state of the category 2013 capt scott gaustad, usphs therapist chief professional officer

State of the Category 2013

CAPT Scott Gaustad, USPHSTherapist Chief Professional Officer

Category Day 2013

2013 USPHS Scientific and Training Symposium“Public Health Prevention and Care: Bridging the Gaps”

Thank you to Symposium Category Day Organizing Committee -- Chair CDR Karen Killman

Thank you TPAC Chair CDR Tarri Randall and the executive committee.

Welcome guests

State of the Category

• Who we are

• Where we work

• What we’ve done

• Promotion

• Readiness

• Transformation/Policies

Who we are…

Nation’s Rehabilitation ProfessionalsHealth Promotion and Disease Prevention Professionals

Audiologists

Occupational Therapists

Physical Therapists

Respiratory Therapists

Speech-Language Pathologists

161 licensed professionals

12 Federal Agencies

“Public Health Prevention and Care: Bridging the Gaps”

Mission Statement:In support of the PHS mission the Therapist Category:

• advances the Nation's health through cutting edge research, policy design, and health science,

• implements evidenced-based research into clinical practice for the health and wellness of the Nation's underserved populations,

• educates the Nation to facilitate and encourage the adoption of healthy lifestyles to prevent disease and disability,

• provides efficacious intervention for those with disability and disease to maximize function and improve quality of life, and

• responds effectively to national and international Public Health needs with highly trained therapist officers.

“Public Health Prevention and Care: Bridging the Gaps”

Vision Statement:• The Public Health Service Therapist Category will demonstrate

national and international leadership in public health services, rehabilitation, and science through:

• enhancing the Therapist Category leadership role in promoting the health and well being of the people we serve,

• educating public health leadership about the abilities of the Therapist Category on health promotion, disease prevention, wellness, rehabilitation and readiness response,

• promoting professional development among the Therapist Category to enhance their value to the Public Health Service and the people we serve,

• encouraging advanced training, policy development, and research,

• engaging in partnerships to meet public health challenges, and

• honoring the values, practices, and traditions of our Nation.

Who we are…

Gender

Female - 76 or 48%

Male - 85 or 52%

Diversity

American Indian or Alaskan Native - 17 or 11%

Asian or Pacific Islander - 7 or 4%

Black, not of Hispanic Origin – 10 or 7%

Hispanic - 7 or 5%

Unknown - 36 or 24%

White, not of Hispanic Origin - 72 or 46%

Therapist Category Officers

• Regular Active: 161• Regular Retired AD: 0• Regular Retired: 108• Reserve Active: 0• Reserve Retired: 11• Inactive: 46

Total: 326

Who we are…how do we compare?

Where we work… Corps

7937

868898

0155

50118

2275

67990

2032094

4713

295167

3950

121

0 500 1000 1500 2000 2500

ACFAHRQ

ATSDRBOPCDCCIA

CMSDHSDOCDOD

DOD/T…EPAFDA

HRSAI.H.S.

INTERI…JUSTICE

NIHOS

PSCSAMHSA

USAMR…USDA

Total: 6765

Agency DEN DIET EHO ENG HSO MED NUR PHAR SCI THER VET Total

ACF 1 5 1 7

AHRQ 2 4 1 1 1 9

ATSDR 19 3 8 1 1 7 1 37 (+3)

BOP 64 7 2 1 196 15 380 156 12 35 868 (+47)

CDC 6 4 70 20 136 407 44 21 141 4 45 898 (+26)

CIA

CMS 4 1 2 45 11 52 29 3 8 155(+37)

DHS 67 21 3 87 77 205 32 5 3 1 501(+19)

DOC 10 8 18 18(+1)

DOD 1 1 3 2 7(+4)

DOD/TMA 1 2 4 125 16 56 14 44 12 1 275(+6)

EPA 17 35 8 1 3 3 67(-5)

FDA 4 27 82 69 179 42 143 355 71 5 13 990(+23)

HRSA 9 6 5 2 82 25 48 14 6 6 203(-9)

IHS 144 47 97 242 285 136 517 544 7 75 2094(-31)

INTER 11 20 9 3 2 1 1 47(+2)

JUSTICE 1 1 11 13

NIH 1 4 10 8 32 94 94 9 20 5 17 295(-15)

OS 3 2 9 9 57 20 39 14 6 6 3 167(-15)

PSC 1 8 2 10 1 16 1 39(-15)

SAMHSA 1 33 1 6 6 2 1 50

USAMRMC 1 1(-4)

USDA 1 4 7 1 1 1 6 21(+1)

