State of the Category 2011
Scott Gaustad, PT
Chief Therapist Officer
USPHS Hospital at Whiteriver
Whiteriver, Arizona
Welcome to Category Day!
2011 USPHS Scientific and Training Symposium
• Thank you to Symposium Category Day organizing
committee -- Chair CAPT John Figarola
CAPT(sel) Alicia Hoard
• Thank you to TPAC and Chair CDR Tom Schroeder
• Welcome to guests
State of the Category
Outline
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Who we are
Where we work
What we’ve done
Promotion
Readiness
Transformation/Policies
USPHS Commissioned Corps by Agency
AGENCY
ACF
AHCPR
ATSDR
BOP
CDC
CIA
DHS
DOC
DOD
DOD TMA
DOS
EPA
FDA
HCFA
HRSA
IHS
COUNT
3
8
38
762
847
1
465
16
3
210
1
76
930
107
214
2088
INTERIOR
52
JUSTICE
14
NIH
OS
PSC
SAMHSA
323
197
55
55
USAMRMC
4
USDA
21
USPHS Commissioned Corps by
Category
CAT ABBR
COUNT
DEN
329
DIET
99
EHO
365
ENG
421
HSO
1220
MED
891
NURSE
1533
PHARM
1096
SCI
304
THER
146
VET
86
Who we are…
Therapists and Board Certifications
125
Number
100
75
50
25
0
Audiology Total
w/ Cert
4
4
Occupational
Therapy 29
3
Physical Therapy 107
39
Speech Language
Pathology 6
2
Who we are…
70
60
50
40
30
20
10
0
58
46
24
16
1
O-2
1
O-3
O-4
O-5
Grades
O-6
O-7
USPHS Commissioned Corps by
Temporary Grade
TGRADE
COUNT
ENS (JA)
60
LTJG (A)
244
LT (SA)
997
LCDR (F)
1879
CDR (SR)
1635
CAPT/DIR
1636
RADM/ASG 28
RADM/ASG 10
SURG GEN 1
Who we are…
Retirement Credit
40
37
35
<=5
30
No. of Officers
30
25
5.1-10
25
10.1-15
22
21
20
15.1-20
15
20.1-25
25.1-30
9
10
>30
5
0
0
<=5
5.1-10
10.1-15
15.1-20
20.1-25
Years Service
25.1-30
>30
Who we are…
Diversity
Gender
American Indian or Alaskan Native - 17 or 12%
Asian or Pacific Islander - 7 or 5%
Female - 71 or 48%
Black, not of Hispanic Origin - 9 or 6%
Male - 76 or 52%
Hispanic - 7 or 5%
Unknown - 37 or 25%
White, not of Hispanic Origin - 70 or 48%
Where we work…
Operating Divisions
BOP - 34 or 23%
CDC - 4 or 3%
CM S - 9 or 6%
DHS - 3 or 2%
DOD TMA 9 or 6%
FDA - 7 or 5%
HRSA - 2 or 1%
IHS - 65 or 45%
NIH - 5 or 3%
OS - 6 or 4%
SAMHSA - 1 or 1%
USDA 1 or 1%
Where we work…
Distribution of Category Officers across OpDivs 4/15/2011
100%
CDC
NIH
80%
CMS
FDA
HRSA
60%
OS
Other-HHS
40%
Other Non-HHS
DHS
DOD TMA
20%
BOP
IHS
0%
MED
DEN
NURSE
ENG
SCI
EHO
VET
PHARM
DIET
THER
HSO
What we’ve done…
Activities in 10/11 TPAC year
• Promoting Physical Activity
Guidelines
• 2012 Benchmarks
• New TPAC members/
sub/committee chairs
• HHS Portal continues to evolve
• New website server
• Billet refinement for new Billet
Collection System
• Web page
• Listserv
• Therapist Guide to Deployment
revision
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Retirement recognition
Readiness Support
Mentoring
Category, AMSUS, responder
awards
• Educational opportunities/
advanced practices
• Vacancy list
• Promotion preparation guide,
credentials review guide
• Category roster and profile
• P&P review
What we’ve done…
Individual accomplishments – Awards
• PHS Awards
– Outstanding Service Medal
– Meritorious Service Medal
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–
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Achievement Medal
