Afghan-Led Validation Team to take the lead in ANSF Healthcare Transition

2012/03/09 • Comments
By Cmdr Rhonda Byars, USN
 Senior Nurse/SME  Validation Team
 
Lt.Col. Amanulla Rahimi, Chief Nurse, Lt. Cmdr. Rachel M. Lewis, NC, USN, Mentor Cmdr. Rhonda Byars, NC, USN, Validation Team Review the contents of the Emergency Supply Cart located in the ICU of Herat Regional Military Hospital, Camp Stone.

Lt.Col. Amanulla Rahimi, Chief Nurse, Lt. Cmdr. Rachel M. Lewis, NC, USN, Mentor Cmdr. Rhonda Byars, NC, USN, Validation Team Review the contents of the Emergency Supply Cart located in the ICU of Herat Regional Military Hospital, Camp Stone.

The Healthcare Validation Team from the NATO Training Mission Afghan / Combined Security Transition Command – Afghan completed their first battlespace circulation of six Afghan National Security Force hospitals throughout Afghanistan.  

The Validation Team, based out of Camp Eggers, Kabul traveled extensively throughout the country to perform site visits at Kandahar, Herat, Marsar-e-Sharif and Paktia (Gardez) Regional Military Hospitals.  Site visits were also conducted locally at the Afghan National Army, National Military Hospital and the Afghan National Police Hospital.  

The Validation Team is part of a mandate to objectively measure the Afghan Healthcare system, its stewardship and the foundation for quality care that will be sustainable by 2014 and beyond. The teams’ primary mission is to provide a vigorous assessment and evaluation of all ANSF Hospitals and healthcare facilities.  The Team is comprised of subject matter experts from various clinical specialties:  Preventative Medicine, Nursing, Surgery, Dentistry, Pharmacy and Physician Services.  Ancillary services are also part of the validation to include Medical Logistics, Facilities, Human Resource Management, Patient Administration and Biomedical Engineering along with a key leadership component that entails an evaluation of hospital directorship. 

Using the validation tool as a foundation, advisors and mentors with the support of their Afghan counterparts work to ensure processes are linked to practice while promoting standardization across the battlespace.  Coalition Forces and Medical Embedded Training Team Advisors have been assigned throughout the regions to mentor Afghans within their respective field of specialties.  Both Afghan and NATO Advisors have been steadfast in their efforts to mentor, educate, and equip the ANSF medical system with a comprehensive set of standards that will become the foundation of Afghan healthcare.

Cmdr. Richard Biggs, MC, USN Validation Team discusses surgical approach and technique with Dr. Al Kozai, Chief of Surgery, Herat Regional Military Hospital Camp Stone.

Cmdr. Richard Biggs, MC, USN Validation Team discusses surgical approach and technique with Dr. Al Kozai, Chief of Surgery, Herat Regional Military Hospital Camp Stone.

During a typical survey, the Validation Team will complete an evaluation of various departments including Outpatient Clinics, Nursing, ICU, ER, Anesthesia, Operating Theater, Pharmacy, Trauma Management and various support services with the use of a standardized tool.  A criterion based system is used to assess the hospitals’ clinical processes and practice pertaining to the environment of care, education and training, leadership and administration.  The scores from the various departments are compiled into a metric that results in a Capability Milestone rating.   CM ratings identify the level of current capabilities that serves as a forecast to when the institution will most likely be ready to transition to Afghan lead and sole source care.  

With the focus on Afghan sustainability, plans are underway to develop and train an Afghan-led ANSF Validation Team.   Although “Shohna ba Shohna” will continue to be a collaborative effort of the Validation Team when performing quarterly re-assessments and evaluations of ANSF hospitals and regional Troop Medical Clinics, future endeavors will support the warfighter by having the Afghans take the lead in promoting sustainable medical capabilities and progressive treatment. This consistency will provide standardization throughout the country and a definitive roadmap for transitioning medical care within the Afghan National Security Force.

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Category: News - Medical

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