Longitudinal Tracking of Health Risks Associated with the Soldier's Lifecycle Assignment

Abstract : One of three strategic goals on the US Army Medical Department (AMEDD) Balanced Score Card is to protect and sustain a healthy and medically protected force. Outcomes that measure this objective are healthy soldiers protected from injury and disease throughout their assignment lifecycle. In the last decade many strides have been made to maximize health, fitness, and medical preparedness of forces being deployed, while minimizing disease and injury risks during deployments. Although, today we have a broader understanding that the successful execution of this strategy depends on the effective conduct of comprehensive military medical surveillance (CMMS), the Army has made considerable efforts in various areas and in response to the demand has responded with several medical and health surveillance initiatives. This research paper will provide an overview of Department of Defense (DOD), Army and AMEDD interim electronic outpatient records in place and their current application and will discuss the Longitudinal Health Risk Assessment Program (LHRAP) and provide recommendations. The LHRAP is a proposed evidence-based screening and risk reduction program designed to decrease morbidity and mortality associated with chronic health risks such as hypertension, hyperlipidemia, and smoking. The program addresses cardiovascular and cancer risks for active duty soldiers aged 35 and older.