Specialist Corps Brief - RAMSCAramsca.org/images/pdf/RAMSCA-COLButler-Brief-15MAR13-web... · 2017....

Specialist Corps Brief

2013 RAMSCA Annual Meetingg

COL Nikki L. ButlerCorps Chief

UNCLASSIFIED

p

Select SLIDE MASTER to Insert Briefing Title HereAGENDA

PURPOSE: To provide an overview of the Army Medical Specialist Corps

1. History2. Corps Structure3. Current Focus Areas4. Corps Leadership5 Strategic Overview5. Strategic Overview6. Operating Company Model7. Networking8 Q8. Questions

14-Mar-13Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address Slide 2 of 34UNCLASSIFIED25 March 2013

AMSC 65th Anniversary Historical Video

Select SLIDE MASTER to Insert Briefing Title Here

History of the Corps1972 -1992


Select SLIDE MASTER to Insert Briefing Title HereAMEDD DISTRIBUTION FY13 (AC)

Total: 15,982 SP: 1559

• VC: 559 (3%)• DC: 1065 (7%)

• 65A: 98 (6%)• 65B: 298 (19%)DC: 1065 (7%)

• SP: 1559 (10%)• AN: 3657 (23%)

• 65B: 298 (19%)• 65C: 155 (9%)• 65D: 1008 (65%)( )

• MS: 4480 (28%)• MC: 4662 (29%)

65 008 (65%)


Select SLIDE MASTER to Insert Briefing Title HereAMEDD DISTRIBUTION FY13 (RC)

Total: 9,023 SP: 548

• VC: 239 (3%)• DC: 550 (6%)

SP 548 (6%)

• 65A: 50 (9%)• 65B: 59 (11%)

• SP: 548 (6%)• AN: 3642 (40%)• MC: 1543 (17%)

• 65C: 73 (13%)• 65D: 364 (67%)• 65X: 2• MC: 1543 (17%)

• MS: 2152 (24%)• 05A: 349 (4%)

• 65X: 2

National Guard( )• 65A: 1 (0 Auth)• 65B: 32 (30 Auth)

65D 741 (986 A th)


• 65D: 741 (986 Auth)


COL Jones COL Ellison

COL Butler

SP Corps Chief: COL Nikki ButlerDeputy Strategic Initiatives: COL Brenda EllisonDeputy, Strategic Initiatives: COL Brenda EllisonDeputy, Operations/CSBPO: COL Peggy JonesExecutive Officer: MAJ Mae CisnerozExecutive Fellow: CPT Rebecca Morrell


MAJ Cisneroz CPT Morrell

Select SLIDE MASTER to Insert Briefing Title HereSP CORPS OFFICE STRUCTURE

SP CORPS CHIEF

DEPUTY (OPERATIONS /

DEPUTY (STRATEGIC INITIATIVES)

IMA to CORPS CHIEF(OPERATIONS /

CSBPO)INITIATIVES)(when mobilized)

STRATEGICEXEC ALLIED HEALTH

XO

STRATEGICOPERATIONS

OFFICER

EXECFELLOW

Fort Sam Houston

ALLIED HEALTH STAFF OFFICER

FELLOW

Fort Sam Houston

NCR / OTSG

Dual Hatted

Student Status


Not on TDA

Select SLIDE MASTER to Insert Briefing Title HereSP CORPS OFFICE PURPOSE

• Principal staff for the SP Corps Chief• Liaison between AOC Chiefs (AC and RC)• Coordinates all Corps business especially pertaining to:• Coordinates all Corps business, especially pertaining to:

