Specialist Corps Brief
2013 RAMSCA Annual Meeting
COL Nikki L. Butler Corps Chief
UNCLASSIFIED Select SLIDE MASTER to Insert Briefing Title Here AGENDA
PURPOSE: To provide an overview of the Army Medical Specialist Corps
1. History 2. Corps Structure 3. Current Focus Areas 4. Corps Leadership 5. Strategic Overview 6. Operating Company Model 7. Networking 8. Questions
AMSC 65th Anniversary Historical Video
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History of the Corps
1972 -1992
14-Mar-13 Name/Office25 March Symbol/(703) 2013 XXX-XXX (DSN XXX) / email address UNCLASSIFIED Slide 3 of 34 AMEDDSelect SLIDE DISTRIBUTION MASTER to Insert Briefing FY13 Title (AC)Here
Total: 15,982 SP: 1559
• VC: 559 (3%) • 65A: 98 (6%) • DC: 1065 (7%) • 65B: 298 (19%) • SP: 1559 (10%) • 65C: 155 (9%) • AN: 3657 (()23%) • 65D: 1 008 (65%) • MS: 4480 (28%) • MC: 4662 (29%)
14-Mar-13 Name/Office25 March Symbol/(703) 2013 XXX-XXX (DSN XXX) / email address UNCLASSIFIED Slide 4 of 34 AMEDDSelect SLIDE DISTRIBUTION MASTER to Insert Briefing FY13 Title (RC)Here
Total: 9,023 SP: 548
• VC: 239 (3%) • 65A: 50 (9%) • DC: 550 (6%) • 65B: 59 (11%) • SP: 548 (6%) • 65C: 73 (13%) • AN: 3642 (40%) • 65D: 364 (67%) • MC: 1543 (17%) • 65X: 2 • MS: 2152 (24%) • 05A: 349 (()4%) National Guard • 65A: 1 (0 Auth) • 65B: 32 (30 Auth) • 65D: 741 (986 Au th)
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COL Butler
COL Jones COL Ellison
SP Corps Chief: COL Nikki Butler Deputy, Strategic Initiatives: COL Brenda Ellison Deputy, Operations/CSBPO: COL Peggy Jones Executive Officer: MAJ Mae Cisneroz Executive Fellow: CPT Rebecca Morrell
MAJ Cisneroz CPT Morrell 14-Mar-13 Name/Office25 March Symbol/(703) 2013 XXX-XXX (DSN XXX) / email address UNCLASSIFIED Slide 6 of 34 SPSelect CORPS SLIDE MASTER OFFICE to Insert STRUCTURE Briefing Title Here
SP CORPS CHIEF
DEPUTY IMA to DEPUTY (STRATEGIC CORPS CHIEF (OPERATIONS / INITIATIVES) (when mobilized) CSBPO)
EXEC STRATEGIC ALLIED HEALTH OPERATIONS STAFF OFFICER FELLOW XO OFFICER FELLOW
Fort Sam Houston
NCR / OTSG
Dual Hatted
Student Status
Not on TDA
14-Mar-13 Name/Office25 March Symbol/(703) 2013 XXX-XXX (DSN XXX) / email address UNCLASSIFIED Slide 7 of 34 Select SLIDE MASTER to Insert Briefing Title Here SP CORPS OFFICE PURPOSE
• Principal staff for the SP Corps Chief • Liaison between AOC Chiefs (AC and RC) • Coordinates all Corps business, especially pertaining to: – Recruiting and Retention
– Education and Training
– Internal and External Communication
– Policy
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ROUTINE COORDINATION ADMIN FUNCTIONS •AOC Chiefs •Boards/Awards AMEDD LIAISON •AMEDDC&S •Commo/Correspondence RESPONSIBILITEIS (OT, PT, DT, PA Branches) •Ceremonies •O2M3 •DHET •VTCs /DCO/tcons •RAMSCA •HRC •Receptions •USAREC •Site Visits •DCDD •Social Events MACOMsMACOMs MCICMCIC OTSGOTSG SP CorpsCorpsSP SP COMMITTEES MEDCOM •Education OfficeOffice •Research ONGOING SP CORPS •Force Structure SWOT ANALYSIS •Business Operations
