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Office of the Chief Surgeon Army National Guard

Office of the Chief Surgeon Army National Guard . Vision An integrated medical readiness team…providing innovative leadership in a dynamic environment…assuring ready and deployable forces for federal, state and community missions Mission

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Office of the Chief Surgeon Army National Guard

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  1. Office of the Chief Surgeon Army National Guard

  2. Vision An integrated medical readiness team…providing innovative leadership in a dynamic environment…assuring ready and deployable forces for federal, state and community missions Mission To promote the medical readiness of the Army National Guard Goals Support deployment of a healthy force – Soldiers Support deployment of the medical force – Units Facilitate Warriors in Transition and Family Care – Beneficiaries Responsive and Relevant ARNG CSG Medical Team

  3. Agenda • Role of the Deputy State Surgeon • Role of the 68W Medical Readiness NCO • Role of the Health Systems Specialist • Role of Occupational Health Nurse • Role of the Case Manager/Admin support • ARNG Medical Readiness • How do DSS/Case Manager/68W Medical Readiness NCO Communicate to Commander Soldier medical restrictions

  4. Deputy State Surgeon Role/Responsibilities • Fulltime Manager of Medical Readiness in the state • Manage AMEDD staffing and assist with AMEDD recruiting • Manage medical readiness budget (NG6H) • Assist with AMEDD staffing a medical support missions both state, national and federal missions • Work with Homeland Defense (ESF 8) • Assist with building medical readiness for units identified for mobilization • Manage staff patterns, contracts to support annual PHA and dental exam • Manage MODs applications to support medical readiness

  5. 68W Medical Readiness NCO Role/Responsibilities • Traditionally located at a battalion or higher organization • Been in place for almost 2 years • Role is to assist commander with tracking medical conditions that warrant profiles, LOD’s or medical board actions • Is the fulltime touch point for the medical/admin community • Assists in obtaining medical documentation that has been requested by state headquarters staff in determining medical readiness • Coordinates annual PHA, dental and SRP events • Also tracks 68W credentialing within the organization

  6. Health Systems Specialist Role/Responsibilities • Manage the Line Of Duty’s (LODs) • Coordinate care, and paying of bills associated with LOD care and INCAP funds • Manage the Medical MOS Review Board/MAR2 for retainable soldiers with P-3/4 profiles • Oversee the creation and processing of medical board applications (MEB/PEB) • Supervise the application process for gaining entry back onto active duty for duty related medical conditions (ADME, MRP-E, MRP2) • Oversee funds associated with medical care and board actions

  7. Occupational Health Program Elements • Program Management • Medical Surveillance • Injury Management • Return to Work • Epidemiology • Health Promotion • Unhealthy Working Condition Abatement • Industrial Hygiene • Design Review • Ergonomics • Compliance Activities • AED’s Medical Surveillance • Baseline, Annual, Pre-placement, Incident & Exit exams • Respiratory Protection • Hearing Conservation • Vision Conservation • Radiation Exposed Employees Monitoring • Reproductive Health Conservation • Lead, Cadmium, etc. monitoring CPT Williams/ ARNG-CSG/ 703-607-7733 / tina.leanne.williams@us.army.mil

  8. Case Management Role/ Responsibilities • 2008 - Identified need to manage MND Soldiers • Goal to get as many SM’s ready for deployment as possible • Provide non-clinical case management in support of pre-mobilization Individual Medical Readiness to the 54 States and Territories • Covers all medical and dental issues (including BH) • PHA/SRP/SRC support • IDES (SMSC) support • 428 personnel (CM and ACC’s) in all 54 States and Territories

  9. What is Medical Readiness for the ARNG?

  10. Medical Readiness Classification (MRC) Defined • After evaluating the Soldier in the 9 Individual Medical Readiness (IMR) elements below, the Soldier will be categorized by MEDPROS into one of five medical readiness categories: MRC 1, 2, 3A, 3B, 4 • Health assessment • Deployment limiting medical conditions • Dental readiness • Immunizations • Deoxyribonucleic acid (DNA) • Current Human Immune Deficiency Virus (HIV) • Hearing readiness • Vision readiness • Women’s Readiness (Pregnancy)