– Recruiting and Retention

– Education and Training

– Internal and External Communication

– Policy



ADMIN FUNCTIONSROUTINE COORDINATIONAMEDD LIAISONRESPONSIBILITEIS•O2M3RAMSCA

ADMIN FUNCTIONS•Boards/Awards•Commo/Correspondence•CeremoniesVTC /DCO/t

ROUTINE COORDINATION•AOC Chiefs•AMEDDC&S (OT, PT, DT, PA Branches) •DHET •RAMSCA

•Receptions•Site Visits•Social Events

•VTCs/DCO/tcons

MCICMCIC

•DHET•HRC•USAREC•DCDD

MACOMsMACOMs

MEDCOMSP CorpsSP CorpsOfficeOfficeSP COMMITTEES

MCICMCICMACOMsMACOMsOTSGOTSG

ONGOING SP CORPSSWOT ANALYSIS

OfficeOfficeSP COMMITTEES•Education•Research•Force Structure•Business Operations

LEADER TRAININGCENTER•BOLC

MARKETING/PR•Conferences

FORCESTRUCTURE

UNPROGRAMMEDREQUIREMENTS•Taskings

Business Operations


•CCC(AD and USAR)

•Receptions/Socials•Media Input

•APPD•DCDD

g•Data Calls•Policy Development and Revision

Select SLIDE MASTER to Insert Briefing Title HereSP 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 (quarterly) (q y)

– Always accepting articles and photos for the Corps Connection (now every 2 months); send email to [email protected] (changing to [email protected]

ilB k / AKO– milBook / AKO• Recruiting / Retention

– Iron Majors / Award of Excellence / TSG – PA Recognition AwardOngoing recognitions for performance and retirements– Ongoing recognitions for performance and retirements

• Education and Training– BOLC / CCC Branch Days– LTHET


LTHET

– Iron Majors Week (TBD) – Postgraduate Professional Short Course Program (PPSCP)

Select SLIDE MASTER to Insert Briefing Title HereCOMMITTEES / WORK GROUPS

• Advisory groups to the SAB and includes members from all 4 AOCs: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 provider delivery of carep y• Standardize business practices• Designated space on Corps Webpage for “Clinical

Management” includes: Administrative, Clinical, and Business


g , ,sub-folders

Select SLIDE MASTER to Insert Briefing Title HereCOMMITTEES / WORK GROUPS (cont’d)

– 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

d t th C Chi fprocedures 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 researchpublished SP research• To promote efficiencies through collaboration and integration of

resources• To plan develop and execute SP level research education


To plan, develop, and execute SP level research education• To provide recommendations on research policies and practices to

the Corps Chief

Select SLIDE MASTER to Insert Briefing Title HereUS ARMY PUBLIC HEALTH 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 Defenseexecution of full spectrum veterinary services for the Army and Department of Defense veterinary missions.

Products and ServicesProducts 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/Link: http://usachppm.amedd.army.mil/HIOShoppingCart/• Health Promotion and Prevention Initiatives Program:

Purpose: To fund health promotion and prevention initiatives.Link: http://phc.amedd.army.mil/dhpw/Population/HPPI.aspxp p y p p p

• 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


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

Select SLIDE MASTER to Insert Briefing Title HereUS ARMY RESEARCH INSTITUTE OFENVIRONMENTAL 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 ResearchAreas of Research• Military Nutrition

– Bioenergetics and metabolism, healthy weight management, combat ration testing, dietary supplements

• Military Performance• 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 acquiredCold & heat stress physiology, high altitude physiology, environmental illness & injury, acquired tolerance & acclimatization, hydration

• Biophysics & Biomedical Modeling– Clothing biophysics, biomedical / predictive modeling, physiological modeling


Select SLIDE MASTER to Insert Briefing Title HereSP CORPS LEADERSHIP

COLCOL Nikki ButlerNikki ButlerCOL COL Nikki ButlerNikki Butler1818thth SP Corps Chief SP Corps Chief

Dual Dual HattedHatted::SP Branch Chief,SP Branch Chief,Human Resources CommandHuman Resources Command


Select SLIDE MASTER to Insert Briefing Title HereCOL MYRNA CALLISONOHS Portfolio Executive Officer, USAPHC

Chief, OT Section (65A)

Top Initiatives:

