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Medical Overview. LTC Canoll 63 RRC COMMANDS SURGEONS OFFICE. AGENDA. Role of the Command Surgeons Office DA Form 7349 Review of profiling LOD / INCAP Review of Benefits Transformation Update AELNO WFAC Update. Surg Office Mission Statement. - PowerPoint PPT Presentation
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ONE TEAM ONE FIGHTONE TEAM ONE FIGHT
Medical Overview
LTC Canoll
63 RRC
COMMANDS SURGEONS OFFICE
ONE TEAM ONE FIGHTONE TEAM ONE FIGHT
AGENDA
• Role of the Command Surgeons Office
• DA Form 7349
• Review of profiling
• LOD / INCAP
• Review of Benefits
• Transformation Update
• AELNO WFAC Update
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Surg Office Mission Statement
To ensure that all units in the command are in a constant state of medical and dental readiness and that training is performed with ample medical support as prescribed by regulations. It is the Surgeon's responsibility to provide medical advice to the commander concerning soldier readiness, health care entitlements and medical plans and operations. The surgeon's office monitors medical unit readiness indicators, mission-essential task list (METL) training, force structure, unit stationing and medical logistics issues. In the area of medical readiness support, the Surgeon serves as a liaison with the USARC Surgeon, MEDCOM and ARMEDCOM. This office provides information on health care entitlement programs, medical disaster/emergency planning that includes weapons of mass destruction and antiterrorism for force protection, staff assistance visits to command supported units, and provides oversight and guidance on medical and dental soldier readiness processing. The Surgeons' Office ensures that physical examinations are conducted according to regulations, performs audits of medical and dental records and monitors soldier medical profiles.
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Where we can help you
• Medical Readiness• Mobilization / Demobilization assistance• MRP2 / ADME processing• Coordination with VA / Tricare / RHRP• Incapacitation Pay• Assistance with Benefits• Board Processing• Medical planning• Professional Development
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DA Form 7349
• Form used as a validation of Soldiers deployability
• Signed off by physician after review by AN
• Can lead to profiling / board process
• It is based on self assessment, will be one tools used in the PHA process
• Standard is to have 7349 with in 3 months of deploying.
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Profiling
DA form 3349, the Army profiling system is a standardized way of documenting soldiers’ physical limitations in relation to duty. This is one of the three most critical documents in regards to medical readiness. A profile is the key to medical board actions, and limitations to duty.
The parts affected and the functions involved are:P - Physical capacity or stamina.U - Upper extremities.L - Lower extremities.H - Hearing and ears.E - Eyes.S - Psychiatric.
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Profiling cont
Four numerical designations are assigned for evaluating the individual’s capacity:
1 - Possesses a high level of medical fitness.
2 - An individual possesses some medical condition or physical defect which may impose some limitations on classification and assignment.
3 - The individual has one or more medical conditions or physical defects that requires certain assignment restrictions. The individual should receive assignments commensurate with his/her physical capability for military duty.
4 - The individual has one or more medical conditions or physical defects of such severity that performance of military duty must be drastically limited.
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Profiling cont
A profile is written on a DA Form 3349.
The two types of profiles are temporary or permanent.
A temporary profile is a condition that is correctible or treatable. It can be up to 90 days in length and a soldier can receive 4 consecutive temporary profiles before further action must be taken. Temporary profiles can be signed off by one profiling officer
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Profiling cont
• A permanent profile includes a medical condition or permanent physical defect which is not expected to change. A permanent profile requires two profiling officer signatures, one of which will be the Command Surgeon.
• Units will directly coordinate with a local ARMEDCOM unit to set up an appointment.
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Profiling / Board Actions at Unit
• Need to assist the Soldier in preparing the packet.
• Need to be specific with timeframes and put in writing, counsel the Soldiers on the actions they are expected to perform in relation to their packet.
• Unit commanders sign the profile take the opportunity at that time to work and counsel Soldier
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LOD
Line of Duty, DA form 2173, is the second of three most important forms within medical readiness. A line of duty is used for Soldiers that get injured while performing military duty. While this action is HHC and G1-centric, it is imperative to this office as it impacts on incapacitation pay, further medical treatment, MMSO payments and military fitness. LOD processing schematic is attached.
INCAP
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Common Errors Board Packets
• Commander’s letter not specific to retain or not retain
• Lack of current medical information• Current 7349• Packets submitted for Soldiers within 12
months of ETS / MRD or retirement• Not using the checklists provided, lack of
attention to detail and hand jammed corrections
ONE TEAM ONE FIGHTONE TEAM ONE FIGHT
Myth vs Fact
• Soldiers will leave theater with LOD
• Soldiers will be “taken care of” when REFRAD
• Soldiers are entitled to having specialty care diagnostics in support of board.
