Ms. Terri Shambach
CAPT Charlene Ohliger MSN, RN, CCRN, CCNS , U.S. Fleet Forces Command
used to identify and mitigate gaps in the delivery of quality care during high acuity low
volume medical events in an operational setting.
2. Review lessons learned during the pilot and maturation phases of the QMAV process.
3. Highlight how coordination and cooperation between TYCOMs contribute to
interorganizational benefits to Navy Medicine that result from joint task orientation and
shared goals.
4. Describe the QMAV process for promulgation of best practices.
5. Examples of value added in the Operational Setting will be reviewed.
In 2022, a pilot project was developed to support high reliability, quality of care and improve processes in an operational environment for medical care received while afloat. The Quality Medical Assist Visit (QMAV) event is focused on the inherent shipboard environment limitations by deploying a team of Subject Matter Experts (SMEs) who are identified to provide mentorship, process optimization, quality assurance, and process improvement to the ship’s medical department personnel. The goal is to identify and narrow gaps between medical care provided at Medical Treatment Facility (MTF) and Operational Afloat Medical Departments to assess the team’s ability to manage an urgent medical patient from acute presentation through urgent surgical care and patient movement to the next echelon of care.. The process is designed to bring in high fidelity simulation with concurrent SME mentorship in an effort to provide mentorship, process optimization, quality assurance and improve readiness, capability, and team cohesion of fleet medical assets in a condensed timeframe. Additionally, the SME team offers recommendations designed to provide the operational medical department improvement opportunities and other means to mitigate the identified risks during the unit’s deployment. There have been 10 successful QMAV evolutions (8 NMFL, 1 NMFP, 1 Djibouti) completed at the request of Fleet Forces (AIRLANT/SURFLANT). This session will walk attendees through the maturation of the QMAV and the process of validation of the operational medical department’s teamwork skills required to deliver high quality by the shipboard medical personnel with use of individual functional area tracer events, a collective scenario-based tracer, and a review of key takeaways related to care team protocols, inter-department communications, and equipment findings. Enclosure