Health Services Professional Advisory Committee Meeting Minutes 3 February 2012 Parklawn Building Room 12A-55

Health Services Professional Advisory Committee Meeting Minutes 3 February 2012 Parklawn Building Room 12A-55 Welcome CDR Karen Sicard The meeting was called to order at 1232 EST by CDR Karen Sicard. Roll Call A roll call was conducted and CDR Sicard announced that a quorum was present. HS PAC Voting Members Name Attendance Name Attendance CAPT Susan Bonfiglio Present CDR Cecile Town Absent CDR Ali Danner, Chair-elect Present* CDR Iris Valentin-Bon Present CDR Jean-Pierre DeBarros Present* LCDR Tracy Branch Present CDR Stacey Evans Absent LCDR Carlos Castillo Present CDR Daniel Hesselgesser Present LCDR Tarsha Cavanaugh Absent CDR John Jaworski Present LCDR Brett Maycock Present* CDR David Lau Present LCDR Morrisa Rice Present* CDR Josef Rivero Present LCDR Joseph Shurina Present CDR Scott Salvatore Present* LCDR Deidra Washington-Jones Present* CDR Karen Sicard, Chair Present* LT Sheila Weagle Present* Ex-officio Members Name Role Attendance RADM Epi Elizondo CPO Present LCDR Todd Lennon Executive Secretary Present* Guests Present CAPT David Delacruz CAPT Dan Kavanaugh* CAPT Sheila Merriweather CAPT Theresa Minter CAPT Anne Perry CAPT Lou-Ann Rector CAPT Christopher Walsh CAPT Elise Young CDR Barbara Alley CDR Lynda Bishop CDR Shari Campbell CDR Helen Cox CDR Rhondalyn Cox* CDR Christopher Duncan* LCDR Dorinda Ball LCDR David Barry* LCDR Domika Bivens LCDR William Bolduc LCDR Elaine Bond LCDR Rebecca Bunnell LCDR Carlos Castillo LCDR Jeri Coats LCDR Clifford Coleman LCDR Shwana Coleman LCDR Billy Collins LCDR Sherene Cora LCDR Chris Cordes LCDR Darrlyn Cornelius-Averhart LCDR Evelyn Seel LCDR Shane Sims* LCDR Shani Smith LCDR Jemekia Thornton LCDR Van Tran LCDR Brooke Wallace LCDR Paula Washington LCDR Jyl Woolfolk LCDR Theresa Zach LT Dawn Arlotta LT Annette Atoigue LT Bianca Bellinger LT Holly Berilla LT Carla Burch HS PAC 3 FEB 2012 Meeting Minutes Page 1

CDR George Durgin CDR Leslie Hausman CDR Delia Jones-McHorgh CDR Verna Kuka CDR Kimberly Mcintosh-Little CDR Barbara Olaniyan CDR Michelle Pelkey CDR Bernadette Rose CDR Joseph Roth CDR Januett Smith-George CDR Linda Thai CDR William Waldron CDR Paul Wickard CDR Diahann Williams CDR Robert Windom LCDR Sean Allain * In-person Approval of December Minutes LCDR Donald Ertel LCDR Kent Forde LCDR Nicole Gaskin-Laniyan LCDR Malaisa Grasham LCDR Kimberley Hawkins LCDR Monica Jessup LCDR Mike Klimp LCDR Dana Lee* LCDR Wilson Nazariao LCDR Joel Nelson LCDR Israel Otero LCDR Al Peyketewa LCDR John Rael LCDR Brian Robb LCDR Monique Salter LCDR Samuel Schaffzin LT Tara Carolfi LT Jennifer Cheng LT Johnni Daniel LT Cindy Eugene LT Janet Hayes LT Kimberley Jones LT Camille Mitchell LT Patrick Neubert LT Brandy Rose LT Michelle Tfai LT Tina Walther LT Margaret Whittaker LT Niketta Womack* LT David Young* LTJG Brittany Boveniver LTJG Cynthia Chennault LCDR Lennon noted that CAPT Sheila Merriweather suggested non-substantive changes to the minutes previously distributed for approval. He also noted the CDR David Lau s rank will be corrected in the minutes. CDR Sicard called for a voice vote to approve the December 2011 HS PAC meeting minutes as amended. The minutes were approved by unanimous voice vote. CPO Report RADM Epi Elizondo RADM Elizondo reviewed some items of interest from the recent SG PAC meeting: o Year in review: OSG permanent staff is mostly on board now. The focus of the Commissioned Corps has adjusted to the needs of the Administration identifying gaps in the Corp to be filled based on the 5 pillars described in previous PAC meetings. Through an act of Congress, the GI Bill is now transferable. There has been a change in the administration of the Corps by mending together operations at headquarters. The pause was lifted and we are entering a new phase in changing the way that we let new officers into the Corps. We are a popular service. People want to join, but we cannot handle the administration of the number of people submitting applications. We are trying to get control of the applicants based on need and align with the mission. The pause in new applications continues with over 400 HS Officers pending. We are still working to determine the disciplines. o The PHS BDU will be replaced with the Coast Guard blue Operational Dress Uniform (ODU). Once officially announced, officers will have one year to transition. During this transition, both uniforms will be authorized for wear. o The billet process should be completed by 29 February and handed over to the Coast Guard for input into Direct Access. Thank you to CDR Sicard and CAPT Merriweather for leading the effort for the HSO category. HS PAC 3 FEB 2012 Meeting Minutes Page 2