Medical Treatment & Care
90 days 40 days 30 days
Profile
ReturnTo
Army
ReferTo
MEB
CompleteMEB
ReferTo
PEB
SoldierReview/appeal
Return To
Army
ComprehensivePhysical
ReceiveMEB
InformalBoard
FormalBoard
Soldierreview/appeal
CompletePEB
Return To
Army
Retire forDisability
W/WoSeverance
pay
Transitionpoint
Transition/Retirement
Services
Army Physical Disability Evaluation System (PDES)
Processing Time (Goals)- Actual Days Generally Exceed 500 Days
Veteran
s Ad
min
istration
SeamlessTransition
Medical Evaluation Board Physical Evaluation Board
Injured inCONUS
Transition
Evacuation
1- 365 days
Injured inTheatre
In/Out PatientMedical Care
YES
NO
Return toDuty
Color Key
Elements of the Physical Disability Evaluation System
60 days to conductMMRB
Rehab
Complete
Optimal Care Achieved
Re-class, 6 mos
Retain, MEB
Meets medical retention
Standards - No
RehabilitationPhase
Temp Profile
MEB
R
T
D
MM
B
Meets medical retention
Standards - Yes
OrPhysician issuesP3 / P4
probation status,
Surgery, PT, trial
of duty, etc.
R
Soldier has 72 hrs to appeal to
DCCS
Physician/Soldier Appt
Reviewclinical data
DictatesBoardLabs
CCEP Workup
14 days to complete exams
Consults
(DODI 1332.38sets standard)
PEBLO PhaseNARSUM P
hase
Dictation PEBLO assemble case,mail to PEB
Perm Profile
Physician Phase
30 days
Formal/InformalAppeal
Transitional leavePTDY
Clearing time
(DODI 1332.38sets standard)
30-90 days
Transition Out
PEB/PDA R
eview
Fin
al O
ut
Findings Determined
Unit & Transition Ptcoordinate separation
date
MEB (MTF) PEB (PDA) Transition (HRC)
(PEBLO) Counseling (Army attorney)
--
-
MEDCOM Actions
PERSCOM Actions
Installation Actions
40 days
Insta
llatio
n receives
, cuts
ord
ers
PDB message via T
RANSPROC,
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Review of Benefits
• Premob– 90 days out from MOB Tricare– RHRP Dental Treatment
• Postmob– 180 days TAMP– 5 yrs VA, encourge Soldiers to take advantge– TRS / Concordia
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Regional Support Commands
California
Nevada
Arizona
New Mexico
Texas
OklahomaArkansas
Kansas
NebraskaIowa
Missouri
Minnesota
Wisconsin
Ohio
Illinois
Indiana
Michigan
Utah Colorado
South Dakota
North DakotaMontana
Wyoming
IdahoOregon
Washington
Kentucky
TennesseeNorth Carolina
SouthCarolinaM
ississippi
AlabamaGeorgia
Florida
LouisianaVirginia
Wes
tVi
rgin
ia
MDDC
Pennsylvania
New York
Maine
VTNH
CT
MARI
DE
63rd RSC63rd RSCMoffett Field, CAMoffett Field, CA
81st RSC81st RSCFt Jackson, SCFt Jackson, SC
99th RSC99th RSCFt Dix, NJFt Dix, NJ
88th RSC88th RSCFt McCoy, WIFt McCoy, WI
Establish: 16 Sep 08BOD: TBD Construction Status
Establish: 16 Sep 08BOD: 17 Sep 08 Construction Status
Establish: 16 Sep 08BOD: 19 Sep 08 Construction Status
Establish: 16 Sep 08BOD: 25 Mar 08 Construction Status
BOD: Building Occupancy Date
0% 88%
65%
64%
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377 TSC (Main)
335 SC (T)
MIRC
412 ENCOM
416 ENCOM
11 AC (T)
Operational Commands
Functional Commands
200 MP CMD
USACAPOC
Operational & FunctionalCommands
311 SC (T)
311th ESC
103d ESC
143d ESC
310th ESC
316th ESC
80th Tng Cmd (TASS)
84th Tng Cmd (Ldr Readiness)
108th Tng Cmd (IET)
AR SPT CMD
75th Div (BCST)
AR TSD-E
AR TSD-W
807th MDSC
377 TSC (Main)
USARRC
3d MDSC
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To be considered an AW2 Soldier, a Soldier must: Suffer from injuries or illness incurred after 10 September 2001 in support of the Global War
On Terrorism
Receive or expected to receive a 30% rating for one or more injuries rated by the Physical Disability Evaluation system in categories such as:
Loss of Vision/Blindness
Loss of Limb
Spinal Cord Injury/Paralysis
Permanent disfigurement
Severe burns
Traumatic Brain Injury
Post Traumatic Stress Disorder
Fatal / Incurable Disease
Any other condition requiring extensive hospitalizations or multiple surgeries
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AW2 Links Soldiers and Family Members to Valuable Federal Benefits
Health Care TRICARE VA Health Care Medicare/Medicaid
Retirement & Disability Compensation U.S. Army Retirement Pay VA Disability Compensation TSGLI CRSC SSI Disability Compensation
Transition Assistance Army Career and Alumni Program (ACAP) VA Disabled Transition Assistance Program
(DTAP) VA Seamless Transition Unemployment Compensation
