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