Forces Command dental officer. graduated from dental school in 2011, after serv- harder than mine, so I try to let them ing 14 years as a combat officer. (U.S. Army photo “He called me and told me that I was by Spc. Eliverto Larios) relax here. You have a lot of Soldiers nominated,” said the 45-year old North who are scared to come to the dentist, Carolina native. “Later he came back During the deployment, he spent so if you are able to put them at ease and told me that I was selected. I never time with the brigade’s dental surgeon. before they come in, and you talk to expected to get selected.” He said he was impressed by what he them and get their mind off of what is Before his senior year in college, saw. “I saw the effect that he had on about to happen to them, then it makes Taylor said he never had thoughts of Soldiers in terms of their morale and for a better appointment.” joining the Army. As a student athlete their readiness, and that’s what got me In early spring of this year, Taylor at North Carolina State University, interested,” said Taylor. and the four other award recipients Taylor and some of his teammates When Taylor returned from the will travel to Washington, D.C., as decided to join the Reserves Officer deployment, he took his first steps. part of the Dental Corps Junior Officer Training Corps and although he didn’t “I came back and went to school,” Week hosted by the Army Dental plan on staying in for four years, he said Taylor. “I took my prerequisites Corps. While there, they will get the did. at Fayetteville Tech or wherever I was opportunity to meet and discuss issues “I never intended on coming into the located at the time.” with the senior leadership of the Dental Army, but as I got closer to graduation After applying to different medical Corps, the Army Medical Department, I started thinking about it,” said Taylor. schools, Taylor was accepted to and the Department of Defense. They After a lot of thinking, he made his Meharry Medical College School of will also tour the White House, the choice and now claims it was one of the Dentistry in Nashville, Tenn., and Pentagon, and Capitol Hill. best decisions he has ever made. began what he said was the hardest As for his career in the Army, Taylor Although he has demonstrated great thing he has ever done. “They told said he has no plans on retiring any leadership and skills in the dental me they were taking a chance on me,” time soon. career field, he didn’t start off as a Taylor said. “They expected great “I like where I’m at,” said Taylor. “I dental surgeon. For 14 years, Taylor leadership out of me.” Taylor did not like being an Army dentist and I like served as an air defense artillery disappoint, having served as class what it stands for.”

21 | ARMYMEDICINE.MIL ERMC EUROPE REGIONAL MEDICAL COMMAND

Lt. Gen. Donald M. Campbell Jr., commanding general of U.S. Army Europe, reenlists Staff Sgt. Tyronne Jones in a ceremony at Landstuhl Regional Medical Center, Germany. Jones had planned to reenlist while deployed to Afghanistan, but those plans changed after insurgents attacked against his Forward Operating Base. (U.S. Army photo by Phil A. Jones) Soldier Reenlists While Recuperating from War Injury By Chuck Roberts, Landstuhl Regional Medical Center Public Affairs

In the aftermath of being downed by Soldiers from his home station in Center in San Antonio where he will a gunshot wound during a firefight in Vilseck, Germany. unite with his Family from Nevada, Afghanistan, several thoughts came to Although Jones is a career Soldier and eventually with his wife and their the mind of Staff Sgt. Tyronne Jones – who planned to reenlist, the deadly two sons. among them was reenlistment. Sadly, attack only firmed his resolve. Jones said well-meaning people have the date and location were not the only “I don’t want to let somebody else used the word “hero” for his actions; things that changed that day. dictate when my career is going to however, he is very matter-of-fact Chief Warrant Officer 2 Edward Balli be over,” said Jones, a 30-year-old and straightforward in saying that his was supposed to have conducted Jones’ unmanned aircraft technician who actions were not heroic, but performed reenlistment ceremony at their Forward was deployed with the 2nd Cavalry only as any Soldier should have done in Operating Base in Afghanistan. Regiment. “What makes them a the same situation. His main thoughts Balli died beside Jones in that same terrorist is the fact that they put terror now are to heal and return to duty in firefight on Jan. 20, 2014, against into somebody, change their life, and whatever capacity he can. enemy insurgents who penetrated scare you into doing whatever. I’m Jones said he hopes that he has acted their compound through a hole from a not going to let them bully me into as a good Soldier and properly trained massive explosion. anything. I’m going to stay in the Army others who are now filling his void in Instead, Jones was reenlisted by and I’m going to do what I do and not Afghanistan, just as he now considers Lt. Gen. Donald M. Campbell Jr., let them terrorize me.” becoming a warrant officer to fill the commanding general of U.S. Army After his injury, Jones was medevac’d huge void left by the death of Chief Europe, in a ceremony at Landstuhl to Kandahar and Bagram before Warrant Officer 2 Edward Balli. Regional Medical Center before his arriving at LRMC. His next level of wife and two children, and fellow care will be at Brooke Army Medical

22 | ARMYMEDICINE.MIL MRMC U.S. ARMY MEDICAL RESEARCH AND MATERIEL COMMAND New Research Facility Opens at USAMRMC By Ellen Crown, deputy Public Affairs Officer, U.S. Army Medical Research and Materiel Command

U.S. Army Center for Environmental the lab’s pre-existing fish facility. U.S. Army Medical Research Institute Health Research (USACEHR) Researchers will use the new vivarium of Chemical Defense, USACEHR’s leadership unveiled a new vivarium in for studies focused on behavioral mission is to develop surveillance January. health, environmental exposures, and capabilities to detect, prevent, and A vivarium is a facility used to nutrition. assess health effects from adverse keep plants or animals for observation “The new state-of-the-art vivarium environmental, and psychological and research. This vivarium allows is twice as large as the center’s previous exposures. USAMRICD is one of USACEHR researchers to bring in- capacity and supports a 100 percent 12 subordinate commands and six house their rodent studies, which recyclable and disposable cage system, executive agencies supported by the had previously been conducted at allowing for greater cost savings U.S. Army Medical Research and commercial facilities, as well as area overall,” said USACEHR’s Integrated Materiel Command, the Army’s hospitals and universities. Systems Biology Program Director Dr. medical materiel developer focused on USACEHR now has about 3,500 Marti Jett. research, development and acquisition, square feet of vivarium space, including A subordinate laboratory of the and medical logistics management.