UNPROGRAMMED LEADER TRAINING REQUIREMENTS FORCE MARKETING/PR CENTER •Taskings STRUCTURE •Conferences •BOLC •Data Calls •APPD •Receptions/Socials •CCC •Policy Development •DCDD •Media Input (AD and USAR) and Revision 14-Mar-13 Name/Office25 March Symbol/(703) 2013 XXX-XXX (DSN XXX) / email address UNCLASSIFIED Slide 9 of 34 Select SLIDE MASTER to Insert Briefing Title Here SP CORPS OFFICE FOCUS AREAS
• Strategic Planning & the Balanced Scorecard – Strategy Advisory Board (SAB) • Communication – Defense Connect Online (DCO) and VTCs • SP Corps Word Wide Brief (quarterly) • SP Senior Leader Forum (every two months) • Individual AOC Briefs (quarterl y) – Always accepting articles and photos for the Corps Connection (now every 2 months); send email to [email protected] (changing to usarmy.jbsa.medcom- [email protected] – milBoo k / AKO • Recruiting / Retention – Iron Majors / Award of Excellence / TSG – PA Recognition Award – Ongoing recognitions for performance and retirements • Education and Training – BOLC / CCC Branch Days – LTHET – Iron Majors Week (TBD) – Postgraduate Professional Short Course Program (PPSCP) 14-Mar-13 Name/Office25 March Symbol/(703) 2013 XXX-XXX (DSN XXX) / email address UNCLASSIFIED Slide 10 of 34 Select SLIDE MASTER to Insert Briefing Title Here COMMITTEES / WORK GROUPS
• Advisory groups to the SAB and includes members from all 4 AOCs :
– Force Structure Committee • Analyze, develop, and recommend force structure changes to Corps Chief
– Business Operations Work Group • Focus: business policies, practices, and procedures impacting on SP ppyrovider delivery of care • Standardize business practices • Designated space on Corps Webpage for “Clinical Managg,ement” includes: Administrative, Clinical, and Business sub-folders
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– Education Committee • Serves as the executive body for strategic planning, integration, and consensus building for all SP education and training programs • Standardizes programmatic policies, practices, and procedures when appropriate • To provide recommendations on educational policies, practices, and procedtthCChifdures to the Corps Chief
– Research Committee • Serves as the executive body for strategic planning and guidance for SP research • Serves as the integrating body for all current, completed, and published SP research • To promote efficiencies through collaboration and integration of resources • To plan , develop, and execute SP level research education • To provide recommendations on research policies and practices to the Corps Chief 14-Mar-13 Name/Office25 March Symbol/(703) 2013 XXX-XXX (DSN XXX) / email address UNCLASSIFIED Slide 12 of 34 Select SLIDEUS ARMY MASTER PUBLIC to Insert HEALTH Briefing Title Here COMMAND (USAPHC)
Mission Promote health and prevent disease, injury, and disability of Soldiers and military retirees, their families, and Department of Army civilian employees; assure effective execution of full spectrum veterinary services for the Army and Department of Defense veterinary missions.
