The U.S. Army Public Health Command (USAPHC) collaborates with the Office of the Surgeon General's (OTSG) Rehabilitation and Reintegration Division (R2D) and the U.S. Army Research Institute for Environmental Medicine (USARIEM) to address the two major factors that impact Soldier medical readiness: injuries and physical fitness/performance.
The Soldier Medical Readiness Campaign Plan (SMR-CP) is a five year campaign established in January 2011 by the U.S. Army Surgeon General to increase the medical readiness of the Army. USAPHC, R2D, and USARIEM support the synchronizing, and integrating evidence-based health promotion, human performance optimization, and injury-prevention-related efforts across the Army. These efforts are designed to improve Soldier health and fitness and to reduce injury rates.
Major SMR-CP Initiatives
- Health Promotion & Wellness Initiatives
- Injury Prevention Program Monitoring
- Injury Prevention Program Evaluations
SMR-CP-Related Courses and Communication Materials
The health promotion and wellness initiatives within the SMR-CP are focused on coordinating and supporting services that promote physical activity, healthy weight, and tobacco-free living. These three areas are in alignment with the National Prevention and Health Promotion Strategy as factors that impact injury risk and human performance. They also support the Army Surgeon General's Performance Triad. Soldiers who engage in regular physical activity, maintain a healthy weight and live tobacco free lives build personal health, reduce their risk of injury, and improve their unit's physical readiness.
Installation-based health promotion and wellness programs for Soldiers and Family members include:
Army Wellness Centers
Serve as community resources providing Soldiers and family members with fitness and healthy lifestyle programs to improve their health and wellbeing.
USAPHC Health Promotion Operations
Funds centrally managed Health Promotion Officers at FORSCOM installations to work with senior commanders to integrate medical, mission, and garrison assets through the Community Health Promotion Councils (CHPCs).
CHPCs provide oversight, monitoring, coordination and evaluating all health promotion, risk reduction, and suicide prevention initiatives on the installation.
Additional resources and programs on nutrition, tobacco-free living, and physical fitness and training are available.
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Injury Prevention Program Monitoring develops the capability for surveillance among the Medically Not Ready (MNR) Soldier population, using injuries as model. Data collected through the Armed Forces Health Surveillance Center (AFHSC), the Medical Protection System (MEDPROS), eProfile, disability, and other sources will be used to identify, track and report specific health outcomes that are barriers to Soldier Medical Readiness (SMR). The knowledge acquired will enable the establishment of clinical and prevention efforts focused on leading barriers to SMR.
Activities that support this strategic objective:
Company-level injury monitoring in Initial Entry Training: Represents the first unit-level injury surveillance program and supports evaluation of IET injury prevention programs such as the Soldier Athlete Initiative. Summaries of unit-level BCT and OSUT injury rates (i.e. company rates, battalion rates, and post rates) are produced by gender for each training type (i.e., AIT, BCT, OSUT INF, OSUT CAV, OSUT AR, OSUT, MP, and OSUT ENG).
Surveillance reports for key medical outcomes (deaths, disabilities, and medical encounters): Existing medical and administrative data provide information that can be used to guide decisions regarding next steps for addressing leading causes of injury and barriers to medical readiness.
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Among the Army active duty population, injury is a leading cause of medical encounters with over 1.3 million medical encounters due to acute injuries and chronic musculoskeletal conditions annually (Defense Medical Surveillance System, 2012). Identification and evaluation of injury prevention (IP) and human performance optimization (HPO) programs are vital to reducing injury rates and improving physical fitness.
The Army is currently evaluating promising injury prevention and human performance optimization initiatives in training and operational environments.
- Initial Entry Training Soldier Athlete Initiative: provides company-level injury surveillance to assist Army leadership with identification of units with effective injury prevention program (i.e. those with consistently lower injury rates).
- Evaluation of Physical Fitness Training in Operational Units: the Army Public Health Command Injury Prevention Program is leading efforts to evaluate the effects of unit-based physical training programs on injury rates and physical fitness within operational units.
More information on injury prevention and physical fitness and training.
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Identifying injuries quickly is important so that appropriate care and management can be initiated as soon as possible, preventing further complications. The ultimate goal of early identification and treatment of injuries is to maximize the Soldier's function. Unit-based and MTF-based programs provide early identification and management of injuries, return Soldiers to duty quickly, and optimize a medically ready force.
