1 / 22

Office of the Chief Surgeon Army National Guard

Office of the Chief Surgeon Army National Guard . Vision An integrated medical readiness team…providing innovative leadership in a dynamic environment…assuring ready and deployable forces for federal, state and community missions Mission

rosa
Download Presentation

Office of the Chief Surgeon Army National Guard

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Office of the Chief Surgeon Army National Guard

  2. Vision An integrated medical readiness team…providing innovative leadership in a dynamic environment…assuring ready and deployable forces for federal, state and community missions Mission To promote the medical readiness of the Army National Guard Goals Support deployment of a healthy force – Soldiers Support deployment of the medical force – Units Facilitate Warriors in Transition and Family Care – Beneficiaries Responsive and Relevant ARNG CSG Medical Team

  3. Agenda • Role of the Deputy State Surgeon • Role of the 68W Medical Readiness NCO • Role of the Health Systems Specialist • Role of Occupational Health Nurse • Role of the Case Manager/Admin support • ARNG Medical Readiness • How do DSS/Case Manager/68W Medical Readiness NCO Communicate to Commander Soldier medical restrictions

  4. Deputy State Surgeon Role/Responsibilities • Fulltime Manager of Medical Readiness in the state • Manage AMEDD staffing and assist with AMEDD recruiting • Manage medical readiness budget (NG6H) • Assist with AMEDD staffing a medical support missions both state, national and federal missions • Work with Homeland Defense (ESF 8) • Assist with building medical readiness for units identified for mobilization • Manage staff patterns, contracts to support annual PHA and dental exam • Manage MODs applications to support medical readiness

  5. 68W Medical Readiness NCO Role/Responsibilities • Traditionally located at a battalion or higher organization • Been in place for almost 2 years • Role is to assist commander with tracking medical conditions that warrant profiles, LOD’s or medical board actions • Is the fulltime touch point for the medical/admin community • Assists in obtaining medical documentation that has been requested by state headquarters staff in determining medical readiness • Coordinates annual PHA, dental and SRP events • Also tracks 68W credentialing within the organization

  6. Health Systems Specialist Role/Responsibilities • Manage the Line Of Duty’s (LODs) • Coordinate care, and paying of bills associated with LOD care and INCAP funds • Manage the Medical MOS Review Board/MAR2 for retainable soldiers with P-3/4 profiles • Oversee the creation and processing of medical board applications (MEB/PEB) • Supervise the application process for gaining entry back onto active duty for duty related medical conditions (ADME, MRP-E, MRP2) • Oversee funds associated with medical care and board actions

  7. Occupational Health Program Elements • Program Management • Medical Surveillance • Injury Management • Return to Work • Epidemiology • Health Promotion • Unhealthy Working Condition Abatement • Industrial Hygiene • Design Review • Ergonomics • Compliance Activities • AED’s Medical Surveillance • Baseline, Annual, Pre-placement, Incident & Exit exams • Respiratory Protection • Hearing Conservation • Vision Conservation • Radiation Exposed Employees Monitoring • Reproductive Health Conservation • Lead, Cadmium, etc. monitoring CPT Williams/ ARNG-CSG/ 703-607-7733 / tina.leanne.williams@us.army.mil

  8. Case Management Role/ Responsibilities • 2008 - Identified need to manage MND Soldiers • Goal to get as many SM’s ready for deployment as possible • Provide non-clinical case management in support of pre-mobilization Individual Medical Readiness to the 54 States and Territories • Covers all medical and dental issues (including BH) • PHA/SRP/SRC support • IDES (SMSC) support • 428 personnel (CM and ACC’s) in all 54 States and Territories

  9. What is Medical Readiness for the ARNG?

  10. Medical Readiness Classification (MRC) Defined • After evaluating the Soldier in the 9 Individual Medical Readiness (IMR) elements below, the Soldier will be categorized by MEDPROS into one of five medical readiness categories: MRC 1, 2, 3A, 3B, 4 • Health assessment • Deployment limiting medical conditions • Dental readiness • Immunizations • Deoxyribonucleic acid (DNA) • Current Human Immune Deficiency Virus (HIV) • Hearing readiness • Vision readiness • Women’s Readiness (Pregnancy)

