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Maturing the ANSF Training Mission for 2012 & Beyond

Maturing the ANSF Training Mission for 2012 & Beyond. The MHS: Healthcare to Health. CAPT Philip Blaine, MSC, USN. 30 Jan 2012. NMT-A / CSTC-A. Conflict of Interest Disclosure Philip J. Blaine, CAPT, MSC, USN, PharmD, MA. Has no real or apparent conflicts of interest to report.

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Maturing the ANSF Training Mission for 2012 & Beyond

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  1. Maturing the ANSF Training Mission for 2012 & Beyond The MHS: Healthcare to Health CAPT Philip Blaine, MSC, USN 30 Jan 2012 NMT-A / CSTC-A

  2. Conflict of Interest DisclosurePhilip J. Blaine, CAPT, MSC, USN, PharmD, MA Has no real or apparent conflicts of interest to report.

  3. ANSF Healthcare Transition Obj “An interdependent, professionally led ANSF Health Function that generates & sustains sufficient police & army medical personnel, infrastructure, services & logistics capabilities, with accountable & effective health systems to support ANSF”

  4. Lines of Effort • Training • Training Military Medical Competencies • Ministerial Development • Develop, Foster, and Mature Healthcare Administrative Systems and Processes

  5. Lines of Effort • Institutional Development • Enact, Enforce, and Engage Accepted Healthcare Standards Across Regions • Institutionalize Afghan Led Training of Medical Competencies • Direct Provision of Healthcare • Specific to Defenders of the Afghan Nation

  6. Command & Control Medical Logistics Institutional Development Hospitals Preventive Medicine ANA / ANP Assessments ANSF Healthcare Transition Obj An interdependent, professionally – led ANSF Health Function which generates and sustains sufficient police and army medical personnel, infrastructure, services and logistics capabilities, with accountable and effective health systems that support the ANSF Field Sanitation Course Regional Medic Course Training Routine SAVs Conduct SAVs 1.2 Ministerial Development Doctrine & Policies Validation Team AFAMS CM-1A CM-1B CM-2A CM-2B CM-3 CM-4 MOD / MOI Formal Guidance Tiered Afghan Healthcare Stds Unit Validations Objective 2.5 Direct Provision of Healthcare

  7. Validation Team Formation • Multidisciplinary Healthcare Team • Implement Tiered Afghan Healthcare Standards • Standardize Ministerial and Institutional Development Plan Measures (Capability Milestone [CM] Ratings) • Horizontally Integrate Efforts and Effects Across the Battle Space

  8. Validation Team Formation Executive Leadership Medical Validation Team Executive Leadership Clinical Lead Clinician Nursing Lead Preventive Med Lead Prev Med Tech Dental Lead Physical Therapy Lead Pharmacy Lead Medical Logistics Medical Facilities Lead Bio Medical Equip Lead Bio-Med Equip Tech Validation Team Drives Horizontal Integration Security Lead

  9. ANSF Healthcare Advisors by 2014 ANSF Healthcare advisors Advisor Partner Mentor 2010 2014 2011 2012 2013 Partners: ISAF forces who live and operate together with their Afghan partners Limited Partners: Partnering at a lessened ratio but maintaining key enablers Mentors: Experienced teams that guide and advise their Afghan partners, influencing through enduring relationships Advisors: Enhanced mentor teams that include those enablers that the ANSF cannot self-generate, but are essential to the completion of the mission, and force protection for the mentor personnel Glide path to ANSF Transition

  10. Pre-Deployment Training • Wide Variation in Current Training • Range from 6/10/19/30/60 Days • Efforts to Refine the Curricula with Target of ~30 Days to Achieve Right Mix of Mentor/Advisor Training and Combat Skills

  11. Pre-Deployment Training • Enhanced POI and Training • Will Never Be Enough to Prepare Many US Medical Personnel Mindset • US Medical Personnel Commitment to Providing US Standard of Care • Translates to a Commitment to Mentor/Advise to the Same Standard

  12. Pre-Deployment Training • If “US Standard” is Not Met • Culture Shock • Anger • Frustration • Withdrawal • Get “Too Close” • Potential Long Term Mission Consequences

  13. Way Forward • Improve Training Model • AT A MINIMUM • Practice Scenarios Experienced in Theater • Develop Skills to Address Situations Not Normally Encountered • Ability to Anticipate the Disconnect and Process Ahead of Time • Ability to Mitigate Culture Shock Up Front

  14. Way Forward • Use Scenarios Developed From In Theater Engagements as Lessons Learned • Progressively Challenging Scenarios • Progress from “Meet and Greet” to Complex Scenarios • Scenarios Developed From Actual Encounters • Accountability, Clinical Competence & Healthcare System, Communication, Culture, Learning/Teaching, Management/Leadership

  15. Training Common Components • Didactic Training Areas • Overview of Afghanistan • Afghan Tier One Standards of Care • Ministry of Public health (MoPH) Basic and Essential Health Care Packages • Working With Interpreters • Mentoring Approaches, Outcomes, End States • Medical Class VIII Logistical System

  16. Summary • Mature and Integrate Validation Team • Integration of NTM-A/CSTC-A Campaign Plan • Long Range Goal to Integrated Afghan Led ANSF Healthcare Development with GIRoA & MoPH Plans • Surge in Efforts Toward Class VIII Logistics, Preventive Medicine, Patient Movement & C2 • Press for Enhanced Pre-Deployment Training

  17. ANSF Training Mission 2012 & Beyond Questions?

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