Combat & Casualty Care

Fall 2018

Military Magazines in the United States and Canada, Covering Combat and Casualty Care, first responders, rescue and medical products programs and news\Tactical Defense Media

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C&CC: What role does the Henry M. Jackson Foundation (HJF) play in medical research? Dr. Caravalho: HJF is a global organization dedicated to advancing military medicine for our nation's Warfighters. We partner with military, medical, academic and government clients by administering, managing and supporting preeminent scientific programs that benefit members of the armed forces and civilians alike. The not-for-profit foundation is authorized by Congress to support research and education projects at the Uniformed Services University of the Health Sciences and throughout military medicine. Since its founding in 1983, HJF has served as the connective tissue between the military medical community and its federal and private partners. HJF's support and administrative capabilities allow military medical researchers and clinicians to maintain their scientific focus and to accomplish their research goals effectively and efficiently. C&CC: As the Military Health System (MHS) transforms under the Defense Health Agency, how do you see the changes affecting military medicine? Dr. Caravalho: The last three National Defense Authorization Acts (for fiscal years 2017 through 2019) place much of the DoD medical mission under the Defense Health Agency's (DHA) direct control. With this centralized authority, DHA has primary responsibility for the health benefit, overseeing the direct and purchased health care for all military health beneficiaries. It also remains answerable to the combatant commands in doing their part to ensure the deployed joint force is medically ready and responsive to the readiness training requirements mandated by the Services through their respective Surgeons General. Finally, DHA bears ultimate responsibility for Defense Health Program-funded clinical research and requirements- driven research and development. C&CC: Since the DHA has been granted centralized authority for military medical research, what steps can be taken to fulfill this mandate? Dr. Caravalho: From my vantage point, I envision a relatively straightforward way for military medicine to consolidate forces, exercise unity of effort and gain immediate relevance of its medical research programs with the DoD senior leadership, senior uniformed Warfighters and Congress. The "secret sauce" is in creating a single MHS research enterprise. I believe an effective system requires these three elements: • A single Institutional Review Board (IRB) system that allows each of the IRBs to have enterprise-wide approval authority. This specific process is addressed under recent revisions to the Department of Health and Human Services' Common Rule governing human subjects research. MAXIMIZING MEDICAL RESEARCH THROUGH A SINGLE MHS ENTERPRISE Dr. Joseph Caravalho Jr. President and Chief Executive Officer Henry M. Jackson Foundation Joseph Caravalho Jr., MD, is the president and chief executive QHƒEGTQHVJG*GPT[/,CEMUQP(QWPFCVKQPHQTVJG#FXCPEGOGPV QH /KNKVCT[ /GFKEKPG C %QPITGUUKQPCNN[ CWVJQTK\GF PQVHQTRTQƒV organization of 2,800 employees who advance military medicine at locations throughout the U.S. and around the world. Before joining HJF, then MG (Dr.) Caravalho culminated his 38-year military career as the Joint Staff Surgeon, where he was the senior medical adviser to the Chairman of the Joint Chiefs of Staff. Immediately prior, he was the Army Deputy Surgeon General. He is a graduate of Gonzaga University and the Uniformed Services University of the Health Sciences. Clinically, he served as a staff internist, nuclear medicine physician and cardiologist. 1RGTCVKQPCNN[JGUGTXGFCUVJGUGPKQTOGFKECNQHƒEGTHQTCPWODGT of Army and Joint special operations units, including the 75th Ranger Regiment and 1st Special Forces Group. He also served in two combat deployments in support of Operation Iraqi Freedom. HJF ADVANCING MILITARY MEDICINE 22 | Combat & Casualty Care | Fall 2018

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