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Enlisted Medical Department Executive Course. Medical Inspector General Briefing HMCS (SW/AW) Michael W. Smith. Training Objectives. Terminal Objective:

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enlisted medical department executive course

Enlisted Medical Department Executive Course

Medical Inspector General Briefing

HMCS (SW/AW) Michael W. Smith

training objectives
Training Objectives

Terminal Objective:

  • Provide an overview of current Medical Inspector General policies, processes, and practices and how they impact the Navy Medical Department.

Enabling Objectives:

  • Describe the purpose of the BUMED Medical Inspector General.
  • Explain the Navy Medicine Investigation process.
  • Discuss key aspects of the Military Whistleblower/ Reprisal.
training objectives1
Training Objectives

Enabling Objectives:

  • Explain the Medical Inspector General investigation and inspection process.
overview
Overview
  • Purpose
  • Investigation Program
    • Hotline
    • Frequent Findings
  • Inspection Process
    • Preparation
    • Inspection
    • Focus Groups
    • Findings
    • Resolution
the purpose
The Purpose
  • The Medical Inspector General ensures oversight of BSO-18 programs and operations ensuring safe health service delivery.
  • The Joint Commission (TJC) Liaison during MTF surveys
  • Investigate, report and assist on behalf of the Navy Surgeon General
      • Independent and impartial
navy medicine hotline program
Navy Medicine Hotline Program
  • Purpose: To receive and evaluate allegations pertaining to fraud, waste and mismanagement and conduct an inquiry or investigation if appropriate.
  • To ensure complaints are efficiently and effectively investigated and reported, close relationship with:
    • Office of the Naval Inspector General
    • Department of Defense Inspector General
    • Other Defense agencies' Inspectors General
  • Each Regional Medical IG has their own hotline, as well as the majority of echelon 4s.
  • BUMED Hotline 1-800-637-6175 or DSN 295-9019
slide8

Military Whistleblower/

Reprisal

  • Reprisal - taking or threatening to take an unfavorable personnel action, or withholding or threatening to withhold a favorable personnel action, for making or preparing to make a protected communication.
  • Number one Hotline Complaint in the Navy
  • Navy Medicine has the most Reprisal cases of any other Echelon II
  • DoD 7050.6 “Military Whistleblower Protection”
slide9

Military Whistleblower/

Reprisal

  • Most common allegation of unfavorable personnel action is a Fitness Report/Evaluation or being reassigned.
  • Majority of inquiries/investigations find that unfavorable personnel action occurred independent of the protected communication.
  • Recommendation – communicate often and in writing when counseling on performance. Maintain all Mid-term counseling documentation as mandated by instruction.
slide10

Military Whistleblower/

Reprisal

  • Protected Communication
      • Category I – Congress / IG (lawful communication)
      • Category II – Any office designated to receive complaints (CMEO, Safety Officer, Chain of Command, etc.) Must reasonably believe that there was a violation of rule or regulation.
  • “Unfavorable” Personnel Actions
  • Responsible Management Official Knowledge
  • Ex: Signing Eval
  • Was there an independent basis for action?
medig inspection process
MEDIG Inspection Process
  • Assessment of Echelon 3-5 commands every one to three years
  • MEDIG develops schedule
    • Periodicity
    • Randomness
    • Area(s) of Concern: as required
  • Strong relationship with The Joint Commission
slide12

NLT 30 days after inspection

Due 60 days after final report

7 business days prior

Day 1

Day 3 - 4

Staff and customers surveyed

Program reviews and focus groups

Final report released to activity and Regional Commander

MEDIG concludes process or conducts re-inspection

MEDIG

& Joint Commission (JC)

