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

UNDE

National Executive

23 April 2009



Scope• CFHS System

• Primary Care System

• Challenges

• Initiatives

• Statistics

• Conclusion/Questions



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 480 (operational exigencies) – (of note: in 2007 >560 Calian employees)



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




• Governance disconnects

• Managing expectations

• Well-intentioned constructive criticism

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



• HSS to JTF Afghanistan –

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




• Attraction & Retention

– Competition for limited HR pool; exacerbated by high op tempo

• Education and credentialing creep

• Progressive rising bar on entry to practice requirements• Maintenance of operational clinical skills when not deployed –




• Full Integration of Reserves at the Gp Level

• Synchronization of Reserve trg, (IBTS, pre-deployment, indiv) leading to enhanced interoperability and maximizing economies of effort within the Gp




Initiatives

• UMCC – HQ level

• LMRC – chain of command has provided clear direction

• HR(Civ) – COS professional interaction

• Clinic Manager’s Symposium



Statistics• Since 2006 to early-2009

– 143 Calian employees have transferred into the PS– Dental Assistants, Clinical Psychologists, Social Workers,

Physiotherapist, Medical Assistant, Pharmacy Technician, Pharmacist

– What is missing: from this pool: clinicians

– Excellent employment pool for the PS



OP RESTORE

• Overall, CFDS RESTORE will be adding a total of 179.8 FTE of public service positions, more than doubling the number of PS positions in the Dental Branch.



Dental Branch – OP RESTORE

New positions created:• HSPHS 6 – 81.8• EG-05 - 24.0• AS and CR - 57.0• DE 2 - 17.0

Total 179.8



QUESTIONS

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

Documents

cf health system commander

gp cf h services challenges

hsss slide

cf courses interface

performance management

specialist services

civilian system

dent u cf hs trg ctr