• Bryan A Stepanenko and Melissa Givens.
• 2nd Armored Brigade Combat Team, 1st Infantry Division, Fort Riley, KS 66442, USA.
• Mil Med. 2023 Sep 4; 188 (Suppl 5): 162316-23.

AbstractTotal Force Fitness (TFF) metrics inform leaders at every level as they develop and evaluate policies, practices, and programs that enable soldiers, airmen, sailors, marines, guardians, and operators to achieve human performance optimization in all eight domains as defined by the TFF framework. The Standardization Workgroup was a facilitated discussion breakout session among a group of uniquely informed and engaged attendees who were invited to be part of the TFF summit that was hosted in Bethesda, Maryland, on September 14 and 15, 2021. The Standardization Workgroup explored the 2018 TFF shift in perspective to consider human performance optimization in the context of a military unit's fitness for missions and identified several challenges, opportunities, and action items for improving the implementation and sustainment of TFF throughout the services. Key opportunities and recommendations synthesized from the workgroup discussion include the following: Creating true ownership of TFF by an entity with authority and engagement across the services; creating divisions of labor and assigning champion organizations with distinct areas of responsibility related to metric development, data accessibility, line-leader decision support, and data-driven policy and program review; leveraging and expanding the use of data repositories, secure data clouds, and artificial intelligence platforms to support a robust and integrated learning health and performance system; and prioritizing the operational line-leader stakeholder engagement at every stage of metric development and refinement as they are ultimately responsible for and have direct influence over the fitness of the individual service member and readiness to deploy of the military unit.© The Association of Military Surgeons of the United States 2023. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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