present

MEDIG/JC out brief

Activity submits required ISRs

Notification

NLT 30 days after inspection

Due 60 days after final report

30 business days prior

Day 1

Day 3 - 4

Staff and customers surveyed

Program reviews and focus groups

Final report released to activity and Regional Commander

MEDIG concludes process or conducts re-inspection

MEDIG

& JC

present

MEDIG/JC out brief

Activity submits required ISRs

Notification

MEDIG Inspection Timeline

CONUS

OCONUS

inspection focus aligned with cno bumed priorities
Inspection Focus (Aligned with CNO & BUMED Priorities)
  • Deployment Readiness
  • Effective Force Health Protection
  • People
  • Quality of Care
  • Patient and Family Centered Care
  • Performance Based Budget
  • Research and Development
  • Financial Resources Management
  • Materials Management
  • Safety and Occupational Health
programs inspected
Programs Inspected
  • Deployment Readiness
  • Independent Duty Corpsman (IDC) Program
  • Deployment Health Assessments
  • Hospital Corpsman Skills Basic (HMSB)/Tactical
  • Combat Casualty Care (TCCC) Program
  • Deployment Support (Health Services Augmentation
  • Program/CIAC/ITEMPO Reporting)
  • Periodic Health Assessment for Individual Medical
  • Readiness (PHA/IMR)
  • Operational Forces Medical Liaison Support (OFMLS)
  • People
  • Good Order and Discipline Program
  • Navy Performance Reports
  • Diversity Program
  • Command Urinalysis Program
  • Command Managed Equal Opportunity (CMEO)
  • Navy Family Ombudsman Program
  • Civilian Personnel Management
  • Education and Training Program
  • Navy Retention and Career Development Program
  • Off-Duty Employment Program
  • Physical Readiness Program
  • Awards and Recognition Program
  • Civilian Drug Free Work Place (CDFWP) Program
  • Command Indoctrination Program
  • Command Sponsorship Program
  • Alcohol and Drug Prevention Program
  • Health Promotion – Wellness/ShipShape Program
  • Comprehensive Tobacco Control for Navy Medicine
  • Brig Medical Program Oversight (as required)
  • BEQ Management Oversight (as required)
  • Suicide Prevention (Operational Stress Control and
  • Pastoral Care)
  • Quality of Care
  • Forms and Reports Management Program
  • Navy Records Management (non-medical)
  • Primary Care Program (Medical Home port)
  • Access to Care
  • Referral Management
  • Health Information Management
  • Medical Evaluation Boards
  • Information Security Management Program
  • Patient and Family Centered Care
  • Sexual Assault Prevention and Response (SAPR)
  • Customer Relations
  • Case Management
  • Personnel Reliability Program
programs inspected1
Programs Inspected
  • Materials Management
  • Purchase Card Program
  • Material Management Operations
  • Maintenance Management
  • Contract Acquisition and Purchasing Management
  • Equipment Management
  • Contracting Officer’s Representative
  • Safety and Occupational Health
  • Industrial Hygiene survey schedule
  • Industrial Hygiene exposure monitoring
  • Occupational Health Support
  • Motorcycle Safety
  • Workers Compensation
  • Hearing Compensation
  • Hazardous Drug Program
  • Centralized technical management of IH, OM, and
  • Audiology services
  • Environment of Care
  • Safety Occupational Health Management Evaluations
  • (SOHME) Review
  • Enterprise Safety Application System (ESAMS)
  • Mishap Review and Investigation
  • Federal Employee Compensation Act (FECA)
  • Environmental Programs
  • Defense Occupational and Environmental Health
  • Readiness System - IH implementation
  • Research and Development
  • Research Integrity Program
  • Biosurety
  • Financial Management
  • Comptroller Organization
  • Financial Reporting
  • Support Agreements
  • Civilian Time and Attendance
  • Budget Formulation and Execution
  • Accounting
  • DTS and Government Travel Card Program
  • Managers Internal Control Program
  • Manpower Management
  • Ethics
  • DON Hotline Program (includes Anti-Fraud Program)
  • Effective Force Health Protection
  • Emergency Management Plan
  • Anti-terrorism / Force Protection
  • Limited Duty Program (LIMDU)
  • Dental Practice Management
focus groups
Focus Groups
  • Civilian (non-supervisor) staff
  • Department Head
  • Provider
  • CPO
  • E-6 and below
  • Civilian (supervisor) staff **as required**
  • Other: as required dependent on command demographics
medinsgen inspection findings
MEDINSGEN Inspection Findings
  • Provided at Out-brief
  • Official Report in 30 days
    • Requirements for Improvement
      • Implementation Status Report (ISR)
      • Required within 60 days
    • Supplemental
    • Opportunities for Improvement
program management
Program Management
  • Successful Program Management
  • Program Understanding
    • Guiding instructions
    • Shared responsibilities
  • Program Organization
    • SOP
    • Command instructions
    • Appointment letters
program inspection success
Program Inspection Success
  • Utilize MEDIG Self-Assessments
  • Utilize Program Subject-Matter Experts
    • Command
    • Region
    • BUMED
    • MEDIG
  • Command Support
    • Department
    • Director
    • ESC/BOB
additional information
Additional Information
  • BUMEDINST 5040.2C
  • MEDIG Website (Navy Medicine Online)
    • http://www.med.navy.mil
      • “BUMED/Headquarters” tab
      • Click on BUMED MEDIG
      • Self-Assessment Tool tab
      • Select Program