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McCaffery offers MHS view with Blue Star Families panel

Thomas McCaffery (center) participated in the Blue Star Families Panel at American Red Cross National Headquarters Feb. 26. He is seen here with Amy Goyer (left), family and caregiving expert at AARP, and retired Army Lt. Gen. Patty Horoho (right), CEO of OptumServe. The panel discussed timely, quality health care for service members and their families. (Photo by MHS Communications) Thomas McCaffery (center) participated in the Blue Star Families Panel at American Red Cross National Headquarters Feb. 26. He is seen here with Amy Goyer (left), family and caregiving expert at AARP, and retired Army Lt. Gen. Patty Horoho (right), CEO of OptumServe. The panel discussed timely, quality health care for service members and their families. (Photo by MHS Communications)

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Thomas McCaffery participated in a Blue Star Families panel at American Red Cross National Headquarters Feb. 26. As the assistant secretary of Defense for Health Affairs, McCaffery briefed the audience on how the Military Health System is changing to help military families receive timely, quality health care.

Blue Star Families held the event to discuss results of the annual Military Family Lifestyle Survey, BSF’s yearly “snapshot” of military families. It offers insights to military and national leaders, as well as local communities.

“An organization like this is critical in terms of connecting military families with our fellow citizens,” McCaffery said of BSF’s work on the survey.

Hisako Sonethavilay, director of applied research at BSF, agreed. “We’re really dedicated to ensuring that research like ours is done in a way that we’re able to … really make some change for military families,” she said.

Survey respondents highlighted relocation, employment and sense of community for military families, and resources for children with special needs as particular areas of concern. Suicide and mental health were also important to respondents. About 40% of surveyed military, veteran, National Guard, and Reserve family respondents said they had attempted or seriously considered suicide in the past year. Nearly half of this group did not get professional help, with 48% of them indicating they did not seek help out of fear for their careers or those of loved ones.

McCaffery urges service members and beneficiaries to use the many resources throughout the Department of Defense that target mental health care.

“Seeking mental health care is no different than seeking care for any other serious health condition,” he said. “You need to seek out services. You need to consult other professionals and ask about those services.”

Multimedia efforts like the Real Warriors Campaign encourage service members to seek treatment as a sign of strength. Real Warriors also provides resources for service members to seek treatment. Programs like InTransition ensure treatment continues as service members and their families move between medical facilities.

These tools are readily available for beneficiaries to use. More changes are underway as a part of the MHS transformation to improve readiness and the quality of health care.

The Defense Health Agency began assuming administrative responsibility for all military hospitals in October 2019. Results from the survey show these changes need to happen. Respondents said finding timely, specialty medical care after a relocation can be challenging.

“One of the benefits of consolidating the management of our facilities is a common, standardized experience,” McCaffery said, “so you can know how to get your prescriptions, how to get lab tests, and most importantly how to get those referrals to specialists.”

MHS GENESIS, the military’s official electronic health record, also helps address this need. As families move from location to location, their records will be stored in one location. Easy access to medical records, from point of injury to treatment, should speed the referral process for families.

McCaffery stressed that patient-centered care is a top DHA priority. Results from the Military Family Lifestyle Survey help leadership create processes to improve care across the services.

“We have to do this together,” Sonethavilay said, “We want to help the [DoD] and military leadership advance military family outcomes…and also understand that there is a critical component to making sure that your civilians have an understanding as well.”

“Our patients are our top priority,” McCaffery agreed. “Everything the MHS does works to enhance the patient experience. We’re going to treat the health system not as separate systems, but as one enterprise.”

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Did you know…? In 2016, mood disorders and substance abuse accounted for 25.9% of all hospital days. Together, four mental disorders – mood, substance abuse disorders, adjustment, and anxiety – and two maternal conditions – pregnancy complications and delivery – accounted for 53.6% of all hospital bed days. And 12.4% of all hospital bed days were attributable to injuries and poisonings. Here are the mental disorders that affected U.S. Armed Forces in 2016: Pie Chart titled Bed days for mental disorders in 2016: •	Mood Disorder (46,920 bed days) – the orange pie slice. •	Substance Abuse Disorders (44,746 bed days) – the blue pie slice. •	Adjustment Disorder (30,017 bed days) – the purple pie slice. •	Anxiety Disorder (20,458 bed days) – the gray pie slice. •	Psychotic Disorder (6,532 bed days) – the light blue pie slice. •	All other mental disorders (3,233 bed days) – the violet pie slice. •	Personality disorder (2,393 bed days) – the forest green pie slice. •	Somatoform (552 bed days) – the lime green pie slice. •	Tobacco dependence (2 bed days) – the white pie slice. Bar graph shows percentage and cumulative percentage distribution, burden “conditions” that accounted for the most hospital bed days, active component, U.S. Armed Forces 2016.  % of total bed days (bars) for mood disorder, substance abuse disorders, adjustment disorder, pregnancy complications; delivery; anxiety disorder; head/neck injuries, all other digestive diseases, other complications NOS; other back problems, all other signs and symptoms; leg injuries, all other maternal conditions; all other neurologic conditions; all other musculoskeletal diseases; all other skin diseases;  back and abdomen; appendicitis; all other infectious and parasitic diseases; all other cardiovascular diseases; all other mental disorders; all other respiratory diseases; arm/shoulder injuries; poisoning, drugs; foot/ankle injuries; other gastroenteritis and colitis; personality disorder; lower respiratory infections; all other genitourinary diseases; all other malignant neoplasms; cerebrovascular disease.  See more details on this bar graph in the Medical Surveillance Monthly Report (MSMR) April 2017 Vol. 24 No. 4 report, page 4. This annual summary for 2016 was based on the use of ICD-10 codes exclusively. Read more on this analysis at Health.mil/MSMR. #LetsTalkAboutIt Background of graphic is a soldier sitting on the floor in a dark room.

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