Medical Overview

ONE TEAM ONE FIGHTONE TEAM ONE FIGHT

Medical Overview

LTC Canoll

63 RRC

COMMANDS SURGEONS OFFICE


AGENDA

• Role of the Command Surgeons Office

• DA Form 7349

• Review of profiling

• LOD / INCAP

• Review of Benefits

• Transformation Update

• AELNO WFAC Update


Surg Office Mission Statement

To ensure that all units in the command are in a constant state of medical and dental readiness and that training is performed with ample medical support as prescribed by regulations. It is the Surgeon's responsibility to provide medical advice to the commander concerning soldier readiness, health care entitlements and medical plans and operations. The surgeon's office monitors medical unit readiness indicators, mission-essential task list (METL) training, force structure, unit stationing and medical logistics issues. In the area of medical readiness support, the Surgeon serves as a liaison with the USARC Surgeon, MEDCOM and ARMEDCOM. This office provides information on health care entitlement programs, medical disaster/emergency planning that includes weapons of mass destruction and antiterrorism for force protection, staff assistance visits to command supported units, and provides oversight and guidance on medical and dental soldier readiness processing. The Surgeons' Office ensures that physical examinations are conducted according to regulations, performs audits of medical and dental records and monitors soldier medical profiles.


Where we can help you

• Medical Readiness• Mobilization / Demobilization assistance• MRP2 / ADME processing• Coordination with VA / Tricare / RHRP• Incapacitation Pay• Assistance with Benefits• Board Processing• Medical planning• Professional Development


DA Form 7349

• Form used as a validation of Soldiers deployability

• Signed off by physician after review by AN

• Can lead to profiling / board process

• It is based on self assessment, will be one tools used in the PHA process

• Standard is to have 7349 with in 3 months of deploying.


Profiling

DA form 3349, the Army profiling system is a standardized way of documenting soldiers’ physical limitations in relation to duty. This is one of the three most critical documents in regards to medical readiness. A profile is the key to medical board actions, and limitations to duty.

The parts affected and the functions involved are:P - Physical capacity or stamina.U - Upper extremities.L - Lower extremities.H - Hearing and ears.E - Eyes.S - Psychiatric.


Profiling cont

Four numerical designations are assigned for evaluating the individual’s capacity:

1 - Possesses a high level of medical fitness.

2 - An individual possesses some medical condition or physical defect which may impose some limitations on classification and assignment.

3 - The individual has one or more medical conditions or physical defects that requires certain assignment restrictions. The individual should receive assignments commensurate with his/her physical capability for military duty.

4 - The individual has one or more medical conditions or physical defects of such severity that performance of military duty must be drastically limited.


Profiling cont

A profile is written on a DA Form 3349.

The two types of profiles are temporary or permanent.

A temporary profile is a condition that is correctible or treatable. It can be up to 90 days in length and a soldier can receive 4 consecutive temporary profiles before further action must be taken. Temporary profiles can be signed off by one profiling officer


Profiling cont

• A permanent profile includes a medical condition or permanent physical defect which is not expected to change. A permanent profile requires two profiling officer signatures, one of which will be the Command Surgeon.

• Units will directly coordinate with a local ARMEDCOM unit to set up an appointment.


Profiling / Board Actions at Unit

• Need to assist the Soldier in preparing the packet.

• Need to be specific with timeframes and put in writing, counsel the Soldiers on the actions they are expected to perform in relation to their packet.

• Unit commanders sign the profile take the opportunity at that time to work and counsel Soldier


LOD

Line of Duty, DA form 2173, is the second of three most important forms within medical readiness. A line of duty is used for Soldiers that get injured while performing military duty. While this action is HHC and G1-centric, it is imperative to this office as it impacts on incapacitation pay, further medical treatment, MMSO payments and military fitness. LOD processing schematic is attached.

INCAP


Common Errors Board Packets

• Commander’s letter not specific to retain or not retain

• Lack of current medical information• Current 7349• Packets submitted for Soldiers within 12

months of ETS / MRD or retirement• Not using the checklists provided, lack of

attention to detail and hand jammed corrections


Myth vs Fact

• Soldiers will leave theater with LOD

• Soldiers will be “taken care of” when REFRAD

• Soldiers are entitled to having specialty care diagnostics in support of board.

