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MEDPROS CHANGES. Identifying Soldiers Who Are Non-Deployable for Medical Reasons. DATE: 20120322. Unclassified - FOUO. BRIEFING OUTLINE.
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MEDPROS CHANGES Identifying Soldiers Who Are Non-Deployable for Medical Reasons DATE: 20120322 Unclassified - FOUO
BRIEFING OUTLINE PURPOSE: To provide information on how and why the Army Medical Department is changing the Individual Medical Readiness (IMR) Elements in the Medical Protection System (MEDPROS) • Background • Road Ahead - New Deployment Limiting (DL) medical condition ratings: • DL1 – Profile Codes F, V, X (MR 3B) or Permanent P3/4 not in eProfile & no Profile Code S/T/W/Y (boards) • DL2 – MAR2 initiated, not completed (MR 3B) • DL3 – MEB initiated, not completed (MR 3B) • DL4 – Temp Profile >30 days (except pregnancy) (MR 3B) e. DL5 - Pregnant (will not be DL4 too) (MR 3B) f. DL6 – Temp Profile <31 days (MR 3A) • Each rating will be covered more in this briefing. • Impacts by Compo and Major Command – FOUO –
BACKGROUND The primary purpose of the new MEDPROS Deployment Limiting (DL) medical condition conversion is to take the current MND rating of Yes or No and break it out to provide Commanders with more granularity and visibility of all existing medical factors resulting in non-deployable ratings for their Soldiers.
BACKGROUND (cont) Current MEDPROS IMR elements of MND (Medical Non-Deployable) and LDP (Limited Duty Profile) are not clearly defined or supported by any regulation or official document. Today, the LDP category is used autonomously by Commanders to document otherwise unsupported medical conditions – resulting in Soldiers being rated as MR 3B and ineligible for deployment and assignments. The MND category does not clearly identify the specific reason(s) a Soldier is non-deployable. Chapter 11-4b(1) thru (5) of AR 40-501 outlines the multiple deployment limiting (DL) medical conditions that prevent a Soldier from deploying.
ROAD AHEAD MND (Medical Non-Deployable) will be removed from MEDPROS and replaced by the six specific Deployment Limiting (DL) medical condition codes. LDP (Limited Duty Profile) IMR element will be removed from MEDPROS and will not be replaced as it is not supported by any official regulation or policy. After the conversion, Soldiers may be rated in more than one DL category and those that are will have all applicable DL categories reflected on their IMR Record. When fully implemented, all DL categories will be auto-fed by entries documented in eProfile System. The DL1-DL6 Category labels were created simply for ease of display in MEDPROS Reporting capabilities.
ROAD AHEAD (Cont.) Deployment Limiting medical condition 1 (DL1) Soldiers assigned Profile Codes F, V, or X Soldiers with a historical permanent PULHES (P3/P4) rating and no evidence of board completion (i.e., assignment of Profile Codes S, W, Y or initial entry waiver T code) and profile is NOT documented in eProfile. Crosswalk: AR 40-501, Para 11-4b(3), when no indication MAR2 or MEB initiated as noted in para 11-4b (3). Regulation revision to support identification of Soldiers with Profile Codes F and V as non-deployable (already in Table 7-2, but not in para 11-4b(3) being proposed.
ROAD AHEAD (Cont.) Deployment Limiting medical condition 2 (DL2) Soldiers with MAR2 initiated as noted in block 7 of an eProfile created DA Form 3349, but have not completed the board process (profile code “W” not assigned). New MEDPROS Reports will display how many days Soldier has been in MAR2 process. Crosswalk: AR 40-501, Para 11b(3)(a)
ROAD AHEAD (Cont.) Deployment Limiting medical condition 3 (DL3) Soldiers with an MEB initiated in block 7 of an eProfile created DA 3349, but not yet completed (Profile Code S or Y* not assigned). MEDPROS Reports will display how many days Soldier has been in MEB process. Crosswalk: AR 40-501, Para 11-4b(3)(a) *Proposal submitted for AR 40-501 revision to support the assignment of Profile Code “S” in Para 11-4b(3)(b) for those completing the MEB process. Currently those Soldiers could have an “S” or “Y” profile code assigned.
