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State of the Category 2011State of the Category 2011
Scott Gaustad, PT Chief Therapist Officer
State of the CategoryState of the Category
Outline
• Who we are
• Where we work
• What we’ve done
• Promotion
• Readiness
• Transformation/Policies
Who we are…Who we are…
Who we are…Who we are…
Who we are…Who we are…
Who we are…Who we are…
Where we work…Where we work…
USPHS Commissioned Corps by Agency
AGENCY COUNT
ACF 3AHCPR 8ATSDR 38BOP 762CDC 847CIA 1DHS 465DOC 16DOD 3
DOD TMA 210
DOS 1EPA 76FDA 930HCFA 107HRSA 214IHS 2088
INTERIOR 52
JUSTICE 14
NIH 323OS 197PSC 55
SAMHSA 55
USAMRMC 4
USDA 21
USPHS Commissioned Corps by Category
CAT ABBR COUNT
DEN 329
DIET 99
EHO 365
ENG 421
HSO 1220
MED 891
NURSE 1533
PHARM 1096
SCI 304
THER 146
VET 86
USPHS Commissioned Corps by Temporary Grade
TGRADE COUNT
ENS (JA) 60
LTJG (A) 244
LT (SA) 997
LCDR (F) 1879
CDR (SR) 1635
CAPT/DIR 1636
RADM/ASG 28
RADM/ASG 10
SURG GEN 1
Where we work…Where we work…
Distribution of Category Officers across OpDivs 4/15/2011
0%
20%
40%
60%
80%
100%
MED DEN NURSE ENG SCI EHO VET PHARM DIET THER HSO
CDC
NIH
CMS
FDA
HRSA
OS
Other-HHS
Other Non-HHS
DHS
DOD TMA
BOP
IHS
What we’ve done…What we’ve done…
• Promoting Physical Activity Guidelines
• 2012 Benchmarks
• New TPAC members/ sub/committee chairs
• HHS Portal continues to evolve
• New website server
• Billet refinement for new Billet Collection System
• Web page
• Listserv
• Therapist Guide to Deployment revision
• Retirement recognition
• Readiness Support
• Mentoring
• Category, AMSUS, responder awards
• Educational opportunities/ advanced practices
• Vacancy list
• Promotion preparation guide, credentials review guide
• Category roster and profile
• P&P review
Activities in 10/11 TPAC year
What we’ve done…What we’ve done…
Individual accomplishments – Awards
• PHS Awards
– Outstanding Service Medal
– Meritorious Service Medal
– Achievement Medal
– Crisis Response Service Award
– Recruitment Service Ribbon
– FRMB
– National Defense Service (DoD)
• COA/COF recognition
• Agency and duty station recognition
– Directors awards, employee of the year
What we’ve done…What we’ve done…
2011 Category Awards
William Fromherz Award: CAPT Karen Siegel
Joseph Hoog Award: CDR David Byrne
Therapist of the Year: CDR Michael LaPlante
Junior Therapist of the Year: LCDR Darren Heer
Individual accomplishments – training
• Advanced degrees/certificates
• Earned Board Specialties
OCS,GCS, CWS, PH, MS-HCA
• Participated in professional training professional conferences/CEUs, readiness and response, and OBC
What we’ve done…What we’ve done…Service
• COA office, local and national
• Healthy lifestyles, health fairs, PT Month activities
• Community service
• Recruiting
• Expert on grant reviews
• CC Ensemble and Choir
• Manuscript reviews for professional journals
Clinical Programs• Bariatrics, diabetes
• Wound care, spinal cord
• Student education
• Vestibular Rehabilitation
What we’ve done…What we’ve done…Presentations• Agency/Local
• Professional societies (APTA)
• 2011 COF/COA symposium
• CEU courses
Publications• The Hearing Journal
• Journal of the Acoustical Society of America
• Journal of the American Academy of Audiology
• Brain
• Pediatric Neurology
• Pediatric Blood and Cancer
• Arthritis Care and Research
• Physical and Occupational Therapy in Pediatrics
• American Journal of Occupational Therapy
• Pediatric Physical Therapy
• Book chapters
What we’ve done…What we’ve done…
Call to Active Duty
2010: 5 (1 IHS, 1 BOP, 1 CDC, 2 DoD-TMA)
2011: 3 pending Senate confirmation
RetirementsCAPT Jessie Lief May 1, 2011
CDR Mark Melanson March 1, 2011
CDR Denise Brasseaux December 1, 2010
CAPT Lois Goode September 1, 2010
CAPT Terry CavanaughJuly 1, 2010
Recognition: What we’ve doneRecognition: What we’ve done
Temporary Promotions (PY ’11)
3*- O-6
11 - O-5
8 - O-4
*EC promotion 1
Permanent Promotions (PY ’11)
2 - O-6
6 - O-5
5 - O-4
Recognition: What we’ve doneRecognition: What we’ve done
• RADM Penelope Slade-Sawyer Appointed as Senior Advisor to the Assistant Secretary for Health
• CAPT Karen Siegel completes four year term as CPO
• Officer Mid-Level Course (June 5 through June 17, 2011)– LCDR Dean Trombley – DCCTCD
Recognition: What we’ve doneRecognition: What we’ve done
PromotionPromotion
Success rates for promotion vary slightly from year to year. In PY11 up for T-O4, down for T-O5 & O-6.