Leadership cut the ribbon unveiling a new vivarium at the U.S. Army Center for Environmental Health Research. Pictured are (left to right) Lt. Col. Tom Timmes, com- mander, U.S. Army Center for Environmental Health Research; Dr. Marti Jett, program director, Integrated Systems Biology, U.S. Army Center for Environmental Health Research; and Col. Bruce Schoneboom, commander, U.S. Army Medical Research Institute of Chemical Defense. (U.S. Army photo by Ellen Crown, U.S. Army Medical Research and Materiel Command)

23 | ARMYMEDICINE.MIL NRMC NORTHERN REGIONAL MEDICAL COMMAND Northern Regional Medical Command Strives for Safety Excellence at Military Treatment Facilities By Terry J. Goodman, Northern Regional Medical Command Public Affairs

Workplace safety is critical for the official release of the CONOPs by third phase and will be assessed in June organizations across the Army. MEDCOM. Barquist Army Health of this year. If successful, Kenner will However, safety in a medical Clinic, Fort Detrick, Md., McDonald be the first MTF within the region to environment is especially important Army Health Center, Fort Eustis, receive the Army Star Strong flag -- to ensure that employees and patients Va., and Kenner Army Health Clinic only 21 months since inception. are protected from a variety of serious (KAHC), Fort Lee, Va., were the first Colonel Thomas Bundt, KAHC hazards common to clinical operations. MTFs within the region to begin the commander, understands the The Voluntary Protection Program process. importance of workplace safety and was established by the Occupational The MS2 program is designed to thinks this new program emphasizes Safety and Health Administration reduce accidents by building a safety- safety among his staff and is proud of in 1982 to recognize workplaces conscious culture in the workplace how quickly Kenner was able to start that go above and beyond the basic through the execution of safety and sustain the process well in advance compliance standards by employing an practices and procedures. To achieve of the standard timeline. effective safety and health management star status, organizations must complete “The staff has done a fantastic job system. The system demonstrates three stages of assessments focused on throughout,” Bundt said. “Every a cooperative and proactive safety management leadership and employee component of this valuable program partnership of management, labor, and involvement, worksite analysis, hazard and has demonstrated this through regulatory agencies. These workplaces prevention and control, and safety and multiple venues and inspections. We are identified as model sites, showing health training. have every confidence this commitment the employees, industry, and the Profitt is quick to point out that will continue to evolve and improve, community that they are leaders in while safety is a key coordinator in the and that KAHC will soon achieve Star safety and health. process, it is not the lead on executing Status in the MS2 program.” The Department of Army informally the program. Commanders have a Throughout the process, the NRMC adopted this approach in 2012 and critical role in giving the initiative Safety Office conducts assessments selected the U.S. Army Medical proper visibility and support, and of each stage with the MTF. All Command (MEDCOM) as the pilot effective implementation depends on assessments are conducted by a organization for the Army. In June employee involvement from all areas trained assessor within MEDCOM of 2012, the MEDCOM Safety of the organization’s staff. Successful and a contract employee from the Management System (MS2) was organizations have established a MS2 Department of Defense VPP/Safety established and a concept of operations steering committee or appointed one or Management Center of Excellence. (CONOPs) and implementation plan more MS2 “Champions.” Following the assessment, the medical was developed and published. The “Of course, safety serves as a critical facility’s leadership and MS2 steering CONOPs, signed by Army Surgeon advisory component for the MS2 committee/champion receives an exit General and MEDCOM Commander program, but successful organizations briefing and a written report in the Lt. Gen. Patricia Horoho, requires all have achieved true engagement by every form of a gap-analysis spreadsheet. The MEDCOM military treatment facilities employee, and the program is high committee is then tasked to address (MTFs) and other O6 level (colonel) on the list of commander priorities,” identified issues and submit their and below commands to enroll in the Profitt said. “As a whole, MTF corrective actions through a secure web- multi-phased process to achieve “Star commanders within the region are based tool managed by the Center of Status.” embracing this commitment to safety Excellence. These actions are validated According to Mary Profitt, safety in pursuit of “Star Status.” by both NRMC and MEDCOM Safety director for Northern Regional Medical It typically takes three years to Offices before the organization moves Command, NRMC officially launched complete the program. Kenner, which onto the next stage. the program in June 2012 following started in September 2012, is in the

24 | ARMYMEDICINE.MIL PRMC PACIFIC REGIONAL MEDICAL COMMAND Tripler Adopts ‘Sisters in Arms’ Program By Ana Allen, Pacific Regional Medical Command Public Affairs There’s a new movement building momentum at military installations across the Army and its taken root at Tripler Army Medical Center (TAMC). “Sisters in Arms” is a mentorship program run by female Soldiers, for female Soldiers. Participants gain access to a forum where issues ranging from career, education, and even Family can be addressed in a way that empowers members to become better leaders. Master Sgt. Celestine Jackson, career counselor for Pacific Regional Medical Command, is leading the Sisters in Arms program at Tripler, but she has added a twist. “We’ve put the mentorship aspect Command Sgt. Maj. Donna A. Brock, command sergeant major for U.S. Army Medical Command and Com- of the program front and center,” mand Sgt. Maj. Robert C. Luciano, command sergeant major for Pacific Regional Medical Command listen to Sisters in Arms members talk about how the mentorship program is benefiting female Soldiers at Tripler says Jackson. “In most programs, the Army Medical Center, Hawaii during a February visit to TAMC. Brock’s visit was part of a larger Asia-Pacific emphasis is more on the forum but tour with the Army surgeon general. (U.S. Army photo by Ana Allen, Pacific Regional Medical Command) we wanted to try something different. We wanted to focus on creating one- of senior enlisted Soldiers. If we can beginning and has championed the on-one connections that help junior teach just one person something that group’s efforts with senior leaders in enlisted Soldiers tap into the knowledge will keep them from making the same Army Medicine. mistakes we did, we’re a success,” she Command Sgt. Maj. Donna A. said. Brock, command sergeant major for Mentors are carefully selected by U.S. Army Medical Command spoke leaders for their approachability, diverse with TAMC Sisters in Arms during a backgrounds, and must exemplify visit to the region and praised program Army values before being invited to members on their success. participate in the program. “A lot of Soldiers go through Junior enlisted Soldiers are then programs looking for answers. It’s clear paired with a mentor that best match that walking through the Sisters in career paths and backgrounds. Arms program, they will find it,” said Jackson says this is where the Brock. program really comes alive. “You are trying to make yourselves “Mentoring Soldiers through the better and the organization better. program is a reflection of getting back Thank you for what you are doing here. to the basics of taking care of Soldiers. You have really inspired me,” she said. I can’t affect the Army as one, but I can Jackson says she’s glad leaders like Members of the Sisters in Arms mentorship pro- gram listen as Command Sgt. Maj. Donna A. Brock, affect the ones I come in contact with, Brock support the program and that command sergeant major for U.S. Army Medical and that’s what the program helps to with continued efforts, the Sisters in Command praises Tripler Army Medical Center Soldiers for running a program that betters Soldiers accomplish,” she says. Arms program will continue to grow and develops diverse leaders. (U.S. Army photo by Jackson says leadership at the hospital today’s Soldiers into tomorrow’s leaders. Ana Allen, Pacific Regional Medical Command) has supported the program from the

