scholarly journals Change is Hard: Leadership is Harder

2020 ◽  
Vol 185 (Supplement_3) ◽  
pp. 58-62
Author(s):  
Teresa Roberts
Keyword(s):  
Health Agency ◽  
Positive Influence ◽  
National Defense ◽  
Leadership Positions ◽  
Military Health ◽  
Hard Part ◽  
The People ◽  
Constant Change ◽  
Military Treatment Facility ◽  
The Military

Abstract The transformation of the Military Health System to the Defense Health Agency under the National Defense Authorization Act of 2017 is a change of historical proportion. Change can be seen as hard, yet change is always happening. What is actually hard is providing leadership to accomplish the mission and goals for ourselves and our organizations within constant change. Those of us selected for leadership positions often receive standardized preparation and experiences to help us with this challenge. The hard part, though, is not what we often think it is. Leadership is not hard because of the amount of change or the people we are leading. Leadership is hard because, as we increase our rank and responsibilities, there are more people we need to see as people, having an outward mindset toward them, to have a positive influence and impact. In this article, I share the challenge I experienced with an outward mindset in leading the transition of our military treatment facility under the transformation to Defense Health Agency.

scholarly journals Leading the Military Health System Transformation: From Military Treatment Facility to Market Construct

2020 ◽  
Vol 185 (Supplement_3) ◽  
pp. 3-11
Author(s):  
John J Melton ◽  
Jeffrey W Quick
Keyword(s):  
Organizational Performance ◽  
Medical Center ◽  
Health Agency ◽  
System Transformation ◽  
Multiple Stakeholders ◽  
Military Health ◽  
Effective Relationships ◽  
Treatment Facilities ◽  
Military Treatment Facility ◽  
The Military

ABSTRACT The transition of authority to manage and administer all DoD Medical Treatment Facilities from the Military Department Services to the Defense Health Agency is an extremely complex challenge involving multiple stakeholders and systems in an effort to achieve greater force readiness while reducing cost. Womack Army Medical Center at Fort Bragg served as the U.S. Army’s sole prototype for the initial phase of the transition of authority. Starting with a foundational shift to an organizational outward mindset was essential in building effective relationships to exercise Mission Command at echelon to manage risks to mission during this period of uncertainty and ambiguity. This shift in mindset set the conditions for mobilizing Army Doctrine, elicited, and invited collaborative behaviors, and resulted in the improved organizational performance accomplished with velocity to successfully lead the transformation to Defense Health Agency.

scholarly journals Improving Readiness: Preventive Maintenance of the Human Operating System that Drives Readiness and Lethality

2020 ◽  
Vol 185 (Supplement_3) ◽  
pp. 12-16
Author(s):  
George Howell
Keyword(s):  
Health Agency ◽  
Well Being ◽  
National Defense ◽  
Military Health System ◽  
Military Health ◽  
Care Community ◽  
The Core ◽  
Nuclear Propulsion ◽  
Military Health Care ◽  
The Military

ABSTRACT Improving the readiness and lethality of the U.S. fighting forces has always been a key priority, and it received renewed emphasis in the National Defense Authorization Act of 2017. A major rearrangement of the Defense Health Agency and the Military Health System is ongoing with this emphasis. Although revising features to improve our military health service is essential, the health, well-being, and readiness of our people will also rely on the culture created at the Command level where soldiers, sailors, airmen and civilians operate daily. In alignment with our military health care community and in support of our renewed emphasis on warfighting readiness, USS Missouri began a journey to address foundational mindset that drives the core behaviors, training, and procedures of the submarine force and Naval Nuclear Propulsion Principles leading to enhanced readiness, resilience, and accountability.

Applications of Theory of Bureaucratic Caring in the United States Air Force and Defense Health Agency

2021 ◽  
Vol 25 (3) ◽  
pp. 176-180
Author(s):  
Marcia A. Potter
Keyword(s):  
United States ◽  
Air Force ◽  
United States Air Force ◽  
Medical Service ◽  
Healthcare Professionals ◽  
Health Agency ◽  
The United States ◽  
Military Health System ◽  
Military Health ◽  
The Military

The theory of bureaucratic caring, generated from lived experiences of healthcare professionals and patients, synthesized the thesis of caring with the anti-thesis of bureaucracy (hospital). This author applied the theory in settings within the United States Air Force Medical Service and the Military Health System. Using categories of caring as spheres in which to leverage caring, the author developed projects on communication, self-efficacy, healthcare readiness, evidence-based practice, spiritual health, and education. The article describes applications of the theory across settings in the military. This author encourages others to apply the theory in their organizations as part of their nursing journey.

Construction of a Museum: An Example of Cultural Education

2012 ◽  
Vol 430-432 ◽  
pp. 673-676
Author(s):  
Chao Yen Wu ◽  
Hsin Yi Huang ◽  
Min Chuan Huang
Keyword(s):  
Qualitative Change ◽  
National Defense ◽  
Research Knowledge ◽  
The North ◽  
The People ◽  
Smart Mobile Phone ◽  
Military Control ◽  
Smart Mobile ◽  
Military Victory ◽  
The Military

Kinmen Island has been removed the views of military victory and the military control, such as cross-strait reconciliation period of withdrawal of the people such as Kinmen residents, foreign nationals, Chinese nationals, Taiwan aborigines, and younger generation in Kinmen Island, etc. Moreover, Kinmen has been generating political recognition and qualitative change from the post-modernist re-interpretation of modernism in the international orientation. Historical research methods, action research, knowledge management, the concept of national defense education structure proposed the image of construction of Kinmen Military Museum and corrected with the nature of present sightseeing tour like abandoned military static display of feel-good impression, the proposed construction of the North Nancy tourist routes, the 3D multimedia show, the development of Kinmen overview. Kinmen attractions with RFID or smart mobile phone to broadcast system explain tourism standardization. The goal of the MRT journey is supplemented by the tour guide to accompany the details of individuals, to upgrade the standard of tourism on the ground of accelerated integration of the national culture, to create both China and Taiwan residents the goal of permanent peace.

