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Retention Panel: CF Health Services &CF Health … Panel: CF Health Services &CF Health Services &...
Transcript of Retention Panel: CF Health Services &CF Health … Panel: CF Health Services &CF Health Services &...
Retention Panel:CF Health Services &CF Health Services & the Primary Reserve
Col Kristiana StevensDi HS R /HS R Ad i
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Dir HS Res/HS Res Advisor24 Apr 10
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SCOPE
• Overview of Res Injuries/Fatalities from TF Afghanistan• PRes Health Benefits: Ombudsman Report 2008
QR & O 34.07i di l hPeriodic Health Assessments
ImmunizationsM di l R dMedical RecordsAnnuitant Breaks
S G l’ I t i G id• Surgeon General’s Interim Guidance• New Veteran’s Charter - VAC
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PRes/Reg F Deployment Comparison Afghanistan Mission
4686750000
35000
40000
45000
25000
30000
604710000
15000
20000
0
5000
Total 6047 46867Sum of Res F P Sum of Reg F
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PRes/Reg F Deployment Comparison Afghanistan Since ROTO 1 Kandahar & RC South
ROTO PRES REG F1 366 24212 351 22543 439 28164 425 32054 425 32055 662 30406 651 31747 598 42548 669 35659 696 287310 338 249511 5 27
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PRes/Reg F Injuries & Deaths – (eff 15 Apr 10)Afghanistan – Since ROTO 1 Kandahar & RC South
1508
1500
1750
INJURIES DEATHS
1250
750
1000
186
250
500
15121
0
250
T t l 1508 186 121 15
Reg F Injuries Res F Injuries Reg F Deaths Res F Deaths
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Total 1508 186 121 15
PRes Injuries – (eff 15 Apr 10)Afghanistan – Since ROTO 1 Kandahar & RC South
31
35
2524
27
24
21
25
30
21
151415
20
10
111
0
5
14 15 21 24 27 24 25 31 1 1 1
Roto 1 Roto 2 Roto 3 Roto 4 Roto 5 Roto 6 Roto 7 Roto 8 Roto 4 & 7
Roto 4 & 8
Roto 6 & 8
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Total 14 15 21 24 27 24 25 31 1 1 1
Reserve Injuries by Mechanism of Injury
109
120
FF–Friendly Fire
100
FF Friendly FireFrag–Fragmentation InjuryGSW– Gun Shot Wound
49
60
80 WoundIED-Improvised Explosive DeviceMVA-Motor Vehicle Accident
20
40
AccidentND-Negligent DischargeTIC-Troops in ContactOther-Non Battle
21
11
27
3
0
Total 3 7 2 49 11 1 2 109
FF A-10 Frag GSW IED MVA ND TIC Other
Other Non Battle Injury/Disease
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Reserve Injuries by Occupational Group
9190
100
70
80
40
50
60
30
16
22
20
30
40
69 10
0
10
All others Med Tech Sigs Cbt Engr Artillery Armd - Crewman
Infantry
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Totals 30 6 9 10 16 22 91
Reserve Injuries by Force Generator
62
60
70
4750
60
35
30
40
21810
20
11
2142
0Air
ForceArmy CLS
Army LFAA
Army LFCA
Army LFWA
Army SQFT
CF H Svcs Gp
Misc Navy NDHQUnidentified
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Total 8 1 21 35 62 47 4 2 1 2 1
Disposition of Res Injuries (eff 15 Apr 10)
122120
140
100
60
80
20
30
20
40
75
0
20
T t l 30 122 5 20 7
TCAT FitMed Rel (3A/3B)
No Med-admin yet PCAT (restr)
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Total 30 122 5 20 7
Res Fatalities by Type
BI – Battle Injury12
14
NBI-Non Battle Injury
10
12
6
8
3
2
4
0
2
Total 12 3BI NBI
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Res Fatalities by Force Generator
9
8
7
8
4
5
6
2
3
2
3
4
11
0
1
Army LFAA Army LFCA Army LFWA Army SQFT CF H Svcs Gp
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Total 3 2 8 1 1
Health Benefit Framework - Reserves
• Provision of health care to Reservists• Consistency in Standardsy• Benefits for injured Reservists• Reserve Administration – Health Records
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Challenges/Action
Challenges:• QR and O Ch 34 does not have flexibility to support required changes• QR and O 34.07 revision process: final auth for QR and O 34.07 rests with
MNDAction:
• New Governance framework to cover entitlement/provision of health services to pPRes
• Modify QR and O 34.07• Interim guidance CF H Svcs 16 Jul 09
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Challenges/Action
Challenges:• Provide Periodic Health Assessment (PHA) for Primary Reserve Force• Provide Periodic Health Assessment (PHA) for Primary Reserve Force• Not yet a funded activity
Action:Action:• Apply Reg Force Standard to the Primary Reserve• Includes core immunizations/vaccines • Includes PHA data entry into CFHIS
