Presentation on theme: "Warrior Care and Transition Program Overview"— Presentation transcript:
1Warrior Care and Transition Program Overview 21 Sept 2012Soldier Success through Focused CommitmentSGT Joel Tavera and Parents/CaregiversAW2 Veteran SSG (R) Shilo Harris and FamilySPC Joshua Kerber with his Triad of Care-Dr. Mark A. Passamonti, CPT Lashon S. Duncanson, and SGT Candice L. DawkinsCOL Catherine Mozden, Warrior Transition Command
2Provide an overview of the US Army Warrior Care and Transition Program Purpose and AgendaPurpose:Provide an overview of the US Army Warrior Care and Transition ProgramAgenda:WTC MissionWCTP Command RelationshipsUnit Populations and LocationsAW2 ProgramMedical Retention Processing (MRP)Entry and Exit Criteria for RC in WCTPCompo 3 PDHRA data
3Our MissionWOUNDEDILLINJUREDProvide centralized oversight, guidance and advocacy empowering wounded, ill and injured Soldiers, Veterans and Families through a comprehensive transition plan for successful reintegration back into the force or into the community with dignity, respect and self-determination.Mr. Mark Jackson (703)
4Warrior Care and Transition Program Relationships WCTP OversightMEDCOMIMCOMSupporting CommandsSenior CommanderWarrior TransitionCommandRegionalMedicalCommandsIMCOMRegionsWarrior TransitionTask ForceWarrior Transition OfficeArmy Wounded WarriorSouthern RegionalMedical Command*Triad of LeadershipSenior CommanderMTF CommanderWTU CommanderCommunityBased WTUSeniorCommanderMedicalTreatmentFacilityInstallation GarrisonsTriad of Leadership*Warrior Transition UnitAW2Advocate(Veteran)AW2Advocate(OPCON)CommunityBased WTUNorthern/WesternRegional MedicalCommandSFACMr. Mark Jackson (703)
5Warrior Transition Unit (WTU) and Community Based WTU For all componentsTraditional Chain of Command(Squad Leader - Battalion Commander)Focused “Triad of Care” for each SoldierArmy Wounded Warrior (AW2) Advocate for most seriously injuredBest facilities on post; priority medical careDedicated Family SupportFamily Readiness Support Assistant (FRSA)Soldier Family Assistance Center (SFAC)Primarily for Reserve Component SoldiersModified Chain of Command(PSG - LTC)Focused “Triad of Care” for each SoldierLive at home; medical care available CBWTU allows wounded, ill, and injured Soldiers to heal at homeDuty at approved Title 10 duty siteDedicated Family SupportVirtual Soldier Family Assistance Center (VSFAC)
6Warrior Transition Unit and Community Based Warrior Transition Unit Map WIORMTIDNVWYNDSDNECOAZNMTXOKMNIAMOKSLAMIINOHWVPANYVTNHCTNJMDNCSCGAMSTNKYMEPuerto RicoFt HuachucaJoint BaseLewis-McChordBalboaFt IrwinCaliforniaFt BlissFt CarsonUtahFt HoodFt SillSan AntonioFt Leonard WoodFt RileyArkansasIllinoisFt StewartFt BraggFt GordonFt JacksonFt PolkFt BenningFloridaAlabamaFt CampbellFt KnoxFt DrumVirginiaJB Langley EustisFt BelvoirFt MeadeWalter Reed NMMCJB McGuire-Dix-LakehurstWest PointMassachusettsElmendorf-RichardsonSchofield BarracksNorthern Regional Medical CommandWestern Regional Medical CommandEurope Regional Medical CommandHeidelbergPacific Regional Medical CommandBrigade (2)Battalion (16)Separate Company (11)Community Based Warrior Transition Unit (9)(color by Area of Responsibility)AW2 Advocate (201)Southern Regional Medical Commandas of 6 Sep 12Ms. Carolyn Spencer (703)666
7Warrior Transition Unit/Community Based Warrior Transition Unit Population Over TimeWTU/CBWTUEntrance Criteria ReviewWTU/CBWTU Manpower StudyFRAGO 3 Publication:Entrance CriteriaNCR TDA Realignment (EDATE Jun 11)Squad Leader Ratio ReviewArmy directs movement of MEBs and Non-deployables to WTUsFRAGO 4 PublicationRC ManagementCTP Enablers added to TDA(EDATE Apr 10)Remote CareReviewOCONUS IDESEXORD Publication:WTUsEstablishedActive ComponentArmy National GuardArmy Reserveas of 6 Sep 12Ms. Carolyn Spencer (703)