o As announced previously, social workers who do not meet the requirement for clinical licensure are encouraged to seek a restricted waiver for licensure that will cover their current billet. A new waiver will need to be requested if the officer changes billets. Subcommittee Reports Awards LT Sheila Weagle for CDR Cecile Town The subcommittee has completed its 2012 roster and would like to welcome back last year's members as well as six new volunteers, including the new subcommittee Vice Chair, LT Sheila Weagle. The nominations for the Stanley J. Kissel Jr. Award for Outstanding Health Services Professional of the Year and the Joseph Garcia Jr. Award for Outstanding Junior Officer of the Year are due 9 March 2012 by close of business to CDR Cecile Town. The subcommittee has added a new award to the review cycle for this year: the Joint Services Health Services Junior Officer Award of Excellence. Details will be posted soon to the Awards Subcommittee web page. Upcoming subcommittee activities will be to revise the SOP, reach out to the awards counterparts of the PAGs, and formalize the Junior Officer of Excellence Award into the yearly awards cycle. Career Development CDR Ali Danner The subcommittee met on 11 January 2012. The next subcommittee meeting/conference call is Thursday, 9 February 2012 at 1500 EST. The subcommittee is re-balancing its three teams. HSOs interested in joining this diverse group of "officers who help officers" should contact LCDR Deidre Washington-Jones (dwashingtonjones@hrsa.gov or 301-443-6844). The three teams continue to review their web content and project to submit a detailed report to the voting members in either March or April to update specific sections and possibly propose removal of older content. The Career Enhancement Resource document that was created by CDR Danner was disseminated on the HSO listserv during December 2011 by CAPT Sheila Merriweather, 2011 HS PAC Chair. The resource is meant to support HSO careers and promotion readiness. CDR Jean-Pierre DeBarros, subcommittee member and previous Alternate Chair, provided an overview of his State Department deployment to the Democratic Republic of Congo, in which he oversaw their electoral process. His 11 January 2012 presentation inspired at least one HSO to seek a similar Commissioned Corps experience. The subcommittee will submit recommended revisions to our section of HS PAC SOP by mid- February 2012. The subcommittee's new Booth Planning Team lead is LCDR Donelle McKenna, who is already collaborating with LCDR Deidre Washington-Jones and the 2011 action item lead to conduct updates to the display and coordinate volunteers. Communications LCDR Todd Lennon for CDR Stacey Evans Weekly announcements continue to go out on Fridays. Kudos to the HS PAC for adhering to the Wednesday submission deadline. If announcements are not received by Wednesday, they will be included in the following week s announcements. Continuing to respond to request to update HSO website and keep information accurate. Everyone please be patient when submitting request if you don't see your updates immediately. HS PAC 3 FEB 2012 Meeting Minutes Page 3

Currently, there is a two-week processing time and we are also preparing to transition to a new site. The subcommittee polled other PACs to determine how Facebook is utilized and found that it is primarily used for announcements and updates. The subcommittee facilitated a special meeting for the PAG Chairs, their designees, and subcommittee Chairs on 2 February to discuss the process for updating content on the HS PAC website. The subcommittee finalized the new layout of the HSO website and is prepared to unveil it on Tuesday, 7 February. The listserv contract has been renewed for an additional two years. Three action items are listed in Action Item #12-01 following these minutes. Membership