Back to Top Skip to main content Skip to sub-navigation

COVID-19 amplifies importance of Trusted Care culture

Image of soldier holding up a badge that says "Trusted Care." An Air Force airman holds up his Trusted Care badge at the Defense Health Headquarters in Falls Church, Virginia. (Photo by Josh Mahler.)

Recommended Content:

Coronavirus

Preparing for the unexpected has long been an essential part of the military ethos. While you can never fully prepare for something like a global pandemic, the best alternative is having a culture in place that empowers your team to adapt and respond to heightened uncertainty.

For Air Force Medicine, this is the Trusted Care culture.

The vision for Trusted Care has been around for a few years, with the aim of building and nurturing a culture of safety and high reliability throughout the Air Force Medical Service. But the importance of this culture shift has been amplified throughout the COVID-19 fight.

“When an aircraft is experiencing an emergency, the pilots refer to their emergency procedures checklist to narrow down what the cause is, where the smoke is coming from and how to alleviate it,” said Air Force Col. Michele Shelton, special assistant to the Air Force Surgeon General for Trusted Care. “While we didn’t have an emergency checklist for the magnitude of pandemic we were facing with a previously unknown virus, what we do have is an established culture to guide us.”

“In the midst of this unprecedented pandemic,” Shelton continued, “we’ve been able to build on past disease response and rely on the principles of high reliability as our culture checklist to guide us through these challenging times.”

The goal is to create a team of innovators focused on patient safety.

During this pandemic, the Trusted Care culture has been on display through problem solving and innovation from the front line. Specifically, in the development of processes or acquisition of resources to protect both patients and staff. These daily wins in the fight against the virus are attributable to the Air Force Medicine team as a whole.

Air Force Senior Airman Olivia LeBoeuf, a biomedical equipment technician, 15th Medical Support Squadron at Joint Base Pearl Harbor-Hickam, Hawaii, knows the importance of adapting to the situation. Her team, which is responsible for readying critical medical equipment, decided the best way to approach social distancing would be to work through the night in shifts. LeBoeuf rapidly certified and repaired an onslaught of non-contact thermometers and ventilators, even stepping in to train others on the equipment.

“Early on we were all concerned that if COVID-19 hit Hawaii hard, how we would be able to respond, and if we would have enough equipment available,” said LeBoeuf. “I was fortunate to know how to calibrate and repair the ventilators we had in storage, and I was given the opportunity to train Army counterparts on this process as well.”

“It was a great experience, because it enabled me to interact with a variety of units on base that I usually would not have and to be a part of their mission,” said LeBoeuf. “It’s always great to be able to share knowledge.”

Trusted Care’s problem-solving mentality also has a direct impact on patient care. Air Force Maj. Mark Gosling, a registered nurse, 81st Medical Group, Keesler Air Force Base, Mississippi, worked with the critical care team and his Simulation Laboratory team to step in and modify the design of their intensive care unit beds to optimize them for ventilated COVID-19 patients.

“The patient is always our number one focus, but this frame of thinking is even more important when you’re dealing with critical care from a COVID standpoint,” said Gosling. “When you’re using ventilator techniques on a patient, they can’t tell you what they’re feeling, or if they’re uncomfortable. They’re completely dependent on you and how in tune you are with their needs now and throughout their care. So we need to be thinking multiple steps ahead.”

“Much of the COVID-19 response has forced us all to do critical care medicine in a way we’ve never done it before. It’s about chronically adapting and learning as we go how to best treat this virus and save lives,” said Gosling.

Due to the importance of these implications, the AFMS has followed guidelines from the Centers for Disease Control and Prevention to establish policies and procedures to prevent the spread of the virus between the medical facility and the home.

“We’ve instituted the option for staff to change into freshly laundered scrubs at work and change back into uniform or civilian attire when leaving,” explained Ferdinand Blaine, infection preventionist, 96th Medical Group, Eglin Air Force Base, Florida. “The staff can bring home or spread this virus unknowingly, so cleanliness, hand hygiene, common surface area cleaning, staying home when sick, social distancing and wearing a mask or face covering are the keys to defeating this virus.”

