Gaul–ANG Surgeon General Hot Topics

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“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: AlpenaCamp Bullis
4/13/2015 2:37 AM
Guarding America - Defending Freedom
5
Current Medical Concerns: SGAI
• Inspections: HSICUIUEI
•
Success/Failure Rates (174th & 150th)
•
Prioritization for remainder of FY 13
•
Transition: Compliance to Efficiency & Outside to Inside
•
SIDMICT: 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 BasicsHRTs)
•
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 & MASFERPSS
• 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
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