ARMY STRONG “Never Leave a Fallen Comrade!” COL Catherine Mozden, Warrior Transition Command...

ARMY STRONG“Never Leave a Fallen Comrade!”

COL Catherine Mozden, Warrior Transition Command

Soldier Success through Focused Commitment

AW2 Veteran SSG (R) Shilo Harris and Family

SPC Joshua Kerber with his Triad of Care-Dr. Mark A. Passamonti, CPT Lashon S. Duncanson, and SGT Candice L. Dawkins

SGT Joel Tavera and Parents/Caregivers

Warrior Care and Transition Program Overview

21 Sept 2012


Purpose and Agenda

Purpose:

Provide an overview of the US Army Warrior Care and Transition Program

Agenda:

WTC Mission

WCTP Command Relationships

Unit Populations and Locations

AW2 Program

Medical Retention Processing (MRP)

Entry and Exit Criteria for RC in WCTP

Compo 3 PDHRA data

2


Our Mission

Provide centralized oversight, guidance and advocacy empowering wounded, ill and injured Soldiers, Veterans and Families through a comprehensive transition plan for successful reintegration back into the force or into the community with dignity, respect and self-determination.

WOUNDED ILL INJURED

Mr. Mark Jackson (703) 325-19693


AW2Advocate(OPCON)

Warrior Care and Transition Program Relationships

MEDCOM

MedicalTreatment

Facility Senior

Commander

Regional Medical

Commands

Warrior TransitionCommand

Southern RegionalMedical Command

Warrior Transition

Office

WCTP OversightIMCOM

Installation Garrisons

SFAC

Community Based WTU

Warrior TransitionTask ForceArmy

Wounded Warrior

Triad of Leadership*

*Triad of Leadership

Senior CommanderMTF CommanderWTU Commander

Supporting Commands

Senior Commander

IMCOMRegions

Mr. Mark Jackson (703) 325-19694

AW2Advocate(Veteran)

Community Based WTU

Warrior Transition

UnitNorthern/WesternRegional Medical Command


Warrior Transition Unit (WTU) and Community Based WTU

11

• For all components

• Traditional Chain of Command

(Squad Leader - Battalion Commander)

• Focused “Triad of Care” for each Soldier

• Army Wounded Warrior (AW2) Advocate for most seriously injured

• Best facilities on post; priority medical care

• Dedicated Family Support

– Family Readiness Support Assistant (FRSA)

– Soldier Family Assistance Center (SFAC)

WTU

TRIAD of CARE

PCM

1:200

1:10

SL

NCM

1:20

Squad Leader

Nurse Case Manager Medical Management

Primary Care Manager Synchronize Specialty Care

Warrior Transition Unit Community Based WTU

• Primarily for Reserve Component Soldiers

• Modified Chain of Command(PSG - LTC)

• Focused “Triad of Care” for each Soldier

• Live at home; medical care available CBWTU allows wounded, ill, and injured Soldiers to heal at home

• Duty at approved Title 10 duty site

• Dedicated Family Support

– Virtual Soldier Family Assistance Center (VSFAC)


Pacific Regional Medical

Command

Warrior Transition Unit and Community Based Warrior Transition

Unit Map

Brigade (2)

Battalion (16)

Separate Company (11)

Community Based Warrior Transition Unit (9)(color by Area of Responsibility)

AW2 Advocate (201)

