1. Patient Administration Subspecialty
CDR Bob Rahal
LCDR Danielle M. Wenzel, MSC, USN
Patient Admin Assistant Specialty Leader
Navy Medicine, Manpower, Personnel, Training and Education Command

2. Specialty Leader Specialty Leader
CDR Robert Rahal, MSC, USN
Assistant Specialty Leader (Interim Specialty Leader)
LCDR Danielle Wenzel, MSC, USN
Assists detailers
Career advice
Manning of subspecialty

3. STATUS OF COMMUNITY ES: ENDSTRENGTH Bodies 86
BA: BILLETS AUTHORIZED (BA & TRAINING) Jobs 67 3 triple x billet
LOSS RATE: FY
*Projected

4. PROMOTION Percentage 3 o 4 5 of 8 4 of 7 2 of 2 2 of 4 1 of 2 1 of 2
of 1
of 0

5. 1801 Promotion
Relatively good. Difficult to gauge since many selects haven’t worked in the area for a while, but still show 1801 as primary

6. Patient Administration Subspecialty
Subspecialty Code
Authorized billets: 66
Training billets: 0
MSC Officers with primary 1801: 80
MSC Officers with secondary or tertiary1801: 104 secondary 48 tertiary
PAC students/year: 80 (100)
Training Billets-Directors Training.

7. Patient Administration Subspecialty

8. Billet distribution (total = 65)

9. Patient Administration Assignments
CONUS MTFs
Small/Medium/Teaching Facilities
OCONUS MTFs
Shipboard Assignments as MAO
Fleet Surgical Teams-Recently lost the billets
Instructor Billet
NAVMED East/West
Managed Care Assignments
Road Map

10. Preference Duty Stations
Years of service 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30
Promotion
Mentorship
Specialty competency
Naval Competency
Leadership Courses
Education
Preference Duty Stations
Alternate Duty Stations
(on and off ramps)
Business Acumen
ENS
LCDR
LTjg
CDR LT
CAPT
Choose your mentors
Provide Mentorship
Professional Activity
Patient Admin Course
Asst Specialty Leader/Specialty Leader
Board Cert in Healthcare Mgmt or Admin
SME: National Professional Assoc
BMDOC
MEDREG/POMI/FMMTC
Capstone
AMDOC
C4/Disaster Management
Inter Agency
Command & Staff
Flt Hospital
Any Service War College
OIS
Serve on Board Any Capacity
Master Degree
PhD/MD
DUINS/Internship/Director Programs
NPGS
Lg/Teaching MTF as DIVO
Sm/Med MTF (CONUS or OCONUS) as Dept Head
HQ/BUMED or NAVMED
Dept Hd Lg or Teaching MTF
DFA/OIC
Director BUMED PAD
Executive Medicine
MAO Carrier or AMPHIB
FST/MRCO CASEVACOfficer/GPMRC
Disaster Management
Bus Case Analysis
RVU
Clinic Mngt
Information Mngt
Preparing Business Plan
Analytical Decision Making
Project Management
Financial Management

11. MSC All HCA Roadmap
PCO
PXO
Building the Toolbox Lane (Earned outside of PCS orders)
Post CO/Policy
O-6
Interagency/Capstone
Active Mentor
CO/Senior Staff
PERFORMANCE
MEDCEN DFA
XO/Senior Staff
Specialty Leader (or Asst)
AMDOC
Active Mentor
Director Large MTF/Senior Operational/BUMED HQ staff
Large clinic OIC
O-5
PCS Billets Lane (Permanent Job/Orders by detailer)
Senior Operational/
BUMED/HQ Staff
OIC

12. MSC All HCA Roadmap
Officer within Prof Association
DFA/OIC operational/BUMED staff
O-4
Building the Toolbox Lane (Earned outside of PCS orders)
Officer within Prof Association
BMDOC
Follow on DUINS tour
DFA/OIC operational/BUMED staff
During 2nd MTF tour:
Pt. Admin/Fiscal/Supply school a must
Professional association
PERFORMANCE
O-1 to O-3
Duins/2nd MTF tour
HQ staff
During 1st MTF tour:
POMI school a must deployment if available
PCS Billets Lane (Permanent Job/Orders by detailer)
Operational tour
Recruiting
Jr. Staff – EA
Non MTF (research)
Initial MTF tour DP
DUINS – Further specialization of HCA in technical filed
IPP/HSCP

13. Community Strengths Diversity of assignments
Ability to move in and out of community
Only source of formal Navy training in general healthcare administration
Foundation for healthcare leadership positions
Corporate knowledge

14. Community Concerns
Retention of experienced officers for multiple tours in Patient Administration
Perception that role has diminished
Burnout and stress in Patient Administration positions at MTFs
Lack of policy guidance on critical issues
Need for better information flow
Recent move for general HCA, 01-03

15. Supporting the Community
Establishment of PAD Specialty Leader web page (NKO)
Annual Patient Administration Training Symposium
PEBLO PEB Conference May 2008 Orlando
Permanent Specialty Leader identified
CDR Robert Rahal, MSC, USN

16. COMMUNITY ENVIRONMENT
Mentoring
Mostly done by phone and
Recruitment
Recruited as Health Care Administrators
Interview incoming Candidates
Retention
Difficult to track. MSC’s move in and out of community

17. CONTRIBUTIONS IA Operational National Professional Achievements
Mostly as Medical Regulators
Patient Administration Officers in EMF
Operational
All MAO’s come through PAC
Carrier - Patient Admin coded
Fleet Surgical Teams
National Professional Achievements
ACHE Awards
Recognized for Operational and Overseas Duty

18. Patient Administration Summary
Only HCA subspecialty that deals directly with patients
Cradle to Grave Business
Huge Customer Service Base
Fleet Support and Operational Readiness
Wonderful base of information for MSC HCA

19. Current/Continuing Deployments
Medical Task Force/Expeditionary Medical Facility-Kuwait
Landstuhl Medical Center (PAD)
Iraq/Afghanistan Healthcare Infrastructure team
Hospital Ships Comfort/Mercy (MRO/PAD)
Medical Administration Officers (MAO) onboard Carriers/Gators/FST

20. Patient Administration
Thank you!
Any Questions?