presenter disclosure · 2016. 12. 19. · disclosure of commercial support this program has...

PRESENTER DISCLOSURE

PRESENTER: Col Jim Kile, OMM, CD, MSc, MD

RELATIONSHIPS WITH COMMERCIAL INTERESTS: Grants/Research Support: Nil Speakers Bureau/Honoraria: Nil Consulting Fees: Nil Other: Nil

DISCLOSURE of COMMERCIAL SUPPORT

This program has received NO financial support.

This program has received NO in-kind support.

Potential for conflict(s) of interest: NIL

PRESENTER: Col Jim Kile, OMM, CD, MSc, MD

MITIGATING POTENTIAL BIAS

NIL

PRESENTER: Col Jim Kile, OMM, CD, MSc, MD

VETERANS

20/20

Jim Kile

Colonel

Director of Medical Policy

and Clinical Care

VETERANS

20/20

Learning is the only thing the mind

never exhausts,

never fears, and

never regrets. Leonardo Da Vinci

Learning is the only thing the mind

never exhausts,

never fears, and

never regrets. Leonardo Da Vinci

CAF – Canadian Armed Forces

VAC – Veterans Affairs Canada

JPSU – Joint Personnel Support Unit

IPSC – Integrated Personnel Support Centres

HR – Human Recourses

CM – Case Manager

SISIP – Insurance (replacement income)

INTERNATIONAL AND INTERAGENCY

WARRIOR CARE ENGAGEMENT PANEL

OBJECTIVES: Panelists will present frameworks, best practices, and

innovative ideas that support the following objectives for international and

interagency warrior care engagement:

1 2 3 4 Identify Need for

External Support

Assess Infrastructure

and Environment

Develop Strategy &

Support Functions

Implement Improvement

And Sustainment

Mechanisms

Define the need for

external support and

identify and connect with

resources (e.g. funding

sources, partnering

nations, external support

organizations, etc.

Gain a comprehensive

Understanding of a

nation’s infrastructure

and environmental factors

\(e.g. governance, polices,

culture, communications,

theatre engagement plans,

funding sources, etc.)

Define the scope of

support required, develop

a strategy for program

development and

implementation that

Integrates with relevant

stakeholder strategies, &

develop supporting

policies & standard

operating procedures.

Develop and implement training,

program metrics, and quality

assurance and oversight

mechanisms to support

sustainability and continuous

improvement of warrior care

programs / capabilities

1 Identify Need for

External Support

Assess Infrastructure

and Environment

Implement Improvement

And Sustainment

Mechanisms

1 2 3 4 Identify Need for

External Support

Assess Infrastructure

and Environment

Develop Strategy &

Support Functions

Implement Improvement

And Sustainment

Mechanisms

6,450 km (4,030 mi)

7,205 km (4,477 mi)

“The U.S.A. borders on the Magnificent”

13

o 14 Health Jurisdictions

14 14

o 14 Health Jurisdictions

o 100,000 WWII / Korean War Vets

o 600.000 CAF Veterans

o 82,000 CAF members & Vets use VAC

15 15 15

o Most Vets adjust well to civilian life

o 25% do experience some level of diffuclty

o Reg Force Vets experience higher levels

rates of chronic illness

o 639 homeless Vets (30 Jun 16)

o 2,250 Vets use shelters annually

(~40,000 in US)