Europe Regional Medical

Command

WI

OR

MT

ID

NV

WY

ND

SD

NE

CO

AZ

NM

TX

OK

MN

IA

MOKS

LA

WI

MI

INOH

WV

PA

NY

VTNH

CT

NJ

MD

NC

SC

GAMS

TN

KY

ME

Puerto Rico

Ft Huachuca

Joint BaseLewis-McChord

Balboa

Ft Irwin

California

Ft Bliss

Ft CarsonUtah

Ft Hood

Ft Sill

Joint Base San Antonio

Ft Leonard WoodFt Riley

Arkansas

Illinois

Ft Stewart

Ft Bragg

Ft Gordon

Ft Jackson

Ft PolkFt Benning

Florida

Alabama

Ft Campbell

Ft Knox

Ft Drum

Virginia

JB Langley Eustis Ft Belvoir

Ft MeadeWalter Reed NMMC

JB McGuire-Dix-Lakehurst

West Point Massachusetts

Joint BaseElmendorf-Richardson

Schofield Barracks

Western Regional Medical

Command

Northern Regional Medical

Command

Southern Regional Medical

Command

Ms. Carolyn Spencer (703) 428-8228

as of 6 Sep 12

Heidelberg

6


1127

1172

1239

1275

1333

1369

1359

1360

1349

1373

1384

1387

1404

1379

1361

1374

1369

1352

1331

1328

1359

1355

1327

1303

1305

1308

1324

1347

1364

1439

1460

1482

1522

1553

1582

1602

1655

1706

1739

1793

1831

1886

1930

1951

1989

2023

1997

2002

1995

2009

2071

2065

2088

2129

2177

2265

2231

2192

2163

2149

2133

2110

2129

2177 22

75 2448

2449 25

33

2521

2429

2394

2407

2468

2516

2577

2598

2527

2424

2331

2297

2289

2319

2381

2379

2353

2301

2281

2382

2452 2554

2603

2652 27

30

2804

2857 29

71

2984 30

87

3109

3156 3225 3297

3257

3267

3224

3248

3290

3256

3251

3176

3251

3199

3121

3098

3162

3171

3181

3180 3211

3186

3192

3279

3259

3214

3147

3164

1453 17

18

2198 25

59

3475

4220

4921

5730

6415

7068

7818

8270 84

49

8373

7945

7516

7176

6792

6485

6172

5933

5720

5466

5271

5150

5008

4923

4842

4723

4666

4598

4516 4468

4515 45

43 4616 46

65 4681 4689

4694

4714

4771

4774

4738

4731

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4705

4616

4592

4595

4571

4522

4417

4356

4232

4105

3973

3975 4026

4092

4205 44

40

4480

0

2000

4000

6000

8000

10000

12000

14000

Jun-

07Ju

l-07

Aug-

07Se

p-07

Oct

-07

Nov-

07De

c-07

Jan-

08Fe

b-08

Mar

-08

Apr-

08M

ay-0

8Ju

n-08

Jul-0

8Au

g-08

Sep-

08O

ct-0

8No

v-08

Dec-

08Ja

n-09

Feb-

09M

ar-0

9Ap

r-09

May

-09

Jun-

09Ju

l-09

Aug-

09Se

p-09

Oct

-09

Nov-

09De

c-09

Jan-

10Fe

b-10

Mar

-10

Apr-

10M

ay-1

0Ju

n-10

Jul-1

0Au

g-10

Sep-

10O

ct-1

0No

v-10

Dec-

10Ja

n-11

Feb-

11M

ar-1

1Ap

r-11

May

-11

Jun-

11Ju

l-11

Aug-

11Se

p-11

Oct

-11

Nov-

11De

c-11

Jan-

12Fe

b-12

Mar

-12

Apr-

12M

ay-1

2Ju

n-12

Jul-1

2Au

g-12

Warrior Transition Unit/Community Based Warrior Transition Unit Population Over Time

Remote Care

ReviewEXORD 118-07

Publication:WTUs

Established

Army directs movement of

MEBs and Non-deployables to

WTUs

FRAGO 3 Publication:

Entrance Criteria

as of 6 Sep 12

FRAGO 4 Publication

RC Management

Squad Leader Ratio Review

WTU/CBWTU Manpower Study

WTU/CBWTUEntrance Criteria

Review

CTP Enablers added to TDA

(EDATE Apr 10)

NCR TDA Realignment

(EDATE Jun 11)