25 | ARMYMEDICINE.MIL SRMC SOUTHERN REGIONAL MEDICAL COMMAND 14th Combat Support Hospital Deploys to Fort Stewart By Michelle L. Gordon, Fort Stewart MEDDAC Public Affairs Soldiers from the 14th Combat (CSH) to Fort Stewart. We did some when they deployed in support of Support Hospital deployed a mobile research and found that other military Hurricane Katrina relief in 2005. That operating room to Fort Stewart, Ga., treatment facilities had done something was the last time it was deployed for March 3 to alleviate the backlog similar. Once we knew there was a real-world contingency operations. of surgical cases at Winn Army precedent, we reached out to the 14th The 14th CSH will assume responsibly Community Hospital. CSH and began coordinating.” for severe weather response in June so “The backlog was caused by ongoing That coordination was done during this is actually very good for us to take construction,” said Maj. John Tsai, weekly meetings to determine location, our deployable equipment and have Winn ACH chief of general surgery. staffing, equipment, and logistical needs the opportunity to work with it in “Many of the sections within the of the 14th CSH. Each surgical case was conjunction with a fixed facility because hospital are undergoing renovations also reviewed to identify patients who it’s very realistic of something we would including our entire operating room met the qualifications of being seen in have to do in the event of another suite, and unfortunately we are not the mobile OR. hurricane response effort.” physically capable of utilizing three “We’ve selected patients based on the Lodi wants to assure patients and their of our six operating rooms during the type of procedure they need, as well as Families that the standard of care in the process.” their overall general health,” said Tsai. mobile OR is no different than it is in a Hospital Commander Col. Kirk “It’s restricted to same-day procedures traditional operating room. W. Eggleston said he and his deputy and it’s also reserved to active-duty “Over the course of the past 12-years commanders began brainstorming ideas military personnel.” this equipment has been proven effective to mitigate the impact of decreased OR The commander of the 14th CSH, in much more austere environments,” space last fall when construction began. Col. Paula C. Lodi, said she is excited she said. “These Soldiers have done “A couple of things came up that about the opportunity to partner with a phenomenal job taking care of our seemed reasonable,” said Eggleston. Winn ACH, especially since it provides injured Soldiers down range and they’ve “One was a partnership with Liberty her Soldiers with real-world training. had some realistic opportunities both in Regional Medical Center here in town. “The 14th CSH returned from a Iraq and Afghanistan to sharpen their They were receptive to the idea and nine-month deployment to Afghanistan skills. I’m excited for my team’s ability to we’ve been doing cases there two days last summer, but they did not deploy showcase what they can do, and for the a week since January. The other idea with the surgical suite,” said Lodi. opportunity to validate our capability was to bring a combat support hospital “However, this equipment was used of providing the same standard of care using deployable equipment.” Eggleston agrees and added that the equipment will meet the same standards and requirements set forth by The Joint Commission. “Our Soldiers conduct fairly significant procedures in mobile ORs down range so they have literally been battle tested,” he said. “They are outstanding. We validated them as far as infection control and air exchange, and we will continue to test them just like we do any operating room inside the building. They are absolutely no different. If we can use these to save lives down range then there’s no reason we can’t use them here at Fort Stewart, Soldiers from the 14th Combat Support Hospital deploy a mobile operating room. (U.S. Army Photo) Georgia.”

26 | ARMYMEDICINE.MIL USAPHC U.S. ARMY PUBLIC HEALTH COMMAND Warrant Officer Makes Trip to ‘The Ice’ By Jane Gervasoni, Public Affairs Office U.S. Army Public Health Command

Employees of the U.S. Army Public foods to McMurdo Station and the South Health Command (USAPHC) are Pole, according to Warren. found in 14 time zones in 85 countries, Fresh foods are also shipped from New but who would expect to find them in Zealand during the Antarctic summer Antarctica? from November to March after audits by It is in this most remote continent the regional USAPHC food specialist. that USAPHC veterinary food safety Some fresh food is also grown in a officers perform food inspections for the hydroponic garden at the pole. National Science Foundation’s (NSF’s) Chief Warrant Officer 5 Christopher Finch per- “Foods shipped to Antarctica also forms a food stores inspection at a research camp Polar Program and the military personnel in Antarctica.(U.S. Army photo by Public Health have to meet very stringent packaging assigned to McMurdo Station. Command) regulations,” explained Finch. “Due to Antarctica is the “est” continent--the meal service operations at McMurdo,” the extreme temperatures, foods can’t highest, driest, coldest, windiest, and explained Chief Warrant Officer 4 be packed in glass, and packaging has cleanest continent on earth, according to William Warren, chief, Operational to meet environmental regulations Gwen Adams, safety and occupational Rations Section at the USAPHC. “We that dictate how much waste the food health manager of the NSF’s Office of only have one opportunity to get it right, packaging can produce. Any unused food Polar Programs. because there is no full-time inspector is shipped back.” The Antarctic also is a unique natural onsite.” Storage conditions at the pole can be laboratory, and scientists live in this McNeil, food safety officer at Public challenging as well. Food shipped to environment 12 months of the year. Health Command District--Western Antarctica is usually six to eight months However, most of their food supply must Pacific, New Zealand Branch, is old and will be stored for as much as a be shipped during the short summer currently on a three-year assignment full year before use. season, usually in January, while shipping and coordinates the support for the NSF “The extreme temperatures can cause lanes are open. program. According to McNeil, he is meats and other foods to dehydrate, “The annual resupply of the Antarctic the only U.S. military member currently affecting the quality,” Warren explained. stations including McMurdo Station, assigned to New Zealand outside of the “We check that the maximum shelf life South Pole Station and remote field U.S. embassy. is what was ordered to ensure that the camps is an intense 24-hour a day “In 2011, 10 to 15 refrigerated/ food will retain its quality in this harsh operation that lasts for five to seven frozen containers and their temperature environment.” days,” said Chief Warrant Officer 5 recorders became inoperable during the When not facing wind-chill Christopher Finch, Food Protection voyage from California to New Zealand,” temperatures of minus 50 degrees Program deputy program manager at explained McNeil. “Fortunately, the NSF Fahrenheit in Antarctica, McNeil the USAPHC, who made seven trips to logistics personnel placed data-loggers in performs audits of local and regional Antarctica. “Food inspections for these every container. After checking the data- commercial food processing facilities locations are performed through an logger information on each container, I supporting the NSF and U.S. forces agreement with the NSF to ensure they was able to determine that no potentially worldwide from his location in New have independent food inspection.” hazardous foods had been exposed to Zealand. But there is more to providing food for unacceptable temperatures, saving close “This assignment was a fantastic the Antarctic stations than a single week to a million dollars of food from being experience,” said McNeil. “Meeting of inspections. discarded.” the unique food inspection challenges “Chief Warrant Officer 4 Robert Food is inspected and loaded on the at McMurdo and the South Pole McNeil provides procurement and U.S. West Coast in late December to stations due to the unusual operational sanitation inspections and approved be shipped on the annual supply vessel. conditions and environment, interacting source verification. He also observes the This shipment provides approximately with the NSF personnel, and exploring contractor’s food handling personnel and a 13-month food supply. In addition, the historical sites were opportunities no equipment hygiene practices for 24-hour air-drops provide routine supplies of fresh other job could offer.”