The medical group even instituted a “Hy5” hand hygiene campaign, which adopts the practice of saying “High Five” to fellow staff members as an inspirational reminder to perform hand hygiene. The Hy5 campaign extends from the treatment facility into their homes. Medical Airmen understand the importance of maintaining the routine to keep themselves and their families healthy.

Medical airmen, like those with the 96th Medical Group, overcame challenges through creativity as the pandemic expanded. Teams developed ways to safely handle, clean and dispose of contaminated linens and trash while managing personal protective equipment supplies. Relying on guidance from leadership and CDC guidelines, they built self-assuredness in protecting against this new virus.

Trusted Care culture comes down to leadership at all levels of the AFMS, especially in a time when Air Force medical capabilities have become increasingly vital.

“We’ve seen time and time again, our clinicians and non-clinicians working through the complex challenges this virus has brought on the AFMS, let alone, the world,” explained Shelton. “As our Airmen have endured, they have exemplified resilience, in putting people first, taking care of their teams, doing the right thing and seeing the big picture.”

“When you think about Air Force operations, historically the primary operators have been pilots. They are the tip of the spear, the front line, what makes the Air Force the Air Force,” said Shelton. “While the medical community has always been a support function to front line operations, during this pandemic the focus shifted and the medical community has stepped in and become the operator, the tip of the spear.”

At the end of the day, when it comes to challenging situations, the AFMS was built to handle the pressure, and the Trusted Care culture will continue to provide the way.

You also may be interested in...

VAX Fact Currently Pregnant

Infographic
4/19/2021
VAX Fact: Should I get a COVID-19 vaccine if I'm currently pregnant? Talk with your healthcare provider to help you decide if you should get a COVID-19 vaccine.  Clinical trials evaluating the safety and efficacy of COVID-19 vaccines may offer data and outcomes in the future.  The CDC has a smartphone tool called v-safe.  It offers personalized health check-ins that you can enroll in after a vaccination.

An infographic answering the question of whether to get the COVID-19 vaccine if you're currently pregnant.

Recommended Content:

COVID-19 Vaccine Toolkit | Coronavirus | COVID-19 Vaccine Efforts

Appenzeller emphasizes: Get COVID-19 vaccine, no matter where

Article
4/16/2021
Military personnel explaining forensic equipment

The DHA’s Combat Support assistant director had some direct and encouraging words about the military’s COVID-19 vaccine rollout to date.

Recommended Content:

Coronavirus | COVID-19 Vaccine Toolkit

Tele-critical care will play increased COVID-19 response role in 2021

Article
4/15/2021
Infographic that says "202 tele-critical care successes will help 2021 COVID19 response"

Virtual health and particularly tele-critical care for critically ill patients assumed frontline roles in sustaining care while keeping beneficiaries and health care teams safe.

Recommended Content:

Coronavirus | Military Health System Transformation

Join Us!! Third COVID-19 Townhall Update with Major General George Appenzeller!

Article
4/13/2021
MHS and Military OneSource COVID-19 Townhall, with Major General (Dr.) George N. Appenzeller.  Wednesday, 14 April, 1 PM ET

Join us for the MHS' Third COVID-19 Townhall with Major General George Appenzeller

Recommended Content:

Coronavirus | COVID-19 Vaccine Efforts | COVID-19 Vaccine Toolkit

Public health remains an integral part in the fight against COVID

Article
4/9/2021
Infographic featuring health personnel wearing face shields and mask with "National Public Health Week" across the top of the picture

The pandemic has highlighted a need to provide more advanced training on infection prevention and control.

