The document provides an overview of a meeting on 6 November 2011 between Lt Gen Green and approximately 125 AFMS Dental Officers. The purpose was to provide updates on the future of the AFMS and Dental Corps. Gen Green discussed strategies to transform deployable capability, build patient-centered care, and invest in education. He also provided updates on initiatives like the electronic health record and open-source technologies. The status of the Dental Corps, performance metrics, and opportunities for development were reviewed. The future of innovation, specialty hospitals, and patient-centered care were also addressed.

1. AMSUS Dental(6 Nov 2011)
Lt Gen Green (30-Minute)
Meeting: AMSUS Dental Outbreak, 6 November 2011, 1300
Theme: “Transformational Pathways to Global Healthcare”
Audience: ~ 125 AFMS Dental Officers
Purpose: Updates on AFMS and Dental Future
Design: AFMS future updates, AFMS mission/strategy
Format: Unclassified
Sources: NOVA brief, SLW brief, iEHR brief, Dental Updates
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2. Headquarters U.S. Air Force
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Air Force Pathways to Global
Healthcare (Dental)
Lt Gen C. Bruce Green
Surgeon General
6 Nov 2011
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3. Our Framework Provides
Focus and Alignment)
Strategies
Overlapping
Mission Areas Transform Deployable Capability
Rapid Response to Any Worldwide Contingency
Fit
Force Build Patient-Centered Care
Continuity & Prevention to Optimize Health
Invest in Education, Training & Research
Sustain Our Future Capabilities
Strategy Common Practice Culture
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4. CAF/MAF Improvement
Immediate
< 20 min
ER
< 2 hrs
T+0 hrs T+3 hrs
OR & ICU
< 3 hrs
EMEDS Health Response Team a Reality!
Self-Aid Combat Medics Forward In Theater Care Definitive Care
Buddy Care Navy Corpsmen Resuscitative Rehab/Recovery Home w/Family
Care AF Theater Hosp SAMMC
Expeditionary g r i t y - S e r v i c e - E x c e l l to Save Lives!
I n t e Operations) Evolving e n c e

5. Global Reach:
AF Dental Svc Supporting AF Priorities
Mongolia
55 dentists and 80 auxiliaries deployed in FY11
Afghanistan
Iraq
Cuba Timor
Panama Peru
Pacific
El Salvador Peru Angel
Suriname
Indonesia
Honduras
Cambodia
Pacific
Angel
Beyond the Horizons
New Horizons Riverine MEDRETE
Providing Compassionate Care & Building Global Partnerships
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6. Activating Patients & Care Teams
Health
Team Patient
Decision Patient Decision
Support Support
Centered
PCMH Provides Improved Decision Support- For Patients c eHealthcare Teams
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7. Electronic Health Initiatives
Project (eHIP)
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8. AHLTA on the)
Information Highway
Peak of Inflated
Opportunity!
Expectations
Plateau of Swamp of
Productivity Diminishing
Vehicle of Returns
Opportunity!
Innovation
Trigger Slope of
Enlightenment
Cliff of
Obsolescence
Trough of
Disillusionment
Time
* Gartner Inc., chart from Mastering the HYPE CYCLE by Jackie Fenn and Mark Raskino
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9. Sec Def/Sec VA Decision
Combined Efforts Provide the Best Future EHR
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10. Leading the Way
with Open Source
HOSPITAL
PHARMACY
VISIT
Electronic
Electronic PROVIDER
RADIOLOGY Health Record
Health Record OFFICE
VISIT
PUBLIC
LAB SYSTEM HEALTH
SERVICE
Open-Source Provides Integration Without Barriers
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11. Integrating New Technology
Digital Radiography Update
- 100% of clinics now digital; ANG in progress
- 65 of 79 DTFs are connected to WPAFB Central Archive
- 4M radiographs transferred to Central Archive
Dental Data System-Web (DDSW) ended May 11’
- CDA is now used 100% for SHARP metrics
- Integrated with MiPACS
Continued support of Cone Beam CT and Dolphin Imaging
- Working toward central sustainment
Improving Our Environment Of Care To Deliver Better Outcomes
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12. Enduring Academic Partnerships
Dental Specialty Training Programs
Post Graduate School of Dentistry to open June 2012
Partnership with USU to offer Masters degrees
Advanced Education in General Dentistry
Tri-Service Orthodontic Program
USAF Dental Hygiene Program
10 scholarships per year;
70% retention rate for our AD RDHs
Trident Technical College (SC)
St. Petersburg College (FL)
Certification for Dental Assistants and Lab Techs
METC has partnered with the American Association of Dental Assistants
2 of the 3 required National Board exams now offered prior to graduation
Currently have a 78% pass rate
Education & Research – Absolutely Critical to
Building & Sustaining the AFMS!
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13. Status of the Dental Corps
End of FY 11 DC Officer Inventory by Commissioned Yrs of Service
Personnel 140
120
AF Dentists on AD – 1024 (166 are students)
100
AF Authorized 920/Assigned 858 (93%)
80
Centrally Funded Contract Dentists- 68 60
Contract Dentist- 5 / GS Dentists- 9 40
20
Current Specialty Residents/Fellows-80
0
AEGD Residents-84 / GPR Residents-2 >1 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30
Capt Maj Lt Col Col
Auxiliaries Clinic Lab
AF Authorized /Assigned 1746/1782 (102%) 395/375 (95%)
AF AD Hygienists 48/38 (79%)
GS Assistants/Hygienists/Lab 307/ 50 RDH 62
Centrally Contract Assistants/Hygienists/Lab 148 / 17 RDH 0
Contract Assistants/Hygienists/Lab 54 / 4 0
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14. Dental
Developmental Opportunities
Education and Training
>62 applications for 26 specialty training positions in FY12
New fellowship opportunities (Materials, Informatics, Implants)
International Health Specialist (IHS)
Positions at AFSOUTH, AFRICOM, and PACAF
USU International Public Health Masters Program
Dental: 1st AFMS AFSC selected for enlisted vectoring
2011 DT for Dental Techs / 260 MSgts Force Developed
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15. Dental Service Performance
SHARP Metrics Goal Status
Patient Satisfaction 95% 95.7%
Oral Health (Class 1) 65% 64%
Access to Care (days) 21 12
Readiness (Class 1/2) 95% 92.8%
Performance Target
-- Productivity (DWV) $345.8M $364.5M (105.4%)
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16. The Future is Here
Hand-held,
Battery-powered,
Laser Cautery &
Ablation Tool
From Force Health Protection To Logistics To Portable Surgical Tools
Automated
Directed Information
Energy & Data
Sensors Collection
(AIDC) Future CCATT Mission -
Current CCATT Mission
Wireless
Reaching Beyond with Evolutionary Advances and Concepts
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17. Innovation & Insight to
Recapture Care
Specialty Hospitals Focused on Currency and Recapture
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18. Patient-Centered Care
Ready: Reassure patient that you “know them”
Accessible: Be there when the patient needs you
Prepared: Respect patient and their time
Precise: Clarify all treatment and follow-up GOAL!
Organized: Don’t ask patient what you should know or have
available in their medical record
Respectful: Always answer phone calls/resolve patient concerns
Thorough: Tell patient what to do if they feel worse
Patient-Centered Care Begins with Access to Earn Trust!
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19. “TRUSTED CARE ANYWHERE”
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