27 | ARMYMEDICINE.MIL WRMC WESTERN REGIONAL MEDICAL COMMAND Focus on Patient: Evans ACH Pioneers New Pain Management An Interview with Lt. Col. Joel T. Tanaka, M.D. Chief, Department of Primary Care, Evans Army Community Hospital By USAMEDDAC-Fort Carson Public Affairs

According to the Institute of Medicine, better, people will continue to needlessly providers, and others. With trust as the health arm of the National Academy suffer. Sometimes we need to consider a a foundation, classes promote a pain of Sciences, approximately 116 million medication last, not first,” said Tanaka. management philosophy of personalized Americans suffer from chronic pain. Over the past few years, Evans Army medicine through evidence-based, America faces treatment challenges; Community Hospital leaders have taken safe pain management techniques. accepted methods may work for some, innovative steps to move providers and Attendees receive an overview of the but newer approaches may be the answer patients in a new direction. medical evidence and presentation on for all. “We have pioneered chronic pain why a multidisciplinary team approach “Based on my clinical observations management efforts focused on the to chronic pain management works and a review of the medical literature, patient as an individual using a ‘team of better than just prescribing medications. I suspect that this number is teams’ approach,” said Tanaka. “Having Instructors emphasize becoming more underreported,” said Lt. Col. Joel T. multiple specialties looking at each active, healthy eating, maintaining a Tanaka, M.D., chief of the Department patient through different lenses allows for healthy weight, the importance of sleep, of Primary Care at Fort Carson’s Evans a more personalized and comprehensive and stress reduction. Army Community Hospital. “There are evaluation and individualized treatment “This creates an environment of many more people in misery, living with plans.” mutual trust and ‘patient activation’,” chronic pain.” In the Department of Primary Care, all said Tanaka. “There is no way that any The time healthcare providers dedicate Family medicine, pediatric, and internal system of care can work to reduce pain to alleviating chronic pain and treatment medicine clinics have transitioned and increase function unless the suffering costs are ever increasing, and many into National Committee for Quality person is ‘In it to win it’!” primary care managers prescribe multiple Assurance recognized Patient Centered The hospital’s Pain Clinic also hosts medications. Medical Homes (PCMH). Clinics a Functional Restoration Program for “This tendency for providers to reach now have personalized and proactive active duty Soldiers. The program for medications first is multifactorial, but core teams of primary care managers provides them access to dedicated is mostly due to lack of training, time, and nurses, as well as integrated clinical medical providers and pain educators all and an emphasis on patient satisfaction pharmacists and behavioral health focused on dealing with aspects of pain scores,” said Tanaka. providers. management. The pain educators teach Many prescribed pain medications “The proximity and team concept about healthy sleeping habits, coping interact with each other and possibly enhances communication and promotes strategies, importance of regular exercise, cause additional, more debilitating a multidisciplinary approach to and other topics. Another initiative is the problems. Pain treatment product pain management. The teams offer Short Acting Opioid (SAO) Reduction advertisements build patient expectations a personalized and evidence-based program. claiming to alleviate chronic pain, yet approach to the treatment of chronic “By actively engaging patients, they often include disclaimers that the pain,” said Tanaka. “They focus on regarding behaviors that promote FDA has not verified this claim. the patient and his or her individual pain, military and civilian providers “These are some reasons we have had functional deficits, behaviors – including can effectively decrease reliance on less than optimal success treating pain in the risk of abuse, medical, and Family medications, reduce risk, improve mood, the traditional fashion; unless the military history as well as other factors.” increase function, and realistically help and civilian medical communities begin In addition to the transformation to people live happier, more fulfilling lives,” to change this culture of polypharmacy PCMH, the hospital hosts a monthly said Tanaka. [prescribing multiple medications] Pain School that educates patients, that may make things worse and not Family members, caregivers, medical

28 | ARMYMEDICINE.MIL WTC WARRIOR TRANSITION COMMAND Sexual Trauma Victims get Support By Spc. Aaron Breitbarth, Warrior Transition Battalion Public Affairs Female Soldiers now have a safe Then they start engaging in avoidance,” self-care and safe coping strategies. The and anonymous place to share their said Robertson. facilitators give handouts with a list of experiences with military sexual trauma Men and women who experience safe coping skills that Robertson teaches (MST), thanks to the Women’s Trauma trauma engage in dangerous behaviors Soldiers to have ready, like compassion Recovery Group which began here last like drugging and drinking, she said. In or rewarding one’s self. All of these are summer. The Women’s Trauma Recovery military culture drinking is an acceptable available in “Seeking Safety.” Every week, Group is the only sexual trauma group behavior, but it can lead to more every meeting, there is a check-in and — for women or men — that meets on dangerous things or events; what Soldiers a check-out during which the Soldiers Joint Base Lewis-McChord (JBLM). who experience MST need to do is learn make a promise to further their coping “The group is focused on coping,” said how to deal with it, said Robertson. strategies. Robbi Robertson, a social worker at the There are usually two co-facilitators “We ask ‘What was your safe coping?’ Warrior Transition Battalion (WTB) who who lead the group, including Robertson. because at the end of each group they specializes in MST and post-traumatic One scans the group to make sure each make a commitment to do some kind of stress disorder (PTSD). Soldier is feeling okay and that the safe coping behavior. That way they learn “Seeking Safety: A Treatment Manual Soldiers are feeling safe and supported to be good to themselves — commit to for PTSD and Substance Abuse” by Lisa when they are sharing. self-care, positive reinforcement. That Najavits is used as a guide for the group “The women are given permission from way they develop better self-care habits,” because it was written particularly for their commanders to wear civilian clothes said Robertson. women who often turn to self-medication and that allows a lot of anonymity… Self-care is not cutting oneself, not as a result of MST, said Robertson. they are trusting one another, meeting drugging, not drinking too much, Najavits came to Madigan Army outside of group, feeling cared about, and eating right, and sleeping well. Self-care Medical Center to train some of the rebuilding relationships,” said Robertson. involves personal control and personal counselors, including Robertson. “I think if they were wearing rank that safety and allows a Soldier — allows “It’s called ‘Seeking Safety’ because wouldn’t happen.” anyone — to feel more in control of their when someone is traumatized the first The backbone of the Women’s Trauma external environments, said Robertson. thing they lose is their sense of safety; Recovery Group is female Soldiers “Good self-care leads to safe coping,” they start doing ‘things’ to try to feel safe. supporting female Soldiers through good Robertson said. Robertson’s group meets here weekly. Soldiers are referred by social workers with the Sexual Assault Resource Clinic and behavior health clinics all over JBLM, as well as through social workers and nurse case managers here at the WTB. Soldiers can also self-refer into the group by contacting Robertson. “It’s hard to come to a group like this, because people don’t want to talk about sexual trauma,” said Robertson. “(They ask), ‘How do you get over the self-guilt? The shame?’ Even (with) counselors — ‘Can I trust this person?’ There’s this fear of ‘What are they going to think of me?’” “But when they finally come, they begin to feel better. They feel like they’re Madigan Army Medical Center participated in Denim Day to help raise awareness to prevent sexual assaults. not the only ones going through this,” A therapeutic group Joint Base Lewis-McChord now allows female Soldiers who were assaulted to get help in a safe group environment. (U.S. Army photo by Sgt. Sarah Enos) she said.

