by clicking on the page. A slider will appear, allowing you to adjust your zoom level. Return to the original size by clicking on the page again.
the page around when zoomed in by dragging it.
the zoom using the slider on the top right.
by clicking on the zoomed-in page.
by entering text in the search field and click on "In This Issue" or "All Issues" to search the current issue or the archive of back issues respectively.
by clicking on thumbnails to select pages, and then press the print button.
this publication and page.
displays a table of sections with thumbnails and descriptions.
displays thumbnails of every page in the issue. Click on a page to jump.
allows you to browse through every available issue.
GCN : September 2014
ARMY PUBLIC HEALTH ANALYTICS The Army is making a paradigm shift in healthcare, moving away from the reactive model of treat- ing disease to a model focusing instead on wellness. "Our number one goal is readiness," said Todd Hoover, program man- ager for Wellness Centers in the Army's Public Health Command. Traditional healthcare focuses on managing problems after they have developed. "What we wanted to do was go upstream and look at primary prevention." The result is 13 Army Wellness Centers in the United States and five in Europe, with another 17 currently planned in this country and two more in Asia. The idea is to promote healthy lifestyles to improve the overall well-being of soldiers, retired service members and family by addressing health factors that can be controlled, including smoking, blood pressure, and physical activity. What distinguishes these centers --- in addition to their focus on prevention --- is the standardization and integration of equipment and data and the central- ized database serving all of the centers worldwide. "That was our neatest innovation," Hoover said of the database. "One of the things we saw early on was that we need- ed to centralize the data." The database uses proprietary algo- rithms developed by the Public Health Command to make assessments of a pa- tient's condition. It analyzes both self-re- ported information and the standardized data produced by diagnostic tools in the wellness centers such as those measur- ing metabolic and oxygen consumption rates. It then creates health and fitness programs to meet individual needs and goals. Through a web portal patients can see and input data and also manage their programs with clinicians. The central source of data has been the key to making the centers effective, Hoover said. "The technology is great, but if you can't make it actionable, it has no value." The technology that generates the data comes from COSMED, an Italian manufacturer of metabolic diagnostic equipment including the Bod Pod, an air displacement plethysmography unit that measures the change in air pressure when a person enters the chamber to determine body volume. Together with body weight it provides a density that measures body fat to within 1 percent accuracy. COSMED provides the Bod Pod as a turnkey system, with software running on the Windows 7 operating system. The Army's Wellness Center program began in 2005 in Hei- delberg, Germany. The Region- al Public Health Command in Europe did a survey of existing Army health and wellness pro- grams. "We found 77 of them, and no two were the same," Hoover said. These programs are gradu- ally being replaced with stan- dardized metrics and evalua- tions. Each wellness facility con- tains the same equipment and is staffed by a director, health edu- cator, health promotion technician and administrator. The assumption is that the centers will serve from 15 to 25 percent of the Army population that is at risk for poor health. Results from the Wellness Centers so far have been positive. Out of a group of about 21,000 patients, 62 percent de- creased their body mass index by an aver- age of a little more than 14 percent. The goal is to eventually have 299 Well- ness Centers operational with the ability to serve 450,000 people a year. "We think it has great potential," Hoover said. • The Army is moving to centralize and standardize patient health care data in an e ort to anticipate---and prevent---the onset of illness Army tech shifts from treatment to prevention BY WILLIAM JACKSON 28 GCN SEPTEMBER 2014 • GCN.COM AIR FORCE The Bod Pod measures body mass, composition and density though precise air displacement calculations.