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Veterans Benefits Information

RESET improves pediatric care

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FAIRCHILD AIR FORCE BASE, Wash. — The 92nd Medical Group Pediatric Clinic implemented a new concept of operations: rewarding, efficiency, setting priorities and empowering team members, or RESET, to their system of patient care. 

RESET came from an original model built at Ramstein Air Base and was modified by Fairchild Airmen to better suit the pediatric clinic and successfully integrate with Military Health System (MHS) Genesis.

“The aim of RESET is to improve access to care for the patient population,” said Air Force Capt. Joseph Migliuri, 92nd MDG pediatrician. “This has allowed patients to see their provider more expeditiously. This is done by changing the way in which we do business, cutting waste in our workflow and rewarding teams that are effective in this area.”

Although the RESET system was not intended to be used with MHS Genesis or a pediatric clinic, the pediatric team restructured the original blueprint to fit the needs of the clinic. With the new design, the team focused on their main goal of increasing patient access.

“Records show us that in December 2017, we had a rate of zero available appointments within a week’s time; since integrating the RESET system, we saw our rates of availability increase to 55 appointments per week as of March 2018,” said Air Force Capt. Neal Alexander, 92nd MDG maternal child flight nurse manager.

Virtual appointments are offered to allow patients to receive the care they need from doctors without having to visit the clinic. Caring for patients through virtual appointments has also allowed doctors to have more time to see more patients per day.

“Patients would previously have to go through a long rope of people to have their information forwarded to a nurse or technician and then a doctor,” Alexander said. “We have changed the appointment process. Now, when a patient calls, they are offered a virtual consultation or a face-to-face consultation.”

The team has changed the culture of their work environment with the reward portion of the RESET program. This has motivated team members to become innovative, driven and efficient with patient care.

Within three months implementing RESET into the 92nd MDG Pediatric Clinic MHS Genesis workflow, the clinic’s goals of patient access and care have greatly improved. Through the spread of this innovation and modernization to other specialties and Department of Defense installations, Team Fairchild’s Airmen are keeping mobility forces operationally ready for any missions they’re called to do.

Disclaimer: Re-published content may have been edited for length and clarity. Read original post.


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Deadline is April 25 for Veteran Entrepreneur Contest

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The deadline to enter The American Legion Family's Veteranpreneur Contest, part of the Legion's 2018 National Poppy Day activities, is April 25.

To honor the fallen and support the living, The American Legion Family announced the Veteranpreneur Contest in February. Veterans, servicemembers and their spouses who own a business are invited to submit poppy-themed merchandise for consideration in the contest. The winning veteranpreneur will receive up to a $10,000 order for their product which will be sold in the online poppy shop through American Legion Emblem Sales.

The American Legion Family has launched www.poppydayusa.org which features information about National Poppy Day and the Veteranpreneur Contest. Entries to the Veteranpreneur Contest are due by close of business on April 25, when a judging panel will narrow the field to four finalists. After the finalists have been selected, the general public will vote for their favorite poppy-themed product and the winner will be announced on May 25 – National Poppy Day.

“Distributing poppies around Memorial Day has been a tradition of the American Legion Family for close to 100 years,” said American Legion National Commander Denise H. Rohan. “We have also long supported the efforts of veterans, servicemembers and their spouses who start their own business. The Veteranpreneur Contest is a natural extension of these efforts and will help us remind Americans about the historical significance and symbolism of the red poppy.”

Following World War I, the red poppy came to symbolize the blood shed by those who fought and those who continue to fight for our country. National Poppy Day is an initiative supported by the entire American Legion Family.

The contest is open until April 25, 2018. More information about eligibility, entry criteria and terms can be found at www.poppydayusa.org.


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An Army Veteran Confronts His Own Trauma With a Camera

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During a post-traumatic stress treatment program, Michael McCoy, a retired U.S. Army Specialist, turned to photography to help him manage the emotional aftershocks of war.

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USAA Tips: How a great cover letter helps in the job search

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Content provided courtesy of USAA.

By Chad Storlie

Even experienced career changers can quake at the thought of putting a new cover letter together. Resumes tend to be straightforward documents, but the cover letter can be a difficult document to complete or even start writing. Cover letters must be concise, specific to the job position, and illustrate attractive qualities about you.