CDR Joseph Shurina Submitted solicitation for new HS PAC members for 2013-2015 to all SOP-recommended sources. Continuous postings for available Voting Member slots will occur from February to the end of June. Updated solicitation and membership application documents and posted on the HS PAC website. Added 4 new members to the Membership Subcommittee. First Membership Subcommittee meeting planned for mid-march, date and time to be announced. Action item: Plan solicitation activities for 2012 HSO Category Day and COF Symposium. Mentoring CDR Iris Valentin-Bon Mentoring Subcommittee is in transition and in open communication with past Chair, LCDR Raquel Peat. We are updating the website and meeting with the 4 working groups in the next few weeks to discuss goals and their vision of the program. A request for new members will go out through the listserv and it will be sent to CDR Stacey Evans. Policy CDR Josef Rivero Congratulations to 24 new members of the Policy Subcommittee for 2012-2014. There are no vacancies on the subcommittee at this time. The 2012 roster update list will be sent to Communications to update in the HSO website by COB today. Thanks to CAPT Susan Bonfiglio for her outstanding efforts in preparing CDR Rivero as the new Policy Subcommittee Chair. Thanks also to CDR Sicard for giving CDR Rivero the opportunity to serve as Chair. No new policies were presented for review to the Policy Subcommittee since the December 2011 meeting. The subcommittee stands ready to review policies as needed. Readiness LCDR Brett Maycock The President's Challenge website and database were accessed by hackers. If you participate in the President's Challenge program, please follow the instructions that were provided by President's Challenge to address this situation. Officers are encouraged to participate in the APFT. OFRD has stated that they would have the readiness numbers from the 30 December 2011 run sometime this week. To date, nothing has been received. The next OFRD readiness run will HS PAC 3 FEB 2012 Meeting Minutes Page 4

occur on 30 March 2012. Officers should ensure their immunizations, APFT, BLS, etc., are up-todate. The Readiness Subcommittee met on 26 January 2012 to discuss roles and responsibilities of the subcommittee and potential future projects to increase HSO readiness. The next Readiness Subcommittee meeting is scheduled for 23 February2012. Recruitment and Retention LCDR Tracy Branch Statistics on the HS PAC as of 2 February 2012: there are 1,246 Active Duty HSOs. The subcommittee will begin to post category-specific recruitment documents on the Recruitment & Retention webpage. The subcommittee was successful in obtaining a list of HSO candidates from the Division of Commissioned Corps Assignments (DCCA). The current list consists of 337 candidates, of which 77 are HSOs. DCCA provided an update on the applications received prior to the 31 December 2011 closing of new application acceptance. Of the 827 applications received, 196 were from HSOs: 30 psychology, 25 dental hygiene, 103 MPH/MHA, 29 medical technology, 5 optometry, 28 physician assistant, 3 podiatrist, 48 social worker. The subcommittee is taking the lead on developing a calendar of web trainings for the category. Please send ideas for training topics to LCDR Branch at tracy.branch@hhs.gov. Ad Hoc Subcommittee Reports Standard Operating Procedure (SOP) CDR Christopher Duncan HS PAC Subcommittee Chairs teleconference called by CDR Sicard on 26 January 2012. An agenda topic was the subcommittee Chairs review of the 2011 draft of the HS PAC SOP. Each subcommittee Chair was tasked with reviewing and, if necessary, revising the SOP as it pertains to their subcommittee. Once completed, the revised segments will be delivered to the SOP work group for compilation into the 2012 SOP draft. This newly revised SOP draft is due to CDR Sicard by 1 March for her concurrence. Target date for voting membership SOP approval has been set for the April HS PAC meeting. Senior Officer Advisory Group (SOAG) CDR Scott Salvatore The SOAG initiative is still in the development stage. Six subcommittees were formed and leads for each were identified. Review of Action Items CDR Karen Sicard and LCDR Todd Lennon CDR Sicard and LCDR Lennon reviewed the action items pending after the December meeting. An updated list of action items follows these minutes. Professional Advisory Group (PAG) Reports Basic and Applied Science (BASPAG) CDR Iris Valentin-Bon BASPAG met on 18 January. New BASPAG Executive Committee and subcommittee Chairs were introduced to the general membership and talked about new plans for this year. HS PAC 3 FEB 2012 Meeting Minutes Page 5