29 | ARMYMEDICINE.MIL RECOGNITIONS Ramon Named ISR Civilian of the Year Story and photo by Steven Galvan, ISR Public Affairs Officer For the second year in a row, the his work ethic to the time he spent in “You have to do your best at all times, Civilian of the Year at the U.S. Army the military where he started off as a even if it seems like there’s not enough Institute of Surgical Research (USAISR) tank driver and worked his way up to time in a day to accomplish what needs was selected from the Logistics Division. tank commander and retiring as a first to be done,” Ramon said. Gilbert Ramon, a general supply sergeant. “The best one!” he said. Ramon plans to continue providing the specialist, was presented the Civilian One of the best things that Ramon best customer service and giving his best of the Year certificate by the USAISR likes about his job is being able to work every day and attributes his success to his Commander, Col. (Dr.) Michael A. in a place that makes a difference in Family. Weber during a Soldier/Civilian awards helping Wounded Warriors. “They have always stood by me and ceremony. “He excels in coordinating and believed in me,” he said. “It feels awesome being selected orchestrating timely procurements Civilian of the Year,” Ramon said. “It and shipments to ensure that research shows that the work that I do here makes protocols are conducted on schedule,” a difference, especially for the Wounded Rathburn said. “His aggressive approach Warrior.” is instrumental in contributing to the Ramon has been working at the success of the combat casualty care USAISR for almost seven years and research mission.” said he believes he was selected for this Ramon’s work philosophy is simple. honor because he always provides the “Work hard and provide the best best customer service. “This award is customer service,” he said. well deserved,” said Leila Rathburn, It is also the advice that he offers to chief of Logistics Division. “He is a anyone who would like to be recognized unique individual within the command. as a future Civilian of the Year at the He makes each customer a priority and USAISR. Ramon also added that Gilbert Ramon, a general supply specialist at the Lo- provides excellent customer service.” everyone should strive to improve their gistics Division was named the 2013 USAISR Civilian The 22-year Army veteran attributes work performance every day. of the Year. (U.S. Army Photo) CONNECT WITH ARMY MEDICINE CLICK ON A LINK BELOW AND JOIN THE CONVERSATION FACEBOOK FLICKR TWITTER

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30 | ARMYMEDICINE.MIL RECOGNITIONS Ludescher, Wendorff Named NCO, Soldier of the Year By Steven Galvan, ISR Public Affairs Officer

The U.S. Army Institute of Surgical Ludescher joined the Army in 2008 and school. The best thing that he likes about Research (USAISR) Non-commissioned has been at the USAISR for a year. Serving his job as a research support technician is Officer (NCO) and Soldier of the Year his country in the Army has been a life-long working with the people in the laboratory competition concluded in February dream. One of the reasons that he believes and said that the most challenging thing with the announcement of two medical he was selected for this honor is because of about it was learning all of the sections. laboratory specialists as the 2013 USAISR his drive to succeed. Wendorff, who has been at the Institute NCO and Soldier of the Year. “I work hard and lead by example,” he since November said that he enjoys the Sgt. Andrew J. Ludescher, a native of St. said. “I trained and studied hard for this fact that he learns something new and Paul, Minn., is assigned to the Laboratory competition.” interesting almost every day. He also said Support Division, was selected as the That’s the same advice that he offers to that joining the Army was a childhood Non-commissioned Officer of the Year, anyone who would like to follow in his dream. and Spc. Daniel S. Wendorff, who hails footsteps. “It a great honor,” Ludescher said. “Being able to become a medical from Columbus, Ohio, is assigned to the One of his short-term goals is to obtain laboratory specialist was a great opportunity Damage Control Resuscitation Division, a medical laboratory technician certificate for me,” he said. was selected as the Soldier of the Year. and eventually attend physician’s assistant Wendorff joined the Army almost two years ago and said that time management can be a big challenge for him and “Also trying to balance the work I do in research with my responsibilities as a Soldier,” he said. He believes that his performance during the competition helped him be selected for this honor. “It’s a great honor to have been selected,” said Wendorff. The advice that Wendorff gives Soldier who would like to earn his distinction is simple. “Start studying as early as possible and be ready to be physically and mentally exhausted by the time it is all over,” he said. His next goal is to earn the Expert Field Medical Badge in the near future and to eventually attend medical school and become a doctor. Ludescher and Wendorff will represent the USAISR at the upcoming MRMC Soldier and NCO of the Year competition. USAISR Company 1st Sgt. Bradley Proud said he was extremely pleased to have these two Soldiers representing the Institute at this year’s headquarters competition. “They both have the drive, determination and leadership to succeed,” he said. “I feel confident that they will both do well and Sgt. Andrew J. Ludescher maneuvers through the obstacle course as part of the USAISR NCO/Soldier of the make us all proud.” Year competition. (U.S. Army Photo)

31 | ARMYMEDICINE.MIL RECOGNITIONS Convertino Selected 2013 Top EMS Innovator by Journal of Emergency Medical Services By Steven Galvan, ISR Public Affairs Officer The Journal of Emergency Medical save lives during prehospital care and Services selected Victor A. Convertino, transport of patients.” Ph.D., a physiologist/researcher and the “Vic is one of the leading prehospital tactical combat casualty care research task researchers in San Antonio. His work is area program manager at the U.S. Army ongoing, but it is great to see one of our Institute of Surgical Research (USAISR) at area’s behind the scenes guy be recognized Joint Base San Antonio, Fort Sam Houston, on a national level,” said Dr. Craig as a 2013 top innovator in emergency Manifold, former director of the San medical services (EMS). Antonio Fire Department EMS. Victor A. Convertino, Ph.D., the tactical combat casu- Convertino was among 10 trendsetters CRI uses an algorithm designed to take alty care research task area program manager was who were recognized Feb. 5 at the 2014 information from a patient’s finger pulse selected as one of the 2013 top innovators in emer- gency medical services by the Journal of Emergency EMS Today Conference and Exposition oximeter and gauge whether immediate Medical Services. (U.S. Army Photo) in Washington, D.C., for his efforts in medical attention is needed -- even if the developing the Compensatory Reserve patient seems alert and responsive. It is and land ambulances as well as battalion aid Index (CRI) and the Intrathoracic Pressure the first device of its kind that can truly stations on the battlefield. Regulation (IPR) – two life-saving detect when a patient seems stable but is “This award recognizes Vic’s unwavering technologies. actually getting dangerously worse, known search for better understanding of human “This is a great honor that is especially as “crashing.” physiology and better ways to treat patients significant to our research team and IPR therapy is used to create a vacuum in emergent situations,” said Dr. Keith the U.S. Army Combat Casualty Care in a patient’s chest cavity to increase blood Lurie, inventor of the IPR concept. “The Research Program because it’s given by circulation and pressure. The IPR concept cutting edge research that Vic and his a leading organization in the field of was used to manufacture a small breathing team are conducting will prove critical in emergency medical care that is independent device called the ResQGARD that helps the advancement of capabilities for EMS of the military,” said Convertino. “As patients with severe low blood pressure. care on the national level as well as on the such, this award reflects an appreciation IPR therapy has been used in the pre- battlefield.” from our civilian counterparts that we’ve hospital setting to assist in saving countless Read the full story at: https://mrmc. been successful in developing medical lives, particularly in cases of cardiac arrest, amedd.army.mil/index.cfm?pageid=media_ technologies that can be translated to any and provides rapid resuscitation without the resources.articles.convertino_ emergency medical setting to help civilian use of fluids. As a result, the ResQGARD selected_2013_top_EMS_innovator paramedics as well as our combat medics has been deployed in the medical kits of air Medical Specialist Corps Anniversary As the Army Medical Specialist Corps play key roles in support of the four Army possibility of patients becoming obese, and celebrates its 67th anniversary on April Medicine Priorities: Combat Casualty Care, restoring and enhancing quality of life. 16th, Command Sgt. Maj. Brock and I Readiness & Health of the Force, Ready Members of the SP Corps also play want to extend our heartfelt congratulations & Deployable Medical Force, and Health key roles in initiatives such as Traumatic to the more than 2,900 Active and Reserve of Families and Retirees. They continue to Brain Injury & Behavioral Health, Component Members of the Corps. Your lead important elements of the Performance Patient/Soldier Centered Medical Homes, selfless and dedicated service to our Soldiers Triad (Sleep, Activity & Nutrition) and Wounded Warrior Care, Comprehensive and Family Members is a testament to your support critical clinical research initiatives Pain Management, and the Army Wellness commitment and pride in service. After in this arena. Centers. more than 12 years of conflict, you can Occupational therapists, physical CSM Brock and I wish you continued reflect back with tremendous pride on the therapists, dietitians, and physician success. Serving to Heal...Honored to Serve care you provided and continue to provide assistants are instrumental in guiding to our wounded, ill, and injured. patients toward a healthier lifestyle, thereby Lt. Gen. Patricia D. Horoho Army Medical Specialist Corps providers preventing physical injuries, reducing the