Products and Services • Publications and Products eCatalog: i.e., Nutrition, Health and Wellness, Deployment Health Guides, Ergonomics, Suicide Prevention, Vision/Hearing Conservation (PDFs, Posters, Brochures, Fact Sheets). No cost products. Link: http://usachppm.amedd .army .mil/HIOShoppingCart/ • Health Promotion and Prevention Initiatives Program: Purpose: To fund health promotion and prevention initiatives. Link: httppp://phc.amedd.army.mil/dh pw/Po pulation/HPPI.aspx • Physical Training Injury Prevention Toolbox: This site is devoted to reducing the rate of sports and physical training related injury in our Armed Forces with the use of evidence - based interventions. This site is devoted to reducing the rate of sports and physical training related injury in our Armed Forces with the use of evidence based interventions Link: http://phc.amedd.army.mil/ptipt/default.aspx
14-Mar-13 Name/Office25 March Symbol/(703) 2013 XXX-XXX (DSN XXX) / email address UNCLASSIFIED Slide 13 of 34 SelectUS ARMY SLIDE MASTERRESEARCH to Insert INSTITUTE Briefing Title OF Here ENVIRONMENTAL MEDICINE (USARIEM)
USARIEM is an internationally recognized center of excellence for research on operational health and performance of Warfighters Mission • Protect, sustain, and enhance the health and performance of Warfighters through basic and applied research in Environmental Physiology and Occupational Medicine
Areas of Research • Military Nutrition – Bioenergetics and metabolism, healthy weight management, combat ration testing, dietary supplements • Military Performance – Physical performance optimization, injury reduction/bone health, military biomechanics research, cognitive performance, decision-making and judgment • Thermal Mountain Medicine – Cold & heat stress physiology, high altitude physiology, environmental illness & injury, acquired tolerance & acclimatization, hydration • Biophysics & Biomedical Modeling – Clothing biophysics, biomedical / predictive modeling, physiological modeling
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COLCOLCOL Nikki Butler 1818thth SP Corps Chief
Dual HattedHatted:: SP Branch Chief, Human Resources Command
14-Mar-13 Name/Office25 March Symbol/(703) 2013 XXX-XXX (DSN XXX) / email address UNCLASSIFIED Slide 15 of 34 Select SLIDE COLMASTER MYRNA to Insert CALLISON Briefing Title Here OHS Portfolio Executive Officer, USAPHC Chief, OT Section (65A)
Top Initiatives:
1. Define/delineate the role of Occupational Therapy in Behavioral Health
2. Incorporate Occupational Therapy into the PfPerformance TidTriad
3. Hiring retention of Civilian Occupational Therapists
14-Mar-13 Name/Office25 March Symbol/(703) 2013 XXX-XXX (DSN XXX) / email address UNCLASSIFIED Slide 16 of 34 Select SLIDE MASTERCOL JOHN to Insert STANG Briefing Title Here Commander, POMAHC Chief, PT Section (65B) Top Initiatives:
1. Performance Triad: Office of the Surgeon General (OTSG) Activity Group Musculoskeletal Action Teams (LTC Gregg)
2. Expanded Standardization of Position Descriptions (PDs), pay grade Research MP3, and research tracking tool (LTC Teyhen)
3. Developing residency concept IAW APTA vision 2020 (LTC/P Shaffer)
4. Standardization in Essentris (CPT Morrell)
14-Mar-13 Name/Office25 March Symbol/(703) 2013 XXX-XXX (DSN XXX) / email address UNCLASSIFIED Slide 17 of 34 Select SLIDE MASTERCOL LAURIE to Insert SWEET Briefing Title Here Nutrition Program Manager, USAMEDCOM Chief, Dietitian Section (65C) Top Initiatives:
1. Performance Triad: start 1 June 2013 at three BNs.
2. Patient Centered Medical Home (PCMH)
3. MEDCOM manpower Model
4. CdtiConducting JitAdJoint Advance dNtitid Nutrition and dDitti Dietetics (JAND) Course (a PPSCP) via blackboard, an on-line program.
