APublicAffairsPublicationoftheU.S.NavyBureauofMedicineandSurgery ‘Medical Home’ is Transformed at January 2011 Naval Hospital Pensacola MEDNEWSItemsofInterest: ByValerieA.Kremer,BureauofMedicineand “ThroughMedicalHome,thepatient Januarymarks“NavyMedicine’s SurgeryPublicAffairs receivesbettercareandseesbetterout- MedicalHomePortInitiative”- comesthroughleveragingcontinuityof Duringthismonth,NavyMedicine WASHINGTON–NavalHospital relationshipswithteammembers,”said takesalookattheimplementation PensacolaisrevolutionizingtheMedical Capt.MaureenPadden,executiveoffi- processandthefutureoftheMedical HomeconceptwithinNavyMedicine. cer,NavalHospitalPensacola.“Thereis HomeportmodelatNavyMedical Fromwirelesstechnologytofacility alsoagreatersatisfactionofthehealth TreatmentFacilitiesworldwide. modificationstocreatingteam-based careteam.” environments,Pensacolahastaken TheU.S.NavyBureauofMedicine MHSConferencewillbeheldJan. patientandfamily-centeredcaretoa andSurgeryselectedeightinitialsites, 24-27attheNationalGaylordHotel, newlevel. includingNavalMedicalCentersand NationalHarbor,Md. Implementedatseveralcommands FamilyPracticeTeachingHospitals,to withinNavyMedicine,theMedical developlessonslearnedandbestprac- TampaNavyWeek(Jan.22-29)- RearAdm.RichardVinci,BUMED- “HomePort”conceptemphasizesteam- ticeswiththegoaloffullyimplementing deputychief,logisticsandinstalla- based,comprehensivecarethatis MedicalHomePortthroughoutNavy tions,willspeaktovariousmediaand designedtofullymeetthecomplete Medicinein2012.Theultimatetargetis civicorganizationsrelayingtheNavy primarycarehealthandwellnessneeds toachievenationalrecognitionfor Medicinemessage.Formoreinforma- ofpatients.Inthemodel,patientsare MedicalHomePortpracticesfromthe tiononNavyWeeks: assignedateamofhealthcareprofes- NationalCommitteeforQualityAssur- www.navyweek.org/tampa2001/index. sionalswhosupportacomprehensive healthcareplanforthepatient. SeePENSACOLA,Page3 NavalBranchHealthClinicBangor BrokegroundonJan.4tocommence SeeHOSPITAL,Page3 amajorfacilityupgradeandrenova- tionofNavalBranchHealthClinic Bangor. FindusonFacebook.U.S.Navy BureauofMedicineand Surgery,andfollowuson Twitter@NavyMedicine Did You Know… TheU.S.NavyBureau of Medicineand Surgery selected eightinitial sites, includingNaval Medical Centers and Family Practice TeachingHospitals, to develop lessons learned and bestpractices with the goal of PACIFICOCEAN-Lt.Cmdr.KimberlySyres,right,asurgeonaboardtheaircraftcarrierUSS fullyimplementingMedical CarlVinson(CVN70),performsalaparoscopicappendectomyintheoperatingroomwithassis- tancefromHospitalCorpsman1stClassSajataTaylor,center,andHospitalCorpsman2nd Home Port throughoutNavy ClassRashanRobinson,Dec.31,2010.CarlVinsonandCarrierAirWing(CVW)17areona Medicinein 2012. deploymenttotheU.S.7thFleetareaofresponsibility.(U.S.NavyphotobyMassCommunica- tionSpecialist2ndClassJamesR.Evans/Released) January2011 SURGEON GENERAL’S CORNER Page2 Navy Medicine’s Medical Home Port Initiative NavyMedicine’sMedicalHomePort needsofourpatientsconsistentlyandat initiativeintroducesanewmodelof allNavyMedicinelocationsifwedonot. patientandfamily-centeredhealthcare Thekeychallengeisthattheprovider- deliveryforprimarycare.Thismodelis centricmodeldoesnotleveragethe team-based,comprehensive,andde- entirehealthcareteaminpatientcare. signedtofullyimplementthecomplete Thisdecreasestheabilityforproviders primarycarehealthandwellnessneeds toseetherightamountofpatients, ofourpatients.Weanticipateincreased enhancesuccess,andspendtime accesstocareforpatientsbothinperson doingthetaskswhichareappropriate andviaelectronicmedia–atruepara- fortheprovider’slevelofcertification digmshiftinhowweprovidecareto andeducation. andcommunicatewithbeneficiaries.In Makenomistake.TheMedicalHome thecomingyears,fullimplementation Portmodelwillbeimplementedandwill oftheMedicalHomePortinitiativewill requireacultureofchangeandleader- reduceoverallcostsinthelongterm shiptoensuresuccess.Thisisa‘game