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Deployment Health Assessment Program (DHAP) Update Army Reserve Conference 20 September 2012

Deployment Health Assessment Program (DHAP) Update Army Reserve Conference 20 September 2012. DHAP Mission DHAP Role in DCS Critical DHAP Gaps Deployment Readiness Overview DHAP Effect DHAP Program Objectives PDHRA Performance PDHRA No-Show Rates AKO E-Mail Feedback S-1 Net Messages

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Deployment Health Assessment Program (DHAP) Update Army Reserve Conference 20 September 2012

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  1. Deployment Health Assessment Program (DHAP) Update Army Reserve Conference 20 September 2012

  2. DHAP Mission DHAP Role in DCS Critical DHAP Gaps Deployment Readiness Overview DHAP Effect DHAP Program Objectives PDHRA Performance PDHRA No-Show Rates AKO E-Mail Feedback S-1 Net Messages Priorities of Effort-2013 and Beyond 2013 PDHRA Performance Goals Summary Agenda

  3. DHAP Mission • Maximize Pre-Deployment Health Assessment (Pre-DHA), Post-Deployment Health Assessment (PDHA), and Post-Deployment Health Reassessment (PDHRA) participation IAW DODI 6490.03 • Decrease the length of non-deployable conditions • Improve Soldier/DA Civilian well-being and Army operational readiness

  4. Deployment Health Assessment Program (DHAP) • DHAs are part of the DOD Deployment Health System and a critical piece of Deployment Cycle Support (DCS). DHAP includes, the pre-DHA, PDHA, and PDHRA and are designed to protect the health of those who serve by affording them the opportunity to identify health concerns and receive priority of care. • DHAP implementation and execution is a Commander’s responsibility with the support of personnel and medical staff officers. • Installation Staff and DHAP coordinators assist unit leaders with ensuring that all Soldiers complete the DHAs. • End State: • Maximizing Army readiness and the health of those who serve! DHAP and DA Civilians Resilience Training Resilience Training Resilience Training

  5. Critical DHAP Gaps (Why?) Percent completed against those deployed by quarter Total Redeployed

  6. Deployment Readiness Overview 15 8 (526) Note: Jan 2010 first BCT deployed without Stop Loss Note: FY12 (YTD) based on deployment of 9 BCTs, 2 CABs and 1 Div HQ Source: Rear Detachment Reports As of 9 Aug 12

  7. Individual Medical Readiness Rate (Reserve Components) • Goal: Total Force Medically Ready: 82% Data Source: Service data compiled and summarized by OSD-FHP&R, 19 July 2012 Related Policy: DoDI 6025.19

  8. The DHAP Effect • Army Personnel Policy and Procedures • Manpower Management and Distribution • Unit/Soldier Non-Deployability • Unit Operational Readiness • Soldier and Family Well-Being • Suicide Prevention • Substance Abuse/Domestic Violence Prevention Programs • Deployment Cycle Support • Warrior Transition and Wounded Warrior Programs • Health Care Promotion • Health Care Management • Unit Non-Deployability • Unit Medical Readiness • Soldier and Family Well-Being • Suicide Prevention • Substance Abuse /Domestic Violence Prevention Programs • Warrior Transition and Wounded Warrior Programs • Deployment Cycle Support G1 G1 OTSG Deployment Health Assessment Program (DHAP)

  9. DHA Program Overarching Objectives • Address the gaps in Deployment Health Assessment Program execution that prevent maximizing Soldier and DA Civilian participation • Increase MEDPROS Command Tracking/Monitoring capabilities to cover all DHAs • For DHAs to be a recognized by “All LEADERS”as a force multiplier and command/staff priority • To promote/enhance Soldier and DA Civilian well-being and reduce Soldier non-deployability • Increase Army operational readiness

  10. Post-Deployment Health Reassessment (PDHRA)Performance

  11. Aggregate Completion and 90-180 Compliance Aggregate 90-180 Day Completion / Compliance Goal = 100% Trigger Point = 85%

  12. SRU Data Highlights (Since 2006) Aggregate • Total Army completion up 1% for the first time in a year to 97%, highest completion ever. • DAC total completion passed 80% for first time ever. In the window compliance remains low at 34%. • DAC has 9 commands above 85% VCSA trigger point, accounting for under 25% of total DAC population. • AC has all commands above 90% completion. • IRR 90-180 completion up 1%; 64% of IRR Soldiers now complete their PDHRA by the end of their window. • All COMPOs had above-average in the window completion during the draw down compared to the aggregate 90-180 compliance over the life of the program, but Total Army compliance remains at 63%. 90-180 Day Performance Summary Completed 0-89 (too early; bottom red) or 181+ (too late; top red) days Completed 90-180 days Not Completed (181+ days) Source: MEDPROS8 August 2012 Does not include Amber SM (w/in 90-180 day window not complete)