Crisis Response Service Award
Recruitment Service Ribbon
FRMB
– National Defense Service (DoD)
• COA/COF recognition
• Agency and duty station recognition
– Directors awards, employee of the year
What we’ve done…
Category awards – luncheon
Individual accomplishments – training
• Advanced degrees/certificates
• Earned Board Specialties
OCS,GCS, CWS, PH, MS-HCA
•Participated in professional training professional
conferences/CEUs, readiness and response, and OBC
What we’ve done…
Service
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COA office, local and national
Healthy lifestyles, health fairs, PT Month activities
Community service
Recruiting
Expert on grant reviews
CC Ensemble and Choir
Manuscript reviews for professional journals
Clinical Programs
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Bariatrics, diabetes
Wound care, spinal cord
Student education
Vestibular Rehabilitation
What we’ve done…
Presentations
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Agency/Local
Professional societies (APTA)
2011 COF/COA symposium
CEU courses
Publications
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The Hearing Journal
Journal of the Acoustical Society of America
Journal of the American Academy of Audiology
Brain
Pediatric Neurology
Pediatric Blood and Cancer
Arthritis Care and Research
Physical and Occupational Therapy in Pediatrics
American Journal of Occupational Therapy
Pediatric Physical Therapy
Book chapters
What we’ve done…
Accessions – Presidential Nominations awaiting
Senate confirmation – 2 lists
LTjg Michael Anderson
LTjg Lisa Mays
LTjg Lauren Richards
Retirements - Luncheon recognition
CAPT Jessie Lief
May 1, 2011
CDR Mark Melanson
March 1, 2011
CDR Denise Brasseaux
December 1, 2010
CAPT Lois Goode
September 1, 2010
CAPT Terry Cavanaugh
July 1, 2010
Recognition: What we’ve done
Temporary Promotions (PY ’11)
Permanent Promotions (PY ’11)
3*- O-6
2 - O-6
11 - O-5
6 - O-5
8 - O-4
5 - O-4
*EC promotion 1
Recognition: What we’ve done
• RADM Penelope Slade-Sawyer Appointed as Senior
Advisor to the Assistant Secretary for Health
• Officer Mid-Level Course (June 5 through June 17, 2011)
– LCDR Dean Trombley – DCCTCD
• CAPT Karen Siegel completes four year term as CPO
Promotions
Temporary Promotions
• Bart E. Drinkard
• Jill Tillman
• Anne K Whitis
• Francine Barnett
• Tami Bonebrake
• Carlos Alberto Estevez
• Allison Longenberger
•
Tanesha Mcculley
• Josef Otto
• Joann Shen
• Steven Spoonemore JR
•
Jodi Tanzillo
• Alicia S. Hoard
• Sue Newman
• Matthew Armentano
• Michelle Baker
• Teshara G. Bouie
• Alexander Brenner
• Jessica Feda
• Mary Thembani
• Joseph Golding
• Dan M. Smith
Permanent Promotions
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Ngocanh Carolyn Bui
Alice A Hopper
Tanesha Mcculley
Joann Shen
Teshara G. Bouie
Mike D. Faz
Joseph Golding
Jeffrey Richardson
Dan M. Smith
Jean E. Bradley
Scott P. Gaustad
Michelle Y. Jordan Garner
Kathleen M. Oneill
Richard Shumway
Daniel C. Weaver
Nancy J. Balash
S. Michelle. Hooper
Recognition: What we’ve done
Promotion
Success rates for promotion vary slightly from
year to year. In PY11 up for T-O4, down for T-O5 & O-6.