andalsoimprovepopulationhealth, changer’inhowwehavedonebusiness ViceAdm.AdamM.Robinson,Jr., patientsatisfaction,andreadinessacross inthepast,butIamveryconfidentthat U.S.NavySurgeonGeneral theboard. MedicalHomePortistherightthingto ThismonthI’dliketohighlight mentingstandardsforallaspectsofpri- whereweareandwherewe’regoing “We ensure our Sailors, marycareservices.Itensuresthatcareis withtheongoingphased- Marines, and their fami- all-inclusiveandintegratedwithall implementationoftheMedicalHome- othercareprovidedwithinourhealth- lies get the right care, portconceptatNavyMedicalTreatment caresystem.Thiscaredeliveredthrough Facilitiesworldwide. when and where they MedicalHomePortincludesreadiness, Firstletmesaythatwearerenewing need it. Our Medical prevention,wellness,behavioralhealth, ourfocusonthisvitalinitiativenotjust anddiseasemanagement. Homeport model is the becausemostofthemilitaryandcivilian Thebenefitsoffullimplementation healthcarecommunityisalreadywell perfect example of willbeprofound.Eachpatientwillbe onitswaytowardstheimplementation this philosophy.” partofateamthatincludesaprimary ofsimilarprograms,butalsobecausewe careprovider,anurseeducator,acare willeventuallybeunabletomeetthe coordinator,andothersupportstaff. comprehensivehealthcareandwellness do,isachievable,andisfully consistent Thismodelwillbetterutilizeour withdeliveringthebestofpatientand personnelbyleveragingsupportstaff, family-centeredcare.Oneofthekey increaseourabilitytodiagnoseandtreat differencesbetweencivilianandmilitary patients,andkeeptheminourhospitals medicinehistoricallyishowweexecute insteadofthe“network”ofproviders NavyBureauofMedicineandSurgery casemanagement.Wemakesurewe outsideofNavyMedicine.Lastly, ViceAdm.AdamM.Robinson,Jr. bringthemedicinetothepatient.We MedicalHomePortincreasesaccessto U.S.NavySurgeonGeneral don’tmakethepatientfindthemedicine providerandteamtoallowthemto Capt.CappySurette orthedoctor.WeensureourSailors, bettermanagethehealthoftheirpopu- PublicAffairsOfficer Marines,andtheirfamiliesgettheright lation. Byfocusingonprevention, care,whenandwheretheyneedit.Our wellness,anddiseasemanagementthey ShoshonaPilip-Florea MedicalHomePortmodelistheperfect candrivedowncostsovertime.I DeputyPublicAffairsOfficer exampleofthisphilosophy. encourageeveryonetoembracethis ValerieA.Kremer Afewyearsago,weselectedeight fundamentalchangeinhowweprovide MEDNEWSManagingEditor initialsites(NavalMedicalCentersand caretoourbeneficiariesanddoevery- FamilyPracticeTeachingHospitals)to thingyoucantoassistinitsfullimple- BureauofMedicineandSurgery developlessonslearnedandbestprac- mentationacrosstheNavyMedicine 2300EStreetNW ticeswiththegoalofimplementing community.AsIbeginmyfinalyear,it Washington,DC20372-5300 throughoutNavyMedicineinthecom- ismyhonortorepresentyouasyour PublicAffairsOffice Phone:202-762-3160 ingyears.Basedonwhatwe’veaccom- SurgeonGeneral. Thankyouforevery- Fax:202-762-1705 plishedthusfar,weknowthatthis thingyoudo,butmostofallthankyou modeldrivesoutvariabilitybyimple- foryourservice. January2011 Page3 Tricare To Extend Dependent Medical Coverage to Age 26 U.S.DepartmentofDefenseOfficeoftheAssis- metorexceededkeytenetsofnational ployer-sponsoredhealthcoverage. tantSecretaryofDefense,PublicAffairs healthreform,includingrestrictionson “Thisprogramhasthepotentialto annuallimits,lifetimemaximums,“high extendTricarecoveragetoseveralhun- WASHINGTON-TheDepartmentof user”cancellations,ordenialofcoverage dredthousandadditionalbeneficiaries,” Defenseannouncedtodayitsintroduc- forpre-existingconditions–butdidnot saidHunter.“Thepremiumallowsus tionofthepremium-basedTricare includethisexpandedcoverageforadult toprovidethisexcellentbenefittoour YoungAdultProgram(TYAP)which children.Dependenteligibilityfor militaryfamilieswhileresponsibly extendsmedicalcoveragetoeligible Tricarepreviouslyendedatage21or addressingtheimpactofhealthcare militaryfamilymemberstotheageof age23forfull-timecollegestudents. costsontheDoDbudget." 