32 | ARMYMEDICINE.MIL RECOGNITIONS BACH Inducts 23 into NCO Corps, Lauds Soldier, NCO of Year By Rick Rzepka, Courier Editor-in-chief A ceremony welcoming the newest noncommissioned officers from Blanchfield Army Community Hospital (BACH) and Fort Campbell Dental Activity was held with a special guest and long-time community member in attendance. Retired Command Sgt. Maj. Rufus W. Mendenhall, who’s been known at BACH as “Mr. Wally” for the past 28 years, helped preside over the ceremony and was certainly the most seasoned NCO in a room full of combat proven Soldiers and leaders. Mendenhall, 85, whose Army service began in 1951 and continued through a combat tour in Korea, three in Vietnam, and endured for 30 years, proudly helped welcome 23 Soldiers into the NCO corps

and helped recognize BACH’s top NCO Retired Command Sgt. Maj. Rufus W. Mendenhall pins an Army Commendation Medal on Sgt. Tanya Barrett, and Soldier of the Year. BACH NCO of the Year. (U.S. Army Photo) “It was great,” said Mendenhall who pharmacy technician, walked away from competition with her support and making graduated in just the second class from the ceremony with top honors, earning sure that I lead with a good example both the United States Army Sergeants Major the title of NCO and Soldier of the Year, with everyone I work with and for my Academy in 1973. “I haven’t done this in a respectively. daughter.” long time but haven’t forgotten … because “It means greater responsibility and more “It’s a future for my wife and my child. I like to be with people and Soldiers.” competitions,” said Barrett. “We have to It’s why I joined the military, because I Mendenhall, who stood tall as a shining go to San Antonio, Texas, and compete wanted to make a future for my Family. It’s example to Fort Campbell’s newest leaders, regionally.” a lot harder to do that outside the military continues his service today at BACH as a In competing against her peers for the these days.” Red Cross volunteer and personifies the title of BACH’s top NCO, Barrett had to For Fort Campbell’s newest leaders, the NCO’s duty to lead by example. complete an essay, excel at land navigation, induction into the corps of NCOs – the “With all the history and traditions ace written tests, compete in unarmed backbone of the Army – doesn’t just mean we have with the rights to passage in the combatives, as well as winning a slew of a bigger paycheck and more rank to throw ceremony, I thought it would add such class preliminary boards. around. They are the newest standard to have our most senior noncommissioned “Since we’re [the Army] downsizing, it’s bearers in an Army that saw victory at officer,” said BACH Command Sgt. Maj. definitely going to help set me apart from Valley Forge, defeated fascism in Europe, Miguel Reyna. “I was class 58 and to have my peers and make sure I’m not the one and crushed terror where it spawned. someone who was class two to be here and that they want to downsize with,” said “Remember when in charge, take represent, I think it added a touch of class Barrett. charge,” said guest speaker Command Sgt. and to keep up that Army tradition in the For Foster, who has been in the Army for Maj. Carel A. Tate Jr., commandant of the noncommissioned officer corps,” he said. a little more than a year, winning Soldier Staff Sgt. John W. Kreckel NCO Academy “What I expect from them is what I expect of the Year means helping secure a bright here. “Make a decision – all decisions will from all NCOs – to lead from the front and future for his Family. not be correct, but a timely decision could set an example in everything they do.” “It was a big thing because I just had mean accomplishment as opposed to Sergeant Tanya Barrett, my daughter 18 days ago,” he said. “My failure…lead from the front.” noncommissioned officer-in-charge of wife insisted that I still go through the labor and delivery and Pfc. Cassidy Foster,

33 | ARMYMEDICINE.MIL RECOGNITIONS MEDCOM Recognizes Ohlsen for 60 Years of Federal Service By Dr. Valecia L. Dunbar, Army Medicine Public Affairs

Dean Ohlsen, maintenance management recognition because it shows he has made equipment services, G4-MEDCOM specialist, G4-MEDCOM logistics, a great impact on Army Medicine, but logistics. “Fifty-years is the standard was recognized for 60 years of federal most importantly on the people within the recognition given, but for Ohslen we had service March 5 at a ceremony held in his organization. a new plaque made just in his honor as a honor at U.S. Army Medical Command Ohlsen’s contribution and passion for 60-year federal employee.” Headquarters (MEDCOM), Fort Sam his work is respected by coworkers and Ohlsen was presented with a one-star Houston,Texas. Army leaders. “He’s not retiring anytime note and coin by Brig. Gen. John L. Poppe, Ohlsen who was moved by the soon,” said Master Sgt. Anthony Parham, deputy chief of staff for support, U.S. Army occasion, expressed that he appreciated the noncommissioned officer in charge of Medical Command and chief, U.S. Army Veterinary Corps; and Gregg Stevens, Army Medical Department Civilian Corps chief presented a two-star note and coin. Ohlsen began his military career after attending Basic Training at Camp Pickett, Va., in 1953 and served honorably for 12 years in numerous medical service positions that led him first to San Francisco and then Germany as a company aide man followed by time spent as a physical reconditioning specialist from 1958 to 1965 in Denver, France, and San Francisco respectively. In 1965, Ohlsen began his adventure as a medical maintenance specialist as a student in the Medical Equipment Maintenance Basic Course located at Fitzsimons General Hospital, Aurora, Colorado. Following graduation, he served in multiple positions in Korea and Vietnam, arriving in San Antonio, Texas, in 1979 as senior maintenance noncommissioned officer, Maintenance Branch, Property Management Division at U.S. Army Health Services Command Headquarters. He retired as an Army sergeant major in August 1983 and in 1984 began his civilian service as an equipment specialist, Maintenance Branch, Property Management Division for U.S. Army Health Services Command Headquarters which later transitioned into the Equipment Management Branch, Operations Management Division at U.S. Army Medical Command Headquarters, Gregg Stevens, U.S. Army Medical Department (AMEDD) Civilian Corps chief presents a two-star note and San Antonio, Texas. coin to Dean Ohlsen for 60 years of federal service. (U.S. Army photo by Master Sgt. Anthony Parham, MED- COM Operations Management Division)

34 | ARMYMEDICINE.MIL RECOGNITIONS Purple Heart awarded at Fort Belvoir By Northern Regional Medical Command Public Affairs