Success rates by rank
% Successful
100%
80%
60%
80%
82%
46%
46%
90%
88%
86%
41%
44%
42%
TO5
29%
27%
25%
TO6
2009
2010
2011
TO4
40%
33%
36%
20%
0%
2007
2008
Promotion Year
Promotion
Avg Score of Promoted Officer - T O-4
Your raw scores on the
benchmarks any given
year are not meaningful
compared to a previous
year
100
90
2004
2005
2006
2007
2008
2009
2010
Score
80
70
60
50
40
Benchmark 1 Benchmark 2 Benchmark 3 Benchmark 4
Avg Score of Promoted Officer - T O-5
Avg Score of Promoted Officer - T O-6
100
100
90
90
2004
2005
80
2005
70
2006
60
2008
2007
Score
Score
80
2006
2007
70
2008
2009
60
2009
50
2010
40
Benchmark 1 Benchmark 2 Benchmark 3 Benchmark 4
2010
50
40
Benchmark 1 Benchmark 2 Benchmark 3 Benchmark 4
Promotion
T O-5
100
90
80
70
60
50
40
30
20
avg
cut
2004 2005 2006 2007 2008 2009 2010
PY
T O-4
T O-6
100
100
90
90
80
70
range
60
avg
cut
50
40
30
80
Total Score
Total Score
range
Total Score
Your raw scores are
meaningful compared to the
scores of officers who were
promoted
70
range
60
avg
cut
50
40
30
20
20
2004 2005 2006 2007 2008 2009 2010
PY
2004 2005 2006 2007 2008 2009 2010
PY
Promotion
• Comments on the score
sheet provide insight into
areas on which to focus to
improve your performance/
scores for next year
• At least 2 board members
must check box for strength/
suggestion to appear
• All free text comments
appear
• 5 board members in PY11!
Not a Hybrid Board
60
Promotion
General feedback to all officers
• Current CVs are very important
• Check Therapist Category for current year
Promotion Benchmarks
• Use recommended CV format on website
• Be cautious in use of abbreviations and discipline
specific “jargon”
• Do your best to make sure PIR, CV, officer/ROS
statements, and COER attachments all tell cohesive
story about you. Educate your rating and reviewing
official about importance of completing documents.
Promotion
General feedback to all officers:
• Career counseling encouraged but not required for any officer
not promoted. Officers are free to choose who performs the
counseling.
• Category career counseling by CPO or designee required for
officers ranked in the lowest quartile. This must be
documented in OPF.
• Officers ranked in lowest decile x3 years referred to retention
review board.
• Officers not meeting readiness standards receive automatic not
recommend and referred to review board.
• Defer (vs not recommend) also option for temporary promotion
for officers felt not ready to serve at next highest rank. These
officers also referred to retention review board.
Promotion
General feedback to all officers
• Review your OPF to see if you can EASILY locate
information that addresses ALL promotion
benchmarks.
• List the contact hours for continuing education
• Please consider the fax machine you are using
• Common issues included missing or out-of-date
documents, 100% under the officer’s influence; CVs,
Officer Statements, Continuing Education List.
• Verify that documents are complete, accurate, error
free, and legible after they are faxed to the OPF.
Promotion
Readiness
December 31
• If ready – earn 0 points on readiness precept (PY-12)
• If not – automatic not recommend for promotion
March 31
• Part of administrative check along with licensure and other
issues
• If ready – stay on rank order list
• If not – removed from rank order list, even if scored well
enough by promotion board to be promoted
Promotion
The Promotion Precepts are weighted as follow:
• 1. Performance Rating and Reviewing Official’s Statement
(Performance) - 40%
• 2. Education, training, and professional development - 20%
• 3. Career progression and potential - 25%
• 4. Professional contributions and services to the PHS
Commissioned Corps (Officership) - 15%
• 5. Basic Readiness ***0%
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IMPORTANT NOTE***: Although the Readiness precept no longer carries any weight with
regard to numerical score for promotion, basic readiness remains one of the several
administrative checks for promotion. Officers in a "not ready" status at the 31 Dec OFRD
status report prior to the promotion year will receive an automatic Board Not Recommend.