Medical Treatment & Care

90 days 40 days 30 days

Profile

ReturnTo

Army

ReferTo

MEB

CompleteMEB

ReferTo

PEB

SoldierReview/appeal

Return To

Army

ComprehensivePhysical

ReceiveMEB

InformalBoard

FormalBoard

Soldierreview/appeal

CompletePEB

Return To

Army

Retire forDisability

W/WoSeverance

pay

Transitionpoint

Transition/Retirement

Services

Army Physical Disability Evaluation System (PDES)

Processing Time (Goals)- Actual Days Generally Exceed 500 Days

Veteran

s Ad

min

istration

SeamlessTransition

Medical Evaluation Board Physical Evaluation Board

Injured inCONUS

Transition

Evacuation

1- 365 days

Injured inTheatre

In/Out PatientMedical Care

YES

NO

Return toDuty

Color Key

Elements of the Physical Disability Evaluation System

60 days to conductMMRB

Rehab

Complete

Optimal Care Achieved

Re-class, 6 mos

Retain, MEB

Meets medical retention

Standards - No

RehabilitationPhase

Temp Profile

MEB

R

T

D

MM

B

Meets medical retention

Standards - Yes

OrPhysician issuesP3 / P4

probation status,

Surgery, PT, trial

of duty, etc.

R

Soldier has 72 hrs to appeal to

DCCS

Physician/Soldier Appt

Reviewclinical data

DictatesBoardLabs

CCEP Workup

14 days to complete exams

Consults

(DODI 1332.38sets standard)

PEBLO PhaseNARSUM P

hase

Dictation PEBLO assemble case,mail to PEB

Perm Profile

Physician Phase

30 days

Formal/InformalAppeal

Transitional leavePTDY

Clearing time

(DODI 1332.38sets standard)

30-90 days

Transition Out

PEB/PDA R

eview

Fin

al O

ut

Findings Determined

Unit & Transition Ptcoordinate separation

date

MEB (MTF) PEB (PDA) Transition (HRC)

(PEBLO) Counseling (Army attorney)

--

-

MEDCOM Actions

PERSCOM Actions

Installation Actions

40 days

Insta

llatio

n receives

, cuts

ord

ers

PDB message via T

RANSPROC,


Review of Benefits

• Premob– 90 days out from MOB Tricare– RHRP Dental Treatment

• Postmob– 180 days TAMP– 5 yrs VA, encourge Soldiers to take advantge– TRS / Concordia


Regional Support Commands

California

Nevada

Arizona

New Mexico

Texas

OklahomaArkansas

Kansas

NebraskaIowa

Missouri

Minnesota

Wisconsin

Ohio

Illinois

Indiana

Michigan

Utah Colorado

South Dakota

North DakotaMontana

Wyoming

IdahoOregon

Washington

Kentucky

TennesseeNorth Carolina

SouthCarolinaM

ississippi

AlabamaGeorgia

Florida

LouisianaVirginia

Wes

tVi

rgin

ia

MDDC

Pennsylvania

New York

Maine

VTNH

CT

MARI

DE

63rd RSC63rd RSCMoffett Field, CAMoffett Field, CA

81st RSC81st RSCFt Jackson, SCFt Jackson, SC

99th RSC99th RSCFt Dix, NJFt Dix, NJ

88th RSC88th RSCFt McCoy, WIFt McCoy, WI

Establish: 16 Sep 08BOD: TBD Construction Status

Establish: 16 Sep 08BOD: 17 Sep 08 Construction Status

Establish: 16 Sep 08BOD: 19 Sep 08 Construction Status

Establish: 16 Sep 08BOD: 25 Mar 08 Construction Status

BOD: Building Occupancy Date

0% 88%

65%

64%


377 TSC (Main)

335 SC (T)

MIRC

412 ENCOM

416 ENCOM

11 AC (T)

Operational Commands

Functional Commands

200 MP CMD

USACAPOC

Operational & FunctionalCommands

311 SC (T)

311th ESC

103d ESC

143d ESC

310th ESC

316th ESC

80th Tng Cmd (TASS)

84th Tng Cmd (Ldr Readiness)

108th Tng Cmd (IET)

AR SPT CMD

75th Div (BCST)

AR TSD-E

AR TSD-W

807th MDSC

377 TSC (Main)

USARRC

3d MDSC


To be considered an AW2 Soldier, a Soldier must: Suffer from injuries or illness incurred after 10 September 2001 in support of the Global War

On Terrorism

Receive or expected to receive a 30% rating for one or more injuries rated by the Physical Disability Evaluation system in categories such as:

