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Medical Inspector General

Medical Inspector General. Kim LeBel CDR NC USN Sept 22 2009. Objectives. Analyze Preparation for MEDINSGEN Inspection Recognize that the IG focus is different from TJC Identify inspection issues frequently found. WHAT??. Good news, Med IG is an opportunity for improvement

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Medical Inspector General

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  1. Medical Inspector General Kim LeBel CDR NC USN Sept 22 2009

  2. Objectives • Analyze Preparation for MEDINSGEN Inspection • Recognize that the IG focus is different from TJC • Identify inspection issues frequently found

  3. WHAT?? • Good news, Med IG is an opportunity for improvement • Anticipate review at least every three years • Branch clinics and other decentralized sites; get connected • Utilize DMHRSi

  4. MED IG web site URL • https://nmo.med.navy.mil/med.cfm?seltab=commands&ecmid=93E9008D-802E-D019-ABBA0925B2764081&docid=10231

  5. NMO Portal

  6. Hosted Sites BUMED

  7. MED IG

  8. Inspected MEDINSGEN Programs • Deployment Readiness • Effective Force Health Protection • People • Quality of Care • Patient and Family Centered Care • Human Research Protection Program (if applicable) • Financial Resources Management • Materials Management • Safety and Occupational Health

  9. Areas of concentration • Deployment Readiness • DR.1.1 • DR.1.2 • Command Sponsor & Orientation • P.1.6 • Education & Training • P.1.9

  10. Deployment Readiness Program • Eleven primary evaluation aspects, with their own respective review elements. • Command Sponsor & Orientation • Nine areas for potential review • Education & Training Program • Six primary evaluation aspects, with their own respective review elements.

  11. Deployment Readiness The following are components of DR.1.1 • Does the command coordinate military medical readiness skills training requirements for assigned personnel and ensure training requirements are met without delay? • IDC certification/HMSB/Just In Time • Does the command budget and execute a plan to obtain clothing and equipment required to support augmentees and to coordinate readiness training?

  12. Deployment Readiness Program cont’d • DR.1.2 Hospital Corpsman Skills Basic (HMSB)/Tactical Combat Casualty Care (TCCC) Program • Has the command implemented a formal HMSB/TCCC program? • Is the HMSB/TCCC program Manager appointed in writing? • Is there a standardized program that includes the five core competencies and approved TCCC curriculum? • Does the command utilize the Performance Check Lists? Is the HMSB remediation tool available? • Has the HMSB/TCCC manager designated in writing all persons eligible to evaluate competency of HMSB program? • MD, RN, DO, PA, NP, Corpsmen with NEC 8425, 8402, 8403, 8493 or personnel verified competency in the skill area to be evaluated. • Has the HMSB/TCCC Manager established a routine and continuous monitoring of each individual’s progress through the completion of the five skills as well as the tactical skill?

  13. Deployment Readiness Program cont’d • Does the HMSB/TCCC Manager ensure deficiencies are identified and appropriate action is taken? • Does the command provide access to Expeditionary Medicine Web Based Training and completion tracked? • Does the HMSB/TCCC Manager ensure documentation of successful completion of HMSB/TCCC competency in: • member’s service and training record? • Defense Medical Human Resource System-internet (DMHRSi)? • Expeditionary Medicine Platform Augmentation, Readiness and Training System (EMPARTS)? • Reference: BUMEDINST 1510.23C as of 24JUN2009

  14. Command Orientation SOP ? Program Coordinator (IPC) assigned in writing? Internal monitoring and self-evaluation survey process? Does the CO know what the survey said? OCONUS do families complete Cultural Awareness /Intercultural Relations training? Command Indoctrination Program? What is addressed during Command Indoctrination? How to decide? Do all newly arriving staff members attend the Command Indoctrination Program? Are surveys about the Command Sponsor and Introduction Program completed and reviewed to identify trends in the command’s program? Reference: OPNAVINST 1740.3B Command Sponsor and Indoctrination Program of 25AUG05

  15. Education & Training Program • Are training needs assessed annually? • Elements to review are: • Staff needs assessment or input • Contingency requirements considered • Continued Medical Education, Continuing Education Units and in-rate training needs • General Military Training • Annual training • Civilian training • Supervisor training

  16. Education & Training Program cont’d • Is training structured at this command? • Elements to review: • Training a leadership priority • Training department or training officer • Dedicated training day of the week/stand down • Staff informed of training opportunities • Long-range training plan/annual • List of required training • The different avenues in which training is provided • Local training instruction or standard operating procedure • Documentation in the Fleet Training Management and Planning System (FLTMPS), ENTPMS and Defense Medical Human Resource System-internet (DMHRSi) • Individual training record per member • Scheduled regularly • Incorporates staff’s identified needs

  17. Education & Training Program cont’d • Do you track training data? Describe what data is tracked and reported. • The answer is “yes, via DMHRSi” • Elements to review are: • Education staff satisfaction data • GMT/Annual training compliance data • Professional skills data, i.e. CBNRE, ACLS, BLS, ATLS, PALS • Attendance compliance rates • Leadership reports • Periodicity of the reporting

  18. Education & Training Program cont’d • Do you access competency? Describe how. • Elements to review are: • Post unit orientation evaluation for competency. • Individual training files • Work space specific competencies • Review competency periodically • Remedial training as needed • Standardized competency checklists • Is leadership training provided? • Elements to review are: • Mentoring programs: Enlisted; Officer; Civilian • Petty Officer leadership training • Officer leadership training

  19. Education & Training Program cont’d • Are resources provided to meet the training needs of the staff? • Elements to review are: • Dedicated training budget • Access to computers for staff online training for staff • TAD for training • Reference(s): OPNAVINST 3120-32C-1 Chapter 8 (Training) Standard Organization and Regulations of the U.S. Navy OPNAVINST 1500.22F Required General Military and Navy Training 29 Dec 2006 Department of the Navy Office of Civilian Human Resources Manual MANMED Chapter 12 Education and Training 17 Jun 2005

  20. IG frequent IG Issues • Oversight of BHC • Record Audits • HMSB Compliance • Reservist Integration • Use of DMHRSi • Keeping it simple

  21. Solutions • Training Instruction at BUMED level • Standardization • A training record is like a dental or health record that must go with the member

  22. Questions?

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