Continuing Promise 2015
Lessons Learned
Chris Sears
CAPT MC USN
DEC 2015
UNCLASSIFIED
Disclosures
Presenter has no interest to disclose.
PESG and AMSUS staff have no interest to
disclose.
This continuing education activity is managed
and accredited by Professional Education
Services Group in cooperation with AMSUS.
PESG, AMSUS, and all accrediting organization
do not support or endorse any product or
service mentioned in this activity.
UNCLASSIFIED
Learning Objectives
At the conclusion of this activity, the participant
will be able to:
1.Explain how the Federal Employees Health
Benefits Program can help to define value-based
purchasing of healthcare in the U.S.
2.Describe how the Multi-State Plan Program has
introduced new high quality, consumer friendly
health insurance options to the American public
in 31 states
3.Review some recommendations for future
missions
UNCLASSIFIED
Mission Statement
•OnStatement
here will deploy Command and
order, COMUSNAVSO
Supporting Elements aboard USNS COMFORT to selected
countries in the USSOUTHCOM Area of Responsibility (AOR)
from April to September 2015 in order to train U.S. personnel
in cooperation with Partner Nations (PN), Host Nations (HN),
Interagency, and Non-Governmental Organizations (NGOs) to
conduct Civil-Military Operations, including Foreign
Humanitarian Assistance/Disaster Relief (FHA/DR), send a
strong message of U.S. commitment and partnership with the
people of the Caribbean, Central and South America, and be
prepared to provide FHA/DR support in response to a crisis in
the USSOUTHCOM AOR.
UNCLASSIFIED
USNS COMFORT (T-AH 20)
Mission
Provide health services in support of
designated combatant command missions
across the full range of military operations,
including the support of medical stability
operations (MSO) and diplomatic efforts.
UNCLASSIFIED
Onboard C2
• Mission Commander - CDS 40 (as CTF
48) CAPT Hancock
• MSC (ship) – Capt Olmsted, Capt Wiley,
Capt Cicchetti
• MTF (hospital) - CAPT Sears
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Partner Nations
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Bahamas -2
Canada - 18
Brazil - 3
Germany - 11
Chile – 1
Colombia – 2
El Salvador - 1
Haiti – 2
Panama - 1
Peru - 1
UNCLASSIFIED
NGO on board
Latter Day Saints Charities
UCSD Pre Dental Society
Operation Smile
UNCLASSIFIED
Project Hope
RNRN
World Vets
NGO in Country
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Red Cross
Caris Foundation
Foundation to Change the Image of Haiti
Veterans Without Orders
Haiti Children's Hope
Operation Love the Children of Haiti
Samaritan's Feet
Universidad de El Salvador
Universidad Catolica de El Salvador
Universidad Autonoma de Santa Ana
Universidad Tecnologica de El Salvador
Universidad de San Buenaventura
Universidad del Valle
University of Santo Domingo
University of Unibe
Sanar un Nacion
CitiHope International
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UNCLASSIFIED
Project Handclasp
Kiwanis Club
Rotary Club
MMDC
Shriners
Lions Club
The Message Program
AMCHAM
Loving Hugs
Operation Blessing
Sus Hijos
Orphan Helpers
AmericanColobmo Organization
Spirit of America
Saldariaga Fundacion
JAMSBooks
Scheme of Maneuver
UNCLASSIFIED
Overall
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11 Mission Stops
Total : outpatients______surgeries
Average 10,000 outpatients
Average 110 surgical (inpatients)
SMEE
VETS
Public Health/ prevmed/ento
Interagency- USAID
UNCLASSIFIED
Typical stop
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Arrive
Offload equipment
Med site setup/ surgical screen VIDEO please
Opening ceremony
Med Sites and surgeries on board/ COMRELs/
ENG/VET/PrevMed daily
Closing Ceremony
Breakdown/ Retrograde
Depart
Transit
UNCLASSIFIED
The Commute
• Walking off brow to busses (Jamaica,
Panama, El Salvador, Dominica)
• Helicopters to busses (Nicaragua)
• Boats (Belize, Guatemala, Colombia)
UNCLASSIFIED
Typical Day
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0500: Breakfast
0600: Muster, Commute
0800: Arrive Med Site
Midday: Lunch
1600: Depart Med Site, Muster, Commute
1800: Dinner
1900: “8 o’clock reports”
1930: Nightly OPS INTEL Brief
UNCLASSIFIED
Lessons Learned
• Outstanding surgical platform
• Med site flow great when our plan used,
estimates outstanding
• Flexibility is key! Ship safe: FP and FHP
• Increase in Food Service and Logistics since
2011 improved morale
• Psychosocial support for providers
• Freedom when possible
– Cheer on pier
– Limited Liberty Dominica
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Lessons Noted
• Privileging is labor intensive and repetitive
– Recommend MOU type contract with HN
– Held centrally – GHE office in JCS or DHHQ
– ACE team critical for final tweaks
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Need passports - emergency leave
Admin footprint earlier to improve check in
Early resiliency training for HA/DR
G.O. #1 challenging, with positive effects
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Tips and Tricks
• DNS meeting local Matron early in visit
– Relationship building
– Biomed repair list
• Station HN MOH reps at end of med site
process
• Flexibility in surgical scheduling
– Pediatric surgery not in some areas
– Leave some wiggle room
UNCLASSIFIED
Inherent Issues
• Misunderstanding of complex chain of
command presents challenges
– Different AFP’s
– Unity of Command
• Challenge of having a small crew (<10%)
maintain ship and hospital and prepare to
deploy large crew.
UNCLASSIFIED
Questions?
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Backup Slides
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Command and Control
CDR USSOUTHCOM
USEMB
SCO/DAO
USNAVSO
MSC
Mission Commander
COMFORT Master
OPCON
TACON
ADCON
Coordination
Adaptive Force Packages
PAO
BAND
SEABEES
JAG
NEIC
JCSE
ELSG
RHIB Crew
METOC
Assessments
AIR DET
EST
CA
MTF Commander
VET DET
PREV MED
DoS
JOINT
USN
UNCLASSIFIED
21
CE/CME Credit
If you would like to receive continuing
education credit for this activity, please
visit:
http://AMSUS.cds.pesgce.com
UNCLASSIFIED