hot topics from the ang sg office 22 june 2013 1200-1330 mark p. gaul, md, mph col, usaf, cfs,...

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“Hot Topics” from the ANG SG Office 22 June 2013 1200- 1330 Mark P. Gaul, MD, MPH Col, USAF, CFS, Director, ANGMS Robert C. Desko, MD, FACS Col, USAF, SFS Deputy Director, ANGMS Clinical and Operational Medicine

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Page 1: Hot Topics from the ANG SG Office 22 June 2013 1200-1330 Mark P. Gaul, MD, MPH Col, USAF, CFS, Director, ANGMS Robert C. Desko, MD, FACS Col, USAF, SFS

“Hot Topics” from the ANG SG Office

22 June 2013 1200-1330

Mark P. Gaul, MD, MPHCol, USAF, CFS,Director, ANGMS

Robert C. Desko, MD, FACSCol, USAF, SFSDeputy Director, ANGMSClinical and Operational Medicine

Page 2: Hot Topics from the ANG SG Office 22 June 2013 1200-1330 Mark P. Gaul, MD, MPH Col, USAF, CFS, Director, ANGMS Robert C. Desko, MD, FACS Col, USAF, SFS

Guarding America - Defending Freedom 204/10/23 20:02

Objectives

1. Define current medical concerns from the office of the Surgeon General—Col Gaul

2. Summarize Line of Duty and Disability and Duty Limitation concepts—Col Desko

3. Enumerate the 5 most common calls to NGB/SG for clarification—Col Desko

Page 3: Hot Topics from the ANG SG Office 22 June 2013 1200-1330 Mark P. Gaul, MD, MPH Col, USAF, CFS, Director, ANGMS Robert C. Desko, MD, FACS Col, USAF, SFS

Guarding America - Defending Freedom 304/10/23 20:02

Current Medical Concerns: SG•New DANG: Lt Gen Clarke—standardization/equity

•ANGRC/CC: Brig Gen Williams—resource the field

•Conferences: RF, AMSUS, MHS

•Teleconferences (Quarterly): SASs & MDG/CCs

•ADFAC & JSG FAC

•Sequestration, Budget Cuts & Accountability

•Furloughs of GS employees

•POM 14/15/16: anticipate cuts & movement

•3 to 1 Initiatives

•Vacancies: SAF/MRB, AFPC, SGP, SG

Page 4: Hot Topics from the ANG SG Office 22 June 2013 1200-1330 Mark P. Gaul, MD, MPH Col, USAF, CFS, Director, ANGMS Robert C. Desko, MD, FACS Col, USAF, SFS

Guarding America - Defending Freedom 404/10/23 20:02

Current Medical Concerns: SGA

•UMD Substitution Mismatches• Line for Medical

• Medical for Medical

•AFSC Qualification Waivers

•GMU vs RMU vs MDG: organization vs function

•Service Treatment Records (STRs)

Page 5: Hot Topics from the ANG SG Office 22 June 2013 1200-1330 Mark P. Gaul, MD, MPH Col, USAF, CFS, Director, ANGMS Robert C. Desko, MD, FACS Col, USAF, SFS

Guarding America - Defending Freedom 504/10/23 20:02

Current Medical Concerns: SGAE

•Medical Readiness Training—RF in the future?

•AFSC Career Consultant/Manager Training

•EMEDS Training: AlpenaCamp Bullis

Page 6: Hot Topics from the ANG SG Office 22 June 2013 1200-1330 Mark P. Gaul, MD, MPH Col, USAF, CFS, Director, ANGMS Robert C. Desko, MD, FACS Col, USAF, SFS

Guarding America - Defending Freedom 604/10/23 20:02

Current Medical Concerns: SGAI

•Inspections: HSICUIUEI• Success/Failure Rates (174th & 150th)

• Prioritization for remainder of FY 13

• Transition: Compliance to Efficiency & Outside to Inside

• SIDMICT: Self-Assessment Checklist

•AFI Reduction: Instruction vs Pamphlets

•Sharepoint: on-line but with issues

•Heads-up

•Flight Deck Report

Page 7: Hot Topics from the ANG SG Office 22 June 2013 1200-1330 Mark P. Gaul, MD, MPH Col, USAF, CFS, Director, ANGMS Robert C. Desko, MD, FACS Col, USAF, SFS

Guarding America - Defending Freedom 704/10/23 20:02

Current Medical Concerns: SGAS

•Med Log DMLSS Training to CSDCs & HRF/CERFPs

•Full-time Manpower Study

•Budget Constraints (Contracts & Travel)

•Anticipate More Audits/Accountability

•HRF/CERFP JMEEL Review/Adjustments

Page 8: Hot Topics from the ANG SG Office 22 June 2013 1200-1330 Mark P. Gaul, MD, MPH Col, USAF, CFS, Director, ANGMS Robert C. Desko, MD, FACS Col, USAF, SFS

Guarding America - Defending Freedom 804/10/23 20:02

Current Medical Concerns: SGAX (1)

•Medical Transformation (EMEDS BasicsHRTs)• Adjudicating Appeals

• FFGKX: Requirements Driven by AFSC Type & #

•Medical Readiness Reporting: DRRS/SORTS/ART• Late Reports

• Mismatches

•CCATT line: Future Mission??