PromotionPromotion
Your raw scores on the benchmarks any given year are not meaningful compared to a previous year
PromotionPromotion
Your raw scores are meaningful compared to the scores of officers who were promoted
PromotionPromotion
• Comments on the score sheet provide insight into areas on which to focus to improve your performance/ scores for next year
• At least 2 board members must check box for strength/ suggestion to appear
• All free text comments appear
• 55 board members in PY11! Not a Hybrid Board
60
PromotionPromotionGeneral feedback to all officers
• Current CVs are very important
• Check Therapist Category for current year Promotion Benchmarks
• Use recommended CV format on website
• Be cautious in use of abbreviations and discipline specific “jargon”
• Do your best to make sure PIR, CV, officer/ROS statements, and COER attachments all tell cohesive story about you. Educate your rating and reviewing official about importance of completing documents.
PromotionPromotion
General feedback to all officers:
• Career counseling encouraged but not required for any officer not promoted. Officers are free to choose who performs the counseling.
• Category career counseling by CPO or designee required for officers ranked in the lowest quartile. This must be documented in OPF.
• Officers ranked in lowest decile x3 years referred to retention review board.
• Officers not meeting readiness standards receive automatic not recommend and referred to review board.
• Defer (vs not recommend) also option for temporary promotion for officers felt not ready to serve at next highest rank. These officers also referred to retention review board.
PromotionPromotionGeneral feedback to all officers
• Review your OPF to see if you can EASILY locate information that addresses ALL promotion benchmarks.
• List the contact hours for continuing education• Please consider the fax machine you are using• Common issues included missing or out-of-date
documents, 100% under the officer’s influence; CVs, Officer Statements, Continuing Education List.
• Verify that documents are complete, accurate, error free, and legible after they are faxed to the OPF.
ReadinessDecember 31
• If ready – earn 0 points on readiness precept (PY-12)
• If not – automatic not recommend for promotion
March 31
• Part of administrative check along with licensure and other issues
• If ready – stay on rank order list
• If not – removed from rank order list, even if scored well enough by promotion board to be promoted
PromotionPromotion
The Promotion Precepts are weighted as follow:
• 1. Performance Rating and Reviewing Official’s Statement (Performance) - 40%
• 2. Education, training, and professional development - 20%
• 3. Career progression and potential - 25%
• 4. Professional contributions and services to the PHS Commissioned Corps (Officership) - 15%
• 5. Basic Readiness ***0%
• IMPORTANT NOTE***: Although the Readiness precept no longer carries any weight with regard to numerical score for promotion, basic readiness remains one of the several administrative checks for promotion. Officers in a "not ready" status at the 31 Dec OFRD status report prior to the promotion year will receive an automatic Board Not Recommend. In addition, officers in a "not ready" status at the subsequent 31 Mar OFRD status report, who were otherwise successful, will be removed from the successful list. Officers are advised to maintain basic readiness at all times.
PromotionPromotion
Readiness Readiness (Jan 1-Mar 31 2011)(Jan 1-Mar 31 2011)
4/10/11
ReadinessReadiness
• Medical exam delinquencies have improved.
Readiness by Time
0%
20%
40%
60%
80%
100%
Dec-96 Dec-98 Dec-00 Dec-02 Dec-04 Dec-06 Dec-08 Dec-10
OFRD Current Response Teams
Rapid Deployment Forces Team (RDF) Description
Applied Public Health Team (APHT) Description
Mental Health Team (MHT) Description
Services Access Team (SAT) Description
National Incident Support Team (NIST) Description
Regional Incident Support Team (RIST) Description
Capitol Area Provider Teams (CAP) Description
Deployment Teams Deployment Teams
ReadinessReadiness
Relatively few changes in last year
• If not ready when reviewed for temporary promotion, promotion held.
Future plans
• New policies in development have been delayed for additional review, partly due to release of physical activities guidelines.
• Changes to look for on release include additional disciplinary actions, BMI standards, and modifications to the President’s Challenge option.