Follow these tips to create an outstanding cover letter for your career search:

  • Understand Your Audience. Executives and HR hiring managers are busy and often times simply glance at resumes and cover letters from candidates. This is valuable information to understand because it shapes your writing style as direct, employs quantitative achievements, follows an organized layout, and lists the greatest achievements first. In addition, executives have become “Smartphone” readers where they expect the most essential information first and often quickly scan a document.

  • Address the Cover Letter to a Specific Person. A cover letter should be addressed to a specific person(s) in the department that you are applying and not to the Human Resources (HR) department. The research required to address the cover letter to the person and department that has the opening is a sure sign you have done your research and you understand the structure of a company. This simple attention to detail is a wonderful way to start a great cover letter.

  • Follow the Color Scheme of Your Resume with a Professional Picture. Modern resume layouts often employ a vertical color bar about 2” wide that contains your picture, education, publications, conference presentations, and other layouts. Use the same layout concept from your resume so that the resume and the cover letter together create a branded package in appearance and content of who you are and what you have to offer. It’s is OK to use the vertical color bar on your cover letter to repeat some of the critical information from your resume such as education, industry experience, publications, and the like.

  • Use a Layout that is Quickly Readable & Emphasizes Critical Skills. The greatest and most difficult rule is that cover letters should be only one page. This is very hard. However, a one-page cover letter respects the time of the audience reading your document. In addition, consider the use of tables and other creative methods to organize information that delivers great content in an easily understood manner and that can be quickly scanned and read. In addition, a layout of this format is unique so it guarantees that others will read it.

  • Include Some Personal Information to Make You Stand Out. Sharing volunteer information, a passion project, recognition from senior business or government individuals, or other unique information is necessary. The entire point of a cover letter is to make your contributions and experience stand out from the “pack” or other applicants. The more ways you discover to do this the better.

  • Include a Link to the Cover Letter & Resume for On-Line Sharing. In your cover letter, create links to your resume and your cover letter that allow easy sharing of both documents. Understand that hiring efforts are consensus driven decisions even for very junior positions within a company. Make it easy for others to find and share your cover letter and resume with others in their team. If you have a portfolio, a link to your portfolio can also be included to help pull the decision in your favor.

The cover letter is a one-page document that highlights your skills, interests, and abilities to make a significant difference to a company. Use the cover letter to generate interest and confidence in your ability to make an immediate difference in a new career.


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A navy of navies

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Late last year, the president and Congress codified into law plans to deploy a 355-ship Navy. But now there are worrying reports that even with the new shipbuilding plan, the Navy won’t be able to reach the 355-mark until the mid-2050s. The good news is that congressional leaders are exploring ways to remove the impediments to a 355-ship fleet – and that close allies are partnering with the United States to field a navy of navies that can fill in the gaps created by years of short-term thinking in Washington.

Before getting to the good news, it’s important to discuss why America’s navy needs to grow and why America’s allies need to play their part in maritime security – which brings us to the bad news.

Claiming 90 percent of the South China Sea based on a map drawn by Chinese cartographers in 1947, China is flouting international norms and turning reefs hundreds of miles outside its territorial waters into military outposts.

To date, Beijing has constructed some 3,200 acres of instant islands in international waters. Beijing has deployed surface-to-air missile batteries, anti-ship missile batteries and sophisticated radar systems on some of the man-made islands. One of the instant islands features a 10,000-foot airstrip – long enough for bombers and fighter-interceptors. As Pacific Command commander Adm. Harry Harris concludes, these islands “are clearly military in nature.” He adds that the Chinese “have seven new bases in the South China Sea.”

Related, China will deploy 73 attack submarines, 58 frigates, 34 destroyers, five ballistic-missile submarines and two aircraft carriers by 2020. Beijing’s goal: to control the resource-rich South China Sea and muscle the United States out of the Western Pacific. As Prime Minister Shinzo Abe of Japan puts it, China is trying to turn the South China Sea into “Lake Beijing.”