14-Mar-13 Name/Office25 March Symbol/(703) 2013 XXX-XXX (DSN XXX) / email address UNCLASSIFIED Slide 18 of 34 Select SLIDE MASTERLTC/P JOHN to Insert BALSER Briefing Title Here Allied Health Staff Officer, USAMEDCOM Chief, PA Section (65D)
Top Initiatives:
1. Recapture Initiative
2. Increased training opportunities
3. IiImproving MtiMentoring an d po liilicing of our own
14-Mar-13 Name/Office25 March Symbol/(703) 2013 XXX-XXX (DSN XXX) / email address UNCLASSIFIED Slide 19 of 34 Select SLIDE MASTER to Insert Briefing Title Here SP STRATEGY ADVISORY BOARD
Corps Chief XO CORE (Recorder) VOTING
Deputy CSBPO / Director, IMA to Corps Chief Asst Corps HRC Branch RC AOC Deputy R2D/G357 Corps Chief / Strategic Chiefs (4) Chief IMAs (4) Corps Chief OTSG Initiatives
CONSULTING Corps Allied Health NON-VOTING APPD Staff Senior PAs Staff Officers Officer (5) USAREC (2) Program Manager FORSCOM DCDD Staff RMC Senior Staff Officer SPs (5) Officer Members at Large (2) AMEDDC&S MRMC TSG-PA of Program Representati the Directors (4) ve Year Enlisted Rep (1 per Award of AOC and a Civilian Excellence 68W)(4) Retired SP Representati AC (3)/RC(4) Officer ve Officers Each AOC (4)
14-Mar-13 Name/Office25 March Symbol/(703) 2013 XXX-XXX (DSN XXX) / email address UNCLASSIFIED Slide 20 of 34 Select SLIDESP CORPSMASTER toLEADERSHIP Insert Briefing Title Here INDIVIDUAL MOBILIZATION AUGMENTEES (IMAs)
COL Donna Dolan IMA to Corps Chief [email protected] COL Beth Salisbury OT, IMA [email protected] LTC Jean Anderson PT, IMA [email protected] COL Marie Patti RD, IMA [email protected] LTC Tanya Moore PA, IMA tanya.f .moore.mil@ mail .mil
14-Mar-13 Name/Office25 March Symbol/(703) 2013 XXX-XXX (DSN XXX) / email address UNCLASSIFIED Slide 21 of 34 CURRENTSelect SLIDE MASTER SP MISSION to Insert Briefing & VISION Title Here
Mission
To provide, develop, and sustain clinician-leaders who bring the best of their professions (Occupational Therapy, Physical Therapy, Dietetics, and Physician Assistant) to: - DliDeliver ldidleading edge hlthhealth servi ces tWito our Warriors and Military Families - Maximize performance and - Foster healthy and resilient people
Vision
Complementary Clinical Professions, Integrated and Synergized Towards a Single Focus “Proac tive W arr ior and F am ily Hea lthcare ”
14-Mar-13 Name/Office25 March Symbol/(703) 2013 XXX-XXX (DSN XXX) / email address UNCLASSIFIED Slide 22 of 34 PROPOSEDSelect SLIDE MASTER SP MISSIONto Insert Briefing & TitleVISION Here
• Mission: The AMSC provides uniquely trained clinician leaders to facilitate collaborative relationships moving Army Medicine to a System For Health
• Vision: Dedicated SPecialists maximizing compassionate, total health care for Army Medicine
14-Mar-13 Name/Office25 March Symbol/(703) 2013 XXX-XXX (DSN XXX) / email address UNCLASSIFIED Slide 23 of 34 Select SLIDE MASTER to Insert Briefing Title Here SP CORPS CHIEF EXPECTATIONS
- Embrace transformation towards a System For Health - Take care of each other, your ffyyfyamily, yourself, & your unit - Live the Army values
14-Mar-13 Name/Office25 March Symbol/(703) 2013 XXX-XXX (DSN XXX) / email address UNCLASSIFIED Slide 24 of 34 Select SLIDE MASTER to Insert Briefing Title Here
Dedicated SPecialists maximizing compassionate, total health care for Army Medicine. AMSC provides uniquely trained clinician leaders to facilitate (forge, build, shape w/or w/o -ing) collaborative relationships moving (to move) Army Medicine to (toward) a System For Health.