Grand Total 298 (nc)

104 (nc)

359 (-4)

422 (nc)

1318 (+13)

856 (-14)

1624 (+34)

1195 (+39)

334 (+7)

161 (+10)

95 (+5) 6765(+77)

Therapist Category - Where We Work…

BOP35/23%

CDC, 4/2%

CMS, 8/5%

DHS, 3/2%

DOD TMA, 12/8%

FDA, 5/3%

HRSA, 6/4%

I.H.S75/48%

NIH, 5/3%

SAMHSA, 1/1%USDA,1/1%

Total: 161

Where we work…

Distribution by Rank – Corps

Who we are… Corps

Distribution by Rank – Category (T-grade) 2013 data

Who we are… Therapist

O-2 O-3 O-4 O-5 O-6 O-70

0.2

0.4

0.6

0.8

1

1.2

24

47

62

26

1

O-3O-4O-5O-6O-7O-2

Who we are…

O-2 O-3 O-4 O-5 O-6 O-70

0.2

0.4

0.6

0.8

1

1.2

24

47

62

26

1

O-3O-4O-5O-6O-7O-2

2013 2012

12

48

63

28

10

10

20

30

40

50

60

70

O-2 O-3 O-4 O-5 O-6 O-7

O-2

O-3

O-4

O-5

O-6

O-7

Who we are…(Therapist vs Corps)

Therapist Category Corps

O2 O3 O4 O5 O6 O7

1/.6%

24/15%

47/29%

62/38%

26/16%

1/.6%

O2

O3

O4

O5

O6

O7

O1 O2 O3 O4 O5 O6 O7 O8 O9

57/1%

224/3%

1128/17%

1860/28%1792/26%

1666/25%

23/.3%

16/.2% 1

O1

O2

O3

O4

O5

O6

O7

O8

O9

Who we are…

Information is only as good as that entered into online databases by officers.

Who we are…

Retirement Credit

33

30

33

37

18

10

00

5

10

15

20

25

30

35

40

45

< = 5 5.1-10 10.1-15 15.1-20 20.1-25 25.1-30 >30

Years Service

No.

of

Offi

cers

< = 5

5.1-10

10.1-15

15.1-20

20.1-25

25.1-30

>30

Total = 161

Who we are…

Retirement Credit

< 5 5-9 yrs 10-14 yrs 15-19 yrs 20-24 yrs 25-30 yrs0

5

10

15

20

25

30

35

40

33 3033

37

18

10

Retirement Credit

27

34 35

31

18

7

00

5

10

15

20

25

30

35

40

45

< =5 5-10 10-15 15--20 20-25 25.-30 >30

Years Service - 2012

No.

of

Offi

cers

Year s of Service – 2013 Total = 161Total = 152

What we’ve done… Activities in 12-13 TPAC year

• Promoting Physical Activity Guidelines • 2013 and 2014 PY Benchmarks review• New TPAC members/ sub/committee

chairs • New TPAC Website

• National Prevention Strategy• Continued development of Direct Access• Category Deployment Guideline• Evolving Mentorship Program• Strategic Growth Subcommittee business

plan

Continuing activities

• Retirement recognition• Category, Responder Awards• AMSUS – Rehab Program • Journal Club • Vacancy list – Recruitment • Promotion preparation guide,

credentials review guide• Category roster and profile• Web page• Listserv• PAC P&P and Model Charter

implementation • Fit for Duty – Fit for Life• Mentoring!

What we’ve done…

Individual accomplishments – Awards• PHS Awards

– Commendation Medal

– Achievement Medals

– Crisis Response Service Award

• COA recognition

• AMSUS recognition (P.T. and O.T.)

• Agency and duty station recognition

– Directors awards, employee of the quarter, month

• National Recognition - AOTA

• Category awards - luncheon


Individual accomplishments – training• Advanced degrees (DPT)/certificates

• Earned Board Specialties

OCS, GCS, EMC/NCV, CWS, CLT, CSCS

• Participated in professional training

professional conferences/CEUs, readiness and response, and OBC


Service• COA office, local and national• Healthy lifestyles, health fairs, PT Month activities• Community service • Recruiting• Expert on grant reviews• CC Ensemble and Choir

Clinical Programs• EMG/NCV• Bariatrics, diabetes• Wound care, spinal cord• Student education • Journal Club• Health and Wellness


Presentations• Agency/Local • Professional societies• 2013 COF symposium• CEU courses