Abstract TMP79: Does Race or Socioeconomic Class Matter in Socialized Medicine? A Retrospective Analysis of Stroke cost and outcomes in US Military Health Care System

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
James Price ◽  
Matthew Blattner ◽  
John Holtkamp ◽  
Matthew Holtkamp
Keyword(s):  
Healthcare System ◽  
Health Agency ◽  
Fiscal Year ◽  
Military Health ◽  
Total Cost ◽  
Military Healthcare ◽  
Duration Of Hospitalization ◽  
Higher Rank ◽  
The Military ◽  
Military Healthcare System

Introduction: The racial disparity of stroke outcomes is well documented in the US Civilian Healthcare system. In contrast, the Military Healthcare system is a single payer system (Every member has the same health benefits). Does this affect outcomes? Hypothesis: We hypothesize there will be no difference in Healthcare outcomes within the Military Healthcare system when the effects of race and rank (socioeconomic surrogate) are considered. Methods: Data was collected from the Defense Health Agency Military Mart (M2) database from fiscal year 2010 to 2016 (All admissions to military care facilities). The M2 database stores data including rank and race. Adult patients with a primary diagnosis of stroke at discharge (International Classification of Diseases, 9th Revision codes 434.91, 434.11 or 10 th Revision code I63.9) were reviewed. Race and Rank were compared for Duration of hospitalization, total Cost of the hospitalization and Outcome (disposition status) using Multivariate Analysis. Results: A total of 3,910 patients discharged from Military hospitals were identified. The racial composition of this sample was: White 50.1%, Black 17.3%, Asian 7.2%, Other 2.9%, and Unknown/Not Reported 22.5%. There was no correlation between race and Duration of hospitalization, total Cost of the hospitalization or Outcome. Military Rank was identified with 2,134 (54.6%) of the 3,910 patients in the study. The Rank identified study population was: Senior Enlisted 71.4%, Senior Officers 18.2%, Junior Enlisted 4.9%, Junior Officers 2.9% and Warrant Officers 2.5%. There was no correlation between Rank and Duration of hospitalization or total Cost of the hospitalization. There was a statistically significant trend to better Outcome for higher rank then lower (p<0.05). Conclusions: Racial disparities evident in the Civilian Healthcare system do not appear to transfer to the Military Healthcare system. Rank (as a socioeconomic surrogate) did have a trend toward better Outcomes with higher rank.

Analisis Pengembalian Kredit Terhadap Profitabilitas Pada PT Bank Sumut Cabang Gunungsitoli

Owner ◽  
2019 ◽  
Vol 3 (2) ◽  
pp. 160
Author(s):  
Victorinus Laoli
Keyword(s):  
Data Collection ◽  
Positive Influence ◽  
Business Continuity ◽  
Working Capital ◽  
The People ◽  
Data Collection Technique

One manifestation of the important role of banking in a region, as implemented by PT Bank Sumut, Gunungsitoli Branch, is to distribute loans for investment, consumption and working capital for the people in the area. The purpose of providing credit for banks is the return of credit that earns interest and can increase income to finance activities and business continuity. From the results of research conducted with this data collection technique, it shows that PT Bank Sumut has a number of loans from 2009 to 2014 which each year rises. From this study, it is also known that the rate of credit repayment has a positive influence on the level of profitability.

Economic Growth and Defence Spending: An Efficiency Analysis of Romania’s Conscription Suspension

2020 ◽  
Vol 26 (2) ◽  
pp. 44-51
Author(s):  
Alin Teodor Huseraș ◽  
Andrei Ciprian Spînu
Keyword(s):  
Graphical Analysis ◽  
Defense Spending ◽  
National Defense ◽  
Effective Management ◽  
External Funding ◽  
The Public ◽  
Defence Spending ◽  
Key Sectors ◽  
The Military ◽  
Theoretical Issues

AbstractNational defense is one of the key sectors responsible for maintaining national security, being considered at the same time an element of great importance and strict necessity of the public sector. The performance of defense functions and missions are closely linked to the military capabilities of this sector, which in turn depend on the budget for defense spending. This paper deals with some theoretical issues in the economic field of defense, regarding the size of defense spending in GDP and their social effects. It is also trying to carry out an analysis on the efficiency versus inefficiency in the use of defense resources, to finance the two types of recruitment systems, namely: by conscription or voluntary will. In order to be able to achieve the above, graphical analysis methods and calculation dermination method were used. The efficiency of spending public funds depends on both objective factors such as: distribution of a certain share of GDP to a certain area; attracting internal and external funding, as well as subjective factors, like: allocating resources to certain categories of expenses; allocating resources to certain defense programs; effective management of these resources by the competent structures. Therefore, for a program to be considered effective, it must meet the requirements of the collective needs of society, be rationally implemented and be sustainable.

Evaluation of Ambulatory Care Classification Systems for the Military Health Care System

1990 ◽  
Author(s):  
James M. Georgoulakis ◽  
Atanacio C. Guillen ◽  
Cherry L. Gaffney ◽  
Sue E. Akins ◽  
David R. Bolling ◽  
...  
Keyword(s):  
Health Care ◽  
Ambulatory Care ◽  
Health Care System ◽  
Classification Systems ◽  
Military Health ◽  
Military Health Care ◽  
The Military ◽  
Care System
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