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Bureau of Medicine and Surgery

Bureau of Medicine and Surgery. S EVERELY I NJURED M ARINES AND S AILORS May 16, 2006 CAPT Clarence Thomas LT Keith Bass. SIMS Pilot Program. Navy Medicine is committed to working with supporting agencies to maximize the benefits available for severely injured marines and sailors.

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Bureau of Medicine and Surgery

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  1. Bureau of Medicine and Surgery SEVERELY INJURED MARINES AND SAILORS May 16, 2006 CAPT Clarence Thomas LT Keith Bass

  2. SIMS Pilot Program • Navy Medicine is committed to working with supporting agencies to maximize the benefits available for severely injured marines and sailors. • The Medical Treatment Facilities (MTFs) will initiate processes that immediately identify hospitalized members with qualifying traumatic injuries and expedite the medical evaluation board process.

  3. ProgramObjectives • MTF SIMS Program Liaison • Program Awareness • Health care providers and Case managers • MTF Guidance – BUMEDNOTE 1850 (Draft) • Completion of Medical Evaluation Boards (MEB) Reports • 15 days from the date of signed SIMS Enrollment Agreement • Continued Case Management • Case management of SIMS until transferred to VA case manager

  4. ProgramObjectives (Continued) • Medical Record Documentation • Consent to Release Forms • Coordination with supporting agencies • TRICARE Benefits Counseling • TRICARE Prime vs Standard • Health Benefits Counselors • TRICARE Service Centers • MTF Program Evaluation • Measure of Performance (MOPS) • Critical feedback for process improvement

  5. Medical Board • Documentation: • Cover sheet signed by MTF Convening • Dictation signed by two physicians (3 if member incompetent) • All studies and consults • SF 88/93 (Physical Examination) • Non-Medical Assessment • LODI/LODD • NOE for reservists

  6. Medical Case Management Defined: Is a process, managed by the health care team, to help the patient and his/her family find medical solutions. The case manager works with the patient to develop a plan to promptly control his/her illness and injury and to navigate through the maze of medical care. Services May Include: • Advocacy for health care needs • Individualized care plan. • Link to helpful community or other federal support systems. • Liaison with discharge planners (if admitted). • Clarification of your medical insurance. • Help to self-manage the patient’s situation for positive health outcomes. • Coordination of services among MTF providers. • Scheduled needed services within the MTF.

  7. Assumptions • Patient Travel Requirements • Invitational Travel Orders (ITO) • Funding/Issuance • Medical retirement: no MTF Funding for ITO • MEB Report Submitted to PEB • Timely submission • Active Duty vs Medically Retired • TRICARE Coverage • PRIME vs Standard • Seamless transfer during change in duty status

  8. Questions Bureau of Medicine and Surgery 2300 E Street NW Washington, DC 20372-5300 (202) 762-3126

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