•Alpena Divestiture

Page 9: Hot Topics from the ANG SG Office 22 June 2013 1200-1330 Mark P. Gaul, MD, MPH Col, USAF, CFS, Director, ANGMS Robert C. Desko, MD, FACS Col, USAF, SFS

Guarding America - Defending Freedom 904/10/23 20:02

Current Medical Concerns: SGAX(2)

•HRF/CERFP• EXEVAL/SEAT Results/Trends

• Manpower Allocation Fix

• Training Requirements

•Domestic Operational Response• Home Station Response: 976 Packages

• Hurricane Response: AE & MASFERPSS

•Exercises: ??Future; PATRIOT @ Volk in July

Page 10: Hot Topics from the ANG SG Office 22 June 2013 1200-1330 Mark P. Gaul, MD, MPH Col, USAF, CFS, Director, ANGMS Robert C. Desko, MD, FACS Col, USAF, SFS

Guarding America - Defending Freedom 1004/10/23 20:02

Current Medical Concerns: SGP•TFI/TFE/TF2

•Medical Special Pays• Mid-levels

• Physicians on T32 & TFI Missions

•RPA: Flight Time & TS Clearance

•DDMS

•Electronic Health Records

•SAS Initial/Refresher Training

•IDMTs & 4Hs

•Packet Processing Metrics

Page 11: Hot Topics from the ANG SG Office 22 June 2013 1200-1330 Mark P. Gaul, MD, MPH Col, USAF, CFS, Director, ANGMS Robert C. Desko, MD, FACS Col, USAF, SFS

Guarding America - Defending Freedom 1104/10/23 20:02

Current Medical Concerns: SGPB

•Full-time Manpower Study

•ESOHCAMPs

•HRF/CERFP CONOPS

•Readiness Training: 1.5 weeks @ Volk Field

Page 12: Hot Topics from the ANG SG Office 22 June 2013 1200-1330 Mark P. Gaul, MD, MPH Col, USAF, CFS, Director, ANGMS Robert C. Desko, MD, FACS Col, USAF, SFS

Guarding America - Defending Freedom 1204/10/23 20:02

Current Medical Concerns: SGPK

•Directors of Psychological Health• Joint Contract

• Pre & Post Award Protests

• New Award Mar 2013: 95% Filled

• Conversion from Contractor to Civilian (GS)

•Suicide Rates

Page 13: Hot Topics from the ANG SG Office 22 June 2013 1200-1330 Mark P. Gaul, MD, MPH Col, USAF, CFS, Director, ANGMS Robert C. Desko, MD, FACS Col, USAF, SFS

Guarding America - Defending Freedom 1304/10/23 20:02

Current Medical Concerns: SGPM

•IMR• 81.9% (83% high; ARNG @ 82.6%)

• Action Plans

• Reporting Standardization Across Services

•Separation Health Assessments (SHAs)

•HRF/CERFP Smallpox & Anthrax Immunizations

Page 14: Hot Topics from the ANG SG Office 22 June 2013 1200-1330 Mark P. Gaul, MD, MPH Col, USAF, CFS, Director, ANGMS Robert C. Desko, MD, FACS Col, USAF, SFS

Guarding America - Defending Freedom 1404/10/23 20:02

Current Medical Concerns: SGPA/F

•LODs

•MEB/IDES & Case Management Division

•DDES

•Non-duty DDES

•CCQAS• SAS Expiration; Nurse Requirements

• Centralize???; Contract???

•Privileging

•Provider Recruiting

Page 15: Hot Topics from the ANG SG Office 22 June 2013 1200-1330 Mark P. Gaul, MD, MPH Col, USAF, CFS, Director, ANGMS Robert C. Desko, MD, FACS Col, USAF, SFS

Guarding America - Defending Freedom 1504/10/23 20:02

Current Medical Concerns

Questions?

Page 16: Hot Topics from the ANG SG Office 22 June 2013 1200-1330 Mark P. Gaul, MD, MPH Col, USAF, CFS, Director, ANGMS Robert C. Desko, MD, FACS Col, USAF, SFS

Guarding America - Defending Freedom 1604/10/23 20:02

Objectives

1. Define current medical concerns from the office of the Surgeon General—Col Gaul

2. Summarize Line of Duty and Disability and Duty Limitation concepts—Col Desko

3. Enumerate the 5 most common calls to NGB/SG for clarification—Col Desko