1. Define/delineate the role of Occupational Therapy in Behavioral Healthy

2. Incorporate Occupational Therapy into the P f T i dPerformance Triad

3 Hiring retention of Civilian Occupational Therapists3. Hiring retention of Civilian Occupational Therapists


Select SLIDE MASTER to Insert Briefing Title HereCOL JOHN STANGCommander, POMAHCChief, PT Section (65B)

Top Initiatives:

1 Performance Triad: Office of the Surgeon1. 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 (LTCpay 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)

Select SLIDE MASTER to Insert Briefing Title HereCOL LAURIE SWEETNutrition 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 C d ti J i t Ad d N t iti d Di t ti4. Conducting Joint Advanced Nutrition and Dietetics (JAND) Course (a PPSCP) via blackboard, an on-line program


program.

Select SLIDE MASTER to Insert Briefing Title HereLTC/P JOHN BALSERAllied Health Staff Officer, USAMEDCOM

Chief, PA Section (65D)

Top Initiatives:

1. Recapture Initiative

2. Increased training opportunities

3 I i M t i d li i f3. Improving Mentoring and policing of our own


Select SLIDE MASTER to Insert Briefing Title HereSP STRATEGY ADVISORY BOARD

CORE VOTINGCorps Chief

XO(Recorder)

CSBPO / Deputy

Corps Chief

IMA to Corps Chief

Deputy Corps Chief

/ StrategicInitiatives

Asst Corps Chiefs (4)

HRC Branch Chief

RC AOC IMAs (4)

Director, R2D/G357

OTSG

CONSULTING NON-VOTINGCorps Senior PAs

(5)

APPD StaffOfficer

Allied Health Staff Officers

(2)USAREC Program

FORSCOMStaff

Officer

Manager

DCDD Staff Officer

RMC SeniorSPs (5)

Members atLarge (2)

AMEDDC&SProgram

Directors (4)

Award of

Large (2)MRMC

Representative

TSG-PA of theYearEnlisted

Rep (1 perAOC and a Civilian


Award of Excellence

AC (3)/RC(4) Officers

AOC and a 68W)(4) Retired SP

Officer

Civilian Representati

veEach AOC (4)

Select SLIDE MASTER to Insert Briefing Title HereSP CORPS LEADERSHIP INDIVIDUAL MOBILIZATION AUGMENTEES (IMAs)

COL Donna Dolan IMA to Corps Chief [email protected]

COL Beth Salisbury OT, [email protected]

LTC Jean Anderson PT, [email protected]

COL Marie Patti RD, [email protected]

LTC Tanya Moore PA, IMAt f il@ il il


[email protected]

Select SLIDE MASTER to Insert Briefing Title HereCURRENT SP MISSION & VISION

Mission

To provide, develop, and sustain clinician-leaders who bring the best of their professions (Occupational Therapy, Physical

Therapy, Dietetics, and Physician Assistant) to:D li l di d h lth i t W i- Deliver leading edge health services to our Warriors

and Military Families- Maximize performance and

Foster healthy and resilient people- Foster healthy and resilient people

Vision

Complementary Clinical Professions, Integrated and Synergized Towards a Single Focus

“P ti W i d F il H lth ”


“Proactive Warrior and Family Healthcare”

Select SLIDE MASTER to Insert Briefing Title HerePROPOSED SP MISSION & VISION

• 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


Select SLIDE MASTER to Insert Briefing Title HereSP CORPS CHIEF EXPECTATIONS

- Embrace transformation towards a System For Healthy

- Take care of each other, your family, yourself, & your unitf y y f y

- Live the Army values


Select SLIDE MASTER to Insert Briefing Title HereDedicated 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 Medical

SP i li t

Effective Leaders, Adaptive Teams

Accountable, Consistent, and Effective Health

R

SPecialists

Pat

ient

/Cus

tom

er/

Sta

keho

lder

END

S CS 2Advanced Soldier

Readiness & Wellness

CS 1 Agile Clinician

Leaders

CS 6Improved TeamsCS 3

Improved Quality, Outcome-Focused Care & Services

and Effective Health Services (Best Practices)