26.Expectedtobeinplacelaterthis Thefiscal2011NDAAnowgivesthe Initially,thebenefitofferedwillbea spring,TYAPimplementstheNational DoDtheauthoritytooffersimilarbene- premium-basedTricarestandardbene- DefenseAuthorizationAct(NDAA)of fitstoyoungadultsunderTricare. fit. Eligiblefamilymemberswhoreceive fiscalyear2011.Premiumcostsfor “We’vebeenworkinghardtomake healthcarebetweennowandthedate TYAParenotyetfinalized,butthe surewecouldputTricareYoungAdult theprogramisfullyimplementedmay NDAAspecifiesratesmustcoverthefull onafasttrack,”saidTricareDeputy wanttopurchaseTYAPretroactively costoftheprogram. Director,RearAdm.ChristineHunter. andshouldsavetheirreceipts.Premi- ThePatientProtectionandAfford- “Fortunatelyforourbeneficiariescon- umswillhavetobepaidbacktoJan.1, ableCareActof2010requiredcivilian cernedabouthealthcarecoveragefor 2011,inordertoobtainreimbursement. healthplanstooffercoveragetoadult theiradultchildren,thelawsignedby Adultswhoarenolongereligiblefor childrenuntilage26.Tricarepreviously thePresidentincludesopportunitiesfor Tricare,butneedhealthinsurancecov- militaryfamiliestoelectthisnewpre- erage,maywishtoexploretheContin- mium-basedplanretroactivetoJan.1." uedHealthCareBenefitProgram Beginninglaterthisspring,qualified, (CHCBP).CHCBPisapremium-based unmarrieddependentsuptoage26will programofferingtemporarytransitional beabletopurchaseTricarecoverageon healthcoveragefor18-36months. amonth-to-monthbasis–aslongas Coveragemustbepurchasedwithin60 theyarenoteligiblefortheirownem- daysoflossofTricareeligibility. PENSACOLA areincorporatedaspartoftheirtraining routinecare,asopposedtosevendays intotheFamilyMedicineMedical orlongerinmostpractices,”said FromPage1 Homes. Padden.“Wehavealsoseenimprove- ance(NCQA).InNov.2009,the Pensacolafurtherexpandedthe mentsincare.Therewasanincreasein firstMedicalHomeprototypewas MedicalHomeconceptto18,300 emergencyroomuseinthepast,and establishedatNavalHospitalPensacola, patientsatitsbranchmedicalclinics sinceMedicalHomehasbeenimple- whichencompassed4,000patients, Gulfport,La.andMillington,Tenn., mented,wehaveseenalevelingoffof andfocusedonenrollments,access alongwiththeNavalAirTraining EmergencyRoomutilizationandhope tocare,staffingneeds,andfacility Center(NATTC),locatedattheNaval toseedecreasesintheverynearfuture.” modifications. AirStationPensacola,Fla.,where8,000 Forthelongterm,Pensacolais “Wefocusedonthecolocationof Sailorsreceiveschooling. lookingtobeinthe90thpercentilein practice,”saidPadden.“Weestablished “Wehavebeenabletotesthow qualitymetrics,decreaseunnecessary pods,wheredoctors,nurses,and MedicalHomeisrelevantinnotjusta hospitalization,bringenrolleesback Corpsmenareinthesameroom,where teachinghospital,butalsoatthebranch intothedirectcaresystemfromthe thereiscrosstalk-theintegrationofa medicalclinics,”saidPadden. network,anddeterminehowquality teambasedprocess.Wemoveddesks “Pensacolahasshownsuccessfullythat canbebroughttothenextlevel, outoftheway,wentwireless,testing youcanimplementMedicalHomeina explainedPadden. wirelesscomputersandtechnology, graduateeducationenvironmentand “Wewillcontinuetorevisethe optimizingthemostoutofour achievemeaningfuloutcomes.” MedicalHomeconcept,adjustit,and existingspaces.” Sincetheimplementationofthe morphMedicalHomefordifferent NavalHospitalPensacolainitiated MedicalHomeconcept,Pensacolahas populations,”saidPadden.“Thegoalis sevenMedicalHometeamsinNov. seenprocessimprovementsincareand tofigureoutwhatisreasonable–how 2010nowserving22,000patients. improvementsinaccesstocare. manypatientsaprovidercanprovide Theseventeamsconsistofthreeteams “Nowapatientcansecureasameday qualitycaretoandwhatstaffingmix infamilymedicine,twoinpediatrics, appointmentforacuteprimarycareand willhelpthemtobemostsuccessful.It andtwoininternalmedicine.Residents withintwotothreedaysfornon-urgent isabalancingact January2011 Page4 Navy Medicine Goes Smoke Free For the Start of the New Year ByValerieA.Kremer,BureauofMedicineand productssuchasnicotinegum,skin SmokingCessationTools: SurgeryPublicAffairs patches,lozenges,oralinhaledproducts, ornasalsprays,"saidRobinson."These Developastrategicplantoover- WASHINGTON-TheNavyBureauof productsareavailabletoaidinasuc- comeobstaclesandstayoncourse MedicineandSurgery(BUMED)be- cessfultobaccocessationprogram." cameatobacco-freecompound,Jan.1, Leadinguptothecampus-wide TRICARE’sTollFreeSmoking intimeforthestartofthenewyear. smokingcessation,BUMEDemployees quitline: Theuseoftobaccoproducts,includ- attendedtownhallmeetingsonthe -NorthRegion:866–459–8766 -SouthRegion:877–414–9949 ingallformsofsmokelesstobaccoare topic,whichprovidedavarietyofop- -WestRegion:866–244–6870 nowstrictlyprohibitedonthePotomac tionsandinformationtoaidinquitting Annexproperty,includingelectronic tobaccouse. www.ucanquit2.comhasmany nicotinedeliverydevices(e-cigarettes). Duringthepastseveralmonths, additionaltoolstohelpsmoking "E-cigarettes,whicharenotapproved severalNavyMedicinefacilitieshave cessation bytheFederalDrugAdministration gonesmokefree,anactionapplauded -MyQuitPlan (FDA),arenotanacceptablesubstitute byRobinsoninalignmentwithestab- -MedicinesthatCanHelp YouQuit fortobaccocessation,"saidNavySur- lishingafitandhealthyforce. -SavingsCalculator geonGeneralViceAdm.AdamM. "AsNavyhealthcareproviders,we -SupportLocator Robinson,Jr. canevokepositiveandmeaningful Robinsonoutlinedguidancetoall changethroughourownactions,"said Navymedicalpersonnelregardingthe Robinson."Implementationoftobacco- cessation,gototheNavalMedical safetyofe-cigarettesinpolicymemo freeenvironmentssendsapowerfuland PublicHealthCentersiteathttp://www- 6200datedOct.1,2010. effectivemessageencouragingourSail- nehc.med.navy.milorcontactasmoking "Thosewishingtoquittheirtobacco ors,Marines,retirees,familymembers, cessationprogramavailableatmany useandwishtousemedicationsshould staff,andcommunitytobehealthy." NavyMedicinemedicaltreatmentfacili- useFDA-approvednicotinereplacement Formoreinformationonsmoking ties(MTFs). New 24/7 Child Development Center at Portsmouth is Ready ByDeborahKallgren,NavalMedicalCenterPortsmouthPublicAffairs PORTSMOUTH,Va.–DignitariescutaceremonialribbonJan. 10officiallyopeninganew‘round-the-clockchildcarecenterat NavalMedicalCenterPortsmouth.Thecenterbeginsreceiving childrenat7a.m.onJan.11andwillneverclose. LastFebruary,groundwasbrokenforthe24/7ChildDevel- opmentCenter(CDC),a$1.5millionfacilitythatwillprovide high-qualityeducationalandrecreationalprogramsforchildren andyouth,24hours,sevendaysaweek. TheNMCPCDCwascreatedspecificallytomeettheunique needsofservicemembersandtheirfamilies.The24/7program isavailabletoallactivedutymilitaryandDefenseDepartment civilians(watchstandersandshiftworkers)whoworkoutside customaryworkinghoursof6a.m.to6p.m.Thecenterwill particularlybeofbenefittoPortsmouth-areapersonnel whoworkthesecondandthirdshifts–timeswhenchildcare islimited. The4,249-square-footfacilitycanaccommodateupto16 childrenpershiftovernightandultimatelycanaccommodate36 PORTSMOUTH,Va.-Fromleft,ThirdDistrictCongressmanRobert duringtheday,aswellasdrop-inswhenspaceisavailable.The Scott,D-Va.;RearAdm.MatthewNathan,commander,NationalNaval centerdécorevokesahomeyfeeling,andhasalargekitchenand MedicalCenterandformercommander,NavalMedicalCenterPorts- diningarea,playroom,livingroom,ababyroomwithupto mouth;KeciaBrothers,CDCandChildYouthProgram;Capt.Charles Melcher,commandingofficer,NavalSupportActivity;andRearAdm. eightcribs,andboys’andagirls’roomsforuptofourchildren AltonStocks,commander,NavalMedicalCenterPortsmouthcutthe ineachroom.Thereisalsoanoutdoorplayarea. ribbonofthenew24/7ChildDevelopmentCenteratNavalMedical Severalparentswhosechildrenwillusethecenterattended CenterPortsmouth.