In addition, officers in a "not ready" status at the subsequent 31 Mar OFRD status report,
who were otherwise successful, will be removed from the successful list. Officers are
advised to maintain basic readiness at all times.
Readiness (Jan 1-Mar 31 2011)
OFRD, n = 146
Basic - 137 or 96%
3%
96%
Exempt - 4 or 3%
4%
Not Qualified - 5 or
4%
4/10/11
Readiness
• Medical exam delinquencies have improved.
Readiness by Time
100%
80%
60%
40%
20%
0%
Dec-96
Dec-98
Dec-00
Dec-02
Dec-04
Dec-06
Dec-08
Dec-10
OFRD Current Response Teams
 Rapid Deployment Forces Team (RDF) Description
 Applied Public Health Team (APHT) Description
 Mental Health Team (MHT) Description
 Services Access Team (SAT) Description
 National Incident Support Team (NIST) Description
 Regional Incident Support Team (RIST) Description
 Capitol Area Provider Teams (CAP) Description
Deployment Teams
Readiness
Relatively few changes in last year
• If not ready when reviewed for
temporary promotion, promotion
held.
Future plans
• New policies in development have
been delayed for additional review,
partly due to release of physical
activities guidelines.
• Changes to look for on release
include additional disciplinary
actions, BMI standards, and
modifications to the President’s
Challenge option.
Readiness
Deployments
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State of the Union
Haiti Earthquake
Deepwater Horizon Oil Spill
Field-based training
Transformation
Current Priorities
• Direct Access – implemented about 1 year ago.
Now primary means to enter some readiness
info, but be familiar with all data fields.
• Billets – anticipated to conclude this fall
• Accountability Restructuring
BCS Conclusion
1. TPAC reviewers overwhelmingly agreed that the BCS roll-out and
education process for Therapist Category officers, agency
supervisors and reviewing officials were sufficient.
2. Therapist Category Rapid Responders were:
 under-utilized throughout the billet collection process.
 had the Rapid Responders been effectively utilized, many or all
of the inconsistencies (red flags) could have been eliminated.
 may have improved the process to have also encouraged the
supervisor and reviewing officials to contact the Rapid
Responders to assist in the review.
3. All “red” flag items have been submitted to agency liaisons.
New Policies in last year
Recently approved OCCFM Initiatives and Issuances
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PPM 11-001, Revision to Billet Program
CCI 251.01, Professional Licensure and Certification
POM 11-005, Entry Grade on Appointment to the Corps
POM 11-004, Promotion Precept Weights
CCI 231.03, Appointment Standards (Category Specific)
POM 11-003, Uniform of the Day – Spring and Summer 2011
CCI 231.01, Appointment Standards (General)
CC25.1.1, COER Policy
POM 11-002, 2010 Annual COER
Award of Military Decorations
Policies in Development
OCCFM Initiatives and Proposed Issuances in process:
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Administrative and Disciplinary Actions
Allotments
Associate Recruiter Program
Child Support/Alimony Garnishment Orders
Consolidated Special Pays
Deployment Readiness
Details (Blanket)
Domestic/Family Neglect; Violence, Abuse and
Treatment
Policies in Development
OCCFM Initiatives and Proposed Issuances in process:
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Equal Opportunity
Force Management (Assimilation Program)
Former Spouse Payments from Retired Pay
Leave
Physical Training Uniform
Political Activities
Promotions Directive
Protected Communications
Replacement for BDU - pending
Travel and Transportation Allowances
Uniforms - Discipline
Policies in Development
OCCFM Initiatives and Proposed Issuances in process:
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Promotions Directive
Protected Communications
Ready Reserve Corps
Reserve Corps Officers Deemed Regular Corps
Revisions to Assignment Incentive Pay
Revisions to Dental Special Pays
Revisions to Incentive Special Pay
Revisions to Multiyear Retention Bonus
Revisions to Nurse Special Pays
Revisions to Retention Special Pay
Health Care Reform
Patient Protection and Affordable Care Act
(ACA)
• Sec. 5209. Elimination Of Cap On Commissioned
Corps.