Thousands of miles away, Russia is making outlandish claims in the resource-rich Arctic. Moscow lays claim to half the Arctic Circle and the entire North Pole – some 463,000 square miles of Artic sea shelf – disregarding the claims and territories of other Arctic nations such as the United States, Canada, Denmark, Norway and Iceland.

Like Beijing, Moscow has underlined its claims in a brazen military context: In 2015, Russia conducted a huge Arctic military exercise involving 80,000 troops, 220 aircraft, 41 ships and 15 submarines. Russia has stood up six new bases north of the Arctic Circle, opened/reopened 16 ports and 13 airfields in the region, and deployed sophisticated S-400 surface-to-air missile batteries in the Arctic. Moscow plans to have nine airfields operational in the Arctic by the end of this year.

In the Middle East, Iran has repeatedly threatened to close the Strait of Hormuz (2011-2012, 2016), routinely harassed U.S. warships in international waters (2007-2008, 2016-2017), and illegally seized cargo ships (2015) and a U.S. Navy vessel (2016).

Finally, there’s the lingering problem of piracy. Although pirate attacks are down from their highpoint in 2009-2011 – a three-year span that saw an average of 431 attacks per year – there have been an average of 243 attacks annually over the past several years. Importantly, those numbers fell due to a concerted, coordinated response from Western naval forces.

This list of maritime challenges explains why Adm. Mike Mullen promoted the “thousand-ship navy” concept during his tenure as chairman of the Joint Chiefs of Staff. “The United States Navy cannot, by itself, preserve the freedom and security of the entire maritime domain,” he explained. “It must count on assistance from like-minded nations interested in using the sea for lawful purposes ... Because today’s challenges are global in nature, we must be collective in our response ... As we combine our advantages, I envision a 1,000-ship navy – a fleet-in-being, if you will, made up of the best capabilities of all freedom-loving navies of the world.”

Although some have dismissed the idea, the reality is an ad hoc navy of navies – enfolding the combined seapower of the United States and allies in NATO, Japan, Australia, South Korea, India and other partners – is doing much to police the seas and promote maritime security:

• Formed in 2003 by 11 allies in North America, Europe, Asia and the Pacific, the Proliferation Security Initiative today enfolds dozens of seafaring powers that collaborate “to stop trafficking of weapons of mass destruction, their delivery systems, and related materials to and from states and non-state actors” – by force if necessary.

• The Combined Maritime Forces is a partnership of 32 nations that contribute naval and air assets, basing and/or personnel to operations focused on counterterrorism (Combined Task Force 150), counterpiracy (Combined Task Force 151) and security in the Persian Gulf (Combined Task Force 152).

• India, Japan and the United States carry out what amounts to regional policing in the Strait of Malacca and Bay of Bengal; Australia, Britain, France, Italy and the United States in the Persian Gulf and Strait of Hormuz; Australia, Japan, Britain, France and the United States in the South and East China seas.

Indeed, several key partners have joined the United States in its efforts to defend freedom of navigation and freedom of the seas against China’s lawlessness. Japan is expanding its naval activity in the South China Sea by conducting joint patrols with the U.S. Navy as well as multilateral exercises in waters China claims.

British Defense Secretary Gavin Williamson recently announced that the frigate HMS Sutherland will “be sailing through the South China Sea and making it clear our navy has a right to do that.” Asked about U.S. freedom of navigations operations (FONOPs) in the region, Williamson said, “We absolutely support the U.S. approach on this ... We’ve got to ensure that any form of malign intent is countered.”

Australia conducts air patrols over the South China Sea to ensure freedom of the seas and skies. RAAF Air Marshal Leo Davies says his nation “will work closely with our allies, partners and other like-minded air forces to determine how we can make a practical contribution to ensuring freedom of navigation.”

“Several times per year, French navy ships cross the waters of this region, and they’ll continue to do it,” French Defense Minister Jean-Yves Le Drian told attendees at a recent Asian security conference, adding that France is committed to “sailing its ships and flying its planes wherever international law will allow, and wherever operational needs request that we do so.”

In addition, during the campaign against ISIS in Iraq, the French aircraft carrier Charles de Gaulle served as a command center for the multinational anti-ISIS task force.

