Transcript WARRIOR TRANSITION PROGRAM
WARRIOR TRANSITION PROGRAM
Update to the SFAC Action Planning Conference
Mr David Burns Warrior Transition Office Office of the Surgeon General Army Medical Command
29 July 2008
Unclassified
WARRIOR TRANSITION PROGRAM
FRAGO 3 Implementation
• Major Actions Directed By FRAGO 3 to Army Senior Commanders: – – Cadre ratios at 100% fill based on WTU population not TDA Common understanding of WTU entry/exit criteria to ensure consistent execution across the force • •
Soldier in MEB is not automatic entry into WTU Status of WTs on “transition” leave / impact on resources
– Awareness and support to key CSA focus areas: • • • Streamlining MEB/PEB processing Timelines of orders/assignment process for WT Soldiers/cadre Improving availability of mental health care Slide 2
WARRIOR TRANSITION PROGRAM Assessment of WTU Cadre Fill
WTU Population 11299 Squad Leader Req/OH Plt Sgt Reg/OH 943/1012 315/367 NCM Req/OH 458/466 PCM Req/OH 55/66 MEB Phy Req/OH BH Req/OH 30/36 126/118 Number of Installations at 100% of total required: Number of Installations at 100% of Squad Leaders: Number of Installations at 100% of Platoon Sergeants: Number of Installations at 100% of Nurse Case Managers: Number of Installations at 100% of Primary Care Managers: Number of Installations at 100% of MEB Physicians: Number of Installations at 100% of Behavioral Health Specialists: 23 of 35 29 of 35 31 of 35 31 of 35 33 of 35 33 of 35 28 of 35 Slide 3
WARRIOR TRANSITION PROGRAM MEDCOM Assessment
• • • • AMAP implementation remains top priority.
• Implementing FRAGO 3 has decreased staffing pressures in WTUs.
Commands filled to requirements generated from WT census; WT census includes 6% in transitional leave status.
Revised WTU entry and exit criteria will reduce WT census over time.
Re-balancing focus to Comprehensive Care and Transition Management.
Slide 4
WARRIOR TRANSITION PROGRAM MEDCOM Strategy
• • • • • • Streamline MEB/PEB process – With PDA, reduced the paperwork for PDES from over 30 separate documents to 19.
– – Automate MEB process with JAN 09 target date Improved quality control over process; decreased error rate from 15% to 11% last quarter – Improved staffing and training of MEB physicians, PCMs and PEBLOs Intensely manage WT entry and exit processes ICW Triad of Leadership and MACOMs Streamline WT orders process ICW supporting commands and G-1 Continue improvement of WT access to care Improve civilian hiring practices Begin to assign and hire to WTU October 08 staffing ratios Slide 5
WARRIOR TRANSITION PROGRAM MEDCOM Issues
• Shortage of providers presents challenges in balancing the system.
• Movement of healthcare providers into WTUs may impact access to care for other beneficiaries.
• Marked reduction in WT population will result in returning staff to MTFs in a few months.
• • Support to non-WTU MEB population.
Force structure will lag behind changes in WT population. Slide 6
WARRIOR TRANSITION PROGRAM Mental Health
• • Implement comprehensive mental health strategy Increase psychiatric health providers – 192 additional contract clinicians.
– 127 additional uniformed psychiatric healthcare providers authorized (25 psychiatrists, 15 psychiatric nurses, 87 psychiatric technicians).
– – Increase inpatient psychiatric capability.
Increased psychiatric health purchased care by 79% for AD and 6% for ADFM (OCT-APR 2007/2008 comparison).
– Increased retention and recruiting program for military psychiatric health providers.
Slide 7
WARRIOR TRANSITION PROGRAM
Latest News
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New Director WTO – COL Rick Agosta replaces COL Becky Baker – COL Baker will continue to serve in the WTO
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Senior Leader testimony on Warriors in Transition to House Armed Services Committee went well
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MG Formica, G3/5/7, approves new WTU cadre ratios – Squad leaders 1:10 – Nurse Case Managers 1:20 all MTFs (MEDCENS and Hospitals) – Issues remain with Retention NCOs and drivers
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Planning Warrior in Transition (AMAP) Conference – Mid September – All Army Commands and major activities will participate – Focus on Administration, Orders, MEB/PEB, Transition and other leader issues Slide 8
WARRIOR TRANSITION PROGRAM
BACK – UP SLIDES
Slide 9
WARRIOR TRANSITION PROGRAM
Mission Essential Task List
• The WTU will… – Provide Command and Control – – Provide Administrative Support Provide high quality, expert primary care and case management – Provide coordination and synchronization of care, treatment and services through the Triad of care with the multidisciplinary team: Primary Care Manager, Case Manager, and Squad Leader – Promote readiness of Soldier and family to transition back to the force or civilian life Slide 10
Landstuhl
230
Heidelberg
44
Bavaria
229 WTU BDE - 1 WTU BN - 14 WTU CO - 20 CBHCO - 9
Current WT Population (assigned or attached to a WTU) is
12,879
Soldiers
Ft. Lewis CA
220 761
Ft. Carson
774
Ft. Riley
450
Ft. Leavenworth
18
WI
217
Ft. Drum
566
WRAMC
653
West Point
63
VA
197
MA
160
Ft. Dix
259
Ft. Belvoir
61
Ft. Lee
66
UT
137
Ft. Leonard Wood
155
Ft. Irwin & Balboa
164
Ft Huachuca
51
Ft. Sill
143
Ft. Hood
1332
Ft. Richardson
148
Ft. Bliss
343
Ft. Wainwright
82
TAMC
261
Ft. Sam Houston
616 POC: Dr. Michael J. Carino, OTSG, 7 July 2008
AR
233
Ft Meade
58
Ft. Campbell
13 762
Redstone Arsenal Ft Rucker
19
Ft. Polk
331
AL
105
Ft. Benning
347
Ft. Knox
330 Slide 11
Ft. Eustis
192
Ft. Bragg PR
88 718
FL
149
Ft. Jackson
83
Ft. Gordon
433
Ft. Stewart
597
WARRIOR TRANSITION POPULATION Method for Entry into WTU
Current WT Population (10,866) by EVAC (BI, NBI, Disease) and NON-EVAC POC: Dr. Michael J. Carino, OTSG 17 March 2008
Evacuation Information verified using TRANSCOM Patient Movement Reports
Medical Evaluation Board (MEB) and Physical Evaluation Board (PEB) information verified using the Medical Evaluation Board Internal Tracking Tool (MEBITT)
MEB/PEB numbers only reflect the number of Soldiers who were referred to the WTU for completion of their Board Process; Other Categories on the Pie Chart may include additional WT Soldiers in the MEB/PEB process who Entered the WTU for other reasons.
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Non Evac WT population may also be GWOT related, i.e. due to GWOT Mobilization, GWOT Demobilization, and AC medical conditions that are GWOT related but the Soldier wasn’t evacuated Out of Theater.