Sgt. (Ret.) Cleber Ferreira was awarded injury, mild traumatic brain injury, and the Purple Heart at a ceremony held in left knee injuries from an improvised the Fort Belvoir USO Warrior and Family explosive device attack while serving with Center Feb. 10. Comanche Troop, 1st Squadron 2nd Maj. Gen. M. Ted Wong, commanding Cavalry Regiment. Witnesses to the attack general, Northern Regional Medical said Ferreira, although wounded, helped Command, presided over the ceremony. He rally the passengers of his Stryker vehicle told the audience that today’s force shows and organized security and medical care for a special spirit of volunteerism because other injured Soldiers. they willingly serve during a period of Ferreira arrived at Fort Belvoir in July of conflict. Wong noted that another special 2013, where he received medical treatment Maj. Gen. M. Ted Wong presents the Purple Heart to Sgt. (Ret.) Cleber Ferreira at a ceremony held at Fort circumstance of Ferreira’s service is that he at Fort Belvoir Community Hospital and Belvoir, Va., Feb. 10. Ferreira was wounded in Kanda- is a naturalized citizen. was assigned to the Warrior Transition har Provence, Afghanistan in 2010. (U.S. Army Photo) “He was born in Brazil,” Wong said. Brigade – National Capital Region (WTB- “And yet, he decided to join the Army NCR). He retired from service in October. He said Dr. Martin Luther King Jr. was during a period of tremendous risk to After receiving the award, Ferreira told his one of his heroes and he paraphrased the himself because he believed in what this battle buddies of the WTB that he decided words of the civil rights icon. country stands for.” not to receive the award in his home town “I had a dream to become a Soldier,” Ferreira was wounded Aug. 23, 2010 in of Boston. “I wanted to have the ceremony Ferreira said. “I had a dream to become an support of Operation Enduring Freedom here, with Family, because I belong to the American citizen. I have a dream today to while deployed to Kandahar Provence, biggest, best Family in the world – the be the last Soldier to receive this award.” Afghanistan. He suffered a severe back United States Army.” MEDCOM’s BCAC and DCAO of the Year 2013 The 2013 Beneficiary Counseling and Assistance Coordinator (BCAC) and 2013 Debt Collection Assistance Officer (DCAO) of the Year Awards are two honorary awards given annually by MEDCOM to recognize two individuals for outstanding contribution as a BCAC and DCAO. The Regional Medical Commands submitted their nominations and MEDCOM convened a special board in November to select the 2013 BCAC and DCAO of the Year winners. DCAO Winner - Marilyn Hill, Womack Army Medical Center, Fort Bragg, North Carolina, Northern Regional Medical Command, was selected as the 2013 DCAO of the Year Winner. Brooke Army Medical Center Beneficiary Counseling and Assistance/Coordinator Debt Collection Assistance Officer Camisha Ruff is pictured with BAMC Commander Kyle Campbell during an award ceremony at San BCAC Winner - Camisha Ruff, Brooke Antonio Military Medical Center Jan. 14. (U.S. Army photo by Kelly Schaefer) Army Medical Center, Fort Sam Houston, Their extensive knowledge of the Military reflects highly upon them, the AMEDD Texas, Southern Regional Medical Health System and relentless dedication in and the United States Army. Command, was selected as the 2013 responding to the needs of our beneficiaries BCAO of the Year Winner.

35 | ARMYMEDICINE.MIL RECOGNITIONS BAMC Wins DOD Patient Safety Award By Brooke Army Medical Center Public Affairs

Brooke Army Medical Center (BAMC) situational awareness regarding patient risk the development, implementation, and Department of Nursing was recently factors for falls using the Johns Hopkins sustainment phases. awarded the 2013 Department of Defense falls scale; post fall intervention checklist; “Each of them equally allowed us to (DOD) Patient Safety Award for its and implementation of falls simulation be creative, innovative, have fun, and abstract submission, “Implementation of training. work through our own processes without an Evidence Patient Based Safety Team to “The Nursing Services, Patient Safety dictation,” she said. “They allowed us Prevent Falls in Inpatient Medical Units.” Coaches are an enthusiastic team that to own it, yet hold us accountable for The annual DOD Patient Safety strives to translate, integrate, and apply completion. Theodore Roosevelt once Program award recognizes efforts designed TeamSTEPPS at the bedside to gain said, ‘The best Executive is the one who to decrease harm and improve the care the trust of our patients, their Family has sense to pick good men to do what he delivered within the Military Health members, and our fellow team members,” wants done, and self-restraint enough to System. The program focuses on creating said Godlock. “Although falls may not be keep from meddling with them while they a safer patient environment that fosters 100% preventable, we believe that there is do it.’” trust, teamwork, and communication by all a correlation between situational awareness, To date, patient safety team continues members of the health team. mutual support, communication, and to respond to falls, complete post The BAMC award validated the leadership in decreasing the probability of fall assessment checklists, and make importance of effective communication causing patient harm.” recommendations, as well as tailor fall coupled with teamwork and how both are Godlock emphasized the EBP project was prevention interventions based upon best essential in providing high quality care to most successful because of the leadership evidence. patients. engagement and support throughout “The purpose of this project was to enhance communication and teamwork to decrease the rate of falls in the inpatient care setting,” said Army Capt. Gwendolyn Godlock, patient safety officer for Nursing Services/TeamSTEPPS champion. “In order to effectively improve the initiative – a team from all levels of nursing leadership including the deputy commander for nursing, section supervisors, middle managers, nursing staff, and Falls Safety Team implemented a plan using the Evidence-Based Practice (EBP) TeamSTEPPS to help overcome team communication barriers, encourage teamwork, and increase fall patient safety reporting,” she said. “The team leveraged the support of the Center for Nursing Science and Clinical Inquiry to ensure compliance with EBP guidelines, FOCUS-PDCA methodology, and implementation of innovative strategies,” Godlock added. (From left) Brooke Army Medical Center Deputy Commander for Nursing Col. Sheri Howell, patient safety In order to achieve this goal, the team officer for Nursing Services/TeamSTEPPS champion, Army Capt. Gwendolyn Godlock, and Assistant Deputy focused on several strategies to include: Commander for Nursing Services Col. Richard Evans Jr. are pictured during a Patient Safety Awareness event at San Antonio Military Medical Center Medical Mall, Mar. 6. BAMC Nursing Department won the 2013 re-enforcing team safety huddles; bed Department of Defense Patient Safety Award for its abstract submission, “Implementation of an Evidence alarm education and training; increasing Patient Based Safety Team to Prevent Falls in Inpatient Medical Units.” (U.S. Army photo by Robert Shields)