• Sec. 5210. Establishing A Ready Reserve Corps pending
• Sec. 203. Commissioned Corps And Ready Reserve
• Sec. 5315. United States Public Health Sciences
Track – pending
Health Care Reform
Regular vs Ready Reserve Corps
• There shall be in the Service a commissioned Regular
Corps and a Ready Reserve Corps for service in time
of national emergency.
• Commissioned officers of the Ready Reserve Corps
shall be appointed by the President and commissioned
officers of the Regular Corps shall be appointed by the
President with the advice and consent of the Senate.
Therapists by Corps
Corps
Regular - 66 or 45%
Reserve - 81 or 55%
Health Care Reform
Regular Corps
• Section 202 of the Department of Health and Human
Services Appropriations Act, 1993 (Public Law 102394) is amended by striking `not to exceed 2,800'.
• (b) Assimilating Reserve Corp Officers Into the Regular
Corps- Effective on the date of enactment of the
Patient Protection and Affordable Care Act, all
individuals classified as officers in the Reserve Corps
under this section (as such section existed on the day
before the date of enactment of such Act) and serving
on active duty shall be deemed to be commissioned
officers of the Regular Corps.
Health Care Reform
Ready Reserve Corps
•
PURPOSE- The purpose of the Ready Reserve Corps is to fulfill the
need to have additional Commissioned Corps personnel available
on short notice (similar to the uniformed service's reserve program)
to assist regular Commissioned Corps personnel to meet both
routine public health and emergency response missions.
•
USES- The Ready Reserve Corps shall--
a)
participate in routine training to meet the general and specific needs of
the Commissioned Corps;
b)
be available and ready for involuntary calls to active duty during national
emergencies and public health crises, similar to the uniformed service
reserve personnel;
c)
be available for backfilling critical positions left vacant during deployment
of active duty Commissioned Corps members, as well as for deployment
to respond to public health emergencies, both foreign and domestic; and
d)
be available for service assignment in isolated, hardship, and medically
underserved communities (as defined in section 799B) to improve
access to health services.
The future…
“Chance favors the prepared mind” – Louis Pasteur
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Direct Access – increased uses
Billets – active when all converted
Health Care Reform – many policies affected
Review of CC operational components
Ready Reserve Corps
Compensation and Pay Advisory Board findings
Accountability Restructuring
(OCCO/OCCFM/OSG)
Surgeon General Initiatives
Our Role in:
• Childhood Overweight and Obesity
Prevention Initiative
• National Prevention, Health Promotion
and Public Health Council
• Women’s Health Issues
In Memory
• CAPT James M. Cox, (Ret). CAPT Cox
was the Chief Professional Officer in 1979
and served for 32 years.
• CAPT Joseph K. Reed, Jr., (Ret) served 25
years. He was a pioneer in podiatric
physical therapy and avid bicyclist.
• Dr. Arthur J. Nelson Jr., PT.
It is with great sadness that I learned of Joe Reed’s passing. Joe
was one of the first physical therapists who provided foot care and
foot orthoses, especially for patients with peripheral neuropathy. I
first met Joe in 1976 when I was stationed at the US Public Health
Service Hospital in Staten Island, New York. Joe taught me and
many others how to make foot orthoses and shoe modifications for
the diabetic patients. He truly was a pioneer in the development of
foot orthoses for diabetic and Hansen’s disease patients. Any
physical therapist who specializes in the foot and ankle, especially
those with an interest in foot orthoses, should know they have Joe
Reed to thank being one of the pioneers and leader in this area of PT
specialization.
Tom McPoil
The Mission of the Commissioned Corps of the U.S. Public Health Service
"Protecting, promoting and advancing the health and safety of the Nation."