Publications• The Hearing Journal• Journal of the Acoustical Society of America• Journal of the American Academy of Audiology• Military Medicine (AMSUS)• Physical and Occupational Therapy in Pediatrics• American Journal of Occupational Therapy• Pediatric Physical Therapy• Journal of Orthopedic and Sports Physical Therapy• Book chapters


Call to Active Duty:

2012-2013:

LT Marsophia Crossley - IHS

LT Forrest Dutton - BOP

LT Selena Bobula – IHSLT Narisa Tappitake - IHS

LT Kathryn Hanlon - IHS

LT Shawn Shermer – FDA

LT Amber Beardslee – IHS

LT Jesse Gefroh – IHS

LT Karina Gushue – IHS

Retirements:

2012-2013:

CAPT Karen Siegel - FDA

CAPT Kevin Young - CMS

CAPT Michelle Hooper - IHS

CDR Bernard “Bernie” Long - IHS

CDR John Schultz - BOP

CAD

Five pillars (for new and now current Corps applicants)

These position pillars include:

1. Assignment to underserved and vulnerable populations.

2. Assignment is in a hardship location (or difficult-to-recruit position) where there is significant unmet need for qualified professionals

3. Assignment requires regular engagement with other uniformed services.

4. Assignment does not meet criteria 1-4 but cannot be filled without the Commissioned Corps and will address an important public health need.

5. Assignment requires individual to be available for rapid deployment – domestic or international – at the direction of the agency head (as distinguished from

deployment for natural disaster or international response) or requires availability to perform duties 24/7, including when on leave.


2013 Category Awards:

Therapist of the Year: LCDR Alexei Desatoff

Junior Officer of the Year: LT Molly Rutledge

Josef Hoog Award: LCDR Alexander Karl Brenner


Recognition• Temporary Promotions (PY ’12)

3*@ O-6, 12 @ O-5, 3 @ O-4

* 1 EPP

• Permanent Promotions (PY ’12)

1 @ O-6, 3 @ O-5, 2 @ O-4, 4 @ O-3

Promotion

2005 2006 2007 2008 2009 2010 2011 20120%

20%

40%

60%

80%

100%

82%78% 80% 82%

88% 86%90%

100%

38%42%

46% 46%41%

44% 42% 41%

25%30%

33%36%

29% 27% 25% 25%

Success rates by rank

T04

T05

T06

Promotion Year

% S

uc

ce

ss

ful

Recognition: What we’ve done -Promotion

Promotion

2004 2005 2006 2007 2008 2009 2010 2011 201220

30

40

50

60

70

80

90

100

T O-4

range

Series2

avg

cut

PY

Tot

al S

core

Promotion

2004 2005 2006 2007 2008 2009 2010 2011 201220

30

40

50

60

70

80

90

100

T O-5

range

Series2

avg

cut

PY

Tot

al S

core

Promotion

2004 2005 2006 2007 2008 2009 2010 2011 201220

30

40

50

60

70

80

90

100

T O-6

range

Series2

avg

cut

PY

Tot

al S

core

Promotion - Precepts

1) Performance (40% of overall score)

2) Education, Training, and Professional Development (20% of overall score)

3) Career Progression and Potential (25% of overall score)

4) Characteristics of Career Officer & Service to the Corps (15% of overall score)

5) Response Readiness (0% of overall score, not scored by the promotion board). Response readiness is still an administrative check used for promotion. Officers who fail to meet and maintain basic readiness will not be promoted

Promotion

General feedback to all officers:

• Current and accurately formatted CVs are very important.

• Check Therapist Category for current year Promotion Benchmarks

• Use recommended CV format on website• Awards• Do your best to make sure PIR, CV, officer/ROS

statements, and COER attachments all tell cohesive story about you. Educate your rating and reviewing official about importance of completing documents.

Promotion

General feedback to all officers:

• Career counseling encouraged but not required for any officer not promoted. Officers are free to choose who performs the counseling.

• Category career counseling by CPO or designee required for officers ranked in the lowest decile and lowest quartile X3 years. This must be documented in OPF.

• Officers ranked in lowest decile x3 years referred to retention review board.

• Officers not meeting readiness standards receive automatic not recommend and referred to review board.

Promotion

General feedback to all officers

• Review your eOPF to see if you can EASILY locate information that addresses ALL promotion benchmarks.

• List the contact hours for continuing education• Please consider the fax machine you are using• Common issues included missing or out-of-date

documents, 100% under the officer’s influence; CVs, Officer Statements, Continuing Education List.

• Verify that documents are complete, accurate, error free, and legible after they are faxed to the OPF.