o On average have higher incomes

16

Identify Need for

External Support

Assess Infrastructure

and Environment

Identify Need for

External Support

Assess Infrastructure

and Environment

Implement Improvement

And Sustainment

Mechanisms

Identify Need for

External Support

Develop Strategy &

Support Functions

Implement Improvement

And Sustainment

Mechanisms

1 Identify Need for

External Support

Assess Infrastructure

and Environment

Implement Improvement

And Sustainment

Mechanisms

1 2 3 4 Identify Need for

External Support

Assess Infrastructure

and Environment

Develop Strategy &

Support Functions

Implement Improvement

And Sustainment

Mechanisms

17 17

Identify Need for

External Support

Assess Infrastructure

and Environment

Identify Need for

External Support

Assess Infrastructure

and Environment

Implement Improvement

And Sustainment

Mechanisms

Identify Need for

External Support

Develop Strategy &

Support Functions

Implement Improvement

And Sustainment

Mechanisms

1 Identify Need for

External Support

Assess Infrastructure

and Environment

Implement Improvement

And Sustainment

Mechanisms

1 2 3 4 Identify Need for

External Support

Assess Infrastructure

and Environment

Develop Strategy &

Support Functions

Implement Improvement

And Sustainment

Mechanisms

Military

Life

Civilian

Life

Lots of Data Some Data

Release

Complex Release

o Life After Service Studies

o Ombudsman Reports o Media

o Social Media / Blogs

o Town halls

o Internal Reviews

o Anecdotal

Non-complex Release

19

1 Identify Need for

External Support

Assess Infrastructure

and Environment

Implement Improvement

And Sustainment

Mechanisms

1 2 3 4 Identify Need for

External Support

Assess Infrastructure

and Environment

Develop Strategy &

Support Functions

Implement Improvement

And Sustainment

Mechanisms

20 20

VETERANS 20/20: 5 year strategic plan

21

VETERANS 20/20: 5 year strategic plan

Veteran Centric

Seamless Transition

Service Excellence

22 22 22

VETERANS 20/20: 5 year strategic plan

Seamless Transition

23 23 23 23

VETERANS 20/20: 5 year strategic plan

Seamless Transition

Task Force

24 24 24 24 24

VETERANS 20/20: 5 year strategic plan

Seamless Transition

Task Force

Seamless

Transition

Case

Management

Veterans

Card

Medical

Services

25 25 25 25 25 25

VETERANS 20/20: 5 year strategic plan

Seamless Transition

Task Force

Case

Management

Medical

Services

Joint Transition

Planning

CFHS CM and VAC

CM

26

Seamless Transition

Point of injury /

illness

PCAT /

MELs

Release

Message

Date of

Release

Post

Release

Phases

Case M

anagem

ent

Activitie

s

Part

ners

CFHS Case

Management

Services

VAC Case

Management

Services

- CFHS CM / Medical Team

- Joint Personal Support

Unit

- IPSC

- VAC CM

- Chain of Command

- JPSU

- IPSC

- VAC CM

- BPSO / Release Section

- SISIP

- VAC CM

- Provincial Health Care

System

- Community

- JPSU

- IPSC

- SISIP

- CFHS CM / Medical Team

Identification of Eligibility

Implementation Evaluation

Implementation Evaluation Transition to VAC

6 mos 3-6 mos 12-24 mos

CF MBR Medical

Officer

Base / Wing

Surgeon

D Med Pol PCAT? G / O Factor

Medical Statement

DMCA Consider U of S

Physically Fit

Employable

Deployable

UNIT CO / MBR /MO

Paperwork / Med File

More paper

Relevant paper work

Task Statements

Med file

returned

Medical

Statement

Disclosure

package

RELEASE

29

Case Management Medical Services

o Improve interdepartmental

coordination

o More robust interface

between member and

social re-integration

o Common approach

o Common vocabulary

o Solve HR gap

o Earlier collaboration

o Formulary Alignment

o Alignment of Services

o Enhanced information sharing

o Improved access to primary care

physicians.

o Streamline service attribution process

of illness / injury

o Provide education / counselling/

training to family caregivers

providing care to Vets

30

Identify Need for

External Support

Assess Infrastructure

and Environment

Implement Improvement

And Sustainment

Mechanisms

4 Identify Need for

External Support

Implement Improvement

And Sustainment

Mechanisms

31

CF MBR Medical

Officer

Base / Wing

Surgeon

D Med Pol PCAT? G / O Factor

Medical Statement

DMCA Consider U of S

Physically Fit

Employable

Deployable

UNIT CO / MBR /MO

Paperwork / Med File

More paper

Relevant paper work

Task Statements

Med file

returned

Medical

Statement

Disclosure

package

RELEASE

32 32

CF MBR Medical

Officer

Base / Wing

Surgeon

D Med Pol PCAT? G / O Factor

Medical Statement

DMCA Consider U of S

Physically Fit

Employable

Deployable

UNIT CO / MBR /MO

Paperwork / Med File

More paper

Relevant paper work

Task Statements

Med file

returned

Medical

Statement

Disclosure

package

RELEASE

o Increased staff

o Improved process

o Digital transfer of files

INFORMATION TRANFER FROM CAF to VAC

(Days)

2014 2015 2016

6

2 3

8

31

19

11

0

5

10

15

20

25

30

35

0% < 19% 20 - 39% 40 - 59% 60 - 79% 80 - 99% 100%

Nu

mb

er

of

Th

era

peu

tic C

lasses

Proportion of Medications Covered in Common

Total: 80 Therapeutic Classes 76% have 60%

or more commonality

38 38

VETERANS 20/20: 5 year strategic plan

Seamless Transition

39 39 39

VETERANS 20/20: 5 year strategic plan

Seamless Transition

Political Will

Common Goal

Resources

Data

Collaboration / Communication

Work Ethic / Energy

Plan

Evaluation / Metrics

40