(U.S.NavyphotobyDeborahKallgren,NMCP PublicAffairs/Released) SeePORTSMOUTH,Page6 January2011 Page5 Female Engagement Team Refreshes Training in Afghanistan ByRegionalCommandSouthwest CAMPLEATHERNECK,Afghanistan–Marineswiththe RegionalCommandSouthwestFemaleEngagementTeam conductedresettraininghereJan11-12. TheMarinesarerequiredtoreturntoCampLeatherneck every45daystoconductresettrainingtogivethemabreak fromtheirrespectiveunitsandsharelessonslearnedbeforere- turningtotheirassigneddistricts. “Duringthisreset,wewantedtofocusonsomeofthepro- jectstheyhavebeendoing,”saidMasterSgt.CherelleL.Peters- Williams,fromIthaca,N.Y.,andFETstaffnoncommissioned officer-in-charge. Peters-WilliamsaddedthatbecausetheMarinesaregetting closetoreturninghome,theyarereceivingfinanceandopera- MARJA,Afghanistan-LanceCpl.KathrynMannionspeakstoanAfghan tionalsecurityclasses. womanwhileassignedtotheFemaleEngagementteamwithRegimental Sgt.MeredithN.BurnsfromWestPitteston,Pa.,FETsquad CombatTeam7inMarjah,Afghanistan,July7,2010.Mannion,originally leader,tookpartinwhatiscalleda“DistrictDeep-Dive.” amilitarypoliceman,volunteeredtoparticipateintheMarineCorps' newestprogram,designedtoengagewithAfghanwomen.Mannion, Theforumexplainsin-depthinformationineachdistrictthe 24,isfromCoatesville,Pa.(U.S.MarineCorpsphotobyCpl.Megan Marinesrepresent. Sindelar/Released) “Wejustfoundoutthatourdistrictusedtohavewomen’s shuras,andwehadthoughtthatwejusthadthefirstone,”said oneanother.” Burns.“TheDistrictDeep-Diveisveryhelpfulbecauseitgives Peters-WilliamssaidtheFETMarines’missionistotalktothe usaninsighttowhymydistrictisthewayitis.” femalepopulationandseewhattheirneedsare.Ifitwasn’tfor Notonlyistheresettraininggoodforexchanginginforma- theFET,thecommandwouldnotreallyseethewholepicture. tion,it’salsoamoraleboosterbecausetheFETmembersdonot Theygivelocalwomenavoiceandimpressuponthemtheycan gettoseeeachotherveryoften. beleadersintheircommunities. “Theyhavetheopportunitytotalkaboutlessonslearned, “TheFETMarinesaredoingagreatjob;wecontinuetobe whattheysawandwhattheycouldhavedonebetter,”said proudofeverythingthattheyaredoing,”shesaid. Peters-Williams.“Thisgivesthemachancetobounceideasoff PORTSMOUTH CDC.Shehas20years’experienceatareaCDCsandNMCP’s ChildWaitCenter,andisreadyforthenewcentertoopen.“It’s FromPage4 veryexciting,butit’sbeenverytiring,”shesaid.Including theribboncutting,includingHospitalCorpsmanThirdClass White,thecenterwillhaveeightemployeestostart;staffwillbe TamekiaTolarandherhusband,AircrewSurvivalEquipment- addedasneeded. manSecondClassHezekiahTolarIII.Hezekiahworksat “Alotofpeoplehavebeencallingandaskingaboutthenew NorfolkNavalStationandTamekiaworksvariousshiftsinthe center.OncetheycalltheChildPlacementProgramtoenroll,it medicalcenter’spharmacy.She’sdelightedtheireight-month- shouldtaketwoweeksorlesstogettheirchildin,”Whiteadded. oldson,HezekiahIV,qualifiesforthe24/7careofferedatthe Thecenterisequippedwithclosed-circuitcamerastomonitor NMCPCDC. everyroom,andisoutfittedwiththelatesttechnology.It “Iamecstatic.Thisisareallygoodidea,andreally,really complieswithdesignandconstructionrequirementsandenergy needed.Iworkcrazyhoursandnowwewon’thavechildcare performancestandardsfornewfederalbuildings. issues,”TamekiaTolarsaid. Toenrollachildinthe24/7ChildDevelopmentCenterat ThebabyhasbeenreceivingdaycareattheNewGosport NMCPorreceiveinformationonavailableservices,contact CDCnearby,whichisopen6a.m.to6p.m.,butdoesn’tfitthe CYPResourceandReferralat(757)444-3670. Forinformation Tolars’workschedules. ontheNMCPprogram,call(757)953-7050. “I’mgettingreadytodeployinApril,andwithhercon- TheNavycurrentlyoperates11ChildDevelopmentCenters stantlychangingschedule,it’shardtofinddaycare,”Hezekiah intheHamptonRoadsareaincludingthreeother24/7centers. Tolaradded.