BASPAG plans to continue having keynote speakers through the year about important issues on transformation, promotion and leadership. Future speakers include CAPT Calvin Edwards and CDR Angela Mtungwa from OCCO (confirmation pending). Revision of bylaws is ongoing. Finalization and approval by voting members is pending. Dental Hygiene (DHPAG) LT Sheila Weagle The DHPAG elected three new Executive Committee members who will serve a three-year term as three Executive Committee members rotated off. LCDR Amy Dayhoff was voted as Chairelect. The DHPAG developed a newsletter workgroup to help bridge communication gaps. A survey was conducted via Survey Monkey to determine if there was interest in a newsletter, as well as content that should be included. The workgroup will convene its first meeting on 8 February. The DHPAG is discussing collaborating with the DePAC on developing activities for the National Prevention Strategies. Request for past meeting minutes to be uploaded on the DHPAG webpage was forwarded to the appropriate contact for posting on the Dental Hygiene page of the HSO website. Healthcare Administration (HAPAG) CDR William Rusty Waldron Current activities include development of a HAPAG strategic plan, beginning population of the HAPAG toolkit, and development of standard operating procedures for the HAPAG subcommittees. Accomplishments include the successful transition of HAPAG leadership and identification of co-leads and members of the HAPAG strategic plan workgroup. The first 2012 voting member and general member meetings were held in January. Action item: Approval of HAPAG Bylaws. HAPAG Bylaws Approval CDR Sicard called for a voice vote to approve the HAPAG Bylaws as presented. The HAPAG Bylaws were approved by unanimous voice vote. Information Technology (ITPAG) CDR Verna Kuka ITPAG established a subcommittee to develop a video for RADM Elizondo for the 2012 AMSUS conference. The team lead is LCDR David Wright. A conference call is scheduled for 6 February with RADM Elizondo and CDR Sicard to discuss the theme. The First ITPAG call was held 19 January 2012 and new subcommittee Chairs were introduced. Medical Laboratory Science (MLSPAG) LCDR Jeri Coats New MLSPAG leadership changes include: LCDR Jeri Coats, Chair; LT Camille Mitchell, Chairelect; and CDR Renee Galloway, Secretary. There are also two new voting members. One of the MLSPAG goals for this year and next year is to get COSTEPS for the profession. The Awards Subcommittee selected LCDR Cara Nichols (IHS) as the Junior Officer of the Year for 2011. HS PAC 3 FEB 2012 Meeting Minutes Page 6

Optometry (OPAG) LCDR Christopher Cordes The OPAG approved their bylaws and re-appointed LCDR Cordes as the HS PAC liaison. The OPAG set criteria for, and named, the Richard Hatch Junior OD of the Year Award, to be awarded by OPAG at the biennial optometry meeting. The call for nominations for the Hatch Junior OD Award will go out shortly. Selected Hamilton and Caplan Award winners for the biennial optometry meeting in May. Physician Assistant (PAPAG) CAPT Christopher Walsh PAPAG has added several new members after the recruitment drive of 2011. Leadership is in the process of assigning subcommittee roles. PAPAG has initiated PA student internships with various PA programs to allow student rotations at PHS physician assistant work sites. The PAPAG coin was developed and released. It is available online at HSO web site link. PAPAG requests guidance regarding recruitment efforts during this time of the Commissioned Corps not accepting applications from HSO officers. Public Health (PHPAG) CDR Joseph Roth The new PHPAG Excellence in Leadership Award was developed. The description and criteria were distributed via the HS PAC listserv. Nominations are due via e-mail by COB on 30 March 2012. The Career Development Subcommittee is offering CHES credits for two upcoming Brown Bags: 23 February Health Promotion: Thinking