Promotion

• Comments on the score sheet provide insight into areas on which to focus to improve your performance/ scores for next year

• At least 2 board members must check box for strength/ suggestion to appear

• All free text comments appear

60

Promotion

ReadinessDecember 31• If ready – earn 0 points on readiness precept (PY-13)• If not – automatic not recommend for promotion

March 31• Part of administrative check along with licensure and other issues• If ready – stay on rank order list• If not – removed from rank order list, even if scored well enough by

promotion board to be promoted

Promotion: BCS

Number of Therapists at the time of BCS: 118

Number of O5 billets before BCS: 31 (26%)

Number of O5 billets after BCS: 40 (34%)

Number of O6 billets before BCS: 37 (31%)

Number of O6 billets after BCS: 34 (29%)

Total O5 & O6% before BCS: 58%

Total O5 & O6% after BCS: 63% (+5%)

Promotion: BCS

BOP:

Total at time of BCS: 33

Before BCS

Number of O5: 9 (27%)


Total % O5 and O6: 45

After BCS



Total % O5 and O6: 45 (nc)

Total at time of BCS: 63

Before BCS



Total % O5 and O6: 62

After BCS


Number of O6: 21(33%)

Total % O5 and O6: 63 (+2)

IHS:

Promotion: BCS

BOP

O5 B

efore

BCS

O5 A

fter B

CS

O6 B

efore

BCS

O6 A

fter B

CS0

2

4

6

8

10

12

BOP

IHS

O5 Befo

re BCS

O5 afte

r BCS

O6 befo

re BCS

O6 afte

r BCS

0

5

10

15

20

25

Column1

Knowing is not enough; we must apply.

Willing is not enough; we must do.”

- Goethe

Readiness

3/31/12

OFRD

Basic - 137 or 90%

Exempt - 5 or 3%

Not Qualified - 10 or 7%

n = 152 (last reported number)

Deployment Teams

Readiness

Recent Deployments:• Hurricane Sandy

• Presidential Inauguration

• Field-based training

• CHASM– Operation Lone Star – SW Texas

Readiness

Remember this uniform is mandatory

Sept 1st

Transformation – Direct Access

Current Priorities

• Officer profiles – qualifying degree not included, enter additional credentials – Direct Access

• Direct Access – continued implementation of DA. Now primary means to enter some readiness info, but be familiar with all data fields.

Billets

Completed – March 1, 2012Questions:

• personnel order in eOPF “change of assignment”

• receipt of “individual position number” DA number

• current Assignment and Assignment History• Current assignment – DA position and billet equivalent grade

• Assignment History - DA Billet System Position Assignment

• Stated grade is the pay grade of the officer – not position

New Policies:

DCCPR Initiatives and Issuances

• Uniform Wear - ODU• POM 12-004 Position (Billet) Implementation Grade

Changes• CC 122.01 – Promotions• POM 13-002 – Re-appointment to the Corps• CC313.01 - Telework

Policies in Development

DCCPR Initiatives and ProposedIssuances in process: • Administrative and Disciplinary

Actions • Allotments • Child Support/Alimony Garnishment

Orders • Consolidated Special Pays • Deployment Readiness • Details (Blanket) • Domestic/Family Neglect; Violence,

Abuse and Treatment • Uniforms - Discipline

• Equal Opportunity • Force Management (Assimilation

Program) • Former Spouse Payments from Retired

Pay • Leave • Physical Training Uniform • Political Activities • Promotions Directive • Protected Communications • Replacement for BDU • Travel and Transportation Allowances

Health Care Reform

Patient Protection and Affordable Care Act (ACA)

• Sec. 5209. Elimination Of Cap On Commissioned Corps.

• Sec. 5210. Establishing A Ready Reserve Corps - pending

• Sec. 203. Commissioned Corps And Ready Reserve• Sec. 5315. United States Public Health Sciences

Track – pending• Wellness, Prevention and Chronic Care management

is a priority

The future…

• Direct Access – increased uses – Officer Profile

• Health Care Reform – many policies affected

• Review of CC operational components – Readiness

• CAD Process• Five Pillars – 2014 Benchmarks• National Prevention Strategy• Best Practice• Standardized position descriptions• Credentialing and Privileging

Surgeon General Initiatives

• Childhood Overweight and Obesity Prevention Initiative

• National Prevention Strategy

• Women’s Health Issues

• A Healthy and Fit Nation

• Walking Call to Action

Engage…!

“The purpose of life is to live it, to taste experience to the utmost, to reach out eagerly and without fear for newer and richer experience.” Eleanor Roosevelt

state of the category 2013 capt scott gaustad, usphs therapist chief professional officer

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