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Navy Surgeon General's Get Real, Get Better Message

U.S. Navy Bureau of Medicine and Surgery
In 2021, Chief of Naval Operations Admiral Mike Gilday launched a service-wide initiative to “Get Real, Get Better.” Central to this call-to-action is for every Sailor to strengthen their leadership skills and problem solving abilities to achieve superior and consistent performance in all that we do. For our One Navy Medicine Family, we fully embrace “Getting Real” and “Getting Better.”  

The Journey to Getting Real and Getting Better
Esteemed Shipmates,
For the Navy, the concept of High Reliability Organizations (HRO) was born in the high-risk, unforgiving environments of submarines, aircraft carriers, and diving operations.  HROs function well in a complex environment with a significantly lower rate of mishap and error than expected.  An HRO is not error-free, but demonstrates resilience and improvement by moving past errors and learning from previous failures and suboptimal performance.
As part of our primary mission to support the medical readiness of our Sailors and Marines, we are committed to being a High Reliability Organization.  In fact, the principles of HRO are not only the third of our “4Ps: but are at the very heart of the CNO’s “Get Real, Get Better” (GRGB) initiative.  We must learn from the moments when we “missed the mark”.  Only when we Get Real and are honest with our shipmates and ourselves can we make the necessary improvements to Get Better.  Below are Navy Medicine examples of GRGB.
Of course, there will always be challenges – and with them, opportunities for improvement.  As an HRO we are never content with the status quo, but constantly strive to improve. Get Real, Get Better gives us the tools to reach even higher levels of performance. Recently, we sent one of our Forward Deployed Preventive Units (FDPMU) to Poland. While we were able to meet the ten-day timeline for deployment, the team identified several processes that need work.  We are actively applying a “Get Real” approach and investigating how we can improve Navy Medicine’s ability to equip our medical providers for deployment.  With the lessons we have learned – and will continue to apply – we can and we will Get Better in our ability to project medical power for naval superiority.
Thank you for your continued dedication to excellence.
With my continued respect and admiration,
RADM Bruce Gillingham
RADM Gillingham

Get Real, Get Better:  Support of COVID DSCA Mission, 2020-2022
COVID Booster Image Based on lessons learned from the early deployments in support of civil authorities during the pandemic, we used rapid-cycle feedback to rework the medical support team model.  The new teams were generated from specialized skillsets and different medical treatment facilities across the Navy Medicine Enterprise.  Their chief hallmark was their versatility in providing the specific expertise to local acute care facilities. Between July 2020 and March 2020, we deployed these teams to 28 different cities where their provided indispensable medical care to civilian hospitals and clinics.
Get Real, Get Better: PHA Backlog
PHA Image The closure of in-person visits to MTFs early in the pandemic led to an accumulation of overdue Periodic Health Assessments (PHAs)—this represented over 25% of the force and ultimately affected force readiness.Navy Medicine worked to better “virtualize” these PHAs, the required questionnaires and the military provider visits while also developing new guidance that provided PHA prioritization and readiness assessments for Navy Medical Forces. The impact of these changes were immediate and significant.By December 2021, the backlog of overdue PHAs was reduced by more than sixty thousand (60,000)!
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