your health - our mission votre santé - notre mission canadian forces health services presentation...

Your health - Our mission

Votre santé - Notre mission

Canadian Forces Health Services

Presentation to

Executive Wing

UNDE

20 May 2010



Scope• CFHS System

• Primary Care System

• Challenges



CFHS SystemDirector General

• through CMP, responsible and accountable to the CDS for the management, and administration of the CF health system

Commander

• generate and sustain combat-ready health services units and individuals

• This includes the professional development, training, and preparation of health care personnel in order to meet their operational roles.

Surgeon General

• setting of clinical policies

• delineation of clinical scopes of practice

• determination of clinical and professional content for CF courses

• interface between CF and external health care organizations



CF H Svcs Gp HQ

G p C W O R x 2 0 0 0

R es A d v

S R L eg a l c ou n sel D P ro c S v cs

D H S v c s P e rs C IO

O & E

C o m pt S S O P ers M gt H R B M P u b lic A ffa irs S a fe ty O ffic er

C O S

C O S

D M e d P ol D F H P D H S v c s D el E C S M e d A dv

D S u rg G en

D H S O C IM IC

D C o m d D D e n t S v c s

C o m d /S u rg G e n /D G H S



JTFJTFNorthNorth

JTFJTFPacificPacific

JTFJTFWestWest

JTFJTFCentralCentral

JTFJTFEastEast JTFJTF

AtlanticAtlantic

CF H Svcs C Ottawa

CMED

CFEME

1 Cdn Fd Hosp

1 Dent U

CF HS Trg Ctr Borden

1 H Svcs Gp 4 H Svcs Gp

CF H Svcs Gp HQ

CF H Svcs Gp

CF A HSSS



CF H Svcs Gp - Personnel• 6331 positions (not people!)

– Military

• 2717 Regular Force

• 1382 Reserve Force

• 283 Primary Reserve List

– Public Servants 1469

– Calian contracted 476• (2009 565)



HSSC –NUMBER OF HSP BY PROVINCES AND SUB-CATEGORIESBC AB SK MB ON QC NS NF/L Total

MH 6 12 1 5 33 12 6 1 76

Dental 2 11 7 16 7 6 49

Vision 1 3 1 2 7

Pharmacy 3 2 1 3 16 7 32

Physicians 20 23 2 14 56 24 14 7 160

Specialists 1 11 36 9 57

Physio 9 2 2 5 18

Nurses 8 1 8 16 2 19 1 55

Others 2 9 3 8 22

Total 31 69 5 39 162 85 76 9 476



Largely a Primary Care System

• CF clinical specialists limited to those essential to deployed care

• Purchase many specialist services from civilian system

• Has pros and cons for care of seriously wounded from Afghanistan

• Highly unlikely to return to a system of military hospitals



CF H Services Challenges




• Managing expectations

• Deployment of electronic health record, and exploiting it for performance management

• Budget pressures



• HSS to JTF Afghanistan –

• Kandahar Role 3 MMU transition to US (CENTCOM) leadership -




GRIEVANCE REPORT FOR CFHS ACROSS CANADA

Grievances Submitted 09/10 55 (18 PIPSC/37 UNDE)

NJC Grievance 1

Pending at first step 1

First Step 33

Withdrawn 2

Upheld 1

Partially Upheld 1

Pending 29

Second step 7

Withdrawn 3

Pending 4

ADR Mediation Settled/Withdrawn 2

Final Step 12

Withdrawn 6

Pending 5

Denied 1



Subjects of Grievances

Most common subjects:

Job descriptions and duties (10) Leave and pay issues (10)

Variety of other topics:

Discipline process, collective agreement-other, performance evaluations, others (31) Personal harassment (4)



Grievances pending from previous years (15 PIPSC/9 UNDE) 24

1st step 17

2nd step 5

Final step 2

* Adjudication 1



QUESTIONS

your health - our mission votre santé - notre mission canadian forces health services presentation...

Documents

cf health system commander

hsss slide

adjudication1 slide

cf courses interface

civilian system

specialist services

system of military hospitals

dent u cf hs trg ctr