PRESENTER DISCLOSURE

Transcription

1 PRESENTER DISCLOSURE PRESENTER: Col Jim Kile, OMM, CD, MSc, MD RELATIONSHIPS WITH COMMERCIAL INTERESTS: Grants/Research Support: Nil Speakers Bureau/Honoraria: Nil Consulting Fees: Nil Other: Nil

2 DISCLOSURE of COMMERCIAL SUPPORT PRESENTER: Col Jim Kile, OMM, CD, MSc, MD This program has received NO financial support. This program has received NO in-kind support. Potential for conflict(s) of interest: NIL

3 MITIGATING POTENTIAL BIAS PRESENTER: Col Jim Kile, OMM, CD, MSc, MD NIL

4 Jim Kile Colonel Director of Medical Policy and Clinical Care VETERANS 20/20

5 VETERANS 20/20

6 Learning is the only thing the mind never exhausts, never fears, and never regrets. Leonardo Da Vinci

7 Learning is the only thing the mind never exhausts, never fears, and never regrets. Leonardo Da Vinci CAF Canadian Armed Forces VAC Veterans Affairs Canada JPSU Joint Personnel Support Unit IPSC Integrated Personnel Support Centres HR Human Recourses CM Case Manager SISIP Insurance (replacement income)

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9 INTERNATIONAL AND INTERAGENCY WARRIOR CARE ENGAGEMENT PANEL OBJECTIVES: Panelists will present frameworks, best practices, and innovative ideas that support the following objectives for international and interagency warrior care engagement: Identify Need for External Support Assess Infrastructure and Environment Develop Strategy & Support Functions Implement Improvement And Sustainment Mechanisms Define the need for external support and identify and connect with resources (e.g. funding sources, partnering nations, external support organizations, etc. Gain a comprehensive Understanding of a nation s infrastructure and environmental factors \(e.g. governance, polices, culture, communications, theatre engagement plans, funding sources, etc.) Define the scope of support required, develop a strategy for program development and implementation that Integrates with relevant stakeholder strategies, & develop supporting policies & standard operating procedures. Develop and implement training, program metrics, and quality assurance and oversight mechanisms to support sustainability and continuous improvement of warrior care programs / capabilities

10 Identify Need for External Support Assess Infrastructure and Environment Develop Strategy & Support Functions Implement Improvement And Sustainment Mechanisms

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12 6,450 km (4,030 mi) 7,205 km (4,477 mi) The U.S.A. borders on the Magnificent

13 o 14 Health Jurisdictions 13

14 o 14 Health Jurisdictions o 100,000 WWII / Korean War Vets o CAF Veterans o 82,000 CAF members & Vets use VAC 14

15 o Most Vets adjust well to civilian life o 25% do experience some level of diffuclty o Reg Force Vets experience higher levels rates of chronic illness o 639 homeless Vets (30 Jun 16) o 2,250 Vets use shelters annually (~40,000 in US) o On average have higher incomes 15

16 Identify Identify Need Need for for External External Support Support Assess Assess Infrastructure Infrastructure and and Environment Environment Develop Develop Strategy Strategy & Support Support Functions Functions Implement Implement Improvement Improvement And And Sustainment Sustainment Mechanisms Mechanisms 16

17 Identify Identify Need Need for for External External Support Support Assess Assess Infrastructure Infrastructure and and Environment Environment Develop Develop Strategy Strategy & Support Support Functions Functions Implement Implement Improvement Improvement And And Sustainment Sustainment Mechanisms Mechanisms 17

18 Military Life Lots of Data Release Non-complex Release Complex Release Civilian Life Some Data o Life After Service Studies o Ombudsman Reports o Media o Social Media / Blogs o Town halls o Internal Reviews o Anecdotal

19 Identify Need for External Support Assess Infrastructure and Environment Develop Strategy & Support Functions Implement Improvement And Sustainment Mechanisms 19

20 VETERANS 20/20: 5 year strategic plan 20

21 VETERANS 20/20: 5 year strategic plan Veteran Centric Seamless Transition Service Excellence 21

22 VETERANS 20/20: 5 year strategic plan Seamless Transition 22

23 VETERANS 20/20: 5 year strategic plan Seamless Transition Task Force 23

24 VETERANS 20/20: 5 year strategic plan Seamless Transition Task Force Seamless Transition Case Management Veterans Card Medical Services 24

25 VETERANS 20/20: 5 year strategic plan Seamless Transition Task Force Case Management Medical Services 25

26 Case Management Activities Phases Partners Seamless Transition Point of injury / illness PCAT / Release mos MELs 3-6 mos Message 6 mos Date of Release Post Release CFHS Case Management Services Implementation Evaluation Joint Transition Planning CFHS CM and VAC CM VAC Case Management Services Identification of Eligibility Implementation Evaluation Transition to VAC - CFHS CM / Medical Team - Joint Personal Support Unit - IPSC - VAC CM - Chain of Command - CFHS CM / Medical Team - JPSU - IPSC - VAC CM - BPSO / Release Section - SISIP - VAC CM - Provincial Health Care System - Community - JPSU - IPSC - SISIP 26

27 CF MBR Medical Officer Paperwork / Med File Base / Wing Surgeon More paper Relevant paper work Task Statements Disclosure package CO / MBR /MO DMCA Consider U of S Physically Fit Employable Deployable Medical Statement D Med Pol PCAT? G / O Factor Medical Statement UNIT Med file returned RELEASE

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29 Medical Services Case Management o Formulary Alignment o Alignment of Services o Enhanced information sharing o Improved access to primary care physicians. o Streamline service attribution process of illness / injury o Provide education / counselling/ training to family caregivers providing care to Vets o Improve interdepartmental coordination o More robust interface between member and social re-integration o Common approach o Common vocabulary o Solve HR gap o Earlier collaboration 29

30 Identify Need for External Support Assess Infrastructure and Environment 4 Implement Improvement And Sustainment Mechanisms 30

31 CF MBR Medical Officer Paperwork / Med File Base / Wing Surgeon More paper Relevant paper work Task Statements Disclosure package CO / MBR /MO DMCA Consider U of S Physically Fit Employable Deployable Medical Statement D Med Pol PCAT? G / O Factor Medical Statement UNIT Med file returned RELEASE 31

32 CF MBR Medical Officer Paperwork / Med File Base / Wing Surgeon More paper Relevant paper work Task Statements Disclosure package CO / MBR /MO DMCA Consider U of S Physically Fit Employable Deployable Medical Statement o Increased staff o Improved process o Digital transfer of files D Med Pol PCAT? G / O Factor Medical Statement UNIT Med file returned RELEASE 32

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34 INFORMATION TRANFER FROM CAF to VAC (Days)

35 Number of Therapeutic Classes Total: 80 Therapeutic Classes 31 76% have 60% or more commonality % < 19% 20-39% 40-59% 60-79% 80-99% 100% Proportion of Medications Covered in Common

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38 VETERANS 20/20: 5 year strategic plan Seamless Transition 38

39 VETERANS 20/20: 5 year strategic plan Seamless Transition Political Will Common Goal Resources Data Collaboration / Communication Work Ethic / Energy Plan Evaluation / Metrics 39

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