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Lieutenant General Eric B. Schoomaker US Army Medical Command Commanding General ‘And The Surgeon General 13 December 2007 1. As I take command of the US Army Medical Command (USAMEDCOM) and assume the duties of The Army Surgeon General, | wish to share with you my principal thoughts and intentions for the Command and Staff. While our actions will always speak louder than our words, this is a time when these words direct our actions. 2. The USAMEDCOM and the Office of the Surgeon General (OTSG) play a vital role in the ‘Army's conduct of a protracted Global War on Terrorism: a war which has lasted longer than ‘World War Il, but is no less important for the preservation of our American freedoms. The many professionals who fill the ranks of the Command — uniformed and civilian, officer and enlisted, drawn from eight professional corps — are a formidable team dedicated to promoting and ‘maintaining the health of our Warriors, sustaining their Families and restoring ill and injured Soldiers. The critical nature of our contributions has never been more clearly demonstrated in the 232-year history of the US Army than now ~ from the battlefields in Iraq and Afghanistan, to our casualty evacuation facilities in Europe, our medical centers, community hospitals, health centers and clinics in the Homeland and by the creativity of our bio-scientific and industrial enterprises. We cannot, and will not, fail in this complex and unremitting mission, 3. The essence of our professionalism and ethos is embodied in our Warrior Medics: well- trained and highly-motivated young men and women whose courage, selflessness and stamina have consistently led them to forego personal safety, comfort and material reward to preserve the health, well-being and the very lives of our Soldiers. Compassionate and innovative, our ‘combat medics — the 68W's — are the inspiration for us all. We will emulate their values, their uncompromising commitment to high standards and their devotion to their craft. 4. We have four near-term challenges upon which the Command and Staff must focus in the days, weeks and months ahead. They are of equivalent importance. They can each be viewed through one of the four imperatives or "lenses" provided by our Secretary of the Army (SA) and Chief of Staff of the Army (CSA) ~ “‘Sustain, Prepare, Reset, Transform” a. “SUSTAIN”: USAMEDCOM Implementation of the Army Family Covenant - The senior Army leadership recognizes the essential role which Army Families play in maintaining a viable Army and military force. Our Families have endured great sacrifices on behalf of our Warriors and the Nation. They deserve our best ideas and a renewed effort to restore their energy. to strengthen their resilience and to support their Soldier ~ husband or wife, father or mother, brother or sister, son or daughter. Army Medicine plays a critically important role in this new covenant with the Army Family, beginning with our historic successes on the battle field, the quality of our healthcare services, access to those services, and the dignity and respect we pay to every beneficiary we encounter. Let us not forget our own Families as well. Caring for the caregiver must begin at home — you will get my full support for your efforts to strengthen your own Family b. “PREPARE”: Army Medical Department Human Capital Management Strategy - Our people — you, your colleagues, and the teams you comprise — are the most important element of this Command. Recruiting and retaining the highest quality people, ensuring appropriate and competitive compensation, career development and progression — which requires state-of-the art training and life-long education, a satisfying and fulfiling workplace, and a hassle-free environment in which to provide care to our patients, or support for those who do, are our top Priorities. Building and sustaining a comprehensive, life-cycle management approach to the Army Medical team ~ all Corps, civilian and uniform — is so important, that | have made this the focus of our former Acting Surgeon General, MG Gale Pollock. She will assume the duties as the Deputy Surgeon General for Force Management and will develop a long-term plan which will become an enduring focus for this Command. You play an indispensable role in this effort as you are a subordinate, a colleague, or a supervisor of other medical professionals whose Support, guidance, mentoring and encouragement you can - and must — provide. c, “RESET”: Execution of the Army Medical Action Plan (AMAP) - We are rapidly approaching Full Operational Capability (FOC) of this comprehensive pian to reset the Army's entire approach to, and support for, our wounded, ill and injured Soldiers. Driven by unprecedented battlefield survival from wounds as well as aggressive efforts at optimal management of illnesses and injuries for all Soldiers, including mobilized Reservists, Army Medicine provides vital AMAP elements. It has been guided by investigations and recommendations at the highest levels of the Government. We have created the position of the Assistant Surgeon General for Warrior Care and Transition in recognition of our requirement to put energy and dedicated leadership, resources, and organizational focus to this effort. BG Mike Tucker will serve in this capacity. All must understand and support this ambitious program and ensure its success, Our Soldiers and Families deserve no less than our best! d. “TRANSFORM”: Deliver the Maximum Value in Healthcare and Other Services - We must adapt and transform in multiple domains simultaneously, including full participation in Base Realignment and Closure (BRAC) actions and standing up Joint Medical Task Forces. The USAMEDCOM has been a leader in the Military Health System in the adaptability and agility of our deployable health systems and productivity and efficiency within the facilities providing garrison care. It is time to boldly take the next step by delivering the highest value in all we do. We achieve this by providing the highest quality care aimed at achieving the best outcomes for our patients using evidence-based practices and reducing unwarranted variability in clinical and business practices. These efforts will result in the best possible cost for this care and the greatest value for our patients, our Army and the Nation. In a nutshell, | want you to do what is right for the patient in the long run by practicing according to the best scientific methods possible, demonstrating a keen eye for safety, using proven technology enablers and the electronic health record (AHLTA). 5. Our senior commanders, senior Headquarters OneStaff (OTSG/USAMEDCOM), and | will ‘engage in much hard work over the next 100 days to evaluate the azimuth of our current strategic plan for its currency and relevance in light of the focus areas above. Your input will be invaluable. As we enter this next exciting era of our history, an era serving those many call the next “Greatest Generation,” | ask that you live the Army Values. In particular, | enjoin you to: ‘+ strengthen loyaity within all AMEDD Corps, ranks, civilians and military to accomplish our missions, We are a team of teams, not a collection of individuals or individual corps; exercise your duty of mentorship - itis our duty to find and develop our replacement, to build the next generation, to sustain our contemporaries and support our senior ranks by continuous mentoring: respect one another's service and skills; respect our patients, Families and communities and, above all, show respect for yourself and your own service by never dishonoring the trust the American people have placed in you; display selfless service which is at the core of our service and leadership ~ we are servant leaders. Selfiess service comes in many forms beyond simply material deprivation or physical sacrifice: it also requires the subordination of personal ambitions for the common good: honor our commitment to our key partnerships required to achieve our missions — those between Army Medicine and the Joint Medical Force, our TRICARE Managed Care Support Contractors, our interagency partners (Department of Veterans Affairs, Department of Health and Human Services, Department of Homeland Security. our state and local communities and others), our international coalition partners and allies live with integ by doing what you say you will do ~ lead by example; display personal courage “of ideas” as well as a willingness to shed one’s blood - the courage represented by speaking up when you see something is not right or could be done better, a willingness to take calculated risks, to try bold and innovative ideas, and a willingness to be open to change: 6. Inclosing, | am humbled and feel very privileged to lead the Army Medical Department, an extraordinary team with a proven record of service and accomplishment. You have earned the trust and confidence of the American Soldier, the love of his or her Family and the respect of the ‘American people and the world. | am honored to serve with you and to serve you. Success in our missi is my only concern and the only focus of my energy and ideas. You are key to our Army remaining... Army Strong! . aad 5 LWT Mhrgncebse ys a aioe Eric B. Schoomaker Lieutenant General The Surgeon General Commanding