Kulis Out Brief

The Air National GuardGuarding America — Defending Freedom

176 WG, Kulis ANGB Out-Brief – Individual Medical

ReadinessRapid Improvement Event

(3-7 August 2009 )Facilitators: Capt R. R. (Ray) Teeter (168 ARW/FM)TSgt W. T. (Billy) Wilkerson (125 FW/SFS)

Date: 3 – 7 Aug 2009Level II Mentor: Ms. Linda Berry, Ctr

Guarding America - Defending FreedomCreated by NGB/CFX

Overview

• Team Introduction• Scope of Event• Approach

• Cross-Functional Team• SIPOC• Current State/Ideal State/Future State Maps• Metrics• Action Plan


The TeamThe Team Team Leaders Team Leaders Major Corinne OliveraMajor Corinne OliveraTSgt Kristine Laughlin-HallTSgt Kristine Laughlin-Hall

TEAMTEAMMSgt Michael O’KeefeMSgt Michael O’KeefeMSgt Pamela BrunnerMSgt Pamela BrunnerMSgt Bob HassellMSgt Bob HassellMSgt Lyn GarrettMSgt Lyn GarrettMSgt Karl MorrisMSgt Karl Morris

** Special Guest Observer LtCol Robert Wetzel** Special Guest Observer LtCol Robert Wetzel


Business Case

The 176 Wing consists of approximately 1400members, who are required to be IndividuallyMedical Ready (IMR). The 176 MDG currentlynotifies the Unit Health Monitor (UHM) andCommander of discrepancies in their unit. Amedical listing is sent out to each unitidentifying each members requirements. Due toinefficiencies, an opportunity is provided tostreamline the process and create a standard

forthe wing.

Guarding America - Defending Freedom

Problem Statement

• WG IMR requirements consistently below 80% USAF compliance level

• This is a problem because personnel are not ready to deploy which ultimately affects the mission


Impact Statement

Personnel are not Ready to Deploy

However

Readiness is our Mission!


Boundaries

• Trigger: Notification Due

• Done: Completed Requirements / PIMR Updated


Goals and Expected Outcomes

Consistent WG IMR compliance at or above 80%

Members to complete medical requirements and show for appointments

Create one report that will satisfy each unit

Green: Green: Met the Goal

Yellow:Yellow: In process of meeting goal

Red: Red: Did not meet goal


Return on Investment • All members involved in a culture of

continuous improvement • Deployability/Retention of healthy WG

members = USAF 80% Minimum Standard• Creates a Measurable, Streamlined/Closed

Loop Process• Accountability• Documentation• Exposes Non-Compliance• Encourage Members to be Proactive

• Mission Ready!


SIPOC

Suppliers Inputs/Req’ts Process Output(s)/Req’ts Customer(s)

•Commanders

•Unit Health Monitor (UHM)

• Medical Group

•Member is notified of deficiency in PIMR system

•Member completes web health assessment

•Member takes care of necessary PMIR issues (if applicable)

•PIMR is updated

•Deployable member

•Information Flow

•PIMR

•Web Health Assessment

•Member

•Medical Group

•Civilian Provider

•Member’s Unit

•Member


Issues/Concerns

• Wing Commander est. UTA Priorities with Readiness• Unit Commanders hold members accountable for Readiness• Commanders provide emphasis on Individual Medical Readiness

aligned with other mobility requirements

• Recent Implementation of the AF Form 422/469 Profile Program

• Training needed by all Medical Group Personnel and Unit Health Monitors

• Monitoring and Evaluation of this process necessary

• Drawing the Line• No Tuition Assistance without a World Wide Duty Statement• No Bonuses Received without a World Wide Duty Statement

Created by NGB/CFX


CURRENT STATE

Calendar Days

Flow Touch

Total 217 26


Ideal State

Email sent to UHM

Jetson 5k beams Member up,

performs required task and beams

back

PIMR Updated

•When sworn in all ANG members are chipped•Everyone Reports to drill with Smile on Face •Notification provided in time to report•Fasting no longer needed•IMR stats always 100%•No Commuters Allowed


FUTURE STATE

Calendar Days

Flow Touch

Total 157 25


Future State Assumptions

• Individual’s held accountable • Commanders• Supervisors• Members

• Database with Programming Completed and Maintained by 176th Medical Group• Interim solution will be paper driven until Database

with Programming completed

• Develop Standard Policies and Procedures for all Unit Health Monitors (UHM)


Future State - Big Changes

• Decreased Flow Time: Accomplish all member requirements in one visit

• UHM’s are pulling data from database and printing forms for personnel

• Accountability• Supervisors stay in the loop by signing roster and receiving

members notification/checklist form• Member signs the notification/checklist • Commanders acknowledge excusal/no-shows every drill

• Reduce Redundancy• Process Standardization• Educating Members of Recurring Requirements

Created by NGB/CFX


Current State Vs Future State

Calendar Days

Current State

Future State Difference %

Flow Time

217 157 -60 -28%

Touch Time

26 25 -1 -4%


Metrics

Measure Metric Success

IMR Compliance% of

Compliance

≥ 80%

After Action Report (No Show

Listing)

% of Non-Compliance ≤ 20%


Description TypeDo it, Project,

Event

OPR ECD Comments

Individual routing form Do It TSgt Laughlin-Hall

20SEP09

Create Database for UHM’s - EXCEL

Project MSgt Hassell 20SEP09

Create Database for UHM’s - ACCESS

Project MSgt Hassell 20NOV09 IT Support

Developed standard UHM training with OI

Project MSgt Garrett 10OCT09

Monthly IMR Task Force Meeting Do It Maj Olivera 20SEP09

Develop UHM Training Project MSgt Brunner 9OCT09

Train UHMs Project MSgt Brunner 10OCT09

Action Plan


Lessons Learned


Quotable Quotes• “We’ll call it even if you eat Viagra for lunch”• “I wish I would have heard what you were saying about telling them

to stick it in their ---”• “What about the Panties?”• “No, I like SKID”• “Spank me Now!”• “Standards without consequences are not standards at all”• “Hurry up and wait”• “Are you allergic to LATEX?”• “What is free to 90?”


Questions?


Additional Support

•Level I Facilitator/s•Billy Wilkerson - [email protected]•Ray Teeter – [email protected]

•Level II Mentor:•Linda Berry – [email protected]

•Observers:•Lt Col Wetzel

Kulis Out Brief

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