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Air Force Medical Modernization. Brian D McCarty, GS-15 Strategic Acquisition Medical Modernization Directorate 11 Jan 11. Outline. Medical Modernization Mission, Life Cycle Management Roles Portfolio Class of investments, Modernization Thrust Areas, Active Projects Resource Snapshot
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Air Force MedicalModernization Brian D McCarty, GS-15 Strategic Acquisition Medical Modernization Directorate 11 Jan 11
Outline • Medical Modernization • Mission, Life Cycle Management Roles • Portfolio • Class of investments, Modernization Thrust Areas, Active Projects • Resource Snapshot • Project Profiles • Balancing the Portfolio • Requirement drivers • Bifurcated portfolio • Where to invest?
ModernizationDelineated Modernization establishes the policy and programs to ensure a medical acquisition program that keeps the AFMS on the forefront of health care delivery
Modernization Isa System of Processes Defense Acquisition System: Comprehensive Set of Checks & Balances
PortfolioClass of Investments Capabilities Based Portfolio Research Needs & Materiel Requirements Identified • Knowledge • (Research) • Materiel • (R & D) • Informatics • (R & D) Enhanced Capabilities
Portfolio Structure Modernization Thrust Areas (MTA) Continuum of care during transport of patients from point of injury to point of definitive care Improving care during contingency ops; medical countermeasures against combat/operational stressors Prevention of recognition injury/illness & the early or detection of emerging threats AHLTA-Mobile AHLTA arrison (Hospital) AHLTA-Theater Enroute Care Expeditionary Medicine Force Health Protection Supports Full Spectrum Medical Care Enhancing performance of Airmen in challenging environments Definitive patient care/treatment in-garrison Enriched IT service quality and effectiveness at MTFs Human Performance Operational Medicine Health Informatics
Med Mod Portfolio Active Projects SC = Med Mod Panel Score Blue Shade – High Green Shade – Medium Orange Shade – Low NS – Not Scored
Med Mod Portfolio Active Projects (Cont’d) SC = Med Mod Panel Score Blue Shade – High Green Shade – Medium Orange Shade – Low NS – Not Scored
Resource SnapshotModernization • Forward deployed, customer focused assets • Program Management, Research Support Infrastructure • Requirements, Testing & Transition • AFMS Installation Acquisition Transformation Support O&M: Med IM/IT $29M $40M • AFMS focal point for integration of investment equipment • Steward for programming and execution PROCUREMENT: Med $57.5M • Leverage Congressional & other supplemental funding • Align to AFMS mission needs RDT&E (Additive): $20M RDT&E: • AFMS proponent for Research & Development • Develop & execute AFMS Investment Strategy • Create business synergies across AFMS and with joint partners IM/IT Med $34M $4M • Architecture for AFMS Contract Execution Strategy
Effects of Severe Hemorrhage, ECS Phase II Fast Track Capability Gaps: • During injuries & hemorrhage, pro-inflammatory responses, global ischemia, along with other factors, may make muscle more susceptible to development of ECS at altitude • ECS may result in extensive tissue death and loss of function in the affected limb • ECS is a problem for Aeromedical Evacuation missions because ECS occurs with increasing frequency during flights out of the AOR. • Concept of Operations: • Research to assess effect of air evacuation on clinical presentation; subsequent patient care/management to improve outcomes 10
PECLA in Severe Respiratory Failure Fast Track Capability Gaps: • Alternative methods for treating patients in severe respiratory failure with refactory hypoxemia or hypercarbia are very limited • Most of these modalities are not approved for use during aeromedical transport • Concept of Operations: • The device, with no electronic parts or pump, will make an ideal device for transport • Will offer an alternative method of treatment for ARDS and improve outcomes in a high mortality population 11
Portfolio Driver Requirements Are Key Output Process Input Requirements Percentages Are Notional
Bifurcated Portfolio O&M (87714, 87756, 87793) O&M Current Vision UARC SPO TWO WINGS 6.6 6.6 6.4 6.4 6.1 6.1 6.5 6.5 6.3 6.3 6.2 6.2 COTS GOTS $ $ $ $ $ $ $ $ $ $ $ $ RMWG – Knowledge SGROCC – Materiel RMWG – Knowledge SGROCC – Materiel 13