Active Component - 4588

Army National Guard - 3176

Army Reserve - 2121

7Ms. Carolyn Spencer (703) 428-8228

OCONUS IDES


WA

OR

MT

ID

NV

WY

ND

SD

NE

CO

AZNM

TX

OK

MN

IA

MOKS

LA

WIMI

INOH

WV

PA

NY

VTNH

CT

NJ

MD

NC

SC

GAMS

TN

KY

ME

PR

Ft Huachuca

Joint BaseLewis-McChord

Balboa

Ft Irwin

CA

Ft Bliss

Ft CarsonUT

Ft Hood

Ft Sill

Joint Base San Antonio

Ft Leonard WoodFt Riley

AR

IL

Ft Stewart

Ft Bragg

Ft Gordon

Ft Jackson

Ft PolkFt Benning

FL

AL

Ft Campbell

Ft Knox

Ft Drum

VAJBLEFt Belvoir

Ft MeadeWRNMMC

JBMDL West Point

Joint BaseElmendorf-Richardson

Tripler

Heidelberg

WTC Population Map w/CBWTU AORs(Data Source: MODS WT, 10 SEP 2012)

Brigade (2)

Battalion (16)

Separate Company (11)

CBWTU (color by AOR) (9)

Europe RMC

Northern RMC

Pacific RMC

Western RMC

Southern RMC

MA

WTU Cadre CBWTU Cadre

TOTAL 4,019 TOTAL 358

Civ 1,812 45% Civ 20 6%Mil 2,207 55% Mil 338 94%

AC 1,602 40% AC 0 0%NG 286 7% NG 182 51%AR 319 8% AR 156 44%GS 1,587 39% GS 17 5%

Cont 225 6% Cont 3 1%as of 31 August 12 as of 17 August 12

CAP* WTU AC NG AR Total

260 Tripler 104 49 37 190

260 Pacific RMC 104 49 37 190


300 CA 6 148 51 205

200 UT 5 180 98 283

40 Balboa 25 6 10 41

520 FT Bliss 141 131 115 387

480 FT Carson 153 72 40 265

40 FT Huachuca 12 6 1 19

40 FT Irw in 18 8 4 30

140 FT Leonard Wood 67 63 25 155

90 FT Richardson 58 8 1 67

400 FT Riley 173 114 43 330

90 FT Wainw right 51 51

600 JB Lew is McChord 277 135 108 520

2940 Western RMC 986 871 496 2353


240 AL 3 123 48 174

360 AR 5 185 63 253

300 FL 14 144 105 263

120 PR 2 46 22 70

440 FT Benning 195 146 158 499

800 FT Campbell 555 92 13 660

500 FT Gordon 159 136 80 375

800 FT Hood 474 95 74 643

90 FT Jackson 40 33 28 101

200 FT Polk 45 59 20 124

200 FT Sill 47 69 32 148

440 FT Stew art 147 56 44 247

670 JB San Antonio 531 133 104 7685160 Southern RMC 2217 1317 791 4325


100 Kaiserslautern 73 1 74

110 Bavaria 52 1 53

210 Europe RMC 125 0 2 127


400 IL 17 180 125 322

360 MA 6 139 109 254

320 VA 8 101 76 185

400 FT Belvoir 144 91 77 312

694 FT Bragg 339 75 77 491

440 FT Drum 140 63 41 244

500 FT Knox 155 144 108 407

200 FT Meade 52 34 53 139

160 JBLE 77 25 22 124

120 JBMDL 14 10 24

350 Walter Reed 232 40 39 311

111 West Point 22 25 34 81

4055 Northern RMC 1192 931 771 2894

AC ARNG USAR TOTAL WTU CBWTU

4624 3168 2097 9889 7880 2009

9764 9857 9885

Warrior in Transition Population

Last Year Last Month Last Week


On April 30, 2004 the Army introduced an initiative to enhance the care and support of severely wounded, injured and ill Soldiers, Veterans and their Families/ Caregivers.

This system of support guides them along the paths to regaining their independence; from the onset of their condition through their eventual transition back to the force; or into the civilian community as a Veteran.

Army Wounded Warrior (AW2) Program

SSG Jon Duralde, Continuation on Active Duty (COAD)


Mission

We assist and advocate for our severely wounded, ill and injured Soldiers, Veterans, and their Families/Caregivers; support and advise during medical treatment, rehabilitation and beyond to facilitate a Soldier’s return to duty or their transition to a civilian community as a Veteran.