“Thecostisbasedonourincome,andit’smuch TheNavy’sChildDevelopmentCentersareaccreditedwiththe cheaperthanoutsidedaycare.” NationalAssociationfortheEducationofYoungChildren StephanieWhiteistheprogramsupervisorattheNMCP (NAEYC). January2011 Page6 Naval Hospital Guam Breaks Ground on New Replacement ByCatherineCruzNorton,NavalFacilitiesEngineeringCommand MarianasPublicAffairs AGANAHEIGHTS,Guam-Navyofficialsparticipatedina ground-breakingceremonyforthe$158millionNavalHospital GuamreplacementprojectJan.14aboardtheinstallationin AganaHeights,Guam. "Today,asweofficiallybreakgroundonanew,state-of-the- art,world-classhealthcarefacility,wecelebratethevisionthat beganmorethan16yearsagowhenmembersoftheBureauof MedicineandSurgerystartedtotalkaboutthepossibilityofa replacementfacilityforNavalHospitalGuam,"saidCapt.Kevin Haws,NavalHospitalGuamcommandingofficer."Detailed discussionsandplanninginvolvingthousandsofman-hours andcountlesspersonnel-designers,architects,andconstruc- AGANAHEIGHTS,Guam-Militarypersonnelandcontractorsparticipate tionfirms,aswellasNavyfacilitiesandNavyMedicinestaff- inagroundbreakingceremonytocelebratethestartofconstructionfora ledustowherewearetoday,onthebrinkofopeningthenext newnavalhospitalatU.S.NavalHospitalGuam,Jan.14.NavalFacili- tiesEngineeringCommand(NAVFAC)Marianas,USNHGuamandNavy chapterforNavyMedicineontheislandofGuam." MedicineWest(NMW)hostedtheevent.Leadershippresentincluded Hawssaidthecurrenthospitalopenedin1954.Sincethat RearAdm.PaulBushong,commander,JointRegionMarianas;Rear time,staffhavedeliveredmorethan25,000babies,admitted Adm.ForrestFaisonIII,commander,NMW;andCapt.PeterLynch,com- mandingofficerofNAVFACMarianas.(U.S.NavyphotobyReynaldo andcaredformorethan100,000inpatientsandhaveseenin Rabara/Released) excessof1millionoutpatients. Bycontrast,Hawssaidwhenthenewhospitaliscompleteit berwhohassacrificedsothattheirlovedonecanserve,andbe- willincorporateadvancesinhealthcaredelivery,improvepa- causeofthemwearefree.Theyaretrulytheheroesofourna- tientlifesafetyandincreaseefficienciesinhospitaloperations, tion." whilecontinuingtomeetthefullspectrumofpatientandfamily NavalFacilitiesEngineeringCommandMarianasCommand- centeredmedicalandsurgicalcareforalleligiblebeneficiaries ingOfficerCapt.PeterLynchsaidthenewnavalhospitalwillbe throughoutthelifespan. certifiedbytheGreenBuildingCouncilasaLeadershipinEn- "Thecompletedhospitalwillprovide42beds,fouroperating ergyandEnvironmentalDesignSilver. rooms,twocesarean-sectionroomsandimproveddiagnostic "Thisdemonstratesthatwehavethetechnologyandknow- andancillarycapabilitiestoincludemagneticresonanceimag- howtocreatefunctional,attractiveandcomfortablebuildings ingandcomputedtomographyscanningsuites,"saidHaws. thatconserveenergy,waterandlandwithoutanysacrificeto Guestspeakerattheground-breakingceremonywasCom- patientcareandconvenience,"saidLynch."Thisenvironmentally mander,NavyMedicineWestRearAdm.C.ForrestFaisonIII, soundandsustainablestructureisasignificantexampleofour whosaidthisnewfacilityistheembodimentofthattrust. collectivecommitmenttopreservingandprotectingourenviron- "NavyMedicineisunlikeanyotherhealthcareorganization ment,whileensuringthehighestqualitycareforourtroops." intheworldforonesimplereason,"saidFaison."Everyonewho Contractors,WattsWebcorObayashiAJV,willphasethe needsourcare;everyonewhowalksthroughourdoorsevery- worksotheexistinghospitalremainsoperationalduringcon- day;everyonewhocomestousandneedsourhelpissomeone struction,andthenewhospitalwillbeoperationalbeforedemoli- whohasvolunteeredtoserveourcountry,orisafamilymem- tion.Constructionisexpectedtobecompletedinfall2014. Corpsman Study Material Available from NAVMED MPT&E NavyMedicineManpower,Personnel,Education&TrainingCommand(NAVMEDMPT&E)hasfreeHospitalCorpsman advancementstudymaterialavailableinhardcopyoronlineasadownload.HospitalCorpsmanManualFlashcards (NMHCMF10V1),aflashcard“quizzer,”areavailableviaNavyeLearningandaccessedviaNKO.NAVEDTRA14295A,the HospitalCorpsmanRateTrainingManual,isavailableat https://www.sas.cnet.navy.mil/Login/SASLogin.aspx?redirecturl=https://www.courses.netc.navy.mil/. Formoreinformation,[email protected]. Got News? If you’d like to submit an article or have an idea for one, contact MEDNEWS at 202-762-3160, fax 202-762-1705 or [email protected]. January2011 Page7 NAMRU-3 Initiates Project to Improve HIV Health Services ByDarnellP.Gardner,Jr.,PublicAffairs CAIRO-Dr.ManalBernkirane Officer,NavalMedicalResearchUnit-3 deliversHIVawarenesstraining tomedicalpersonnelfromthe