Loss of Vision/Blindness

Loss of Limb

Spinal Cord Injury/Paralysis

Permanent disfigurement

Severe burns

Traumatic Brain Injury

Post Traumatic Stress Disorder

Fatal / Incurable Disease

Any other condition requiring extensive hospitalizations or multiple surgeries


AW2 Links Soldiers and Family Members to Valuable Federal Benefits

Health Care TRICARE VA Health Care Medicare/Medicaid

Retirement & Disability Compensation U.S. Army Retirement Pay VA Disability Compensation TSGLI CRSC SSI Disability Compensation

Transition Assistance Army Career and Alumni Program (ACAP) VA Disabled Transition Assistance Program

(DTAP) VA Seamless Transition Unemployment Compensation

VA Adaptive Housing & Vehicle Assistance $10,000 and $50,000 grants for housing

adaptation $11,000 toward automobile Adaptive equipment, repair, replacement or

reinstallation

VA Education & Training Montgomery GI Bill (MGIB) VA Educational Assistance to spouses and

children of permanently and totally disabled veterans

VA Vocational Rehabilitation & Employment Evaluation of talents, skills and interests Resume and work readiness assistance Help finding and keeping a job Vocational counseling and planning On-the-job training and work-experience

programs Training – Certificate, two, or four-year college

or technical programs Supportive rehabilitation services and

counselingDepartment of Labor (DOL)

REALifelines Disabled Veterans Outreach Program

Specialists (DVOP) Local Veterans Employment Representative

(LVER)


The AR - Warrior and Family Assistance Center provides the Army Reserve Soldiers, Families and Units a single source for the resolution of situations related to medical issues and education on programs available to AR Soldiers. Our ultimate goal is to empower and educate the Soldier’s first level supervisor toward conflict resolution and chaos reduction.

WFAC


WA

YS

ME

AN

SE

ND

S

• Infrastructure that fully supports the present needs of the Reserve Soldiers and Families and anticipates the evolving needs of the Future Force.

• Recurring, up-to-date, easily accessible Common Operating Picture of Reserve Soldier Entitlements.

• Responsive, flexible, and adaptable support to the Warfighter, their families and units.

• Partner across Federal, State and Private Resources to obtain the resources to support the needs of an All Volunteer Reserve Force engaged in a protracted fight.

• Achieve a shared “common operating picture” of resources, functions, and entitlements in order to find efficiencies and reduce confusion for the Soldier.

• Execute AR programs for the Wounded Warrior Hotline, Sponsor Program and other well-being, personnel and medical programs.

• Provide a standard level of service to all Soldiers & Family members to ensure their physical, mental and spiritual well-being

through referral to robust support systems coupled with timely and professional follow-up.

• Resolve Issues• Validate “good ideas”

• Continuously update information• Distribute Information

Priorities: Extinguish Chaos Educate Resolve Issues

Connecting Army Reserve Soldiers and Families to Available Benefits


38

PR

Home Locations, by State, of AR Soldiers Assigned to Warrior Transition Units (WTUs)

as of 3 Oct 07

The Army Reserve – Training Soldiers and Growing Leaders ARRC-WF


AR Soldier Transition Through Medical Support System

AR-Wounded Warrior Sponsorship Program Lifecycle

Evac & Notification

1

AR-WFAC Coordinator assigns a Sponsor

AR –WFAC Sponsor Commitments

Needs assessment, home UIC contact,

local Sponsor assigned, work plan

established

1

Treatment

Contact WTU leadership for offer of

support, family outreach and

connection to AR-Family Programs update home UIC,

follow up work plan

2

2

3

3

Rehabilitation

Assist Family with needs, if local engage

Local Sponsor to assist w/County, State or NGO support, rpt to

home UIC follow up work plan

Evaluation RTD

Separate/Retire

Assist Family with needs, engage

Chaplain, Family Programs, Local

Sponsor. If separated assist w/VA, Social

Security, Employment encourage home UIC

to never forget

4

4

Follow-on Support

5

5

Yearly follow-up call, engage VA Center, Family Programs, Local Sponsor if

necessary.


AR WFAC Sponsor Peer & Advocate

Proactive, Compassionate, Whatever-it-Takes!

Portal through which flows information, education, empowerment and augmentation of and about:

Faith-based Initiatives Soldier Support

Staff

Military Once Source

Faith-based organizations

Army Wounded Warrior Program

State Agencies

Federal Agencies

County Agencies

Non-Governmental Organizations

Grass-Roots Organizations

Education

Chain of Command

Family Programs

Legal

Veterans ServiceOrganizations

IMCOM

USARC Staff

TRICARE

HRC St. Louis

HRC Alexandria

NGB

Joint Community

AER

USO

WTU Staff

RRC/RRSCStaff

FRG

Home Unit

Date post:	29-Jan-2016
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Medical Overview

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