Vision

Wounded Warriors and their Families/Caregivers are self sufficient, contributing members of our communities; living and espousing the Warrior Ethos with the knowledge that the Army and the Nation remembers their sacrifice.

Army Wounded Warrior (AW2) Program


• Suffer from wounds, injuries or illness incurred in the line of duty after 10 September 2001 in support of Overseas Contingency Operations, and

• Receive or expect to receive at least a 30% rating from the Integrated Disability Evaluation System (IDES) for one of the conditions listed below:

– Severe Loss of Vision / Blindness

– Loss of Limb

– Spinal Cord Injury

– Severe Paralysis

– Permanent disfigurement

– Severe Hearing Loss / Deafness

– Severe Burns

– Severe Traumatic Brain Injury (TBI)

– Post Traumatic Stress Disorder (PTSD)

– Fatal / Incurable Disease with limited life expectancy

OR• Receive a Combined 50% IDES rating for any other Combat or Combat Related Condition

To be considered an AW2 Soldier/Veteran


Services Provided

• AW2 Support Experts - 21

•Medical Eligibility

•Human Resources

•Finance

•Transition Employment/Career

•Dept of Labor

•Veteran Affairs Advisors

•IT Support

•Training

• AW2 Advocates - 201

– Personalized support for Soldiers and their Families

– Local Resource Experts

– Benefits Advisers – navigating the maze

– Military Transition Specialists

– Education and Career Guides

– Life Coaches – Empowering Soldiers and their

Families/Caregivers to make informed and relevant

decisions

– VA Integration Experts

Advocates assist wherever the Soldiers and their Families/Caregivers are located, as they progress along the path to independence.


*AW2 as of 1 Sep 12**Incl :25 Deceased

AW2 Soldier / Veteran Status

WTUOr

MEB / PEBOr

Complex Medical Needs

Veteran Population in

our Communities

2% of AW2

most severelywounded, injured

and ill

204 1372

10354

COAD / COAR / FIT / RTD


MRP Orders

14

The Army has further delineated 10 USC 12301(h) into:

• MRP-E – 60/90 day orders intended for evaluation of medical condition and determination of MTP; normally a Soldier is coming from the demob site

• MRP - Orders intended for medical treatment or evaluation for PDES; the Soldier is in your AO

• MRP2 - Return to active duty for medical care subsequent to REFRAD ; Approved by a Medical Review Board

• ADME - ordered to active duty to complete medical care estimated to exceed 30 days due to an Inactive Duty Training (IDT) injury ; Approved by a Medical Review Board


MRP2 RC REFRAD from

AD

MRP2 RC REFRAD from

AD

AGR Soldiers (same process as

AC)

AGR Soldiers (same process as

AC)

MRP RC on active duty

(AD)

MRP RC on active duty

(AD)

Reserve Component Soldiers in the Warrior Care And Transition Program (WCTP) are on Title 10 12301 (h) Orders

Reserve Component Soldiers in the Warrior Care And Transition Program (WCTP) are on Title 10 12301 (h) Orders

Soldiers In-Process through one of these four methods

Primary Care Manager

Primary Care Manager

WTC Medical Review Board

Triad of Leadership

Triad of Leadership

HRC

1. Soldier is wounded, ill or injured

2. PCM: definitive care needed

3. Triad of Leadership Approval

4. DeMob site or WTU submits RFO to HRC

5. HRC publishes orders


2. PCM: six mos/complex care mgmt

3. Triad of Leadership Approval

4. DeMob site or WTU submits RFO to HRC

5. HRC publishes orders


2. Soldier’s Unit submits request

3. WTC MRB: definitive care needed; recommends approval

4. HRC Approval5. HRC

publishes orders

ADME RC WII in LOD

during IDT

ADME RC WII in LOD

during IDT

WTC Medical Review Board

HRC


2. Soldier’s Unit submits request

3. WTC MRB: definitive care needed: recommends approval

4. HRC Approval5. HRC

publishes orders

Eligibility Determination

Entrance Approval

Process Steps


Entry Criteria

16

Compo 2/3 Soldiers, except AGRs, must meet the following criteria:

(1) Be in the Line of Duty and (2) Condition(s) require(s) *definitive care. Soldier is on a temporary Profile (3) Program is voluntary. Army determines care location.

