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“Hot Topics” from the ANG SG Office. Mark P. Gaul, MD, MPH Col, USAF, CFS, Director, ANGMS Robert C. Desko, MD, FACS Col, USAF, SFS Deputy Director, ANGMS Clinical and Operational Medicine. 22 June 2013 1200-1330. Objectives.
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“Hot Topics” from the ANG SG Office Mark P. Gaul, MD, MPH Col, USAF, CFS, Director, ANGMS Robert C. Desko, MD, FACS Col, USAF, SFS Deputy Director, ANGMS Clinical and Operational Medicine 22 June 2013 1200-1330
Objectives 1. Define current medical concerns from the office of the Surgeon General—Col Gaul 2. Summarize Line of Duty and Disability and Duty Limitation concepts—Col Desko 3. Enumerate the 5 most common calls to NGB/SG for clarification—Col Desko
Current Medical Concerns: SG • New DANG: Lt Gen Clarke—standardization/equity • ANGRC/CC: Brig Gen Williams—resource the field • Conferences: RF, AMSUS, MHS • Teleconferences (Quarterly): SASs & MDG/CCs • ADFAC & JSG FAC • Sequestration, Budget Cuts & Accountability • Furloughs of GS employees • POM 14/15/16: anticipate cuts & movement • 3 to 1 Initiatives • Vacancies: SAF/MRB, AFPC, SGP, SG
Current Medical Concerns: SGA • UMD Substitution Mismatches • Line for Medical • Medical for Medical • AFSC Qualification Waivers • GMU vs RMU vs MDG: organization vs function • Service Treatment Records (STRs)
Current Medical Concerns: SGAE • Medical Readiness Training—RF in the future? • AFSC Career Consultant/Manager Training • EMEDS Training: AlpenaCampBullis
Current Medical Concerns: SGAI • Inspections: HSICUIUEI • Success/Failure Rates (174th & 150th) • Prioritization for remainder of FY 13 • Transition: Compliance to Efficiency & Outside to Inside • SIDMICT: Self-Assessment Checklist • AFI Reduction: Instruction vs Pamphlets • Sharepoint: on-line but with issues • Heads-up • Flight Deck Report
Current Medical Concerns: SGAS • Med Log DMLSS Training to CSDCs & HRF/CERFPs • Full-time Manpower Study • Budget Constraints (Contracts & Travel) • Anticipate More Audits/Accountability • HRF/CERFP JMEEL Review/Adjustments
Current Medical Concerns: SGAX (1) • Medical Transformation (EMEDS BasicsHRTs) • Adjudicating Appeals • FFGKX: Requirements Driven by AFSC Type & # • Medical Readiness Reporting: DRRS/SORTS/ART • Late Reports • Mismatches • CCATT line: Future Mission?? • Alpena Divestiture
Current Medical Concerns: SGAX(2) • HRF/CERFP • EXEVAL/SEAT Results/Trends • Manpower Allocation Fix • Training Requirements • Domestic Operational Response • Home Station Response: 976 Packages • Hurricane Response: AE & MASFERPSS • Exercises: ??Future; PATRIOT @ Volk in July
Current Medical Concerns: SGP • TFI/TFE/TF2 • Medical Special Pays • Mid-levels • Physicians on T32 & TFI Missions • RPA: Flight Time & TS Clearance • DDMS • Electronic Health Records • SAS Initial/Refresher Training • IDMTs & 4Hs • Packet Processing Metrics
Current Medical Concerns: SGPB • Full-time Manpower Study • ESOHCAMPs • HRF/CERFP CONOPS • Readiness Training: 1.5 weeks @ Volk Field
Current Medical Concerns: SGPK • Directors of Psychological Health • Joint Contract • Pre & Post Award Protests • New Award Mar 2013: 95% Filled • Conversion from Contractor to Civilian (GS) • Suicide Rates
Current Medical Concerns: SGPM • IMR • 81.9% (83% high; ARNG @ 82.6%) • Action Plans • Reporting Standardization Across Services • Separation Health Assessments (SHAs) • HRF/CERFP Smallpox & Anthrax Immunizations
Current Medical Concerns: SGPA/F • LODs • MEB/IDES & Case Management Division • DDES • Non-duty DDES • CCQAS • SAS Expiration; Nurse Requirements • Centralize???; Contract??? • Privileging • Provider Recruiting
Current Medical Concerns Questions?
Objectives 1. Define current medical concerns from the office of the Surgeon General—Col Gaul 2. Summarize Line of Duty and Disability and Duty Limitation concepts—Col Desko 3. Enumerate the 5 most common calls to NGB/SG for clarification—Col Desko