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CAPT Mark Edwards,MC,USN(FS) Force Medical Officer

Navy Surgeon General VTC (1 Jun 04, 1100h EST) “Issues, Successes, Challenges” COMNAVAIRPAC Force Medical. CAPT Mark Edwards,MC,USN(FS) Force Medical Officer. 2 TYCOMs (Type Commands): CNAP (Pacific) & CNAL (Atlantic) CNAP lead TYCOM now Realigning into CNAF (COMNAVAIRFOR)

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CAPT Mark Edwards,MC,USN(FS) Force Medical Officer

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  1. Navy Surgeon General VTC (1 Jun 04, 1100h EST)“Issues, Successes, Challenges” COMNAVAIRPACForce Medical CAPT Mark Edwards,MC,USN(FS) Force Medical Officer

  2. 2 TYCOMs (Type Commands): CNAP (Pacific) & CNAL (Atlantic) CNAP lead TYCOM now Realigning into CNAF (COMNAVAIRFOR) 12 carriers (6 West incl Japan & 6 East Coast) Total 148 squadrons Carrier based air: 10 (5+5) carrier air wings with 80 (40+40) squadrons Shore based air: 68 (36+32) squadrons Naval Aviation COMNAVAIRPAC Force Medical

  3. Force Medical Responsibilities • Advisor to VADM Michael D Malone: Commander Naval Air Forces (CNAF), CNAP is lead TYCOM • Medical & administrative supervision: • Coordinate staffing, training, equipment • QA, credentialing & granting clinical privileges • Revising/implementing instructions, directives, etc. • Periodic inspections/visits (MRI, TAV, etc.) • Consolidates input on current & future issues facing Fleet, e.g. CVN-21, others (next slides) COMNAVAIRPAC Force Medical

  4. CBR Protection • Readiness • Develop medical SME to coordinate with DCA (Damage Control Assistant) on CVN CBR plan • Consider using IHO • Training proposal • USAMRIID/USAMRICD 6d course for IHO • NEPMU 3d course for CVN Med Dept • Supply: CBR meds established as AMMAL • Equipment: • HHAs (screen) & PCRs (confirm) on all CVNs • Part of forward homeland defense COMNAVAIRPAC Force Medical

  5. PDHA (Post-Deployment Health Assessment) • Mandatory program with 100% participation: • Interview (face to face) & labs • HIV specimens to VIROMED: batch results, so cannot place in record, increased admin work • Significant shipboard burden: • Possible solution: Fly away lab teams (NMC Pearl Harbor?) to carriers enroute to Hawaii • Both ship’s crew & air wing still aboard • Same for east coast carriers (NH Rota?) • Will require Claimancy 18 & 27 coordination • Alternate plan: tap Reserves COMNAVAIRPAC Force Medical

  6. Family Nurse Practitioner • Add Family Nurse Practitioner (FNP) to CVN medical staff: • Women’s health care: • Annual well women exams • Gynecologic problems • SAVI (Sexual Assault and Violence Intervention Program) • SHARP (Sexual health & awareness program) & other education • Longitudinal primary health care (Family Practice model) • Assist ship’s nurse • Women’s health consistently low on inspections • CVNs with TAD FNPs consistently had dramatic improvement • Key factors: focused training, female provider • Proposal currently at BUMED Manpower & CNAP Manpower COMNAVAIRPAC Force Medical

  7. MIT(Medical Information Technology) • Programs • SAMS 8.03 – most carriers, need at all MTFs • TMIP/M - installation problematic & delayed • USS REAGAN first (Aug 04), only SAMS 8.03 • Need SAMS 9.0 (handles large decks, stable on LAN) and CHCS (labs, prescriptions, etc.) • Other • NMO – helps with readiness reporting • PHA – electronic version helpful, could replace annual BMR (birth month review) if asst SECDEF’s IMR (individual medical readiness) metrics included • Supply – add SAMS PDAs, need Bar Coding in future COMNAVAIRPAC Force Medical

  8. Carrier Flight Surgeon #3 • Requirement already established by BUPERS/ NAVMAC (Navy Manpower Analysis Center), but never funded • FS staffing strongly driven by safety concerns • Recent Safety Trend Survey: FS availability a key issue • Supports CNO 50% mishap reduction goal • Flight Surgeon utilization • 50% clinical and 50% aeromedical safety • Aeromedical programs: must know aviators well to be effective in HFC (Human Factors Councils), etc. • FS coverage - impacts aeromedical safety • Carrier squadrons have 1 FS per 4 squadrons (at different sites) • Shore squadrons more expeditionary: 1 FS per 2 (need 1:1) • BMC FSs (Claimancy 18): do less aeromedical, cannot help • 25% w/o HM (AVT) – impacts readiness & reporting COMNAVAIRPAC Force Medical

  9. QA Data Analysis • Naval Health Research Center, San Diego, epidemiologists: • To establish a reporting template and analysis tool • Basis: • Ability to critically review monthly carrier QA reports in quantitative manner • Proposal to BUMED for funding approval ($70k) • NEPMU-5: • Assisted with identifying 10 key parameters to predict medical readiness • Current QA report: 14 data fields & 100 workload metrics COMNAVAIRPAC Force Medical

  10. Discussion/Questions Thank you COMNAVAIRPAC Force Medical

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