Presentation on theme: "CAPT Scott Gaustad, USPHS Therapist Chief Professional Officer"— Presentation transcript:
1CAPT Scott Gaustad, USPHS Therapist Chief Professional Officer State of the Category 2014CAPT Scott Gaustad, USPHSTherapist Chief Professional Officer
2Category Day 2014Welcome!2014 USPHS Scientific and Training Symposium"Public Health Today: Prevention, Innovation, Progress.“Thank you Category Day Organizing Committee Chair CDR Damien AveryThank you CDR Tarri Randall and the TPAC Executive Committee.Distinguished guests
3State of the Category We are… We practice… Our accomplishments… Promotion…Readiness…What’s new…
4State of the Category Nation’s Rehabilitation Professionals Health Promotion and Disease Prevention ProfessionalsAudiologistsOccupational TherapistsPhysical TherapistsRespiratory TherapistsSpeech-Language Pathologists162 licensed professionals12 Federal Agencies
6In support of the PHS mission the Therapist Category: “Public Health Today: Prevention, Innovation, Progress” Mission Statement:In support of the PHS mission the Therapist Category:ADVANCES the Nation's health through innovative and cutting edge research, policy design, and health science,IMPLEMENTS evidenced-based research into clinical practice for the health and wellness of the Nation's underserved populations,EDUCATES the Nation to facilitate and encourage the adoption of healthy lifestyles to prevent disease and disability,PROVIDES efficacious and progressive intervention for those with disability and disease to maximize function and improve quality of life, andRESPONDS to national and international Public Health needs with highly trained and skilled officers.
7Prevention, Innovation, Progress Prevention, Innovation, Progress.“Public Health Today”: Therapist Vision Statement:The Public Health Service Therapist Category will be a leader in in clinical and research rehabilitation science through:ENHANCING the Therapist Category’s leadership role in promoting the health and wellness of the Nation,EDUCATING public health leadership about the abilities of the Therapist Category on health promotion, disease prevention, wellness, rehabilitation and readiness response,PROMOTING Therapist Category professional development by enhancing their value in Public Health Service and the people we serve,ENCOURAGING advanced training, policy development, and research,ENGAGING in partnerships to meet public health challenges, andhonoring the values, practices, and traditions of the Nation and the U.S. Public Health Service.
8State of the Category Gender Diverse Female - 77 or 48% American Indian or Alaskan Native - 16 or 10%Asian or Pacific Islander - 6 or 4%Black, not of Hispanic Origin – 10 or 6%Hispanic - 7 or 4%White, not of Hispanic Origin - 70 or 46%Unknown - 53 or 33%
22We are…Information is only as good as that entered into online databases by officers.
23Hail! Farewell! 2013-2014: 2013-2014: LT Lars Krusholm, PT - IHS LT Michael Krok, PT - BOPLT Raul Leija, PT - BOPLT Melissa McGuinness, PT - IHSLT Kayla Meeks, PT - IHSLT John Burkart, AUD - IHSLT Peter Arroyo, OT - BOPLT Luis Millan, PT - IHSLTjg Catherine Kaminski, OT - BOP:RADM Penny Slade-Sawyer - OSCAPT Fran Oakley - NIHCAPT Georgia Johnson - CMS
24Recruitment and Retention Mentoring:The Therapist Category Mentoring program is designed to promote mentoring skills and to assist with the integration of officers and civilian therapists into the US Public Health Service. Junior levels of GS (5-7) and CO (O3 and below) are eligible to participate as mentorees. Eligible mentors are those persons at or above the GS-8 level for civil service or a rank of O4 for commissioned officers.Therapist Category: 162 officers (26 O-3 and below)- 68 mentors (42%)- 8 mentorees (5%)
25Recruitment and Retention Benefits of Mentoring:Enhance strategic business/professional initiativesEncourage retentionImprove productivityBreak down the "silo" mentalityElevate knowledge transferEnhance professional developmentLink employees with valuable knowledgeInternal experts for professional developmentCreating a mentoring culture, which promotes individual employee growth and development
26Recruitment and Retention Years of Service – 2014Total = 162
27Recruitment and Retention Retirement CreditYears of Service – Total = 161Year s of Service – Total = 162
28Recruitment and Retention 2013 DataMost therapist officers with a rank of O4, 19 (18%) were in a billet grade of O5. The majority of officers with a rank of O5 reported either to be in a billet grade of O5, 22 (21%) or O6, 21 (20%).