  11. MRC 1 & 2

  12. MRC 3A

  13. MRC 3B

  14. MRC 4

  15. MRC: Medical Readiness Classifications - will focus on the population that needs the Commander/MTFs attention - those that are non-compliant. GO - MEDICALLY READY (IMM, DRC2, MWT, HIV, DNA) MRC 1 – Meets all Requirements and Dental Readiness Class 1/2 MRC 2 – Correctable within 72 hours. Soldier is Deficient in one of the following: Immunizations Dental Readiness Class 2 Medical Warning Tags HIV DNA MRC 3A - Correctable within 30 Days. (DRC3, HRC, VRC, WRC) Soldier is Deficient in one of the following: Dental Readiness Class 3 Future changes will include Hearing, vision, and women’s health readiness NO GO - MEDICALLY NOT DEPLOYABLE MRC 3B - Correctable in more than 30 days. (PRG, MND, LDP) Soldier is Deficient in one of the following: Pregnancy MND Y (TEMP Profile > 30 days OR PERM 3 Profile, not yet boarded) LDP Y (HIV POS, PREG, HOSP) Physical Category X MRC 4 – Status is unknown. (PHA, DRC4) Soldier is Deficient in one of the following: Periodic Health Assessment Dental Readiness Class 4 Medical Readiness Classification

  16. MRC: Dental, Hearing, Vision, and Immunizations MRC 1. Deployable, no medical issues MRC 2. Potential medical issue within 1 year MRC 3. MND, significant issue, must fix MRC 4. No Exam within a year (condition unknown) MRC Composition 1. All Classifications must be £ 2 2. All 3s and 4s can become £ 2 within £ 72 hours 3a. All 3s and 4s can become £ 2 from > 72 hours to £ 30 days 3b. All 3s and 4s can become £ 2 in >30 days 4. No current Exam

  17. Dental Readiness Classifications • Dental Class 1Soldiers with a current dental examination, who do not require dental treatment or reevaluation. Class 1 Soldiers are worldwide deployable and classified as medically ready and “Green” in MEDPROS. • Dental Class 2Soldiers with a current dental examination, who require non-urgent dental treatment or reevaluation for oral conditions which are unlikely to result in dental emergencies within 12 months. However, Dental Class 2 Soldiers still have active dental disease that will eventually require treatment. Dental Class 2 Soldiers are worldwide deployable, considered medically ready, and classified as “Green” in MEDPROS. • Dental Class 3 Soldiers who require urgent or emergent dental treatment. Dental Class 3 Soldiers are normally considered medically not ready and are classified as "Red" in MEDPROS. • Dental Class 4 Soldiers who require dental examinations. This includes Soldiers who require annual or other required dental examinations and Soldiers whose dental classifications are unknown. Dental Class 4 Soldiers are normally considered to be medically not ready and are classified as Indeterminate status and "Red" in MEDPROS.

  18. ARNG Medical Readiness IndicatorsAs of 1 Feb 11 • ARNG Medical Readiness • MRC 1/2 Ready = 62% • DENTAL 1/2 = 69% • FLU VACCINE = 84% • MRC 3A < 30 days = 12% (40,679) • MRC 3B > 30 days = 10% (32,765) • MRC 4 Unknown = 16% (57,820) • Medical Readiness Classification • IAW AR 220-1 and AR 40-501 • MRC 1-2 (IMM, DRC2, MWT, HIV, DNA ) Correctable within 72 hours • MRC 3A (DRC3, HRC, VRC, WRC) Correctable within 30 Days • (MRC 3B (PRG, MND, LDP) • Correctable in more than 30 days • MRC 4 (PHA, DRC4) • Status Unknown

  19. ARNG MED/DEN Readiness Funding Mobilization - 180 Redeployment Redeployment + 180 Mobilization Deployment Accession Alert State IMR Execution (FAD) ARNG CSG IMR Execution RHRP RHRP 2020 Tx Dental* Dental* TRICARE (DHP) Case Management Support ($15M) *Authority through pending ASA-M&RA Memo re: 10 USC 1074a

  20. Case Management is Key to Building Medical Readiness • You provide oversight to medical resolution • Either by clearing Soldier, providing a permanent profile, or beginning actions to go before administrative/medical board for retention or separation • You serve as a conduit between Soldier, Commander and State Surgeon and his staff • You help build a medically fit operational reserve • Without what you do for our Soldiers the commander does not know how long it will take to resolve a Soldier with medical condition that prevents him from doing his job, going to training or being called to serve state or federal missions.

  21. COL John Grote ARNG Surgeon 703-607-7141 John.grote@us.army.mil

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