Globally Ready Accountable, Consistent, Effective Leaders, Medical Adaptive Teams SPilitSPecialists and Effective Health Services (Best Practices) CS 6 That Improved CS 1 Teams achieve CS 2 CS 3 Agile Clinician Army Advanced Soldier Improved Quality, Leaders Medicine’s Readiness & Outcome-Focused ENDS Strategic Stakeholder Wellness Care & Services R Ends Patient/Customer/ esourcin Feedba IP 1 IP 4 Leverage Research, Place Holder— Development , & PCMH, SCMH (in IP 7 Innovation IP 3 large bubble?) Build To deliver “Improve” /Advance IP 5 Relationships & c the Corps Support the c IP 2 Wellness, g g
WAYS Enhance k Adjusts Processes Process nal Performance GFtGrow Future Prevention, Partnerships Decisio Triad IP 6 Leaders (through Rehabilitation, and
Inter Foster Internal & Talent Management) Reintegration External (succession Communication planning)
And OC 1 OC 2 n
Tools OC 3 s enable dd OtiiOptimize T Tlalen t Improve Leverage our Training & Technology People Development Teams an
MEANS R 1 We marshal Optimize ource ardship s our s w w Resources
Resources Re Ste
14-Mar-13 Name/Office25 March Symbol/(703) 2013 XXX-XXX (DSN XXX) / email address UNCLASSIFIED Draft FebSlide 2013 25 of 34 ARMYSelect MEDICINE SLIDE MASTER 2020 to Insert CAMPAIGN Briefing Title DESIGN Here
Vision Lines of Effort Outcomes Endstate
System For Health
1. Create Capacity - Capabilities / core competencies that optimize healthcare & health
Patient / Soldier Centered Medical Home Behavioral Health System of Care Integrated Disability Evaluation System Strategic enabler
Transform Reimbursement System Leverage Technology that maintains, restores, and CO 1-1 CO 1-2 CO 1-3 improves Army
Accountable, Reliable, Consistent Patient unities in
rmy Maintain Health ation in. ady and ady Readiness
AA and Effective
Experience ee Restore Health health mm NN Improve Health Health Services WW
2. Enhance Diplomacy – Lead the conversation on health and healthcare delivery Army Medicine Medical Diplomacy Partnering, Communicating, and Leading Health recognized as a national ealth of our at enables R ealth of our ealth of our Shape, and ealth = Army ealth = and international health ies, and Com h h h h h h HH leader to advance Army CO 2-1 CO 2-2 CO 2-3 values, interests, and Build and Prepare the Develop, and Shape the Narrative objectives Team Strengthen Partnerships proving the
thening the thening the 3. Improve Stamina – Increase organizational depth and individual resiliency For Health t cine = Army cine = er to Prevent, oldiers, Famil g g m ii m m Performance Triad (Activity, Nutrition, Sleep) Leader and Organizational Development Health Infrastructure Ready and m ord by i by Resilient Forces, Stren CO 3-1 CO 3-2 CO 3-3 Families, and Increase Healthy Improved Performance Healthy Communities and A Syste Behaviors Communities Army Med
and Resilience Environments Resilient S
System For Health
14-Mar-13 Name/Office25 March Symbol/(703) 2013 XXX-XXX (DSN XXX) / email address UNCLASSIFIED Slide 26 of 34 “So whatSelect isSLIDE an MASTER operating to Insert company Briefing Title model?” Here
An operating company model is designed around integrated, standard processes across the organization
Performance metrics and decision-making are clearly defined for these processes, driving accountability
High focus and priority is given to process quality, repeatability, and standards…
…to drive a better, more consistent patient experience while also containing costs
14-Mar-13 Name/Office25 March Symbol/(703) 2013 XXX-XXX (DSN XXX) / email address UNCLASSIFIED Slide 27 of 34 Select SLIDESETTING MASTER toTHE Insert STAGE Briefing Title Here
Health care broadly – and Army Medicine specifically – is facing strategic challenges that are forcing an operational “re-think”
Strategic challenges Operational implications ► Health care spending is consuming a larger and larger share of economic resources (“Trends that can’t go on – How do we deliver even higher levels of forever, won’t.”) quality care with fewer resources?
► Patient outcomes are the key performance metric – How do we align our teams to focus on patient outcomes and satisfaction? ► Competitive forces are now a reality
► Population health care needs and – How do we provide a patient experience preferences are becoming more that makes them want to stay with us? complex
Many organizations are adopting the “operating company model” framework to address these challenges.
