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Canadian Forces Health Services. Presentation to Executive Wing UNDE 20 May 2010. Scope. CFHS System Primary Care System Challenges. Director General through CMP, responsible and accountable to the CDS for the management, and administration of the CF health system. CFHS System.
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Canadian Forces Health Services Presentation to Executive Wing UNDE 20 May 2010
Scope • CFHS System • Primary Care System • Challenges
Director General through CMP, responsible and accountable to the CDS for the management, and administration of the CF health system CFHS 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
CMED CFEME 1 Cdn Fd Hosp 1 Dent U 1 H Svcs Gp CF H Svcs Gp CF H Svcs Gp HQ 4 H Svcs Gp CF HS Trg Ctr Borden CF H Svcs C Ottawa JTF North CF A HSSS JTF West JTF East JTF Pacific JTF Central JTF Atlantic
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)
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
CF H Services Challenges • HSS to JTF Afghanistan – • Kandahar Role 3 MMU transition to US (CENTCOM) leadership -
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)