ROAD AHEAD (Cont.) Deployment Limiting medical condition 4 (DL4) Soldiers with a Temporary (T3/T4) Profile documented in eProfile and… the original duration of the temporary profile is greater than 30 days (this category will NOT include Pregnant females, see next slide for DL5 rating). Soldiers in this category who, up until now, were being converted to MR3A when their profile was within 30 days of expiring will now be classified as MR3B until that profile expires. Crosswalk: AR 40-501, Para 11-4b(4) and Para 11-5d(2)
ROAD AHEAD (Cont.) Deployment Limiting medical condition 5 (DL5) Soldiers with pregnancy profile documented in eProfile or pregnancy status “Yes” indicated in MEDPROS (the latter capability being removed as soon as practical once eProfile template mandated use for Pregnancy Profiles). To avoid double counting, these Soldiers will NOT also be rated as DL4 unless they have other PULHES factors supporting a DL4 rating. Current “PRG” element converted to DL5 for continuity in the ratings of deployment limiting conditions. Crosswalk: AR 40-501, Para 11-4b(2) Para 11-4b(4) and Para 11-5d(3)
ROAD AHEAD (Cont.) Deployment Limiting medical condition 6 (DL6) Soldiers with a Temporary Profile (T3/T4) documented in eProfile and.. the original duration of the temporary profile is less than 31 days. this is the only DL Category where MR 3A is assigned. All other DL categories (1-5) result in assignment of MR3B. Crosswalk: AR 40-501, Para 11-4b(4) and Para 11-5c(1)
Medical Readiness (MR) Classification The Medical Readiness (MR) Classification replaced the Fully Medically Ready (FMR) status for the Soldier. The MR Classification provides a more realistic readiness status of the Soldier and their ability to deploy to an austere environment in a timely manner. • Each Soldier will be assigned a Medical Readiness (MR) Classification. All Soldiers with an MR 1 or 2 will be considered as Medically Available and all Soldiers with an MR 3A, 3B, or 4 will be considered as Medically Non-available. The overall classification will be based on the lowest classification for a Soldier. This will be based on the following criteria: • MR 1 – Meets all Requirements and Dental Readiness Class 1 or 2 (Green) • MR 2 – Correctable within 72 hours (Amber). Soldier is Deficient in one of the following: • DNA • HIV • Immunizations (IMM) (Routine Adult Immunization Profile) • Individual Medical Equipment (IME) - (Mask Inserts(1MI), 2 pair eye glasses (2PG), Military Combat Eye Protection Inserts (MCEP-I), Medical Warning Tags (MWT), and Hearing Aid w/Batteries (HAB) • MR 3A - Correctable within 30 Days (Red). Soldier is Deficient in one of the following: • Dental Readiness Class 3 (DRC3) • Temporary profiles with a 3 or 4 in the PULHES that is less than 31 days-DL6 • MR 3B - Correctable in more than 30 days (Red). Soldier is Deficient in one of the following: • Permanent Profile without a completed board and/or Profile Code of “F, X, V” - DL1 • Permanent Profile with a 3/4 in the PULHES, MAR2 in progress- DL2 • Permanent Profile with a 3/4 in the PULHES, MEB/PEB in progress - DL3 • Temporary profile with a 3/4 in the PULHES that is greater than 30 days - DL4 • Pregnant - DL5 • MR 4 – Status is unknown (Red). Soldier is Deficient in one of the following: • Periodic Health Assessment • Dental Readiness Class 4
IMPACT ON MR RATINGS (COMPO) • The majority of MR Category changes above (and on following slides) are explained below: • MR2 decrease & MR1 increase – all DRC2 personnel changing to MR1 • MR3A decrease & MR3B increase – moving all personnel who changed to • MR3A when original profiles >30 days went under 31 days, now moved back • under MR3B. • MR4 increase (small) – mostly due to Soldiers who were MR3B due to LDP • Y value now being moved to other MR ratings with the removal of LDP logic.
IMPACT ON MR RATINGS (By Name) This template shows examples of how we converted each impacted Soldier from one MR Category to another and the reason why. A complete by name listing is available for all impacted by this change.
Impact on MEDPROS Web Reporting Web Reporting Screen Shots Impact of DLC Conversion MSR (NOTE: Unless specifically shown, the path to any reports that were updated remains unchanged.)