CAIRO-U.S.NavalMedicalResearch OmelMasryeenHospital. NAMRU-3,incollaborationwith UnitNo.3(NAMRU-3),incollabora- theEgyptianMinistryofHealth, tionwiththeEgyptianMinistryof initiatedaFordFoundation Health(MOH),initiatedaFordFounda- fundedprojectaimedatimprov- inghealthservicesdeliveredto tionfundedprojectaimedatimproving peoplelivingwithHIV(Photos healthservicesdeliveredtopeopleliving providedbyNAMRU-3Public withHIVinEgypt. Affairs/Released) TheNAMRU-3projectteam,consist- ingofGlobalDiseaseDetectionand ResponseProgram(GDDRP)Medical unforgivingillness.We,asmedicalpro- standuptohugtheHIVpositiveperson AnthropologistAnna-LeenaLohiniva fessionals,areboundbyanoathtopre- whosharedherstorywiththem.” andHealthPromotionSpecialistDr. servelifebywhatevermeanspossible.” Currently,infectioncontroltraining ManalBenkirane,firstconducteda Aftertheopeninglectures,health isunderway,includingmodulesonstan- baselinesurveytoassesshealthcare careprofessionalsmadeupofsurgeons, dardprecautionssuchasenvironmental workers’knowledge,attitudesandprac- nursesandmedicalassistantsweremade cleaning,invasiveproceduresandpre- ticesrelatedtoHIV/AIDSinOmEl awareoftheactualmodesofHIVtrans- ventionofmothertochildtransmission. MasryeenHospital,ageneralhospital mission.Preventionandtreatmentup- “Thistrainingaimsatproviding locatedinGiza. dateswerealsoaddressedtocorrectmis- healthcareprofessionalswiththeself- Onceassessed,atrainingcurriculum conceptionsaboutHIVinfection.Atthe confidencetocarryoutprocedures wasintroducedbasedonHIVbasics, conclusionofthelectures,attendees safelywhendealingwithHIVpositive infectioncontrolandmedicalethics. wereintroducedtoayoungwomanwho patients,”saidLohiniva.“Thisisoneof Emphasiswasplacedontheclarification isHIVpositive.Shegraciouslyagreedto themaincontributorstostigma.” ofpatientrightsandchallengingthe shareherexperiencesontherealityof Apost-trainingsurveyisplannedin stigmaagainstpeoplelivingwithHIV. livingwithHIVinEgypt. February2011,aftermodulesoninfec- Cmdr.VinceBarthel,Head,Virology NAMRU-3InitiatesProjecttoIm- tioncontrolandhealthcareethicsare andZoonoticDiseaseResearchPro- proveHIVHealthServicesBenkirane completed.Thissurveywillevaluatethe gram,initiatedthetrainingbydelivering explained,“Itwasagoodopportunityto impactoftheinterventiononhealthcare lecturesonthebasicsofHIVtransmis- discussmisconceptionsaboutthedis- employeesanddeterminetheirprepar- siontoanassemblyofphysicians. easeandmakethehealthprofessionals ednesstotreatpeoplelivingwithHIV. “Itwasgreat!”statedBarthel.“Most awareoftheimpactofdiscriminating TheMinistryofHealthwishesto ofthemwereveryeagertolearnabout practices.Itwasreallygreattoseedoc- makeOmelMasryeenHospitalarefer- HIVanddisplayedcaringenthusiasm torswhoinitiallyhadshownresistance ralsiteforHIVpositivepatientsinneed forthewelfareofthosestrickenbythis todealingwithapersonlivingwithHIV ofsurgicalcare. Charities Provide Relief to Bethesda’s Wounded, Families BySarahFortney,NationalNavalMedicalCenterPublicAffairs "Thesefamiliesaren'tprepared,andwhentheyfindout[their lovedonehasbeeninjured],theydropeverythingimmediately, BETHESDA,Md.-TheNationalNavalMedicalCenter(NNMC) someofthesefamiliesarehereformonths,andthat'sjusthere, treatedmorethan500combat-injuredservice thentheycouldmoveontoanotherfacilityandbe members,eachaccompaniedbyanaverageofthree thereformonths,"saidDawnVanSkike,oftheSem- familymembers,in2010. perFiFund."Thewounded,illandinjuredaremore Asmanyofthefamilymembersleavetheirjobs motivatediftheirfamilymembersarehere.Ouror- tobewiththeirwoundedservicemember,NNMC ganizationhelpswiththat." staffworkswithseveralcharitablegroupstoensure TheSemperFiFundisjustoneofthemanyor- theneedsofthefamilies,aswellasthewounded,ill ganizationshelpingtoproviderelieffortroopsand andinjuredaremet. theirfamilymembers. Thecharitablegroupsprovideavarietyofgoodsandservices, TheInpatientWarriorandFamilyLiaisonOffice(IWFLO) rangingfromclothing,planetickets,medicalassistanceandfi- nancialgrants. SeeBETHESDA,Page8 