- Standardized e-Profile, sick slips, and reconditioning programs: used to facilitate unit physical training and improve communication between providers and unit leaders.
The Army is evaluating the effects of Musculoskeletal Action Teams, which are advanced physical training and reconditioning teams at the battalion and brigade levels that aim to reduce or lessen the severity of injuries through early identification and treatment of injuries.
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Communication of findings and recommendations provides the link between research and practice necessary to implement effective injury prevention and human optimization programs. Experts from the USAPHC, the OTSG , and USARIEM have formed the SMR-CP Health Promotion and Musculoskeletal Injury Working Group to disseminate scientific information aimed at reducing musculoskeletal injuries to both military and civilian communities.
SMR-CP-Related Courses and Communication Materials
Soldier Medical Readiness Campaign Injury Prevention/Human Performance Optimization Education Series
The SMR-CP IP/HPO Education Series is designed to provide military medical providers and staff, including physical therapists, nurses, and health promotion professionals, with information about a variety of medical readiness topics. The Series consists of quarterly Defense Connect Online (DCO) sessions with two or more presentations from experts in the fields of injury prevention, human performance optimization, and health promotion.
The next seminar will be:
- 8 December 2014, 1300-1400 EDT
Visit the SMR-CP Education Series page for more information.
Communication Print Materials & Resources
Visit the USAPHC Health Information Products e-Catalog to download or order available materials.
- The Great American Smokeout- Be smoke free for a day (17 November 2014)
- Pre-diabetes: Who is at risk? (3 November 2014)
- Prevent ergonomic injuries in the workplace (1 October 2014)
- Army helps moms maintain fitness before, after, childbirth (1 October 2014)
- Tobacco Kills. Period. (10 September 2014)
- Dietary supplements: Safety still an issue, better options available (2 September 2014)
- Army doctor: Soldiers should avoid overtraining to prevent injury (25 August 2014)
- Scientists discuss strategies for making Soldiers stronger at international conference (23 August 2014)
- International scientists discuss Soldier physical performance (21 August 2014)
- Fostering Progress through International Collaboration (21 August 2014)
- RACH dietitians offer tasty changes for diners (15 August 2014)
- Partnerships enhance public health (8 August 2014)
- Download This! The Performance Triad App (version 1.0) (24 July 2014)
- Performance Triad app now available (10 July 2014)
- Army Leader tests the Performance Triad (3 July 2014)
- Protect your eyes in sports- just like you do in combat (1 July 2014)
- Public Health Command promotes sleep, activity, nutrition during Performance Triad kick-off week (12 June 2014)
- Post-retirement weight gain - fact or fiction? (30 May 2014)
- Army program encourages healthy lifestyles (29 May 2014)
- Be part of the System for Health (29 May 2014)
- Farmer's markets offer healthy choices to Soldiers and families (22 May 2014)
- Health screening; adequate sleep, activity, nutrition vital to Soldier readiness (1 May 2014)
- Is it possible to eat right on a budget? (28 February 2014)
- Adequate sleep brings benefits for a lifetime (28 February 2014)
- Injury experts evaluate safety of new Army parachutes (21 February 2014)
- Reservists visit Aberdeen Army Wellness Center (19 February 2014)
- Empower yourself to better health (2 January 2014)
- Strategies to avoid office weight gain (2 January 2014)
- Thirdhand smoke: a new tobacco hazard for families. (1 November 2013)
- Beware of emotional eating. (1 November 2013)
- Lower your cholesterol to improve your health. (3 September 2013)
- Children can eat healthy while on-the-go. (1 July 2013)
- Less salt please. (28 March 2013)
- Can't sleep? Ways to help you feel rested when traveling. (28 February 2013)
- Eat right, your way, every day. (28 February 2013)
- Secondhand smoke- A danger in the air (8 November 2012)
- Sports injuries in the Army: Don't get sidelined (6 August 2012)
- Helping Soldiers maintain a healthy weight through nutrition (2 April 2012)
- Use caution with new running shoe technology (3 January 2012)
- Soldiers who smoke have increased injury risk, reduced muscle endurance (15 December 2011)
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