Impact on Web Reporting New Dashboard Screen Both the unit and Soldier Dashboards on the Web Reporting Home page now include the six DL ratings for the Unit and the Soldier. The Web Reporting Home Page has new links to the new “Cdr Profile Report” and the “Consolidated DLC Report” Web Reporting Module.
Impact on Web Reporting New IMR Record The DL Rating definitions show here are available in the Report Legends of the modules where these ratings appear. Future enhancement will provide more definition beside these DL ratings.
Impact on Web Reporting New UMR Screen - Data Report The new default UMR Report is the data report that only shows Soldiers in the Unit/TF who have one or more UMR shortfalls. The Report legend provides definitions of the column values on this report. The bottom of the report provides the usual summary by each IMR category.
Impact on Web Reporting – New UMR Screen - Status Report The default UMR Report data report can be changed to a status report using the Modify filters dropdown. The status report (shown here) provides the Green/Red status for each IMR element. The default report only shows those with deficiencies, but user can also change the filter to request a report on “All Assigned” using the Modify Filter dropdown.
Impact on Web Reporting New Cdr Profile Report • These 3 columns were added to the Commander Profile Report: • Profile Source (DA3349 or blank) • MEDPROS & eProfilePrg flags • Consecutive days on Profile • We also separated out the 3 profile codes into separate columns.
Impact on Web Reporting New Consolidated DLC Report All DLCs New Path to this report This report replaces the old Consolidated MND report and the “default” settings include all DL ratings (1-6). However, the report menu filters allow users to select any combination of these DL ratings – see next two slides for examples.
Impact on Web Reporting New Consolidated DLC Report DL 1 & 5 Consolidated DLC report with filters asking only for DL1 and DL5 ratings (includes Soldiers who are pregnant (DL5) or have profile code F/V/X assigned, or P3/4 profile not in eProfile (DL1).
Impact on Web Reporting • New Consolidated DLC Report DL 4 & 6 Consolidated DLC report with filters asking only for DL4 and DL6 ratings (includes Soldiers with Temp T3/4 Profiles in both categories (< 31 days, >30 days).
Impact on Web Reporting Single Medical Readiness Report Menu When “Deployment” filter selected, user can project out at 30, 60, 90, and 180 day intervals. This filter only applies to SMR issues that expire (Exams) (The ability to enter a future (measure) date for Readiness is unchanged)
Impact on Web Reporting New Medically Not Ready Report* Except for replacing the old MND and LDP columns with the six DL categories the new Medically Not Ready (MNR) report remains unchanged.
Impact on Web Reporting New USR Report Except for replacing the old MND and LDP ratings with the six DL categories, with definitions of each found in the report summary at bottom of report, the new USR Status report remains unchanged.
Impact on Web Reporting New UMR CDD New UMR CDD shows both numbers and percent non-compliant for each IMR element...
Impact on Web Reporting • New UMR CDD – MR Ratings Only …new UMR CDD report, just extended to right to display all IMR rating categories.
Impact on Web Reporting New MRC by MACOM (and Location) New MRC By MACOM (FORSCOM Locations shown) report displaying all IMR rating categories with counts and percent non-compliant..
Impact on Web Reporting New MRC by Location (and MACOM) New MRC By Location (Ft Bragg Location shown with summary for each MACOM located on the installation) report displaying all IMR rating categories with counts and percent non-compliant..
Impact on Web Reporting New MRC Location (Active Army Drilldown) New MRC Location Drilldown (Active Army Locations shown (Natl Guard States available option) report displaying all IMR rating categories with counts and percent non-compliant..
Impact on Web Reporting New MRC Natl Guard (State Drilldown) New MRC Location Drilldown (National Guard States shown (Active Army locations available option) report displaying all IMR rating categories with counts and percent non-compliant..
Impact on Web Reporting New MRC Status Report New MRC Status report fielding is being delayed until modifications can be made to address changes in report logic (see pop-up message for explanation).