VA Adaptive Housing & Vehicle Assistance $10,000 and $50,000 grants for housing
adaptation $11,000 toward automobile Adaptive equipment, repair, replacement or
reinstallation
VA Education & Training Montgomery GI Bill (MGIB) VA Educational Assistance to spouses and
children of permanently and totally disabled veterans
VA Vocational Rehabilitation & Employment Evaluation of talents, skills and interests Resume and work readiness assistance Help finding and keeping a job Vocational counseling and planning On-the-job training and work-experience
programs Training – Certificate, two, or four-year college
or technical programs Supportive rehabilitation services and
counselingDepartment of Labor (DOL)
REALifelines Disabled Veterans Outreach Program
Specialists (DVOP) Local Veterans Employment Representative
(LVER)
ONE TEAM ONE FIGHTONE TEAM ONE FIGHT
The AR - Warrior and Family Assistance Center provides the Army Reserve Soldiers, Families and Units a single source for the resolution of situations related to medical issues and education on programs available to AR Soldiers. Our ultimate goal is to empower and educate the Soldier’s first level supervisor toward conflict resolution and chaos reduction.
WFAC
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WA
YS
ME
AN
SE
ND
S
• Infrastructure that fully supports the present needs of the Reserve Soldiers and Families and anticipates the evolving needs of the Future Force.
• Recurring, up-to-date, easily accessible Common Operating Picture of Reserve Soldier Entitlements.
• Responsive, flexible, and adaptable support to the Warfighter, their families and units.
• Partner across Federal, State and Private Resources to obtain the resources to support the needs of an All Volunteer Reserve Force engaged in a protracted fight.
• Achieve a shared “common operating picture” of resources, functions, and entitlements in order to find efficiencies and reduce confusion for the Soldier.
• Execute AR programs for the Wounded Warrior Hotline, Sponsor Program and other well-being, personnel and medical programs.
• Provide a standard level of service to all Soldiers & Family members to ensure their physical, mental and spiritual well-being
through referral to robust support systems coupled with timely and professional follow-up.
• Resolve Issues• Validate “good ideas”
• Continuously update information• Distribute Information
Priorities: Extinguish Chaos Educate Resolve Issues
Connecting Army Reserve Soldiers and Families to Available Benefits
ONE TEAM ONE FIGHTONE TEAM ONE FIGHT
38
PR
Home Locations, by State, of AR Soldiers Assigned to Warrior Transition Units (WTUs)
as of 3 Oct 07
The Army Reserve – Training Soldiers and Growing Leaders ARRC-WF
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AR Soldier Transition Through Medical Support System
AR-Wounded Warrior Sponsorship Program Lifecycle
Evac & Notification
1
AR-WFAC Coordinator assigns a Sponsor
AR –WFAC Sponsor Commitments
Needs assessment, home UIC contact,
local Sponsor assigned, work plan
established
1
Treatment
Contact WTU leadership for offer of
support, family outreach and
connection to AR-Family Programs update home UIC,
follow up work plan
2
2
3
3
Rehabilitation
Assist Family with needs, if local engage
Local Sponsor to assist w/County, State or NGO support, rpt to
home UIC follow up work plan
Evaluation RTD
Separate/Retire
Assist Family with needs, engage
Chaplain, Family Programs, Local
Sponsor. If separated assist w/VA, Social
Security, Employment encourage home UIC
to never forget
4
4
Follow-on Support
5
5
Yearly follow-up call, engage VA Center, Family Programs, Local Sponsor if
necessary.
ONE TEAM ONE FIGHTONE TEAM ONE FIGHT
AR WFAC Sponsor Peer & Advocate
Proactive, Compassionate, Whatever-it-Takes!
Portal through which flows information, education, empowerment and augmentation of and about:
Faith-based Initiatives Soldier Support
Staff
Military Once Source
Faith-based organizations
Army Wounded Warrior Program
State Agencies
Federal Agencies
County Agencies
Non-Governmental Organizations
Grass-Roots Organizations
Education
Chain of Command
Family Programs
Legal
Veterans ServiceOrganizations
IMCOM
USARC Staff
TRICARE
HRC St. Louis
HRC Alexandria
NGB
Joint Community
AER
USO
WTU Staff
RRC/RRSCStaff
FRG
Home Unit