  11. MRC 1 & 2

  12. MRC 3A

  13. MRC 3B

  14. MRC 4

  15. MRC: Medical Readiness Classifications - will focus on the population that needs the Commander/MTFs attention - those that are non-compliant. GO - MEDICALLY READY (IMM, DRC2, MWT, HIV, DNA) MRC 1 – Meets all Requirements and Dental Readiness Class 1/2 MRC 2 – Correctable within 72 hours. Soldier is Deficient in one of the following: Immunizations Dental Readiness Class 2 Medical Warning Tags HIV DNA MRC 3A - Correctable within 30 Days. (DRC3, HRC, VRC, WRC) Soldier is Deficient in one of the following: Dental Readiness Class 3 Future changes will include Hearing, vision, and women’s health readiness NO GO - MEDICALLY NOT DEPLOYABLE MRC 3B - Correctable in more than 30 days. (PRG, MND, LDP) Soldier is Deficient in one of the following: Pregnancy MND Y (TEMP Profile > 30 days OR PERM 3 Profile, not yet boarded) LDP Y (HIV POS, PREG, HOSP) Physical Category X MRC 4 – Status is unknown. (PHA, DRC4) Soldier is Deficient in one of the following: Periodic Health Assessment Dental Readiness Class 4 Medical Readiness Classification

  16. MRC: Dental, Hearing, Vision, and Immunizations MRC 1. Deployable, no medical issues MRC 2. Potential medical issue within 1 year MRC 3. MND, significant issue, must fix MRC 4. No Exam within a year (condition unknown) MRC Composition 1. All Classifications must be £ 2 2. All 3s and 4s can become £ 2 within £ 72 hours 3a. All 3s and 4s can become £ 2 from > 72 hours to £ 30 days 3b. All 3s and 4s can become £ 2 in >30 days 4. No current Exam

  17. Dental Readiness Classifications • Dental Class 1Soldiers with a current dental examination, who do not require dental treatment or reevaluation. Class 1 Soldiers are worldwide deployable and classified as medically ready and “Green” in MEDPROS. • Dental Class 2Soldiers with a current dental examination, who require non-urgent dental treatment or reevaluation for oral conditions which are unlikely to result in dental emergencies within 12 months. However, Dental Class 2 Soldiers still have active dental disease that will eventually require treatment. Dental Class 2 Soldiers are worldwide deployable, considered medically ready, and classified as “Green” in MEDPROS. • Dental Class 3 Soldiers who require urgent or emergent dental treatment. Dental Class 3 Soldiers are normally considered medically not ready and are classified as "Red" in MEDPROS. • Dental Class 4 Soldiers who require dental examinations. This includes Soldiers who require annual or other required dental examinations and Soldiers whose dental classifications are unknown. Dental Class 4 Soldiers are normally considered to be medically not ready and are classified as Indeterminate status and "Red" in MEDPROS.

  18. ARNG Medical Readiness IndicatorsAs of 1 Feb 11 • ARNG Medical Readiness • MRC 1/2 Ready = 62% • DENTAL 1/2 = 69% • FLU VACCINE = 84% • MRC 3A < 30 days = 12% (40,679) • MRC 3B > 30 days = 10% (32,765) • MRC 4 Unknown = 16% (57,820) • Medical Readiness Classification • IAW AR 220-1 and AR 40-501 • MRC 1-2 (IMM, DRC2, MWT, HIV, DNA ) Correctable within 72 hours • MRC 3A (DRC3, HRC, VRC, WRC) Correctable within 30 Days • (MRC 3B (PRG, MND, LDP) • Correctable in more than 30 days • MRC 4 (PHA, DRC4) • Status Unknown

  19. ARNG MED/DEN Readiness Funding Mobilization - 180 Redeployment Redeployment + 180 Mobilization Deployment Accession Alert State IMR Execution (FAD) ARNG CSG IMR Execution RHRP RHRP 2020 Tx Dental* Dental* TRICARE (DHP) Case Management Support ($15M) *Authority through pending ASA-M&RA Memo re: 10 USC 1074a

  20. Case Management is Key to Building Medical Readiness • You provide oversight to medical resolution • Either by clearing Soldier, providing a permanent profile, or beginning actions to go before administrative/medical board for retention or separation • You serve as a conduit between Soldier, Commander and State Surgeon and his staff • You help build a medically fit operational reserve • Without what you do for our Soldiers the commander does not know how long it will take to resolve a Soldier with medical condition that prevents him from doing his job, going to training or being called to serve state or federal missions.

  21. COL John Grote ARNG Surgeon 703-607-7141 John.grote@us.army.mil

More Related