  13. PDHRA (90-180 day) DOD Real-Time Compliance (IAW DODI 6490.03*) 66% 65% 63% 51% Completion Window Percentages 34% Nov 2011 Oct 2011 Sep 2011 Nov 2011 Nov 2011 Sep 2011 Sep 2011 Oct 2011 Oct 2011 Sep 2011 Nov 2011 Oct 2011 Nov 2011 Sep 2011 Oct 2011 PDHRAs Completed within 90-180 Days of Redeployment, by Month of Redeployment Aggregate 90-180 day compliance since 2006 Source: MEDPROS 6 July 2012 *DODI 6490.03 directs PDHRA completion within 90-180 days from redeployment **IRR includes all PDHRAs completed within 0-180 days

  14. PDHRA Screen/Referral Rates (24 Jul 12 – 22 Aug 12) Source: MEDPROS Aggregate Report As of: 22 August 2012 *Total Number of individual Soldiers referred for follow on evaluation/treatment **Emergent, Behavioral Healthcare, and Mental Health Specialty Care categories ***Primary Care/Family Practice and Specialty Healthcare categories

  15. PDHRA Screen/Referral Rates Since 2006 Source: MEDPROS Aggregate Report As of: 21 August 2012 (1) MEDPROS does not include those individuals that separated from service (2)Total Number of individual Soldiers referred for follow on evaluation/treatment (3)Emergent, Behavioral Healthcare, and Mental Health Specialty Care categories (4)Primary Care/Family Practice and Specialty Healthcare categories

  16. PDHRA AR No-Show Rates Jan – Jun `12 -10% - 10% 11% - 20% > 20% • A negative percentage is due to more Soldiers being screened than projected; goal is to be as close to 0% no-show as possible.

  17. Percentage of Emails Resulting in a Response, by Rank As of 31 July 2012

  18. S1 NET Messages (2010 thru 2012) • 29 Jun 12: REMINDER: PDHRA Window Opens for Soldiers and DA Civilians Affected by Iraq Drawdown. • 1 Jun 12: Periodic & Deployment Health Assessment ICD-9 Codes, 31 MAY 12 • 22 May 12: PDHRA Window Opens for Soldiers and DA Civilians Affected by Iraq Drawdown. • 2 May 12: New PDHRA Compliance Over Time MEDPROS Capabilities • 29 Mar 12: Frequent Deployers PDHRA Requirements • 31 Jan 12: Updated Medical Support For Redeployed DA Civilians • 25 Jan 12: Deployment Health Assessment Program featured on “STAND-TO” • 30 Dec 11: Medical Support for Redeployed DA Civilians • 28 Dec 11: Deployment Health Assessment Support for Soldiers Supported by USAF Medical Treatment Facilities • 7 Oct 11: Mandatory DHA'S Vital to Readiness and Well-Being • 8 Sep 11: AKO email initiative and misperception between PDHA and PDHRA • 15 Aug 11: Email initiative to promote compliance • 8 Jul 11: PDHRA AFN “Roger That” Hot Spot • 17 Jun 11: Non-deployability and PDHRA

  19. Priorities of Effort - 2013 and Beyond • Expand the PDHRA Program Management effort to include all DHAs in the Deployment Health Program • Develop MEDPROS as a commanders tool for tracking/monitoring DHAP compliance • Promote DHAP performance IAW DOD standards across all components • Seek/Develop new STRATCOM messages/methods to communicate DHAP benefits and encourage support from Commanders, Leaders, Soldiers, and family members • Continue to strengthen the relationship between the HR and medical communities in support of reducing non-deployable rates, and maximizing Soldier participation (well-being) and unit readiness • Leverage DOD/DA statistics and program analysis to identify issues, develop solutions, and improve program performance • Continue to seek creative solutions to improve IRR participation

  20. 2013 DHAP Performance Goals • Provide Pre-Deployment (Pre-DHA) and Post Deployment Health Assessment (PDHA) performance monitoring capability in MEDPROS • Improve DHAP MEDPROS Reporting Capability/Performance • Implement real-time metrics/reporting capability for all DHAs • Synchronize MEDPROS with DMSS/Leverage Redeployment/Deployment dates • Improve DA Civilian Reporting capability/accuracy • Improve Unit Commander compliance monitoring/tracking capability • Achieve 85% AC, ARNG, and AR (DOD) 90-180 day real-time compliance rate (PDHRA) • Achieve 98% AC, ARNG, and AR aggregate completion rate (PDHRA) • Achieve 95% IRR aggregate completion rate (PDHRA) • Achieve 90% DA Civilian aggregate completion rate (PDHRA) • Continue to develop new DHAP STRATCOM tools that educate Soldiers and DA Civilians, promote leader and family awareness and advocacy, and encourage honest participation

