Western Pacific Medical Alliance USNH Guam USNH Okinawa USNH Yokosuka TRICARE Pacific Conference...
-
Upload
brayan-petty -
Category
Documents
-
view
216 -
download
0
Transcript of Western Pacific Medical Alliance USNH Guam USNH Okinawa USNH Yokosuka TRICARE Pacific Conference...
Western Pacific Medical Alliance
USNH Guam
USNH Okinawa USNH Yokosuka
TRICARE Pacific Conference October 22-24 2008
Seoul Korea
Common Concerns
Distance from San Diego and CONUS
Common time zone (+/- 1 hour)
Support to operational commanders
Limited/Different local medical resources
USNH GuamUSNH Guam
USNH YokosukaUSNH Yokosuka
USNH OkinawaUSNH Okinawa
Fleet Commander’s Challenge
“If sailors’ families lose confidence in their overseas healthcare;
Sailors with families won’t take orders to FDNF,
7th Fleet cannot man its ships, U.S. Navy fails in its mission in this
AOR, U.S. fails in its commitment to the
government and people of Japan”
VADM Doug CrowderCommander, 7th Fleet
“United by a common time zone, by locations in the Western Pacific
substantially distant from other NMW facilities, and by similar challenges in meeting their operational support missions and line commanders’ expectations, the leaders of the U.S. Navy’s three medical treatment facilities (MTFs) in WESTPAC will collaboratively plan to achieve economies of scale, cost-efficient sharing of resources, and effective employment of personnel.”
The Concept of Operations
Origins of the Alliance
Jan 07: NMW Commander’s guidance
May 07: three COs propose “Alliance” idea
Jun 07: Guam summit meeting of senior leaders from three commands
Jul 07: charter and CONOPS approved
Purpose of the Alliance
The purpose for creating the WESTPAC Medical Alliance is to work collaboratively to identify
efficient, patient-centered solutions for operational healthcare support.
Initial Project Teams
1. Improve perinatal care across the AOR
2. Establish specialty consultation
capability
3. Standardize overseas screening
procedures
4. Establish robust medical evacuation
system in WESTPAC
Perinatal Resource Sharing
Problem: The three OCONUS WESTPAC Navy MTF’s have access to different perinatal services leading to difficulties maintaining equivalent levels of care across the region.
Approach: Tri-command team created to identify and remove barriers to equivalent level of care.
Accomplishments
Bi-monthly MFM Site visits commenced 6/07
Bi-annual NICU Site visits commenced 8/07
Nursery enhancement project at USNH Yokosuka Referral and NICU cost data
collection initiated Moving toward a uniform standard of
risk acceptance/mitigation
Specialty Resource Sharing
Problem No standard means of
communicating among WESTPAC MTF providers for specialty consultation.
No consistent level of specialty consultative care across all three Navy WESTPAC MTFs.
No significant virtual consultation/telemedicine available among the 3 WESTPAC MTFs.
Accomplishments
Established clear lines of communication with the Emergency Department as the key liaison at each MTF
Circuit-rider commenced for: MFM, Pulmonary / Critical Care, Developmental Peds,
Podiatry Circuit-rider plan established for numerous
other specialties Literature review to assess safety,
efficacy, and cost effectiveness of virtual consultation
Sharing of providers for gapped billets in pharmacy, Industrial Hygiene etc.
Overseas Screening Process
Problem: Beneficiaries that arrive in WESTPAC region after ineffective overseas screening require medical care that exceeds resources available at WESTPAC MTFs
This results in increased medico-legal risk, added costs of referral or medevacs, and lost man-hours to Line units
Actions taken
1. Matrix team of joint services using LSS tools to identify and correct process problems.
2. Joint “future state” process map created (Navy, USMC, Army, AF)
3. Joint Medical/Dental OSS Forms created.4. Joint instruction for proposal currently in
draft.
Actions taken
5. Joint OSS Website established for WPMA (see next slide)
6. Point paper to MHS Surgeon Generals recommending Joint MHS OSS process
7. Pilot study between April – June 2008 revealed that the cost of care for treating pts with OSS disqualifying conditions was > $147K
Aeromedical Evacuation
Problem: The aerovac system for routine patients is inefficient and leads to: Wasted time for referring providers and
case managers Delay in patient care Increased time away from work or
families for patients and accompanying staff
Cost to sponsor’s command
Solutions
ROFR established for USNH Okinawa 9/08
Started WESTPAC subspecialty circuit riding to decrease overall need for patients to travel to other MTFs
Explored options for using military airlift between BMC Iwakuni and USNH Okinawa
Other accomplishments
This project addressed the need for creating an information portal to share data and information among the three WESTPAC Medical Alliance MTF’s to allow for transparency in decision making.
Other Benefits of the WESTPAC Medical Alliance
True Collaboration at every level Improved communication across the
WESTPAC Region Real Team work with customer focus Synergy of ideas across the
commands
What we have learned
Working together, we can better meet the needs of our beneficiaries throughout our Western Pacific Area of Operation.
Together, we can ensure the right expertise is at the right place at the right time, to deliver quality and safe patient care to our patients.
Lean & Six Sigma tools can help us address complex healthcare issues.