Medical Readiness Services Air Force Reserve

Transcription

1 Reserve Health Readiness Program Medical Readiness Services Air Force Reserve Table of Contents Page I. Program Overview 2 II. Service Delivery Channels 2 III. Key Program Participants 3 IV. RHRP Points of Contact 3 V. Provider Credentialing and Training 4 VI. General Overview of In-Clinic Process 5 VII. General Overview of Group Event Process 6

2 RHRP Services Air Force Reserve Page 2 of 7 Program Overview The Reserve Health Readiness Program (RHRP) is a Department of Defense, Health Affairs program developed by Force Health Protection & Readiness and executed by its sole contractor, Logistics Health, Inc. The Program is designed to support the Reserve Component s readiness mission by providing Medical and Dental Examinations, PDHRA, and other IMR services that satisfy key readiness requirements. RHRP services are available to all Reserve Component (RC) forces including the Army Reserve, Army National Guard, Air National Guard, Air Force Reserve, Navy Reserve, Marine Forces Reserve, and U.S. Coast Guard. The Program also provides PHDRA services for Active Duty SMs in remote areas. RHRP Service Delivery Channels: In-Clinic Group Event Call Center Description: In-Clinic refers to any service that is provided through RHRP s nationwide network of civilian medical and dental providers. In-clinic services are provided at the individual level Service members attend appointments at RHRP clinics within 50 miles of their preferred location Description: A Group Event refers to any service that is provided in a group setting Generally, group events are held at unit armories or other fixed military facilities All equipment, supplies and staff are provided (unless otherwise noted) Description: A Call Center event refers to any service that is provided entirely through RHRP s call center Call center events can be completed with individual Service members or groups of Service members In-Clinic Services: Group Event Services: Call Center Services: Dental Exam Immunizations Dental Exam PDHRA Dental X PDHRA-99 Rays HIV Dental X-Rays Physical Exam G6PD Post Appointment Processing: Post Event Processing: Post Call Processing: All documentation is reviewed for accuracy and completeness All documents digitized Documentation returned to SM s unit for entry into SM s record and database update All documentation is reviewed for accuracy and completeness All documents digitized Documentation returned to SM s unit for entry into SM s record and database update All documentation is reviewed for accuracy and completeness PDHRA completed in Service database

3 RHRP Services Air Force Reserve Page 3 of 7 RHRP completes a QA review of every service completed by our medical and dental providers. RHRP reviews all documentation for accuracy and completeness to ensure that they adhere to military regulation.

4 RHRP Services Air Force Reserve Page 4 of 7 Key Program Participants RHRP Program Office Force Health Protection and Readiness works with the Service Components to identify and establish the criteria for the services to be delivered in the contract. They also provide direction and oversight to the Contractor on all relevant contract-related issues. Service Components (SC) The individual SCs identify the medical readiness services they would like to include in the RHRP Contract. The SCs provide the Program Office with the pertinent SC regulations and forms to be utilized by the Contractor when providing medical services to their SMs. RHRP Contractor Logistics Health, Inc. (LHI) delivers the services identified in the contract to Reserve Component and geographically remote Active Duty Service members. As the sole contractor, LHI executes all aspects of the contract s service delivery. RHRP Points of Contact Air Force Reserve CMSgt Latrease Malone RHRP Program Manager Office: ext latrease.malone@afrc.af.mil Force Health Protection and Readiness Ms. Paula Ridley Functional Analyst Office: ext 158 paula.ridley.ctr@tma.osd.mil Logistics Health, Inc. Mark Shay Regional Readiness Coordinator Office: ext 6601 Cell: mshay@logisticshealth.com

5 RHRP Services Air Force Reserve Page 5 of 7 Provider Credentialing and Training LHI uses an accredited credentialing verification organization (CVO) to meet the provider requirements stipulated in the contract. The table below shows the credentialing criteria used to qualify providers. CVO Information Provided:? Criminal Background State/County - Found wants and warrants - Felony and/or misdemeanors? Criminal Background National - Includes OFAC Specially Designated Nationals List - Includes Sex Offender registries from all 50 states? FACIS Level 1 Individual - OIG excluded individuals - GSA list of excluded parties - OFAC Specially Designated Nationals List? Professional License Verification Credentialing Documents:? Proof of Degree? Proof of current State Licensure? Current DEA Registration? Board Certification (where needed)? Current BLS/CPR, ACLS, ATLS, NRP or PALS Certification? Proof of malpractice insurance? Signature on required nondisclosure agreement All RHRP providers must be licensed within the state in which they are providing services. They must also maintain a Basic Lifesaving Certification as well as be trained to handle emergent situations. In addition to licensure and credentialing, all RHRP providers are trained to complete the services identified by the Service Component. This includes both the performance of the service as well as proper documentation on the appropriate military forms. As a quality assurance check, all RHRP documentation is reviewed a second time prior to being returned to the unit to ensure it meets all requirements.

6 RHRP Services Air Force Reserve Page 6 of 7 General Overview of In-Clinic Process 1) Individual Service member calls the RHRP Scheduling Center: Toll-Free: (press 3) Monday Friday: (CST) Saturday: Sunday: Closed 2) A RHRP Medical Service Coordinator accesses PIMR to identify the Service member s IMR deficiencies and enters a service voucher for each 3) RHRP assigns clinic within 50 miles, obtains Service member s availability, and schedules appointment 4) RHRP ships kit to Service member s home with all voucher information, required forms, and directions to clinic 5) Service member attends appointment and services are administered 6) Clinic provider ships documents to LHI 7) All documentation and/or images are QA d for accuracy to ensure that they meet military standards 8) All pertinent documents returned to unit for entry into Service member s medical record

7 RHRP Services Air Force Reserve Page 7 of 7 General Overview of Group Event Process 1) Unit representative submits group event request form (see below) to USAFRrequest@logisticshealth.com 2) Request approved by USAFR Program Manager 3) RHRP Group Event Coordinator contacts unit representative to confirm event details (date/time/location/numbers/etc.) 4) Day of Event a. RHRP provides all staffing, equipment, and supplies needed to perform all services b. Services performed and a copy of any documentation is left in the Service member s record (or where designated by unit) 5) Post-Event a. Copies of all documentation are returned to RHRP where they are digitized and undergo a quality check b. The unit is responsible for ensuring that the appropriate databases are updated for the services provided Group Event Request Form