  21. Summary • DHAP is a critical program that supports Soldier and DA Civilian well-being and overall Army readiness • Chain of command and program coordinators must educate Soldiers and DA Civilians on the importance of the program and strongly promote honest participation • Avoid the risks of stovepipe execution at all levels. Commanders, G1s, G3s, and Surgeons (all leaders) must ensure that DHA execution is timely, synchronized, and promoting positive outcomes. • Checks and balances before and after DHA execution are essential • Don’t forget Resilience Training!...it sets the conditions for success • The HR and Medical communities must continue to be equal partners in the effort

  22. Mr. Joe PedoneProject Director, Deployment HealthAssessment Program (DHAP)Army G-1703-571-7287joseph.e.pedone@us.army.mil pedone_joseph@bah.com

  23. Back-up

  24. Key Program Milestones (2009-2011) • Recommended/Facilitated actions to link DMDC (deployment/ redeployment dates) to MEDPROS, and initiate PDHRA E-mail initiative Nov/ Dec 09 • Army G1 shifts priority of effort to • 90-180 day compliance (DODI 6490.03) • Program reaches 95% Army-wide aggregate completion - Army G1 MEMO to Field Commanders highlighting DODI (90-180 day) standards May 11 • MEDPROS Implemented DAC Tracking capability • MEDPROS Implements (PH I) 90-180 day Compliance • tracking capability for all COMPOS • Executed IRR Mass Marketing Campaign (Phase I and II) resulted in over 2,000 screens Jun 11 Apr 11 Oct 10 - Jul 11 Mar 11 • Developed new PDHRA (90-180 day) DOD compliance charts for Strategic Readiness Update • Installation IRR transitional metrics to identify PDHRA non-compliantinstallations • IMCOM issues OPORD to add a PDHRA Entry to installation level In- and Out-processing checklists Dec 11 Nov 11 Dec 11 Dec 11 Aug 11 Aug 11 Oct 11 - IRR reaches 85% aggregate completion for the first time - MEDPROS Implements (PH II) 90-180 day (DODI) compliance tracking capability. (RC Command Drill Down) • Automated AKO Soldier E-mail Notification Initiative (90, 120, • 150, and 210 days after redeployment) funded and approved Sept 10 • AKO Soldier E-mail initiative • Implemented (ALL-COMPOS) Feb 11 Nov 10 - Army G1 MEMO to Commanders highlighting actions to address DA Civilian non-compliance May 10 • Program expanded to include all DHAs. - IMCOM Installation IRR Transition PDHRA performance increases by 9% (80-89%) since Mar 11 OPORD. Nov 09 May 10 Oct 10 -IRR reaches 86% PDHRA AGG completion +11% since Dec 09 - DAC Civilians reach 72% PDHRA AGG completion +14% since Dec 10 - Identified/submitted 21 critical MEDPROS change requirements in support of DHAP program management/NDAA and DOD standards

  25. Key Program Milestones (2012) • New AR referral analysis identifies over • 7K Soldiers with unapproved referrals dating back 2 yrs • DAC Civilians reach 75% PDHRA AGG completion (+17%) • since Dec 10 Feb 12 • IRR (IMCOM) Transitional Analysis reaches 86% (+8%) since Feb 11 • MEDPROS/DMDC critical analysis conducted and • 40 page recommendations submitted to MEDPROS PM • New MEDPROS PDHRA real time compliance tracking capability introduced/metrics adjusted • DA Civilians reach 81% PDHRA AGG completion (+23%) • since Dec 10 May 12 Apr 12 Feb 12 Aug 12 Jan 12

  26. S1 NET Messages (2010 thru 2012), cont’d • 17 May 11: MEDPROS Enhancements (Phase II) • 1 Apr 11: Army Reserve: Schedule April PDHRA'S ASAP • 29 Mar 11: IMCOM OPORD release for PDHRA at In- and Out-processing • 25 Mar 11: In- and Out-processing Guidance for PDHRA (ALARACT 127/2008) • 15 Mar 11: NEW PDHRA AKO Pages Launched • 16 Feb 11: NEW*** 2011 PDHRA Frequently Asked Questions (FAQs). • 31 Jan 11: ARMY G-1 To Host 2011 Army-wide PDHRA Conference 24-25 Feb. • 31 Jan 11: PDHRA Process for Active Component Soldiers Assigned to AC/RC Units. • 31 Jan 11: MEDPROS Changes Prevent Duplicative Partial DHA Forms. • 4 Nov 10: MEDPROS Releases Improvements to PDHRA Reporting. • 8 Oct 10: PDHRA Compliance Solution for Active Duty Commanders with Remote Soldiers. • 11 Jun 10: Post-Deployment Health Reassessment (PDHRA) Compliance Memorandum, from the Army G-1. • 9 Apr 10: Battlemind (Resilience) Training and Leader Participation/Support Impact and Resilience Training Transition Guidance. • 30 Mar 10: Post-Deployment Health Reassessment (PDHRA) Program Factsheet.

  27. PDHRA Email Inquiries by Type

  28. PDHRA Email Inquiries by Rank

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