“Hot Topics” from the ANG SG Office Mark P. Gaul, MD, MPH Col, USAF, CFS, Director, ANGMS Robert C. Desko, MD, FACS Col, USAF, SFS Deputy Director, ANGMS Clinical and Operational Medicine 22 June 2013 1200-1330 Objectives 1. Define current medical concerns from the office of the Surgeon General—Col Gaul 2. Summarize Line of Duty and Disability and Duty Limitation concepts—Col Desko 3. Enumerate the 5 most common calls to NGB/SG for clarification—Col Desko 4/13/2015 2:37 AM Guarding America - Defending Freedom 2 Current Medical Concerns: SG • New DANG: Lt Gen Clarke—standardization/equity • ANGRC/CC: Brig Gen Williams—resource the field • Conferences: RF, AMSUS, MHS • Teleconferences (Quarterly): SASs & MDG/CCs • ADFAC & JSG FAC • Sequestration, Budget Cuts & Accountability • Furloughs of GS employees • POM 14/15/16: anticipate cuts & movement • 3 to 1 Initiatives • Vacancies: SAF/MRB, AFPC, SGP, SG 4/13/2015 2:37 AM Guarding America - Defending Freedom 3 Current Medical Concerns: SGA • UMD Substitution Mismatches • Line for Medical • Medical for Medical • AFSC Qualification Waivers • GMU vs RMU vs MDG: organization vs function • Service Treatment Records (STRs) 4/13/2015 2:37 AM Guarding America - Defending Freedom 4 Current Medical Concerns: SGAE • Medical Readiness Training—RF in the future? • AFSC Career Consultant/Manager Training • EMEDS Training: AlpenaCamp Bullis 4/13/2015 2:37 AM Guarding America - Defending Freedom 5 Current Medical Concerns: SGAI • Inspections: HSICUIUEI • Success/Failure Rates (174th & 150th) • Prioritization for remainder of FY 13 • Transition: Compliance to Efficiency & Outside to Inside • SIDMICT: Self-Assessment Checklist • AFI Reduction: Instruction vs Pamphlets • Sharepoint: on-line but with issues • Heads-up • Flight Deck Report 4/13/2015 2:37 AM Guarding America - Defending Freedom 6 Current Medical Concerns: SGAS • Med Log DMLSS Training to CSDCs & HRF/CERFPs • Full-time Manpower Study • Budget Constraints (Contracts & Travel) • Anticipate More Audits/Accountability • HRF/CERFP JMEEL Review/Adjustments 4/13/2015 2:37 AM Guarding America - Defending Freedom 7 Current Medical Concerns: SGAX (1) • Medical Transformation (EMEDS BasicsHRTs) • Adjudicating Appeals • FFGKX: Requirements Driven by AFSC Type & # • Medical Readiness Reporting: DRRS/SORTS/ART • Late Reports • Mismatches • CCATT line: Future Mission?? • Alpena Divestiture 4/13/2015 2:37 AM Guarding America - Defending Freedom 8 Current Medical Concerns: SGAX(2) • HRF/CERFP • EXEVAL/SEAT Results/Trends • Manpower Allocation Fix • Training Requirements • Domestic Operational Response • Home Station Response: 976 Packages • Hurricane Response: AE & MASFERPSS • Exercises: ??Future; PATRIOT @ Volk in July 4/13/2015 2:37 AM Guarding America - Defending Freedom 9 Current Medical Concerns: SGP • TFI/TFE/TF2 • Medical Special Pays • Mid-levels • Physicians on T32 & TFI Missions • RPA: Flight Time & TS Clearance • DDMS • Electronic Health Records • SAS Initial/Refresher Training • IDMTs & 4Hs • Packet Processing Metrics 4/13/2015 2:37 AM Guarding America - Defending Freedom 10 Current Medical Concerns: SGPB • Full-time Manpower Study • ESOHCAMPs • HRF/CERFP CONOPS • Readiness Training: 1.5 weeks @ Volk Field 4/13/2015 2:37 AM Guarding America - Defending Freedom 11 Current Medical Concerns: SGPK • Directors of Psychological Health • Joint Contract • Pre & Post Award Protests • New Award Mar 2013: 95% Filled • Conversion from Contractor to Civilian (GS) • Suicide Rates 4/13/2015 2:37 AM Guarding America - Defending Freedom 12 Current Medical Concerns: SGPM • IMR • 81.9% (83% high; ARNG @ 82.6%) • Action Plans • Reporting Standardization Across Services • Separation Health Assessments (SHAs) • HRF/CERFP Smallpox & Anthrax Immunizations 4/13/2015 2:37 AM Guarding America - Defending Freedom 13 Current Medical Concerns: SGPA/F • LODs • MEB/IDES & Case Management Division • DDES • Non-duty DDES • CCQAS • SAS Expiration; Nurse Requirements • Centralize???; Contract??? • Privileging • Provider Recruiting 4/13/2015 2:37 AM Guarding America - Defending Freedom 14 Current Medical Concerns Questions? 4/13/2015 2:37 AM Guarding America - Defending Freedom 15 Objectives 1. Define current medical concerns from the office of the Surgeon General—Col Gaul 2. Summarize Line of Duty and Disability and Duty Limitation concepts—Col Desko 3. Enumerate the 5 most common calls to NGB/SG for clarification—Col Desko 4/13/2015 2:37 AM Guarding America - Defending Freedom 16