%{search_type} search results

Documents the Army Medical Department's efforts to assess the medical risks associated with emerging Army operational concepts and its capacity to mitigate these risks. As the Army transforms itself for the future and develops new operational concepts and technologies, the Army Medical Department (AMEDD) is identifying operational medicine issues whose resolution will be critical to its ability to support the Army of the future. The purpose of this research was to develop a method to assess these issues and further investigate a subset of them.
(source: Nielsen Book Data)

Answers the question: Under what circumstances could military medical assets be requested for support to civil authorities? Even before September 11, 2001, threat assessments suggested that the United States should prepare to respond to terrorist attacks inside its borders. This monograph examines the use of military medical assets to support civil authorities in the aftermath of a chemical, biological, radiological, nuclear, or conventional high explosives attack inside the United States. The authors focus on key questions, including under what circumstances military medical assets could be requested and what assets are likely to be requested.
(source: Nielsen Book Data)

• Introduction
• The military health system and military support to civil authorities
• The evolution of structures, systems, and processes for domestic preparedness-- Legal and other barriers to military support to civil authorities
• Military medical support to civil authorities: historical case studies
• Exercise-based studies of potential military medical support to civil authorities
• Conclusions and recommendations
• Appendix A: Interview protocol
• Appendix B: Organizations interviewed and exercise participants
• Appendix C: DoD directives related to civil support
• Appendix D: Materials used in Georgia exercise
• Appendix E: Smallpox outbreak model used in the Georgia exercise
• Appendix F: Excerpt of quadrennial defense review.

Even before the events of September 11, 2001, threat assessments suggested that the United States should prepare to respond to terrorist attacks inside its borders. This monograph examines the use of military medical assets to support civil authorities in the aftermath of a chemical, biological, radiological, nuclear, or conventional high explosives attack inside the United States. In conducting this study, the authors focused on the following questions: Under what circumstances could military medical assets be requested? What sort of asset is likely to be requested? Are appropriate assets and related planning processes in place for civil support? What are the legal (and other) barriers to military support to civil authorities, and how can they be overcome, if necessary? In addition to a discussion of the applicable literature and laws, this monograph also includes historical case studies focusing on instances in which military medical assets were requested to assist civil authorities following natural disasters. It also includes a review of two exercises, based on postulated attacks, involving senior officials from local, state, and federal agencies-one involving a smallpox attack in Georgia and another involving a "dirty bomb" attack in California.

• Introduction
• Project goal, methods, and definitions
• Safety and occupational health in the Department of Defense
• DoD information technology systems related to safety and occupational health
• Civilian approaches to integration
• Observations and conclusions.

• Introduction
• Project goal, methods, and definitions
• Safety and occupational health in the Department of Defense
• DoD information technology systems related to safety and occupational health
• Civilian approaches to integration
• Observations and conclusions
• Appendix A: Time line of safety and occupational health policies and programs, 1970-2007
• Appendix B: Semistructured interviews with DoD officials.

If the Department of Defense (DoD) moves toward a more integrated employee health system, a foundation of information about the current system and requisite elements for such integration will be needed. The authors reviewed the research literature and DoD policy documents and interviewed DoD personnel to make several observations about the current state of safety and occupational health (SOH) arrangements in DoD. Currently, SOH policy cuts across several organizations at high levels in the Office of the Secretary of Defense, and SOH programs are implemented by each of the military services. Recently, leadership attention has focused on safety, mostly apart from occupational health, as a separate priority. DoD and the services have made efforts to increase coordination, including both high-level formal councils and through informal relationships among SOH practitioners. Health promotion and wellness have received considerable attention within DoD through periodic health assessments and educational programs, yet these areas have not benefited from the same increased coordination. As DoD contemplates a more integrated approach, the authors considered what DoD might learn from civilian experience with integrating employee health activities. To address this, the authors reviewed civilian models of integration to identify promising approaches and practices that might inform DoD efforts. The review of activities related to employee health in DoD -- including industrial hygiene, safety, health promotion and wellness, occupational health, and its relatively mature health information technology infrastructure -- indicates that there might be little need for DoD to introduce new programs but more need to make use of the information generated by the existing programs in a more coordinated, integrated manner.

• Preface
• Figures and Tables
• Summary
• Acknowledgments
• Abbreviations
• Chapter 1: Introduction: Background
• Study Objective
• Methods
• Organization of the Report
• Chapter 2: History and Authorities for External Medical Care and Training: History
• Legal Authorities and Department of Defense Policy Guidance for Military-Civilian Agreements
• Liability Issues
• Chapter 3: Information from the Medical Training Facility Data Call: Chapter 4: Types of Agreement and Review of Selected Agreements: Mechanisms for External Medical Care Resource Sharing and Training
• Review of Selected Agreements
• Chapter 5: Findings from Stakeholder Discussions, Including Site Visits
• Common Themes from Stakeholder Discussions
• Chapter 6: Conclusions and Recommendations: 1: Update and expand Office of the Surgeon General and Army Medical Command policy guidance for external resource-sharing agreements and gratuitous training agreements
• 2: Identify appropriate proponent for external resource-sharing agreements and for gratuitous training agreements
• 3: In the short term, identify potential untapped opportunities related to different types of external practice, especially external resource-sharing agreements, and raise awareness to encourage their use when justifiable in medical treatment facility business plans
• 4: For longer-term policy purposes, conduct a quantitative assessment of the costs and potential efficiencies associated with care provided in the Military Health System compared with those in different civilian options, such as those examined in this initial qualitative study
• : If such analysis warrants, encourage the expansion of agreements to include a wider range of Army medical professionals and medical teams
• 6: Maintain the current scheme of decentralized management, but consider a mechanism for central visibility of agreements
• 7: Facilitate mechanisms to share experiences and learn lessons about different types of sharing and training agreements
• APPENDIXES: A. Organizations Consulted
• B. Office of the Surgeon General and Army Medical Command Policy Guidance on Department of Veterans Affairs–Department of Defense Sharing Agreements
• C. Office of the Surgeon General Policy Guidance on Gratuitous Training Agreements
• D. Details of Findings Related to Medical Treatment Facilities
• Bibliography.

"Army medical professionals must maintain the high level of proficiency required to fulfill the Army's medical missions of supporting military operations and providing beneficiary care. Because beneficiary care demands in a U.S. medical treatment facility (MTF) do not mirror those in a combat setting and sometimes can exceed the MTF's capacity, some MTFs enter into agreements with local civilian facilities to meet shortfalls in beneficiary care or training. The study's objective was to assess Army medical practice in U.S. Department of Veterans Affairs and non-Veterans Affairs civilian facilities and suggest opportunities for improving military-civilian synergies"--Back cover.