That achieve

Army Medicine’s Strategic

Ends FeedbacR

esourcingnal P

roce

ss

WAY

S

IP 1Leverage Research,

Development , & Innovation IP 7

Build Relationships &

Enhance IP 2G F t

To deliver the Corps Processes

Ends

IP 3“Improve” /Advance

Wellness, Prevention

IP 5Support the Performance

IP 4Place Holder—

PCMH, SCMH (in large bubble?)

ck Adjusts

g Decision

d To

ols

Inte

r Partnerships

OC 3

IP 6Foster Internal &

External Communication

Grow Future Leaders (through

Talent Management) (succession

planning)

OC 1O ti i T l t

OC 2I

Processes

And enable

Prevention, Rehabilitation, and

Reintegration

Performance Triad

ns

Team

s an

dso

urce

w

ards

hipMEA

NS

Leverage Technology

R 1Optimize

Resources

Optimize Talent Improve Training &

Development

We marshal our

enable our

People


Res

Ste

w ResourcesResources

Draft Feb 2013

Select SLIDE MASTER to Insert Briefing Title HereARMY MEDICINE 2020 CAMPAIGN DESIGN

System For Health

Vision Lines of Effort Outcomes Endstate

eady

and

m

uniti

es in

W

in.CO 1-2

Accountable, Reliable, and Effective

CO 1-3 Consistent Patient

Experience

CO 1-1 Maintain HealthRestore 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

Transform Reimbursement System Leverage Technology

Nat

ion

Arm

y

Rea

dine

ss

Strategic enabler that maintains, restores, and

improves Army health

hat e

nabl

es R

eie

s, a

nd C

omm

Shap

e, a

nd W

and Effective Health Services

ExperienceRestore HealthImprove Health

Army Medicine recognized as a national and international health

2. Enhance Diplomacy – Lead the conversation on health and healthcare delivery

Medical Diplomacy Partnering, Communicating, and Leading Health

heal

th o

f our

Nhe

alth

of o

ur A

Hea

lth =

Arm

y

health

m F

or H

ealth

thol

dier

s, F

amil

er to

Pre

vent

, leader to advance Army values, interests, and

objectives

CO 2-1

Shape the NarrativeCO 2-2Build and Prepare the Team

CO 2-3Develop, and Strengthen Partnerships

3. Improve Stamina – Increase organizational depth and individual resiliency gthe

ning

the

hm

prov

ing

the

h

icin

e =

Arm

y H

A Sy

stem

Res

ilien

t S ord

CO 3-3Increase Healthy Behaviors

CO 3-2 Healthy Communities and

Environments

CO 3-1Improved Performance and Resilience

Performance Triad (Activity, Nutrition, Sleep) Leader and Organizational Development Health Infrastructure

Stre

ngby

im

Arm

y M

edi

Ready and Resilient Forces,

Families, and Communities


System For Health

Select SLIDE MASTER to Insert Briefing Title Here“So what is an operating company model?”

An operating company model is designed around integrated,

standard processes across thestandard 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


while also containing costs

Select SLIDE MASTER to Insert Briefing Title HereSETTING THE STAGE

Health care broadly – and Army Medicine specifically – is facing strategic challenges that are forcing an operational “re-think”

Strategic challenges

► Health care spending is consuming a larger and larger share of economic

(“ ’

Operational implications

resources (“Trends that can’t go on forever, won’t.”)

► Patient outcomes are the key performance metric

– How do we deliver even higher levels of quality care with fewer resources?

– How do we align our teams to focus on p

► Competitive forces are now a reality

► Population health care needs and preferences are becoming more

gpatient outcomes and satisfaction?

– How do we provide a patient experience that makes them want to stay with us?preferences are becoming more

complexthat makes them want to stay with us?