However, that’s just the tip of the iceberg. A U.S. Naval Institute (USNI) symposium of naval commanders underscores the breadth and depth of international contributions to maritime security – and the reach of this “navy of navies.”

The German navy, for example, contributes to NATO’s Standing Naval Forces, the EU’s maritime training and counter-smuggling operation in Libya, and the EU’s counterpiracy operations off the Horn of Africa. A German frigate is deploying this year with the USS Harry S. Truman carrier strike group.

The Italian navy is participating in the EU’s maritime operations off the coast of Libya and Somalia, as well as NATO’s Operation Sea Guardian, which conducts FONOPs, maritime interdiction, counterproliferation and counterterrorism.

Portuguese surface ships and submarines contribute to Standing NATO Maritime Group 1, NATO’s Operation Sea Guardian and the EU’s Operation Sophia (off the coast of Libya).

The Danish navy will command NATO’s mine-countermeasure task force next year.

Pakistan’s navy contributes to Combined Task Force 150 and Combined Task Force 151. Brazil’s navy has supported multinational maritime operations in and around Haiti and Lebanon.

None of this is to suggest that the United States should be content with the current size of its Navy. As leader of the West, America needs to do its part by recapitalizing the fleet.

It pays to recall that at the height of President Ronald Reagan’s rebuild, the Navy boasted 594 ships. When President Bill Clinton dispatched two carrier battle groups to the South China Sea to smother Beijing’s temper tantrum in the Taiwan Strait, the fleet totaled 375 ships. When President George W. Bush launched the first counterstrokes against al-Qaida, the Navy deployed 316 warships. Today’s fleet, in a time of war and metastasizing instability, numbers just 277 active deployable ships.

These numbers aren’t even close to America’s maritime needs. “For us to meet what combatant commanders request,” according to former CNO Adm. Jonathan Greenert, “we need a Navy of 450 ships.” Testimony before Congress reveals that in 2007 the Navy had the resources to meet 90 percent of combatant commanders’ requests. By 2014, that number had fallen to just 43 percent. A government-funded study concludes that the United States needs 14 aircraft carriers (the Navy has 10 active), 160 cruisers and destroyers (the Navy has 84), and 72 attack submarines (the Navy has 52).

These gaps have real-world implications: After Tehran threatened to close the Strait of Hormuz in 2012, Central Command requested an extra aircraft carrier to send a strong deterrent signal. That request was denied because the carrier was needed in the Pacific. When the Obama administration ordered warplanes from USS George H.W. Bush to blunt the ISIS blitzkrieg in 2014, Greenert admitted that “they stopped their sorties” over Afghanistan to do so. Similarly, the Trump administration’s apparent sleight-of-hand with USS Carl Vinson during the North Korea crisis in spring 2017 – trying to make one carrier do the work of two – underscored that the United States doesn’t have the carrier firepower it needs to dissuade foes and reassure allies. Finally, the Coast Guard deploys only two operational Arctic-capable icebreakers – one a medium-duty vessel tasked largely to scientific missions, the other an antique that has exceeded its 30-year lifespan. By comparison, Russia has 40 icebreakers, with another 11 in production.

“The Navy shipbuilding plan that doesn’t get to 355 ships until the mid-2050s is unacceptable,” argues Sen. Roger Wicker, R-Miss., chair of the Senate Armed Services seapower subcommittee. Although the current plan rapidly expands the fleet’s numbers to 326 ships in the next five years, it stalls in year six. “Suddenly there’s a dip,” Wicker explains. “We don’t like the dip.” So, Wicker is pushing the administration and his colleagues for increased funding “to speed up the production pace,” as USNI reports.

As the Navy copes with the consequences of years of underfunding at home and braces for years of multidimensional challenges abroad, waiting until the mid-2050s to deploy a 355-ship fleet is the very definition of too little, too late. The solution is more resources for America’s navy and more help from America’s allies.


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Did you know?

Military Funeral Honors ceremonies must be scheduled in advance.

The law requires that every eligible veteran receive a military funeral honors ceremony, which includes the folding and presentation of the United States flag and the playing of “taps,” upon the family’s request. This Department of Defense program calls for the funeral director to request military funeral honors on behalf of the veteran’s family.