29Recruitment and Retention 2013 DataWhen asked if therapist officers serve in a non-traditional billet or multidisciplinary assignment, 29 answered “Yes” of which 11 officers were Physical Therapists and 9 were Occupational Therapists. Eighty-five (85) (75%) officers answered “No”, of which 67 were Physical Therapists and 9 were Occupational Therapists
30Recruitment and Retention 2013 DataOne officer whose billet grade was increased felt neutral about the change and the remaining 16 officers were satisfied with the change. Thirteen officers (17%) whose billet grade remained the same were also dissatisfied with their billet grade while 73% of officers whose grade didn’t change reported they were satisfied. In addition, four officers had their billet grade reduced but still reported being satisfied with their billet grade
31Recruitment and Retention 2013 DataFactors leading therapist officers to consider early separation from the Commissioned Corps, comparing officers with <5 years of retirement credit to officers with >15 years of retirement credit.Factors leading therapist officers to consider early separation from the Commissioned Corps, comparing officers with 5-15 years of retirement credit to officers with >15 years of retirement credit.
32Recruitment and Retention 2013 DataTherapist officer agreement with statements pertaining to specific features of Commissioned Corps services (N=115).
33Accomplishments: Activities in 13-14 TPAC year Continuing activities 2016 PY Benchmarks reviewNew TPAC Chair members/ sub/committee chairsAPANNational Prevention StrategyContinued development of Direct AccessCategory Deployment GuidelineEvolving Mentorship ProgramStrategic Growth Subcommittee business plan and career planningCall to Active Duty process/Appointment BoardAcademic Recruitment ProjectContinuing activitiesRetirement recognitionCategory, Responder AwardsAMSUS – Rehab ProgramJournal ClubVacancy list – RecruitmentPromotion preparation guide, credentials review guideCategory roster and profileWeb pageListservPAC P&P and Model Charter implementationFit for Duty – Fit for Life articlesMentoring!Promoting Physical Activity Guidelines
34We’ve Accomplished…! Individual accomplishments – Awards PHS Awards Commendation MedalAchievement MedalsCrisis Response Service AwardCOA recognitionAMSUS recognition (P.T. and O.T.)Agency and duty station recognitionDirectors awards, employee of the quarter, monthNational Recognition - AOTACategory awards - luncheon
35We’ve Accomplished…! Individual accomplishments – training Advanced degrees (DPT)/certificatesWomen’s Health, Vestibular RehabEarned Board SpecialtiesOCS, GCS, EMG/NCV, CWS, CLT, CSCSParticipated in professional trainingprofessional conferences/CEUs, readiness and response, OBC, and MOC
36We’ve Accomplished…! Service Clinical Programs COA office, local and nationalHealthy lifestyles, health fairs, PT Month activitiesCommunity serviceRecruitingExpert on grant reviewsCC Ensemble and ChoirClinical ProgramsEMG/NCVBariatrics, diabetesWound care, Spinal CordStudent educationJournal ClubHealth and Wellness!
37We’ve Accomplished…! Presentations Agency/Local Professional societies 2013 COF symposiumCEU coursesPublicationsThe Hearing JournalJournal of the Acoustical Society of AmericaJournal of the American Academy of AudiologyMilitary Medicine (AMSUS)Physical and Occupational Therapy in PediatricsAmerican Journal of Occupational TherapyPediatric Physical TherapyJournal of Orthopedic and Sports Physical TherapyBook chapters
38We’ve Accomplished…! 2014 Category Awards: William Fromherz Award: CAPT Michaele SmithTherapist of the Year: CDR Matthew ArmentanoJunior Officer of the Year: LT Chandra PreatorJosef Hoog Award: CAPT David Byrne
44Professional Development Promotion - Precepts 1) Performance (40% of overall score)2) Education, Training, and Professional Development (20% ofoverall score)3) Career Progression and Potential (25% of overall score)4) Characteristics of Career Officer & Service to the Corps (15%of overall score)5) Response Readiness (0% of overall score, not scored by thepromotion board). Response readiness is still anadministrative check used for promotion. Officers who fail tomeet and maintain basic readiness will not be promoted
45Professional Development Promotion - Precepts T-O4Successful AveragePerformance
46Professional Development Promotion - Precepts T-O5Successful AveragePerformance
47Professional Development Promotion - Precepts T-O6Successful AverageOfficership
48Professional Development Promotion Preparation General feedback to all officers:Current and accurately formatted CVs are very important.Check Therapist Category for current year Promotion BenchmarksUse recommended CV format on websiteAwardsAcknowledge post-graduate education and academic achievementsAcknowledge and include post-graduate work in eOPF
49Professional Development Promotion Preparation 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 decile and lowest quartile X3 years. 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.
50Professional Development Promotion Preparation General feedback to all officersReview your eOPF to see if you can EASILY locate information that addresses ALL promotion benchmarks.List the contact hours for continuing educationPlease consider the fax machine you are usingCommon 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 eOPF.