January2011 VOICES FROMTHE FIELD Page8 Naval Health Clinic Hawaii: The Secret to our Success ByCapt.AnneDiggs,commandingofficer, partment.Thesailorwasreleasedwitha NavalHealthClinicHawaii follow-upinthemorning.Oneofour sailorshadvolunteeredtostaywithhim NavalHealthClinicHawaiihasgone incaseheneededsomething. morethanayearwithoutanalcohol Here’stherestofthestory! This relatedincident(thisiswhereweknock Sailorwassodistressedhecalledhis onwood)andwhenthisismentioned LPO,whothennotifiedthechainof I’masked,“What’sthesecret?” Myan- commandwiththesituation. TheLPO swerisalwaysthesame,mySailors! knewwherehisstaffmemberlivedand Wedon’thaveanyground-breaking knewwholivedcloseby.TheLPOwas programs.Theexecutiveofficer,com- abletosendanearbyshipmatetothe mandmasterchief,andIspeakabout distressedSailor’sapartment.Whenthe responsibilitytoself,toeachotherand sailorarrivedattheapartment,there tothecommandatcheck-in,command wasnoanswerandheinitiatedthe indoctrination,captain’scall,master EmergencyMedicalServices.Eventually chiefcalls,weekly,attheboardofdirec- thedistressedsailoransweredthedoor, torswiththedirectorsandsenior oncethepolicedeclaredthesituation Capt.AnneDiggs,commanding enlistedleaders,inourholidaysafety wasstable,andaskedhisshipmateto officer,NavalHealthClinicHawaii messagesandtheDrugandAlcohol takehimtoTriplerforhelp. ProgramAdvisorprovidesmessagesin TheLPOarrivedattheEmergency hasbecomemoreengagedandactivein theplanoftheweek.Whyareweso Department,andoncetheSailorwas thecommand. successful?Ikeepgoingbacktomy released;hetooktheSailortothebar- ThisonestorypersonifiesmySailors. sailorswhoaretakingresponsibilityfor racks.Thebarrackschiefwokeuptwo Theygoaboveandbeyondofwhat’s themselves,eachotherandthe moreofmySailors,explainedthesitua- requiredtotakecareofeachothertobe commandseriously. tionandtheywelcomedtheSailorinto ashipmate!Sothesecrettooursuccess, Toexpound,Iamgoingtospeakto theirroomfortheremainderofthe phenomenalsailorsthatnotonlytake anincidentthatoccurredrecentlyatthe night.Theystayedwithhimuntilthe careof50,000beneficiarieswithinthis command.OneeveningIreceivedacall followingmorning,andwalkedwith regionbuttakeprideintakingcare fromtheXOexplainingthatoneofour himforhisfollow-upappointment.The ofthemselves. sailorshadmadeasuicidalcommentto CMDCMspoketotheSailorafterhis Formoreinformationandtraining hisleadingpettyofficer(LPO),whowas appointmentandhisfirstcommentwas, materialsontheNavySuicidePreven- thentakenbyhisownrequesttoTripler “Ididn’trealizethereweresomanypeo- tionefforts,visitNavyPersonnel ArmyMedicalCenter’sEmergencyDe- plethatcared!”AsaresultthisSailor Command,www.bupers.navy.mil. BETHESDA "Ithinkwe'vedonejustaboutevery- bersandtheirfamilies. thingwecouldcomeupwith,from Allorganizations,includingfeder- FromPage7 boardingpetstohelpingfamiliesfrom ally-approvedandprivateorganiza- workswithanumberoforganizations losingtheirhomes.Theonlyproblem tions,haveanopportunitytodonate throughouttheyeartoensureneedsare wecan'tsolveistheonethatwedon't theirgoodsandservicestothe met,saidChiefBrianO'Keefe,IWFLO knowabout,"saidO'Keefe. wounded,illandinjuredandtheirfam- officer.Someoftheorganizations NNMCisnotaloneinworkingwith ilymembers.Wearelookingforwardto O'Keefeworkswithincludethe charitableorganizations. NavySafe expandingourrelationshipwithbe- AleethiaFoundation,theWounded Harbor,theWoundedWarriorBattal- nevolentorganizationsaswemerge WarriorProject,ArmedForcesFoun- ionEast-BethesdaDetachmentandsev- withtheWalterReedArmyMedical dation,Soldier'sAngels,UnitedSer- eralotherunitsroutinelypartnerwitha Centertocreateaworldclassmedical vicesOrganization,theFisherHouse, varietyofcharitiestoensureafullspec- treatmentfacilityforbeneficiariesand theOakleafClubofGreaterWashing- trumofsupportisprovidedtoour theirfamilies.Formoredetails,contact ton,D.C.,andmanyothers. wounded,illandinjuredservicemem- theIWFLOat301-319-6805. To keep up with Navy Medicine news and daily updates follow us on...