UNCLASSIFIED Learning Objectives At the conclusion of this activity, the participant will be able to: 1.Explain how the Federal Employees Health Benefits Program can help to define value-based purchasing of healthcare in the U.S. 2.Describe how the Multi-State Plan Program has introduced new high quality, consumer friendly health insurance options to the American public in 31 states 3.Review some recommendations for future missions
UNCLASSIFIED Continuing Promise 2015 Chris Sears CAPT MC USN DEC
2015 Lessons Learned UNCLASSIFIED Disclosures Presenter has no
interest to disclose. PESG and AMSUS staff have no interest to
disclose. This continuing education activity is managed and
accredited by Professional Education Services Group in cooperation
with AMSUS. PESG, AMSUS, and all accrediting organization do not
support or endorse any product or service mentioned in this
activity. UNCLASSIFIED Learning Objectives At the conclusion of
this activity, the participant will be able to: 1.Explain how the
Federal Employees Health Benefits Program can help to define
value-based purchasing of healthcare in the U.S. 2.Describe how the
Multi-State Plan Program has introduced new high quality, consumer
friendly health insurance options to the American public in 31
states 3.Review some recommendations for future missions
UNCLASSIFIED Mission Statement Statement here On order, COMUSNAVSO
will deploy Command and Supporting Elements aboard USNS COMFORT to
selected countries in the USSOUTHCOM Area of Responsibility (AOR)
from April to September 2015 in order to train U.S. personnel in
cooperation with Partner Nations (PN), Host Nations (HN),
Interagency, and Non-Governmental Organizations (NGOs) to conduct
Civil-Military Operations, including Foreign Humanitarian
Assistance/Disaster Relief (FHA/DR), send a strong message of U.S.
commitment and partnership with the people of the Caribbean,
Central and South America, and be prepared to provide FHA/DR
support in response to a crisis in the USSOUTHCOM AOR. UNCLASSIFIED
Mission Provide health services in support of designated combatant
command missions across the full range of military operations,
including the support of medical stability operations (MSO) and
diplomatic efforts. USNS COMFORT (T-AH 20) UNCLASSIFIED Onboard C2
Mission Commander - CDS 40 (as CTF 48) CAPT Hancock MSC (ship) Capt
Olmsted, Capt Wiley, Capt Cicchetti MTF (hospital) - CAPT Sears
UNCLASSIFIED Partner Nations Bahamas -2 Canada - 18 Brazil - 3
Germany - 11 Chile 1 Colombia 2 El Salvador - 1 Haiti 2 Panama - 1
Peru - 1 UNCLASSIFIED NGO on board Latter Day Saints
CharitiesProject Hope UCSD Pre Dental SocietyRNRN Operation Smile
World Vets UNCLASSIFIED NGO in Country Red Cross Caris Foundation
Foundation to Change the Image of Haiti Veterans Without Orders
Haiti Children's Hope Operation Love the Children of Haiti
Samaritan's Feet Universidad de El Salvador Universidad Catolica de
El Salvador Universidad Autonoma de Santa Ana Universidad
Tecnologica de El Salvador Universidad de San Buenaventura
Universidad del Valle University of Santo Domingo University of
Unibe Sanar un Nacion CitiHope International Project Handclasp
Kiwanis Club Rotary Club MMDC Shriners Lions Club The Message
Program AMCHAM Loving Hugs Operation Blessing Sus Hijos Orphan
Helpers AmericanColobmo Organization Spirit of America Saldariaga
Fundacion JAMSBooks UNCLASSIFIED Scheme of Maneuver UNCLASSIFIED
Overall 11 Mission Stops Total : outpatients______surgeries Average
10,000 outpatients Average 110 surgical (inpatients) SMEE VETS
Public Health/ prevmed/ento Interagency- USAID UNCLASSIFIED Typical
stop Arrive Offload equipment Med site setup/ surgical screen VIDEO
please Opening ceremony Med Sites and surgeries on board/ COMRELs/
ENG/VET/PrevMed daily Closing Ceremony Breakdown/ Retrograde Depart
Transit UNCLASSIFIED The Commute Walking off brow to busses
(Jamaica, Panama, El Salvador, Dominica) Helicopters to busses
(Nicaragua) Boats (Belize, Guatemala, Colombia) UNCLASSIFIED
Typical Day 0500: Breakfast 0600: Muster, Commute 0800: Arrive Med
Site Midday: Lunch 1600: Depart Med Site, Muster, Commute 1800:
Dinner 1900: 8 oclock reports 1930: Nightly OPS INTEL Brief
UNCLASSIFIED Lessons Learned Outstanding surgical platform Med site
flow great when our plan used, estimates outstanding Flexibility is
key! Ship safe: FP and FHP Increase in Food Service and Logistics
since 2011 improved morale Psychosocial support for providers
Freedom when possible Cheer on pier Limited Liberty Dominica
UNCLASSIFIED Lessons Noted Privileging is labor intensive and
repetitive Recommend MOU type contract with HN Held centrally GHE
office in JCS or DHHQ ACE team critical for final tweaks Need
passports - emergency leave Admin footprint earlier to improve
check in Early resiliency training for HA/DR G.O. #1 challenging,
with positive effects UNCLASSIFIED Tips and Tricks DNS meeting
local Matron early in visit Relationship building Biomed repair
list Station HN MOH reps at end of med site process Flexibility in
surgical scheduling Pediatric surgery not in some areas Leave some
wiggle room UNCLASSIFIED Inherent Issues Misunderstanding of
complex chain of command presents challenges Different AFPs Unity
of Command Challenge of having a small crew (
