360° Health

Dr. Hartman creates Veterans Health Affairs Office of Rural Health

The mandate to establish an office of Rural Health was ORH was mandated in 2006 by Public Law 109-461, section 212, to improve care and access for veterans who reside in rural areas of the united states.

Applying the 360° Approach, Dr. Hartman was able to look at the ORH from all aspects to develop policy and strategic direction for enhancing services to Veterans who reside in rural and highly rural areas. His vision outlined in the graphic has set six strategic goals and articulated a number of objectives to meet these goals to ensure improved quality and access of health care service delivery to less populous areas of the United States and was implemented in 2009 and retains to date.



360° Tech

Dr. Hartman envisions and implements  US Special Operations Command’s Health Surveillance System – Point of contact to Electronic Health Record

In response, to the military’s adverse health claims by service members deployed to the Persian Gulf War and codified into Public Law 105-85, Dr. Hartman developed the comprehensive Special Operations Forces (SOF) Deployment Health System (DHSS) to aid the individual team members and commanders in the field with the prevention of injury and illness during deployments.

This data was used to generate useful intelligence for medical and line decision-makers. More importantly, each SOF member’s medical history was stored as an electronic medical record for future access by military, civilian, and Veterans Affairs health care systems. 

His vision resulted in one of the first apps using handheld devices years before the creation of the iPhone.





360° Health

Dr. Hartman developed a novel approach to healthcare called – Total Exposure Health

Expectations for deployment health surveillance and record-keeping remain high as military personnel continue to be deployed overseas in support of operational missions. More recently, the 2013 National Defense Appropriations Act (NDAA) Section 313 mandated the Military to collect, document and act on long-term environmental health risks.

To support the TEH capability, the Air Force Medical Service (AFMS) commissioned Dr. Hartman to develop the TEH Strategic Plan to define the responsibilities and processes necessary for the development and implementation of TEH in a way that brings the most value to the AFMS.

His overall vision helped to integrate and provide exposure-related data to individuals, clinicians, and organizations to improve health-related decision making that will strengthen prevention, human performance, resilience, workforce, and readiness programs.

By partnering across multiple program areas to integrate occupational, lifestyle, and environmental exposure data from traditional and new exposure assessment technologies (including sensors and –omics-based molecular biology) with clinical and genomic data, TEH will provide a new and novel capability that will inform and encourage healthy lifestyle choices, enhance resilience and human performance, and reduce illness and injury.

More importantly, these capabilities will inform preventive strategies by reducing the health impacts of exposures, hence improving human performance and readiness of all Airmen. Moreover, by educating individuals about their exposure profile, TEH will enable individuals and families to make healthy lifestyle choices and become proactive about their own health.





360° Tech

Dr. Hartman and Andrew Einhorn Use Social Media Analytics to Uncover Key Performance indicators for the Veterans Health Administration 

To demonstrate how digital media analytics could be used to track performance trends at the Department of Veterans Affairs (VA) medical centers around the country. Dr. Hartman and Andrew Einhorn, developed a holistic methodology and through their company Synoptos Inc. to showcase types of policy analyses that can be completed to determine trends in political dialogue and the key influencers of that dialogue.

The study included a review of a dozen key performance indicators. The analysis revealed that Veterans are predominately unhappy about VHA services, the VHA lags among large federal agencies in its Twitter use, and VHA employees are contributing substantially to the negative publicity the VHA receives on social media.

When used properly, the information can be useful for both public and private sector organizations to stay on top of pending policy and legislative changes, the political climate, and any proposals on the table for legislative considerations as well as identify VA medical center performance and interventions.



360° Health

Dr. Hartman Helps to solve Military Hearing Loss using the 360° Approach

Currently hearing health expenditures range from $1.5 billion to $3 billion annually for the U.S. Department of Veterans Affairs (VA) in benefits and medical costs. What’s more, the military in particular demands excellent hearing: It is critical for mission readiness—for communication and awareness.

To help better understand and develop a holistic approach for Noise-Induced Hearing Loss (NIHL), Dr. Hartman used the precepts of Total Exposure Health to identify a gene variant, rs7598759, where over 17% of individuals are at significant risk of hearing loss susceptibility due to noise.  

Overall, the TEH noise study resulted in the development of a low-cost noise dosimeter/sensor that monitors external and media smartphone device noise sound levels around the clock; used advanced analytics to collate multiple sensor devices, with geospatial layering; and managed participant compliance.

Through this approach, health professionals can leverage exposure measurements combined with genomic data and medical information to create individualized intervention strategies where people can take control of their health and make informed decisions with transparent, accurate, and understandable health information.





360° Tech

Dr Hartman and Dr Oxley Codify the Individual Exposure Health Risk Profile in International Journal

The IEHRP creates for the first time a mechanism for healthcare providers to better understand the relationships between an individual’s health, genetic predispositions, and exposures through mathematical expression and process, ultimately providing a modern tool to better understand the effects of exposures from the workplace, environment, as well as day-to-day activities. More importantly, the IEHRP displays individual and population risks through user-friendly visualizations so healthcare professionals can recommend data-driven interventions to mitigate individual risks to improve health/performance, and policymakers and decision-makers can make more informed policy and resource decisions.



360° Solutions

An Afternoon with Dr. Richard Hartman: COPH Distinguished Alumni and Entrepreneur 

When Richard Hartman’s doctoral dissertation committee at the USF College of Public Health turned down his research proposal, he knew he had a choice to make, and he made it. Staring down the biggest hurdle of his academic life while already in a full-time career wasn’t easy, he said, but it was productive.

Listen as Dr. Jay Wolfson, Distinguished Service Professor of Public Health and Medicine,  kicks off the Dean’s Lecture Series with a conversation with Dr. Richard Hartman. 




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