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Welcome to National Guard Medical Case Management!

Welcome to National Guard Medical Case Management!. Angela Braithwood, RN, BSN Senior QA Analyst Skyline, Ultd. Welcome!. New to the military work environment? New to the National Guard? Here are some tidbits of info you’ll find enlightening…. What is the National Guard Anyway?.

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Welcome to National Guard Medical Case Management!

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  1. Welcome to National GuardMedical Case Management! Angela Braithwood, RN, BSN Senior QA Analyst Skyline, Ultd.

  2. Welcome! • New to the military work environment? • New to the National Guard? • Here are some tidbits of info you’ll find enlightening…

  3. What is the National Guard Anyway? • Began with the first muster of the Massachusetts Bay Colony on December 13th, 1636 • Oldest member of the Armed Services • Official Reserve Force for U.S. Army in 1903 • Air National Guard officially formed after World War II, September 18th, 1947

  4. 54 Different Armies GUAM HAWAI’I PUERTO RICO US VIRGIN ISLANDS

  5. Alphabet Soup • We LOVE acronyms! • Please do not hesitate to ask what an acronym means – sometimes we don’t know either!

  6. Rank

  7. Air Force Too (JFHQ) Senior Airman * First Sergeant can be any senior NCO rank * Officer Rank is the same as Army

  8. Units Army National Guard Air National Guard Numbered Air Forces Wings Groups Squadrons Flights • Divisions • Brigades (BCT) • Battalions • Companies/Batteries • Aviation

  9. Chain of Command? • A little different as a contractor….

  10. MCM Contract Personnel National Guard Bureau and States Chief Surgeon, Army National Guard Contracting Officer NGB Contracting Office (NGB-ARQ) ARNG Chief Surgeon’s Office (NGB-CSG) ARNG State Surgeon’s Office (Office Symbol Varies) Contracting Officer’s Representative Deputy State Surgeon State Surgeon Contracting Specialist

  11. MCM Contract Personnel Skyline Ultd. and Sterling Medical Skyline Program Manager Program Office Sterling Assistant Program Manager (Sterling Medical Rep) Contract Administrative Assistant Deputy Program Manager Case Manager Operations Case Manager Administrative Care Coordinator Quality Assurance Administrative Care Coordinator

  12. Skyline-Sterling State Divisions GU HI VI PR

  13. People you Work With • Office of the State Surgeon • DSS • Health Systems Specialist (HSS) • Boards • G-1/J-1 • Personnel • Medical Command/Detachment • Units • Medical Readiness NCO’s

  14. What You Do • ID and track SM’s that are medically not ready • Move through the medical system • Documentation • Medical records administration and transportation • Provide Medical Resources • Insurance information (Tricare) • Community (State aid) • VA (when eligible)

  15. What You DON’T Do • Administrative LOD work • Work NOT related to medical readiness

  16. Deployment Medical References • AR 40-501 – Standards of Medical Fitness • AR 40-66 – Medical Records Administration • PPG – ARNG G-1 • CENTCOM Mod 11 • What does the MOBSTA say?

  17. Army Case Management Model • DoD • Focus on education and training of CM’s • Inclusion Criteria for MND • Army – WTU’s and MMC • Based on CMSA Standards • Core competencies • AC-centric: No reserve component model • National Guard – Varies by State • No official guidance from NGB

  18. Army National Guard Case Management • Goal – Reduce Medically Not Ready population to maximize number of Soldiers available for mobilization/deployment • PHA/SRP/SRC Support • LOD/IDES Preparation • Remote Care • Telephonic Case Management • Electronic Database Systems

  19. How Remote Case Management Feels Sometimes….

  20. Do talking with Soldiers feel like this?

  21. Or This?

  22. Case Management References • Several orders, policies, and directives guide current Army CM practice • MEDCOM OPORD Nursing Case Management Guidance – consolidates all the above (Active Duty Centered) • Overall guidance and standards from CMSA • State-based guidance

  23. Thank you! Contact Information: angela.braithwood@skyline-ultd.com (703) 407-2102

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