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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
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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
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MITIGATING POTENTIAL BIAS
NIL
PRESENTER: Col Jim Kile, OMM, CD, MSc, MD
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VETERANS
20/20
Jim Kile
Colonel
Director of Medical Policy
and Clinical Care
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VETERANS
20/20
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Learning is the only thing the mind
never exhausts,
never fears, and
never regrets. Leonardo Da Vinci
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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)
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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
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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
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6,450 km (4,030 mi)
7,205 km (4,477 mi)
“The U.S.A. borders on the Magnificent”
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13
o 14 Health Jurisdictions
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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
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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
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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
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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
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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
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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
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20 20
VETERANS 20/20: 5 year strategic plan
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21
VETERANS 20/20: 5 year strategic plan
Veteran Centric
Seamless Transition
Service Excellence
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22 22 22
VETERANS 20/20: 5 year strategic plan
Seamless Transition
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23 23 23 23
VETERANS 20/20: 5 year strategic plan
Seamless Transition
Task Force
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24 24 24 24 24
VETERANS 20/20: 5 year strategic plan
Seamless Transition
Task Force
Seamless
Transition
Case
Management
Veterans
Card
Medical
Services
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25 25 25 25 25 25
VETERANS 20/20: 5 year strategic plan
Seamless Transition
Task Force
Case
Management
Medical
Services
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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
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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
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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
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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
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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
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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
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INFORMATION TRANFER FROM CAF to VAC
(Days)
2014 2015 2016
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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
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38 38
VETERANS 20/20: 5 year strategic plan
Seamless Transition
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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
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40