Keeping Our Promise Through Medical Research and Development 5 th Annual Air Force Medical Research Symposium August 24

1. Keeping Our Promise Through Medical Research and Development 5th Annual Air Force Medical Research Symposium August 24, 2010 Dr. George Peach Taylor Deputy Assistant Secretary of Defense for Force Health Protection & Readiness

2. “No Higher Priority” “Beyond waging the wars we are in, treatment of our wounded, their continuing care, and eventual reintegration into everyday life is my highest priority. “I consider this a solemn pact between those who have risked and suffered, and the Nation that owes them its eternal gratitude.” Robert M. Gates Secretary of Defense

3. Force Health Protection and Readiness Shapes defense-wide health care and deployment medical support capabilities to improve, protect, and conserve the health and resilience of Service members for optimal mission performance across global military activities and operations.* *Joint FHP CONOPS

4. FHP&R Program Directorates FHP&R is responsible for military health care policy and is comprised of nine Program Directorates: • Civil – Military Medicine • Force Readiness and Health Assurance • Medical Logistics • Deployment Technologies and Support Programs • Defense Health Program Medical Research and Development • Operational Medicine and Medical Force Readiness • International Health • Medical Countermeasures • Psychological Health

5. The Military Health System The MHS is a large and complex organization • Integral component of America’s fighting forces–and a military medical system unlike any other in the world • A hospital system–59 hospitals worldwide • An integrated medical system–364 medical clinics, 282 dental clinics • An education, training and research institution • Medical school and graduate programs • 36 medical research laboratories • Scholarship programs across most major universities • Comprehensive medical research & development programs • A health insurance plan • 9.6 million covered lives • Over 300,000 network providers

6. Military Health System Mission – Peacetime and Wartime Deploy to Support the Combatant Commanders Patient Care, Sustain Skills and Training Promote & Protect Health of the Force to and Deploy Medical Force Deploy Healthy Force Deploy Healthy Force Manage Beneficiary Care Manage Beneficiary Care Manage Beneficiary Care 9

7. Continuum of Care

8. DHP Medical Research and Development Develops R&D planning, programming, budgeting, and execution strategies Communicates guidance to organizations using DHP RDT&E funds Focal point for all DHP medical R&D actions and communications.

9. Strategic Drivers of “Enhanced” Medical Research & Development Funding Capabilities – Based Assessment Capability gaps identified from Joint Capability Documents/Functional Needs Assessments

10. Execution Process for Medical Research and Development “Enhanced” Program Capability Gap Assessment Science Gap Assessment JFHP CONOPS JCDs + SecDef Direction USAMRMC Program Management Support Urgent User Needs • Translate Guidance into R&D Needs • Medical Training, Modeling/Simulation • Infectious Diseases • Combat Casualty Care • Operational Medicine • Clinical and Rehabilitation Medicine • Radiobiology Joint Program Committees (JPCs) MHS Strategic Imperatives • Execution Agents • USAMRMC • USUHS • ONR • AFOSR • BUMED • AFSG • Academia/Industry/Gov Scientific Peer Review of Research Proposals R&D Opportunities (PA/RFI/RFP) + Program Review of Research Proposals Peer/Program Reviews & Acquisitions

11. Defense Health ProgramRDT&E Funding

12. Scope of Defense Health Program Research and Development Funding for FY 2010 Congressional Earmarks $675M FY11 will likely be under a CRA (may move schedule to right) Total Appropriation $1.28B Presidents Budget Request (PBR) $613M $372M of PBR was added to “Enhance” Medical R&D PE 0601101HP PE0601117HP PE0602115HP PE0602787HP PE0603002HP PE0603115HP PE0604110HP PE0605013HP PE0605145HP PE0605502HP PE0607100HP Science & Technology DOD APPROPRIATION TITLE VI; DEFENSE HEALTH PROGRAMS BUDGET ACTIVITY 2 Advanced Development

13. Major Program Areas of Medical Research and Development FY 2010 Appropriation (Includes Congressional Marks) Military Operational Medicine Clinical and Rehabilitation Medicine Mild Traumatic Brain Injury Injury Prevention & Reduction Psychological Health & Resilience Physiological Health Environmental Health & Protection Regenerative Medicine Neuromusculoskeletal Injury Acute/Chronic Pain Mgmt Sensory System Injury Cancer Muscular Dystrophy Multiple Sclerosis Autisim Diabetes $350M Radiation Health Effects Health IT, Medical Training and Simulation Diagnostic Biodosimetry Countermeasures - Protection - Treatment $500M EHR Applications Med-Surgical Simulation Technologies Skills Retention/Transference Re-entry $10M Combat Casualty Care $175M Infectious Diseases Wound Infection - Prevention - Management - Treatment Pathogen Detection HIV Prevention H1N1 Diagnostics Damage Control Resuscitation Penetrating Traumatic Brain Injury Combat Trauma Therapies Health Monitoring & Diagnostic Technology $200M $50M Actual values subject to scientific/program review of proposals, awards & research support costs 13

14. FY2010 Intramural Awards Statistics for “Enhanced” DHP R&D Could change as additional funding becomes available $0.241K 0% $3.8M 6% $3.110M 5% $4.229M 6% $24.149M 37% $11.095M 17% $19.391M 29%

15. Medical R&D Development Diagnosis and Treatment of Brain Injury Polytrauma and Blast Injury Infectious Diseases Radiobiology Operational Health and Performance Rehabilitation Psychological Health and Well-Being for Military Personnel and Families Medical Training Systems, Modeling and Simulations Funding Opportunities for the “Enhanced” Part of the DHP R&D Program Evacuation Applications.Applied research leading to advanced, automated, and portable medical systems for forward critical care and ground and aeromedical patient transport including but not limited to closed-loop control of delivery of life support interventions (i.e., ventilation, oxygen, and fluids) and advanced litter technologies to reduce impact of G-forces and vibration on casualties. Polytrauma & Blast Injury 15

16. How to Compete for FY 2011 Intramural R&D Funding • Must be an Intramural Investigator – a DoD employee working within a DoD facility • Must respond to Program Announcements(PA) – disseminated across the MHS and on the web at http://fhpr.osd.mil/ and http://www.health.mil/ • Must go through Proposal Approval Process • Pre-proposal submission • Compliance and programmatic relevance review by a JPC • Invite full proposal submission • External scientific peer review • Military relevance and programmatic review by a JPC • OML established • Written notification to PI of proposal funding recommendation

17. BRAC: Creating Research Centers of Excellence • Battlefield Health and Trauma Research at Fort Sam Houston, TX • Infectious Disease Research at Walter Reed, Forest Glen, MD • Aerospace Medicine Research at Wright Patterson AFB, OH • Joint Biomedical Research, Development and Acquisition Management Center at Fort Detrick, MD. • Medical Biological Defense Research at Fort Detrick, MD • Chemical Biological Defense Research, Development & Acquisition at Aberdeen Proving Ground, MD

18. “No Higher Priority” “Beyond waging the wars we are in, treatment of our wounded, their continuing care, and eventual reintegration into everyday life is my highest priority. “I consider this a solemn pact between those who have risked and suffered, and the Nation that owes them its eternal gratitude.” Robert M. Gates Secretary of Defense

19. Keeping Our Promise Through Medical Research and Development 5th Annual Air Force Medical Research Symposium August 24, 2010 Dr. George Peach Taylor Deputy Assistant Secretary of Defense for Force Health Protection & Readiness