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Primary Reserve PHA status (as of Nov 09)
N l R 860 t t di / 4185 d• Naval Res 860 outstanding/ 4185 records• Army Res 6574 outstanding/ 22816 records• Air Res 407 outstanding/1900 records
H S 452 di / 1637 d• H Svcs 452 outstanding/ 1637 records• Others* 514 outstanding/ 2554 records
A 9000 t t di tl l ti t f th i d thiApprox 9000 outstanding currently, plus estimate of those coming due this year (5,200) = 14,200
Current Reg Force medical throughput approx 20,000/yr
*Combined Organizations like CEFCOM, RMC etc
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Challenges/Actions
Challenges:• Immunizations
Action:• Publish immunization/vaccination standards for all personnel• Publish immunization/vaccination standards for all personnel
involved in DOMOPs• Create mechanism to provide vaccines to Primary Reserves
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Challenges/Action
Challenge:• Inconsistent storage, transport and tracking of paper files
A tiAction: • Health records to travel with reservists during re-enrollment
and component transfers.• Reserve Health records to be safeguarded to same extent as
Reg Force. These should resolve with the advent of CFHIS’ electronic health record (18-24 months)
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Challenges/Action
Challenge:• Health Care to Reservists on Annuitant Break
Action:Action:• Issues being addressed by DLaw Mil Pers and Surg Gen • VCDS and DLaw Mil Pers tracking
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Interim Guidance Guiding Principles (issued Jul 09)
•Develop a culture of looking after our uniformed force
•Always meet the emergent and urgent health care needs
•Chronic care for members on contract <180 days – bestChronic care for members on contract 180 days best served by their civilian care providers
•Level of care based on clinical need
•Need to better educate the Reserve Force on entitlements
•Must partner with civilian health care system to support the Reservist throughout their career.
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Interim Guidance - Specific Care Direction
•All Res members that present to a clinic will at a minimum be•All Res members that present to a clinic will, at a minimum, be evaluated
•Class A ServiceClass A Service
•All duty or training related injuries will be treated until it can be safely transferred to primary care physician. Any necessary spectrum of care p y p y y y pbenefits above provincial benefits will be covered by DND.
•Member will be informed and advised to seek civilian primary care for all chronic or non-duty/training related care
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Interim Guidance - Specific Care Direction
•Class B Service
• > 180 days = same benefits as Regular Force
• < 180 days but part of “rolling” contracts which equal service > 180 days = y p g q ysame benefits as Regular Force
• < 180 days with duty/training related injury will be treated until it can be safely transferred to primary care Any necessary spectrum of care benefits abovetransferred to primary care. Any necessary spectrum of care benefits above provincial benefits will be covered by DND
• < 180 days with chronic or non-duty/training issues will be treated by CF and advised to follow-up with civilian primary care provider. Entitlements (ie glasses, hearing aids, orthotics, CPAP machines) will not be provided as they typically apply to chronic or pre-existing conditions.
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Interim Guidance - Specific Care Direction
Cl C S iClass C Service
= same benefits as Regular Forceg
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VAC Service & Benefits
New Veterans Charter – implemented April 2006
Provides support in 3 main areas:
1 Helping Res mbrs get well in collaboration with CF1. Helping Res mbrs get well, in collaboration with CF2. Provide disability benefits as recognition for injuries related
to service in the Reserves3 H l th R i t d hi /h f il l th i t iti3. Help the Reservist and his/her family plan their transition
from military to civilian life
• Details at: www.vac-acc.gc.ca
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Health Services Group
• Leveraging Health Services Reserve F experience where iblpossible
• Initiatives to support Reservists on-going• Surgeon General willing to lean forward cooperation key• Surgeon General willing to lean forward – cooperation key
to success
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