36 | ARMYMEDICINE.MIL JUST IN... AMEDD Hosts World War II Military Medical Conference, Exhibit By Sanders Marble, Office of Medical History The U.S. Army Medical Department (AMEDD), Office of Medical History recently hosted its second conference highlighting the rich medical history of U.S. Army hospitals and their activities during World War II. This biannual gathering held last month at Fort Sam Houston, Texas, brought Army medical professionals and medical historians to the AMEDD Museum for a rare opportunity to share medical knowledge and view featured displays of World War II artifacts and WWII medical artwork which included more than 20 presentations on British, Japanese, and American units and operations. Military historian and author, Retired Col. Robert Dalessandro provided opening remarks and spoke to the timeliness of the conference and its value and historical significance to military medical history. Dalessandro is executive director and chief of military history, U.S. Army Center for Military History, D.C. Although situated in a historical context, attendees presented poster sessions on subjects still relevant to today’s medical practitioners. Subjects and papers discussed included topics such as anesthesia, medical and military professionalism, and maintaining morale and mental health during prolonged operations. Medical knowledge was shared by discussions and demonstrations on the history of several U.S. Army hospitals and their actions during the war. “This is one of the most significant events on military medical history that I’ve attended, said conference attendee, Col. Jerome Buller, director of Communications U.S. Medical Command. “As a physician, I can appreciate the immediate utility and future context of medical advancements. I’ve had the opportunity to look over more than a century of medical innovations and the specific impact it made on the culture and life of the American Soldier, and our nation as a whole. I’m looking forward to future conferences.” The presentations also featured time-specific discussions such as the effects of nuclear weapons at Hiroshima and Nagasaki. Medical ethics, vascular surgery, training of combat medics, and POW dentists were also featured elements of presentations. Some lectures were videotaped and will be posted on YouTube so AMEDD personnel can use them for professional development. A poster session and banquet rounded out the schedule of events for the two-day gathering. The history conference series will continue in 2016, focusing on Vietnam, as part of the Department of Defense’s Vietnam War Commemoration. The Office of Medical History is part of the office of the surgeon general/Army Medical Command (OTSG/MEDCOM) History Program. Our mission is to support the men and women of the U.S. Army Medical Department and Army Medical Command through the assembly and publication of reference materials, original works, previously unpublished works, reprints, special studies, web publications, AMEDD newspaper/professional publications, and a print series. The program includes the administration of a field history program as well as an oral history program for the conduct of regular interviews with key OTSG/MEDCOM active and retired personnel and provides coverage of current operations and issues with participants and decision makers. The conference series on medical history is supported by the AMEDD Center of History and Heritage (ACHH). The first gathering, “World War I Medical History,” took place February 23-25, 2012. The Uniformed Services University of the Health Sciences and the AMEDD Museum Foundation worked together to organize the successful event, with facilities and program support from the ACHH. Learn more about the Office of Medical History at http://history.amedd.army.mil.

Warrior-Athletes Bring Home Gold from Sochi By Elaine Sanchez, BAMC Public Affairs JOINT BASE SAN ANTONIO-FORT SAM HOUSTON, Texas – A wounded warrior led Team USA’s sled hockey team to a hard won victory over Russia at the Paralympics last weekend. Former Marine Sgt. Joshua Sweeney, a bilateral amputee, scored a breakaway goal in the second period, cinching the team’s 1-0 gold medal triumph in the nail-biting game March 15. With that win, the U.S. became the first nation to win back-to-back Paralympic gold medals, according to the committee’s website. “We all played hard and gave it our all,” said Sweeney, a first-time Paralympian and former Brooke Army Medical Center patient. “It’s great to know our team came together and did what we needed to do to come out on top.” Just a few days earlier, the U.S. had suffered a painful defeat by Russia 2-1 in a preliminary round, doubling the team’s determination to get more puck time in the gold medal game. “We knew going into the game, we had to play hard,” Sweeney said. “We weren’t going to give them any more chances.” With a gold medal in sight, both teams remained scoreless after the first period, but the

37 | ARMYMEDICINE.MIL JUST IN...

U.S. team rallied in the second. Nearly 10 minutes into the period, Sweeney saw an opportunity to catch a pass. Going into “autopilot,” he stole the puck and slammed it past the goaltender into the net, scoring the game-winning goal. “I didn’t do anything my teammates didn’t do,” he said. “Right after, I was thinking about how awesome it was to contribute to my team. “Russia played a hard game,” he added. “It was definitely a battle.” Other key players of the U.S. team were forward Rico Roman, an Army veteran, and goalie Army Staff Sgt. Jen Lee, a member of the U.S. Army World Class Athlete Program and the first active duty Soldier selected for a Paralympic winter sports team. Like Sweeney, both Roman and Lee underwent rehabilitation at BAMC’s Center for the Intrepid. A combat veteran turned elite athlete, the media is now calling Sweeney a two-time hero. The former Marine was on patrol in Afghanistan in 2009 when he stepped on an IED. He lost both legs above the knee and suffered left hand and right arm injuries. At the time, the former high school hockey player figured he’d never hit a puck again. “When I was going through rehab, if someone would have told me I’d be winning a gold medal a few years later, I never would have believed them,” he said. “I’m still in awe; it’s surreal.” Sweeney hopes this victory will inspire others with injuries or combat wounds to pursue their dreams. “Anything is possible,” he said. “Just work hard and have fun, and you can achieve whatever you set your mind to.” Back at BAMC, staff and friends were watching and cheering on the warrior-athletes every step of the way. Many said they were “jumping for joy” after the televised victory. “We are so proud to see some of our own bring home the gold,” said BAMC Commander Col. Kyle Campbell. “The entire BAMC team is dedicated to assisting all patients in regaining the highest degree of activity possible. It’s truly inspiring to our staff and other patients to see what Rico, Jen and Josh have accomplished!”

Strategic Partnership Agreement Signed By James Rankin, HCAA The United States Army Medical Command (MEDCOM) and General Services Administration (GSA) have signed a strategic partnership agreement for the use of Performance Management/Continuous Process Improvement (PM/CPI) Blanket Purchase Agreement. MEDCOM’s Healthcare Acquisition Activity (HCAA) will use the PM/CPI as a preferred vehicle to support the Office of the Surgeon General and MEDCOM Headquarters program support contracted requirements for various System for Health Initiatives. Monte Kapec, the recently appointed Deputy Chief of Staff, Procurements was part of the driving force behind this strategic partnership. “HCAA saw the need for a contract vehicle that not only had the capability of providing a wide variety of program management skills and products but also immediate access to a large pool of world class large and small business,” Kapec said. “We took the advice of the latest Better Buying Efficiencies and the Army’s direction toward Strategic Sourcing. Rather than creating our own vehicle, the PM/CPI BPA had just about everything we needed to support Lt. Gen. (Patricia) Horoho’s program initiatives to transform Army Medicine into a System for Health.” GSA created the PM/CPI Blanket Purchase Agreement to ensure the Federal Government had access to a pool of well-qualified Performance Management and/or Continuous Process Improvement contractors capable of providing market-leading services at competitive prices. The PM/CPI BPA provides services such as Strategic Planning, Performance Management and Business Analysis. These capabilities and many other allow Government organizations to accelerate business transformation by creating an innovative culture of continuous, measurable improvement. The ultimate goal is to save taxpayer dollars by identifying cost inefficient activities and improving quality and responsiveness to customers across the Government. HCAA along with their sister contracting activity, the U.S. Army Medical Research Acquisition Activity (USAMRAA), have the mission to provide medical contracting support to MEDCOM and the rest of the Army. As MEDCOM refocuses Army Medicine from a Healthcare System to a System for Health, both HCAA and USAMRAA stand ready to provide the vital medical contracting services needed from program support at the Office of the Surgeon General to the patient care in the military hospitals and clinics.

38 | ARMYMEDICINE.MIL Serving To Heal...Honored To Serve