51Professional Development Promotion Preparation 60Comments on the score sheet provide insight into areas on which to focus to improve your performance/ scores for next yearAt least 2 board members must check box for strength/ suggestion to appearAll free text comments appear
52Professional Development Promotion Preparation ReadinessDecember 31If ready – earn 0 points on readiness precept (PY-14)If not – automatic not recommend for promotionMarch 31Part of administrative check along with licensure and other issuesIf ready – stay on rank order listIf not – removed from rank order list, even if scored well enough by promotion board to be promoted
54Strategic Growth/Development Productivity USPHS Provider Productivity benchmarks for Occupational and Physical Therapists:Occupational and Physical Therapy clinicians within the USPHS work in various practice settings and this document represents an initial attempt to establish productivity benchmarks. These benchmarks should be used to gauge and improve productivity and are not intended to represent an absolute standard for all providers. The benchmarks are established utilizing productivity data from the US Army and the private sector1,2.Unit of Measure: Provider productivity is measured utilizing relative value units (RVU’s).Two major components of the relative value unit are:personnel time associated with the activityother direct and appropriate indirect department resources used in providing the activity.15 minutes has been established as the least increment of time for which a unit of service (e.g., evaluation, therapeutic, or patient educational activity) can occurThe unit of service is a modality- Activity is used to establish the basic relative value unit of 1.0.
55Readiness and Response Readiness and DeploymentBasic or 90%Exempt - 8 or 5%Not Qualified or 5% (March 31st)35 or 22% (May 31st)n = 162 (last reported number)March 31, 2014Basic +Exempt = 95% (1st – Copper!)May 31, 2014 Report: 78%3/31/12
57Readiness and Response Recent Deployments:Field-based trainingMariana Islands - SaipanCHASMIHS
58Transformation – Direct Access Current PrioritiesDirect Access – continued implementation of DA. Retiree pay completed. Active duty pay transition ongoing.Now primary means to enter some readiness info, but be familiar with all data fields.
59Professional Development Billets Questions:personnel order in eOPF “change of assignment”receipt of “individual position number” DA numbercurrent Assignment and Assignment HistoryCurrent assignment – DA position and billet equivalent gradeAssignment History - DA Billet System Position AssignmentStated grade is the pay grade of the officer – not position
60Professional Development Promotion: BCS Number of Therapists at the time of BCS: 118Number of O5 billets before BCS: 31 (26%)Number of O5 billets after BCS: (34%)Number of O6 billets before BCS: 37 (31%)Number of O6 billets after BCS: (29%)Total O5 & O6% before BCS: 58%Total O5 & O6% after BCS: 63% (+5%)
61Professional Development Promotion: BCS IHS:BOP:Total at time of BCS: 33 Before BCS Number of O5: 9 (27%) Number of O6: 6 (18%) Total % O5 and O6: 45 After BCS Number of O5: 10 (30%) Number of O6: 5 (15%) Total % O5 and O6: 45 (nc)Total at time of BCS: 63Before BCSNumber of O5: 16 (25%)Number of O6: 23 (37%)Total % O5 and O6: 62After BCSNumber of O5: 19 (30%)Number of O6: 21(33%)Total % O5 and O6: 63 (+2)
63Information Management: New Policies DCCPR IssuancesUniform Wear - ODU (January 1, 2015)Voluntary Retirement - CC384.02Protected Communications - CCDMinimum GPA - PPM (2.5 to 2.8)Ready Reserve Officers - POMAmendment to Uniform Wear - PPMUniforms and Appearance - CC412.012015 Promotion Benchmarks
64Information Management: Policies in Development DCCPR Issuances in process:Administrative and Disciplinary ActionsAllotmentsChild Support/Alimony Garnishment OrdersConsolidated Special PaysDeployment ReadinessDetails (Blanket)Domestic/Family Neglect; Violence, Abuse and TreatmentUniforms - DisciplineAPFTEqual OpportunityForce Management (Assimilation Program)Former Spouse Payments from Retired PayLeavePhysical Training UniformPolitical ActivitiesPromotions DirectiveProtected CommunicationsTravel and Transportation Allowances
65Health Care Reform Patient Protection and Affordable Care Act (ACA) Sec Elimination Of Cap On Commissioned Corps.Sec Establishing A Ready Reserve Corps - pendingSec Commissioned Corps And Ready ReserveSec United States Public Health Sciences Track – pendingWellness, Prevention and Chronic Care management is a priority
66The future… Direct Access Active Duty Pay Health Care Reform Review of CC operational components – ReadinessCAD ProcessFive Pillars – 2016 BenchmarksNational Prevention StrategyBest Practice GuidelinesStandardized position descriptionsCredentialing and PrivilegingICD-10Career Development/Career Progression mapping
67Surgeon General Initiatives Childhood Overweight and Obesity Prevention InitiativeNational Prevention StrategyWomen’s Health IssuesA Healthy and Fit NationWalking Call to ActionStay Engaged…!