*Definitive care is defined as a specific treatment or sequence of treatments of at least 60 days duration, and requiring a significant commitment of the Soldier’s time, which, in the opinion of competent medical authority, will upon completion either return the Soldier to duty or will meet the criteria for Medical Retention Determination Point (MRDP) and referral to the Integrated Disability Evaluation System (IDES).


Soldier is Wounded, Ill or

Injured

Is Soldier Evac’d from

Theater

Soldier is evaluated by

PCM

Does Soldier meet Entry

Criteria

Triad of Leadership Review

Attached to a Warrior Transition Unit

Yes

Yes

Yes

Approved

No

Soldier returns to Parent Unit

No

Not Approved

Soldier Entry Process

NOTE: Determination is made as to eligible to

remain in WTU or return to unit


Continuum of Care(Comprehensive Transition Plan (CTP))

Res

et

Train / Ready

Available

Army Force Generation

Comprehensive Transition Plan(Domains – Career, Physical, Emotional, Social, Family, Spiritual)

Rehabilitation

Spec

ialty

Care

Socia

l Wor

kers

Occup

ation

al Th

erap

ists

Phys

ical T

hera

pists

Phys

ical E

valua

tion B

oard

Liais

on O

ffice

rRe

turn

to D

uty /

Rele

ase

from

Ac

tive

Duty

Warrior Transition

Unit/Community

Based Warrior

Transition Unit Family/Friends

Care

er an

d Edu

catio

n Rea

dines

s

Integrated Disability Evaluation System

Trans

ition

/Car

eer C

ouns

eling

InprocessingGoal Setting

Reintegration

Transition Review

Soldi

er an

d Fam

ily A

ssist

ance

Cent

er

Rehabilitation

Phar

mac

ists

MEB

Phys

ician

Veterans Affairs Integration and Hand OffVA

Liais

on fo

r Hea

lthca

re

Fede

ral R

ecov

ery C

oord

inat

or

Veterans AffairsPost Transition

Army Wounded Warrior Advocate (Life Cycle Management Plan)

Opera

tion

Iraqi

Free

dom

/

Ope

ratio

n En

durin

g Fre

edom

/

O

pera

tion

New D

awn

Care

M

anag

emen

t Tea

mEm

ploy

men

t Cou

nseli

ng

Educ

ation

Cou

nseli

ng

Trans

ition

Cou

nseli

ng

Care

giver

Supp

ort C

oord

inat

ors

Chap

lains

Lega

l Sup

port

Triad of Care and Interdisciplinary Team

“The CTP provides Soldiers and Families clarity, purpose, hope, and direction as they prepare to move forward with the next phase of their lives.”

Lieutenant General Patricia D. Horoho, The Surgeon General

Medical Retention

Determination Point

Mr. Mark Jackson (703) 325-196918

DD214

WTU CBWTU Veterans

COADCOAR

Return to Duty

11,955

“Path to Independence…One Step at a Time”

204

103541372

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RC Exit Criteria

19

RC Soldiers normally leave the WCTP in one of three ways:

(1) Voluntary withdrawal (WTU Consolidated Guidance). Soldier must request in writing.

(2) Meet retention standards FFD (DODI 1241.2)

(3) Completes PDES determination (DODI 1241.2)