Many organizations are adopting the “operating company model” framework to address these challenges.

Select SLIDE MASTER to Insert Briefing Title HereMATURING TO AN OPERATING COMPANY

Building upon what the Army Medicine team does well by improving consistency, clarity, and accountability

Holding CompanyHolding Company Operating CompanyOperating Company

Holding Companies:•Highly autonomous business units•Low standardization•Few common services

Operating Companies:•Strong enterprise relationships •High standardization and integration•Shared values and services


Source: Terms of “Holding Company” and “Operating Company” from 3/1/11 brief, “Improving AMEDD’s organizational performance”

Few common services Shared values and services

Select SLIDE MASTER to Insert Briefing Title HereOPERATING COMPANY MODELS IN PRACTICE

Cleveland Clinic• Nonprofit multispecialty academic medical

organization with centers in Ohio, Florida, Las Vegas,

Kaiser Permanente• Largest nonprofit, nongovernmental, integrated health

care delivery system in United States. Operates 36 Canada and Abu Dhabi. Operates 29 facilities and delivers 4.6 million annual patient visits.

• Operates in 27 disease-focused institutes, each focused on a single disease or clinical area and each housing all of the professionals and resources that a

hospitals and 421 ambulatory care centers. Delivers 37 million annual patient visits.

• Established the Heath Care Innovation Center to examine, develop and disseminate leading practices for facilities, IT, and patient care. Operates a

patient would need to access for successful care.• Ranks in the top 5 hospitals annually. Ranks as the

#1 heart and heart surgery program since 1995 according to U.S. News & World Report.

common governance structure across two business units.

S• Regional health system operating 4 inpatient hospitals

and a vast regional primary and specialty care network. Delivers 1 million clinical visits and 80,000 hospital visits annually

• Global operating force of 1.3 Million (including all components and career civilians.)

• Directs highly standardized organizational manpower d i t t t lik it hi hl

US Army

hospital visits annually• Completed a successful cultural reset, aligning hiring

and training practices around measured patient satisfaction.

• Annually ranks among the Nation’s top 5 hospitals, and #1 in the Western US Region for 23 years

and equipment structures across like units, highly standardized logistics and acquisition processes. Employs integrated manpower requirements determination, hiring and training processes. Communicates clear decision-making practices across the organization


and #1 in the Western US Region for 23 years according to U.S. News & World Report. Employs 200 of the “Best Doctors in America.”

across the organization• Consistently tops U.S. public opinion polls for “most

trusted institution” and “current confidence in leaders of institutions.”

Select SLIDE MASTER to Insert Briefing Title HerePROFESSIONAL NETWORKING

• milBookmilBook– https://www.milsuite.mil/login– Discussions, documents, & blogs– AKO-based– Can upload documents

• SP AKO Home Page: – https://www.us.army.mil/suite/page/150p y p g

• SP & AOC groups developed under each

• Both are information push• Both are information push systems


Select SLIDE MASTER to Insert Briefing Title HereWHERE YOU CAN GO FOR INFORMATION

• SP CSBPO / Executive Officer / Executive Fellow– Contact Info: MAJ Mae Cisneroz, XO, 210-221-8306Contact Info: MAJ Mae Cisneroz, XO, 210 221 8306

• [email protected] (will soon be changing to [email protected])

• mae h cisneroz mil@mail [email protected]• HRC SP Branch Chief / HRC SP Branch Manager• AOC Branch Chief• Internet• Internet

– AKO (https://www.us.army.mil/suite/page/150/) – SP AMEDD Page (https://amsc.amedd.army.mil/)

HRC (htt // h il/)– HRC (https://www.hrc.army.mil/) • AMSC and AOC-level briefs / conferences

– Defense Connect Online (https://www.dco.dod.mil/)



Questions?



14-Mar-13Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address Slide 34 of 34UNCLASSIFIED25 March 2013 Slide 34 of

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