Recommended Content:

Sexual Assault Awareness & Prevention Toolkit | Public Health | Coronavirus | COVID-19 Vaccine Toolkit

DOD surpasses 2 million COVID-19 vaccines worldwide

Article
4/9/2021
Military health personnel wearing a face mask and a face shield giving the COVID-19 vaccine

The DOD hit the 2 million mark for vaccinations worldwide just a month after the 1 million milestone.

Recommended Content:

Coronavirus | COVID-19 Vaccine Efforts | COVID-19 Vaccine Toolkit

Children’s well-being contributes immeasurably to force readiness

Article
4/6/2021
Military personnel wearing face mask in the back of a truck

The Defense Health Agency joins in celebrating military children during Month of the Military Child, observed in April, and always.

Recommended Content:

Children's Health | Coronavirus | Month of the Military Child Toolkit | Month of the Military Child Image Library

Moderna and Pfizer

Infographic
4/2/2021
Infographic of the timeline of the Pfizer vaccine and Moderna vaccine

Infographic of the timeline of the Pfizer vaccine and Moderna vaccine

Recommended Content:

COVID-19 Vaccine Toolkit

How They Work

Infographic
4/2/2021
Infographic of the differences of how the Pfizer/Moderna Vaccine and the Janssen Vaccine work.

Infographic of the differences of how the Pfizer/Moderna Vaccine and the Janssen Vaccine work.

Recommended Content:

COVID-19 Vaccine Toolkit

Telemedicine advances put to the test during pandemic

Article
4/1/2021
Uniformed service member stands behind wall of computer screens

COVID-19 has led to the need for physical distancing and has overwhelmed the capacities of health systems, compelling many to adopt telehealth solutions.

Recommended Content:

Technology | Research and Innovation | Coronavirus | COVID-19 Vaccine Toolkit

Lovell FHCC staff steps up to create formidable COVID-19 team

Article
3/30/2021
Military health personnel preparing to administer the COVID-19 vaccine

The COVID-19 vaccination effort at the Capt. James A. Lovell Federal Health Care Center in North Chicago, Illinois, has brought out the best in staff.

Recommended Content:

Coronavirus | COVID-19 Vaccine Efforts | COVID-19 Vaccine Toolkit

DOD healthcare leaders give COVID-19 update, praise DHA personnel

Article
3/30/2021
Picture of Director Army Lt. Gen. (Dr. Ronald Place providing a COVID-19 update at  the Pentagon

Dr. Terry Adirim and Army Lt. Gen. (Dr.) Ronald Place provide update on COVID-19 vaccination progress and offer thanks to MHS workers for their contributions.

Recommended Content:

Coronavirus | COVID-19 Vaccine Efforts | COVID-19 Vaccine Toolkit

Dover Air Force Base features ‘Park ‘N Pickup’ pharmacy

Article
3/26/2021
Picture of prescription sitting on a counter

Due to the increased need for patient safety, the 436th Medical Group pharmacy at Dover Air Force Base has implemented a Park ‘N Pickup process.

Recommended Content:

Brain Injury Awareness Toolkit | Coronavirus | Patient Safety

TAB A MEO COVID19 Medical Coding Policy

Policy

Memorandum for DHA Staff - Military Medical Treatment Facilities to Implement Updated DHA COVID-19 Medical Coding Policy

  • Identification #: N/A
  • Date: 3/25/2021
  • Type: Memorandums
  • Topics: Coronavirus

DHA COVID19 Medical Coding PolicyV5 1v

Policy

Establishes the DHA procedures to standardize the coding for Coronavirus 2019 (COVID-19) within military medical treatment facilities (MTFs). This memorandum replaces DHA-Policy Memorandum 20-003 of July 1, 2020. Attachment 1 was updated to include the 2021 procedure and diagnosis codes for COVID-19, including the new vaccination and treatment codes.

  • Identification #: 20-003
  • Date: 3/25/2021
  • Type: Memorandums
  • Topics: Coronavirus
<< < 1 2 3 4 5  ... > >> 
Showing results 61 - 75 Page 5 of 33

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or learn more about PDFs.