(>180 days/all eligible)BALBOA 2 5 3 10 29%

CBWTU ALABAMA 1 1 5 36 8 51 12%CBWTU ARKANSAS 2 1 6 41 14 64 12%CBWTU CALIFORNIA 1 6 36 6 49 14%CBWTU FLORIDA 5 2 16 49 28 100 22%CBWTU ILLINOIS 2 5 7 85 30 129 7%CBWTU MASSACHUSSETTS 1 7 80 18 106 8%CBWTU PUERTO RICO 1 1 5 10 2 19 29%CBWTU UTAH 1 2 5 74 16 98 6%CBWTU VIRGINIA 1 1 6 59 16 83 9%FT BELVOIR 18 5 8 47 6 84 10%FT BENNING 12 9 14 103 19 157 10%FT BLISS 13 2 13 69 13 110 13%FT BRAGG 4 4 13 41 18 80 21%FT CAMPBELL 1 3 2 11 1 18 12%FT CARSON 5 2 29 5 41 6%FT DIX 3 8 3 14 0%FT DRUM 2 2 5 25 5 39 15%FT EUSTIS 1 1 3 14 4 23 16%FT GORDON 7 6 14 37 15 79 22%FT HOOD 2 2 6 49 16 75 10%FT HUACHUCA 1 1 0%FT IRWIN 1 1 4 6 17%FT JACKSON 2 1 21 7 31 0%FT KNOX 5 4 5 55 44 113 7%FT LEONARD WOOD 2 1 16 5 24 5%FT LEWIS 5 9 66 23 103 11%FT MEADE 5 6 33 6 50 14%FT POLK 1 3 15 3 22 16%FT RICHARDSON 1 1 0%FT RILEY 3 1 33 8 45 3%FT SAM HOUSTON 15 10 7 60 17 109 8%FT SILL 1 1 21 9 32 4%FT STEWART 2 3 7 34 3 49 15%LANDSTUHL 1 1 0%TRIPLER GENERAL 3 1 25 4 33 0%W POINT MIL RES 2 6 20 9 37 21%WALTER REED AMC 8 3 1 26 4 42 3%WURZBURG 1 1 N/AGrand Total 134 73 193 1340 389 2129 11%

% of eligible USAR without PDHRA > 180

days

No PDHRA

0-90 Days since return from

deployment

91-180 dayssince return

from deployment

USAR Only Total USARin unit

More than 180 Days

since return from

PDHRA Completed

No Deployment

Listed


Takeaways

Enduring mission…efficiently resourcedCurrently, the Warrior Care and Transition Program is an enduring mission funded in the Program Objective Memorandum primarily by Defense Health Program funds. The Army must take a cautious approach to any reductions to resourcing the program.

Keeping faith with our wounded, iIl, and injured SoldiersSoldiers will willingly fight as long as they know there is an effective system of medical care available to save their lives if necessary.

Conserving fighting strength through focused care management and transition planningThe Warrior Care and Transition Program contributes to Army Force Generation by returning at least 50% of wounded, ill, and injured Soldiers to duty.

Unleashing unlimited potentialThe patient-centered approach to care that comprises the Warrior Care and Transition Program focuses on each Soldier’s abilities not their disabilities.Through an effective program of adaptive reconditioning, Soldiers are learning that they can meet and exceed the physical and personal goals they set for themselves.

9


QUESTIONS

COL Catherine Mozden

Chief, CBWTU Remote Care

Clinical Services Division

Warrior Transition Command

[email protected]

703-325-0371

22

mailto:[email protected]


Soldier Success through Focused Commitment

AW2 Veteran SSG (R) Shilo Harris and Family

SPC Joshua Kerber with his Triad of Care-Dr. Mark A. Passamonti, CPT Lashon S. Duncanson, and SGT Candice L. Dawkins

SGT Joel Tavera and Parents/Caregivers

Warrior Care and Transition Program Overview

BG David J Bishop, Commander, Warrior Transition Command


COMPO 2/3 Soldier

receiving care

A single T3 that will spontaneously resolve to a 1 or 2 rating in < 30 days

MRDP reached? Not expected to meet retention

standards?

Released from Active Duty (REFRAD)

Yes

Yes

Yes

No

Continuation of Care

No

Soldier Exit Process

Eligible for and accepts non-

medical retirement

Soldier’s profile Permanent (P) and Temporary

(T) rated 1s or 2s

Yes

ADMIN/UCMJSeparation

No

IDESStays in WTU

Yes Retire

Yes Separate

No

No

Yes

Fit for Duty?

COAR?

No

Medically Separated/Retired

No

Yes

ARMY STRONG “Never Leave a Fallen Comrade!” COL Catherine Mozden, Warrior Transition Command...

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Transcript of ARMY STRONG “Never Leave a Fallen Comrade!” COL Catherine Mozden, Warrior Transition Command...