Outside of the Job Title; and 8 March Annual Physical Fitness Test (APFT) and Basic Readiness Preparation. The CHES credits were the result of a partnership with the National Capital Area Society of Public Health Educators. Four USPHS Scientific and Training Symposium discussion roundtables were submitted on the following subject areas: 1) policy, 2) health education, 3) epidemiology, and 4) public health generalist. Executive Committee leadership has transitioned. The new PHPAG Chair is CDR Joseph Roth and LCDR Deidre Washington-Jones is the new Chair-elect. A new communication protocol was developed for disseminating PHPAG information. The PHPAG aims to implement a peer-to-peer mentoring program this quarter that will complement the HSO Mentoring Program. More details are forthcoming. PHPAG officers look forward to collaborating with the PAC and the Mentoring Subcommittee on this new program. Psychology (PsyPAG) CDR Scott Salvatore PsyPAG met for the first time this year on 1 February. Officers this year are LCDR Jeff Goodie (Chair), CDR Anne Dobmeyer (Chair-elect), and LCDR Tony Satterfield (Secretary). PsyPAG continues to work the special pays issue and will push to have the recently revised T&E policy for psychology revisited. PsyPAG established a Science Subcommittee and a mentoring support group for officers going through the board certification process. HS PAC 3 FEB 2012 Meeting Minutes Page 7

Social Work (SWPAG) LCDR Todd Lennon Goals for this year include: 1) continuing to build a sense of community among PHS social workers and 2) raising the profile of social workers within the Corps. Developing a white paper on the profession of social work, social work in public health, and social work's contribution to the mission of the Corps for the benefit of Corps leadership as it considers policies regarding social workers. Revising bylaws for approval at the April HS PAC meeting. Revision will make the bylaws more consistent with other PAGs and more representative of the way we want to do business. PAG chair met in January with subcommittee chairs as an ad hoc PAG leadership group. Subcommittees shared work plans to avoid duplication of effort and to better serve our members. RADM Pete Delany has graciously agreed to serve as SWPAG's Senior Advisor. The call for nominations for the Junior and Senior Social Worker of the Year Awards for 2012 has gone out. The deadline for nominations is 24 February. Liaison Updates COA LCDR Joseph Shurina We are currently in the continuing education review process for all presentations for the 2012 HSO Category Day. The process is due to be completed on 17 February 2012. We are coordinating the PAG Breakout Sessions for five PAGs on Category Day. The next 2012 HSO Category Day meeting is planned for 14 February 2012. The Category Day agenda is complete. Confirmed 19 round table topics with 4 pending round tables for a total of 23 round tables. There are two keynote presentations: A panel presentation on "National Prevention Strategy (NPS) " led by RADM Penny Sawyer-Slade and moderated by RADM Elizondo and a presentation Legal Challenges to the Patient Protection Affordable Care Act. Working to secure logistics for all of the 2012 HSO Category Day activities. Working to facilitate the completion of registering all presenters for 2012 HSO Category Day. AMSUS LCDR David Lau The 118th Annual Meeting of the Association of Military Surgeons of the United States (AMSUS) is11-16 NOV 2012 in Phoenix, AZ. AMSUS membership and planning is open to all categories and includes CC, GS, and tribal employees. Air Force is hosting and planning AMSUS this year. USPHS will host and plan entire AMSUS in 2013 in Seattle, WA. Navajo Code Talkers are scheduled for opening keynote/honors. Medal of Honor recipients were honored at past meetings. Working with JOAG Chair/EC to have AMSUS liaison officer and potential JOAG category representatives; also MOLC AMSUS liaison. May have additional AMSUS Plenary Sessions with IHS and BOP. Working with ITPAG on producing a high quality USPHS MSC/HSO video to showcase at the Medical Service Corps (MSC) section meeting. Need discipline "actors" in work/clinical settings to be part of HSO/MSC video. USPHS AMSUS Chairs are CDR David Lau and LT Cody Thornton. Contact the Chairs for other planning committee members. In 2010 and 2011, USPHS was second in awards submissions behind USAF. Consider recognizing deserving officers with write-ups and submissions for AMSUS awards. OSG approved VADM Richard Carmona (17th U.S. Surgeon General) for the AMSUS Lifetime Achievement Award. HS PAC 3 FEB 2012 Meeting Minutes Page 8