Impact on Web Reporting New Installation MNR Management Reports Also created links to the Dental and PHA modules for MMC team. MEDPROS has these five new executive reports, created for the Medical Mgnt Centers (MMCs) at 26 different locations. See next five slides for info on each…
Impact on Web Reporting New Installation MR 3A 3B Report First of five new Installation reports created for Medical Management Center (MMC) personnel at select locations – this report provides counts of total assigned, # of those with 3A & 3B MRC ratings (individually and combined). NOTE: The following locations include satellite locations that fall under the primary installations listed: - Ft Lewis includes Tacoma, Madigan General, Yakima PvgGrd - Ft Benning includes Dahlonega - Ft Stewart includes Hunter Army Airfield - Ft Bliss includes White Sands Missile Range - Ft Hood includes West Fort Hood Korea includes ALL personnel on the Korean Peninsula
Impact on Web Reporting New Installation 90/180/270/365 Profile Rpt Second of five new Installation reports created for Medical Management Center (MMC) personnel at select locations – this report provides counts of Soldiers who have been on Temporary Profiles for different periods of time (see timeframes below on screenshot) NOTE: The following locations include satellite locations that fall under the primary installations listed: - Ft Lewis includes Tacoma, Madigan General, Yakima PvgGrd - Ft Benning includes Dahlonega - Ft Stewart includes Hunter Army Airfield - Ft Bliss includes White Sands Missile Range - Ft Hood includes West Fort Hood Korea includes ALL personnel on the Korean Peninsula
Impact on Web Reporting New Installation Return to Duty Rate Rpt Third of the five new Installation reports created for Medical Management Center (MMC) personnel at select locations – see attached legend for the cell descriptions.
Impact on Web Reporting Installation eProfile Compliance Rate Rpt Fourth of the five new Installation reports created for Medical Management Center (MMC) personnel at select locations – This report provides the counts for the Total number of Soldiers who have 3/4 PULHES serials and, of those, how many are recorded in eProfile and the percent compliant.
Impact on Web Reporting New Installation MR 3B Personnel Rpt Fifth of the five new Installation reports created for Medical Management Center (MMC) personnel at select locations – This report provides a by name roster of all personnel at the selected installation who either started the month as something other than an MR3B and was something other than a 3B at the end of the month OR were something other than an MR3B at the beginning of the month and were a 3B at the end of the reporting month. Dropdown choices: - All scenarios - MR3B to other - Other to MR3B NOTE: The first report not available until 2 Apr 12 (for March 2012).
Impact on MEDPROS Web Data Entry (MWDE) MWDE Screen Shots Impact of DLC Conversion MSR.
Impact on MWDE New Online SRP Checklist Applicable DLCs will populate in the PHA/Profile Section of the online SRP Checklist – if 1-5, then “MR3B”; - if 6, then “MR3A”.
Impact on MWDE New Medical Readiness Tab Applicable DLCs will populate in the Medical Readiness Tab of MWDE - Data Autofed from eProfile and other system logic (Prg-yes), not editable.
Impact on MWDE New SRP Checklist PDF Applicable DLCs will populate in the PHA/Profile Section of the printed SRP Checklist – if None, then “Ready”; - if any, then “Not Ready”.
Impact on MEDPROS Mainframe Mainframe Screen Shots Impact of DLC Conversion MSR.
IMPACT ON MAINFRAME IMR Record – FTS Screen -Profile Code V drives DL1 -MEB drives DL3 -Temp Prof >30 days drives DL4 rating See F1 Help Screen for DLC Definitions (next slide)
IMPACT ON MAINFRAME IMR Record – FTH Screen -Profile Code V drives DL1 -MEB drives DL3 -Temp Prof >30 days drives DL4 rating F1 Help Screen provides DLC Definitions
IMPACT ON MAINFRAME UMR Record – FTK Screen Unit/TF Medical Roster provides raw data from each IMR record for the six DL Categories. These are on side 3 of 3 of the FTK screen module.
IMPACT ON MAINFRAME UMR Record – FTL Screen DL5 & 6 ratings may be viewed by pressing F11, page right… Unit/TF Medical Rdy Status Roster provides a G/A/R rating for each of the six DL Categories. These are on side 1 and 2 of the FTL screen module. The FTK (data) and FTL (Status) reports are duplicated on MEDPROS Web Reporting Module.
IMPACT ON MAINFRAME UMR Record – FTN Screen DL5 & 6 ratings can be viewed by pressing F11, page right… Unit/TF Medical Rdy Recap Roster provides a G/A/R/B rating for each of the six DL Categories. These are on side 1 and 2 of the FTN screen module. The FTN data is presented in the default status mode of the Unit/TF Medical Readiness reports on MEDPROS Web Reporting Module which shows deficiencies only..