Naval Health ClinicPatuxent River

“To promote, protect and restore the health or our Sailors, Marines, their families and all others entrusted to our care.”

Lesson Learned

• Combined Wellness visit and medical readiness

• Challenges encountered

• Workable Solutions

Capabilities of NHC Pax River

• Audiology• Dental• Immunizations• Laboratory• Occupational Health• Optometry• Primary Care/ Flight Medicine• X-Ray

Stakeholders

• Primary Care Providers / Clinics• Dental• Immunizations• Laboratory• Medical Records• Commands and Command CFLs• Occupational Health• Optometry

Capture of Personnel

• Capture all base wide check-ins

• Communication with each command’s CFL to track PHA completions

Appointments

• Cattle Call appointments versus scheduled appointments

• Preparation for appointments

• Post appointment process

Choke points in the process

• Dental

• Immunizations

• Audiology

• Occupational Health

Technology Assistance

• SAMS data entry

• Access Database to create coversheet from SAMS

• SAMS Uploads

• Data Entry at the point of care

NAS Patuxent River Medical Readiness May 2006

UIC Title Units HIV PHA* DNA MMR IPV HepA Td YF ABO SCT G6PD PPD PAP Rdns

NAVHEALTHCLINIC PATUXENT RIVER N66098 95% 73% 100% 92% 91% 90% 93% 92% 97% 96% 96% 85% 71% 91%

ARMY N99000 40% 3% 97% 33% 33% 30% 23% 17% 40% 17% 13% 23% 0% 30%

AIR FORCE N99002 25% 3% 100% 22% 25% 25% 19% 13% 38% 16% 16% 6% 50% 25%

COAST GUARD N99004 5% 5% 98% 5% 7% 5% 5% 2% 5% 5% 5% 2% 33% 12%

MAD N99006 67% 39% 98% 79% 68% 85% 82% 58% 96% 83% 82% 67% 100% 75%

MCSF N99008 51% 32% 100% 91% 89% 79% 96% 93% 97% 95% 95% 73% 100% 82%

DEPMEDS NAVHOSP PATUXENT RIVER DET N47136 94% 67% 100% 94% 91% 88% 94% 91% 100% 97% 97% 82% 60% 89%

Avg 85% 55% 99% 84% 82% 81% 86% 76% 94% 87% 87% 75% 67% 82%

* 651 base personnel's birthdate fell between June and October resulting in an underestimation of PHA compliance. The annual PHA requirement did not go into effect until Oct 2005. 651 represents 19% of the base active duty population.

COMMANDS HIV PHADNA

MMR

Polio

Hep A

Tetanus

Yel Fev Bld T

Sick Cell G6PD PPD Total

% Compl

.Perso

ns

VSX-1(NRL) (31686) 68 63 71 54 53 52 71 66 71 71 56 63 75989% 71

NAVTESTWING LANT (39782) 146 150 153 146 140 122 155 148 154 157 150 140 176193% 157

VX-23 (39783) 305 324 346 325 307 280 345 329 345 350 324 298 387892% 350

HX-21 (39784) 46 51 53 53 51 54 50 39 55 55 52 48 60792% 55

VX-20 (39785) 134 137 145 129 134 125 143 124 146 148 138 131 163492% 148

STU TPS (42846) 42 42 41 35 34 31 43 41 40 43 32 41 46590% 43

NTPS (44689) 29 35 35 29 31 29 33 28 35 36 32 29 38188% 36

VC-6 SS DET (46550) 8 8 10 9 10 9 9 9 10 10 10 8 11092% 10

NAS PAX (47608) 330 358 372 310 295 274 368 352 360 377 333 332 406190% 377

VQ-4 DET (49403) 48 74 76 58 53 40 75 71 61 76 56 71 75983% 76

NAWCAD (NWCF) (49860) 84 85 93 78 79 78 92 80 91 93 87 80 102091% 93

COPTEVFOR DT VX-1 (52819) 291 300 312 266 245 221 310 308 287 315 281 298 343491% 315

VC-6 (55243) 61 62 70 65 61 64 69 56 71 72 66 58 77590% 72

VX-1 (55600) 291 300 312 266 245 221 310 308 287 315 281 298 343491% 315

TOTAL188

3198

9208

9182

3173

8 1600 2073 1959 2013 2118 1898 18952307

891% 2118

PERCENTAGE 89% 94% 99% 86% 82% 76% 98% 92% 95% 100% 90% 89%      

                               

Total Base AD Personnel (Navy)

2350

2501

2626

2174

2108 2006 2588 2394 2534 2679

231600%

2362

28638

89% 2679

PERCENTAGE 88% 93% 98% 81% 79% 75% 97% 89% 95% 100% 86% 88%      

                               

COMFORT (47136) 27 31 31 27 25 23 31 30 27 32 27 31 34690% 32

NHC PAX (66098) 88 89 93 86 85 78 90 91 91 94 89 88 108396% 94

TOTAL 115 120 124 113 110 101 121 121 118 126 116 119 142995% 126

PERCENTAGE 91% 95% 98% 90% 87% 80% 96% 96% 94% 100% 92% 94%      

NAS Patuxent River Medical Readiness Example Report

Training Issues

• SAMS data entry

• Occupational Health Screens

• Immunization Training

• Process training (patient flow, record screens)

• SAMS uploads, IMR Uploads

• Standardize reporting process

Summary

• Combined appointments

• Stake holder meetings

• Continuous process improvement

• Technical Support

Questions?