OCCO LT Tiffany Taliaferro No update received OFRD LCDR Damon Smith No update received JOAG LCDR Brett Maycock The JOAG 2012 Call for Awards announcement has gone out for the Junior Officer of the Year Award, JOAG Excellence Award, and VADM Richard H. Carmona Inspiration Award. Nominations are due to the appropriate JOAG award lead listed on the announcement no later than COB on Friday, 16 March 2012. The spring semester for the 2011-2012 academic year has begun and the JOAG Recruitment and Retention Committee has compiled a list of upcoming career fairs for February 2012. This list can be found on the JOAG website under Junior Officer Resources at: http://www.usphs.gov/corpslinks/joag/index_files/jo_resources.htm. The next JOAG General Member Meeting will be on 10 February 2012 at 1300-1500 EST. COF CDR Lynda Bishop Five HSO coins were sold during December 2011-January 2012. There is one request to reimburse $77 to the Communications Subcommittee listserv manager for the two-year listserv renewal fee. HS PAC beginning account balance (January 2012) was $1,977.27. Ending balance (February 2012) was $1,950.27. Coins cost $10 each. Anyone interested in purchasing a coin may contact CDR Lynda Bishop at LBishop@hrsa.gov or 301-594-6331. Old Business No old business was discussed. New Business No new business was discussed. Adjournment The meeting was adjourned at 1408 EST. The next HS PAC meeting is scheduled for Friday, 6 April 2012, from 1230 to 1600 hours EDT. HS PAC 3 FEB 2012 Meeting Minutes Page 9

Action Items Action Item #11-14: (RADM Elizondo) Check with OCCO regarding commissionable degrees who is receiving letters or verbal statements that they do not qualify. Update 2 December 2011: (RADM Elizondo) RADM Elizondo spoke with OCCO and he continues to work with OCCO regarding the issue. Status: Open Update 3 February 2012: (RADM Elizondo) RADM Elizondo said that a conference call is scheduled for next week to discuss this and other issues. At issue is what degrees will give officers the best chance of a full Commissioned Corps career. CDR DeBarros noted that PAGs are not routinely engaged when issues like this ones that concern their professions are discussed. Status: Open Action Item #11-15: (CAPT Merriweather) Contact CAPT Bailey regarding the process to adjudicate discrepancies between the descriptions of multidisciplinary billets of the same title. Update 2 December 2011: (CAPT Merriweather) CAPT Merriweather is working with CAPT Bailey. An informational e-mail will be issued to the category regarding this and other billet issues in the near future. Status: Open Update 3 February 2012: (CDR Sicard) Status: Open Action Item #11-16: (RADM Elizondo) Contact OCCO to obtain the current list of applicants so the Recruitment and Retention Subcommittee and discipline liaisons can validate their lists of applicants. Status: New Update 3 February 2012: (Recruitment & Retention Subcommittee) List obtained. Status: Closed Action Item #12-01: (CDR Sicard) Follow-up on action items requested by the Communications Subcommittee in its February 2012 report. Based on the subcommittee s poll of other PACs, does the HS PAC agree to use the Facebook page in the same manner as our weekly announcement to provide updates and links to PAG pages? The subcommittee would like to go live with the new HS PAC website on Tuesday, 7 February, and would like the PAC to review the test URL by Monday, 6 February. The subcommittee would like to receive guidance on the PAC s and PAC Chair's vision for the subcommittee regarding the upcoming 2012 COF. Status: New Action Item #12-02: (OPAG) OPAG reported that it had approved its bylaws. Was that their routine triennial approval? Status: New Draft minutes prepared by: LCDR Todd Lennon, HS PAC Executive Secretary Submitted by: CDR Karen Sicard, HS PAC Chair Reviewed by: RADM Epi Elizondo, Health Services Chief Professional Officer Approved by: HS PAC, 6 April 2012 HS PAC 3 FEB 2012 Meeting Minutes Page 10