14-Mar-13 Name/Office25 March Symbol/(703) 2013 XXX-XXX (DSN XXX) / email address UNCLASSIFIED Slide 28 of 34 Select SLIDE MASTER to Insert Briefing Title Here MATURING TO AN OPERATING COMPANY
Building upon what the Army Medicine team does well by improving consistency, clarity, and accountability
Holding Company Operating Company
Holding Companies: Operating Companies: •Highly autonomous business units •Strong enterprise relationships •Low standardization •High standardization and integration •Few common services •Shared values and services
Source: Terms of “Holding Company” and “Operating Company” from 3/1/11 brief, “Improving AMEDD’s organizational performance” 14-Mar-13 Name/Office25 March Symbol/(703) 2013 XXX-XXX (DSN XXX) / email address UNCLASSIFIED Slide 29 of 34 Select SLIDE MASTER to Insert Briefing Title Here OPERATING COMPANY MODELS IN PRACTICE
Cleveland Clinic Kaiser Permanente • Nonprofit multispecialty academic medical • Largest nonprofit, nongovernmental, integrated health organization with centers in Ohio, Florida, Las Vegas, care delivery system in United States. Operates 36 Canada and Abu Dhabi. Operates 29 facilities and hospitals and 421 ambulatory care centers. Delivers delivers 4.6 million annual patient visits. 37 million annual patient visits. • Operates in 27 disease-focused institutes, each • Established the Heath Care Innovation Center to focused on a single disease or clinical area and each examine, develop and disseminate leading practices housing all of the professionals and resources that a for facilities, IT, and patient care. Operates a patient would need to access for successful care. common governance structure across two business • Ranks in the top 5 hospitals annually. Ranks as the units. #1 heart and heart surgery program since 1995 according to U.S. News & World Report. US Army • Regional health system operating 4 inpatient hospitals • Global operating force of 1.3 Million (including all and a vast regional primary and specialty care components and career civilians.) network. Delivers 1 million clinical visits and 80,000 • Directs highly standardized organizational manpower hospital visits annually and equitipment struct ures across like unit s, hi ghl y • Completed a successful cultural reset, aligning hiring standardized logistics and acquisition processes. and training practices around measured patient Employs integrated manpower requirements satisfaction. determination, hiring and training processes. • Annually ranks among the Nation’s top 5 hospitals, Communicates clear decision-making practices and #1 in the Western US Region for 23 years across the organization according to U.S. News & World Report. Employs • Consistently tops U.S. public opinion polls for “most 200 of the “Best Doctors in America.” trusted institution” and “current confidence in leaders of institutions.”
14-Mar-13 Name/Office25 March Symbol/(703) 2013 XXX-XXX (DSN XXX) / email address UNCLASSIFIED Slide 30 of 34 Select SLIDE MASTER to Insert Briefing Title Here PROFESSIONAL NETWORKING
• milBook – https://www.milsuite.mil/login – Discussions, documents, & blogs – AKO-based – Can upload documents • SP AKO Home Page: – httppyps://www.us.army.mil/suite/page/150 • SP & AOC groups developed under each • Both are information push systems
14-Mar-13 Name/Office25 March Symbol/(703) 2013 XXX-XXX (DSN XXX) / email address UNCLASSIFIED Slide 31 of 34 Select SLIDE MASTER to Insert Briefing Title Here WHERE YOU CAN GO FOR INFORMATION
• SP CSBPO / Executive Officer / Executive Fellow – Contact Info: MAJ Mae Cisneroz, XO, 210-221-8306 • [email protected] (will soon be changing to [email protected]) • mae.h .cisneroz .mil@mail .mil • HRC SP Branch Chief / HRC SP Branch Manager • AOC Branch Chief • Internet – AKO (https://www.us.army.mil/suite/page/150/) – SP AMEDD Page (https://amsc.amedd.army.mil/) – HRC (https: //www.h rc.army.mil/ ) • AMSC and AOC-level briefs / conferences – Defense Connect Online (https://www.dco.dod.mil/)
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Questions?
14-Mar-13 Name/Office25 March Symbol/(703) 2013 XXX-XXX (DSN XXX) / email address UNCLASSIFIED Slide 33 of 34 Select SLIDE MASTER to Insert Briefing Title Here
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