Deployments
• State of the Union
• Haiti Earthquake
• Deepwater Horizon Oil Spill
• Field-based training
ReadinessReadiness
TransformationTransformation
Current Priorities
• Direct Access – implemented about 1 year ago. Now primary means to enter some readiness info, but be familiar with all data fields.
• Billets – anticipated to conclude this fall
• Accountability Restructuring
BCS ConclusionBCS Conclusion
1. TPAC reviewers overwhelmingly agreed that the BCS roll-out and education process for Therapist Category officers, agency supervisors and reviewing officials were sufficient.
2. Therapist Category Rapid Responders were: under-utilized throughout the billet collection process. had the Rapid Responders been effectively utilized, many or all
of the inconsistencies (red flags) could have been eliminated. may have improved the process to have also encouraged the
supervisor and reviewing officials to contact the Rapid Responders to assist in the review.
3. All “red” flag items have been submitted to agency liaisons.
Recently approved OCCFM Initiatives and Issuances
• PPM 11-001, Revision to Billet ProgramCCI 251.01, Professional Licensure and Certification
• POM 11-005, Entry Grade on Appointment to the Corps
• POM 11-004, Promotion Precept Weights
• CCI 231.03, Appointment Standards (Category Specific)
• POM 11-003, Uniform of the Day – Spring and Summer 2011
• CCI 231.01, Appointment Standards (General)
• CC25.1.1, COER Policy
• POM 11-002, 2010 Annual COER
• Award of Military Decorations
New Policies in last yearNew Policies in last year
Policies in DevelopmentPolicies in Development
• Administrative and Disciplinary Actions
• Allotments
• Associate Recruiter Program
• Child Support/Alimony Garnishment Orders
• Consolidated Special Pays
• Deployment Readiness
• Details (Blanket)
• Domestic/Family Neglect; Violence, Abuse and Treatment
OCCFM Initiatives and Proposed Issuances in process:
Policies in DevelopmentPolicies in Development
• Equal Opportunity
• Force Management (Assimilation Program)
• Former Spouse Payments from Retired Pay
• Leave
• Physical Training Uniform
• Political Activities
• Promotions Directive
• Protected Communications
• Replacement for BDU - pending
• Travel and Transportation Allowances
• Uniforms - Discipline
OCCFM Initiatives and Proposed Issuances in process:
• Promotions Directive
• Protected Communications
• Ready Reserve Corps
• Reserve Corps Officers Deemed Regular Corps
• Revisions to Assignment Incentive Pay
• Revisions to Dental Special Pays
• Revisions to Incentive Special Pay
• Revisions to Multiyear Retention Bonus
• Revisions to Nurse Special Pays
• Revisions to Retention Special Pay
Policies in DevelopmentPolicies in Development
OCCFM Initiatives and Proposed Issuances in process:
Health Care ReformHealth Care Reform
Patient Protection and Affordable Care Act (ACA)
• Sec. 5209. Elimination Of Cap On Commissioned Sec. 5209. Elimination Of Cap On Commissioned Corps. Corps.
• Sec. 5210. Establishing A Ready Reserve Corps - Sec. 5210. Establishing A Ready Reserve Corps - pendingpending
• Sec. 203. Commissioned Corps And Ready ReserveSec. 203. Commissioned Corps And Ready Reserve
• Sec. 5315. United States Public Health Sciences Sec. 5315. United States Public Health Sciences Track – pendingTrack – pending
Health Care ReformHealth Care Reform
Regular vs Ready Reserve Corps
• There shall be in the Service a commissioned Regular Corps and a Ready Reserve Corps for service in time of national emergency.
• Commissioned officers of the Ready Reserve Corps shall be appointed by the President and commissioned officers of the Regular Corps shall be appointed by the President with the advice and consent of the Senate.
Therapists by CorpsTherapists by Corps
Surgeon General InitiativesSurgeon General Initiatives
• Childhood Overweight and Obesity Prevention Initiative
• National Prevention Strategy
• Women’s Health Issues
The future…The future…
““Chance favors the prepared mind” – Louis PasteurChance favors the prepared mind” – Louis Pasteur
• Direct Access Direct Access
• Billets – active when all convertedBillets – active when all converted
• Health Care Reform – many policies affectedHealth Care Reform – many policies affected
• Review of CC operational componentsReview of CC operational components
• Ready Reserve CorpsReady Reserve Corps
• Compensation and Pay Advisory Board findingsCompensation and Pay Advisory Board findings
• Accountability Restructuring Accountability Restructuring (OCCO/OCCFM/OSG)(OCCO/OCCFM/OSG)
In Memory
• CAPT James M. Cox, (Ret). CAPT Cox was the Chief Professional Officer in 1979 and served for 32 years.
• CAPT Joseph K. Reed, Jr., (Ret) served 25 years. He was a pioneer in podiatric physical therapy and avid bicyclist.