9Army Wounded Warrior (AW2) Program On April 30, 2004 the Army introduced an initiative to enhance the care and support of severely wounded, injured and ill Soldiers, Veterans and their Families/ Caregivers.This system of support guides them along the paths to regaining their independence; from the onset of their condition through their eventual transition back to the force; or into the civilian community as a Veteran.SSG Jon Duralde,Continuation on Active Duty (COAD)
10Army Wounded Warrior (AW2) Program VisionWounded Warriors and their Families/Caregivers are self sufficient, contributing members of our communities; living and espousing the Warrior Ethos with the knowledge that the Army and the Nation remembers their sacrifice.MissionWe assist and advocate for our severely wounded, ill and injured Soldiers, Veterans, and their Families/Caregivers; support and advise during medical treatment, rehabilitation and beyond to facilitate a Soldier’s return to duty or their transition to a civilian community as a Veteran.
11To be considered an AW2 Soldier/Veteran Suffer from wounds, injuries or illness incurred in the line of duty after 10 September 2001 in support of Overseas Contingency Operations, andReceive or expect to receive at least a 30% rating from the Integrated Disability Evaluation System (IDES) for one of the conditions listed below:Severe Loss of Vision / BlindnessLoss of LimbSpinal Cord InjurySevere ParalysisPermanent disfigurementSevere Hearing Loss / DeafnessSevere BurnsSevere Traumatic Brain Injury (TBI)Post Traumatic Stress Disorder (PTSD)Fatal / Incurable Disease with limited life expectancyORReceive a Combined 50% IDES rating for any other Combat or Combat Related Condition
12Services ProvidedAdvocates assist wherever the Soldiers and their Families/Caregivers are located, as they progress along the path to independence.AW2 Advocates - 201Personalized support for Soldiers and their FamiliesLocal Resource ExpertsBenefits Advisers – navigating the mazeMilitary Transition SpecialistsEducation and Career GuidesLife Coaches – Empowering Soldiers and their Families/Caregivers to make informed and relevant decisionsVA Integration ExpertsAW2 Support Experts - 21Medical EligibilityHuman ResourcesFinanceTransition Employment/CareerDept of LaborVeteran Affairs AdvisorsIT SupportTraining
13Veteran Population in our Communities AW2 Soldier / Veteran StatusAW2most severelywounded, injuredand ill11955**WTUOrMEB / PEBComplex Medical Needs2% of AW22041372COAD / COAR / FIT / RTDSoldiers returned toMainstream ArmyWTU / Unit10354Veteran Population in our CommunitiesVeteran*AW2 as of 1 Sep 12**Incl :25 Deceased
14MRP Orders The Army has further delineated 10 USC 12301(h) into: MRP-E – 60/90 day orders intended for evaluation of medical condition and determination of MTP; normally a Soldier is coming from the demob siteMRP - Orders intended for medical treatment or evaluation for PDES; the Soldier is in your AOMRP2 - Return to active duty for medical care subsequent to REFRAD ; Approved by a Medical Review BoardADME - ordered to active duty to complete medical care estimated to exceed 30 days due to an Inactive Duty Training (IDT) injury ; Approved by a Medical Review Board
15WTC Medical Review Board WTC Medical Review Board Primary Care Manager Reserve Component Soldiers in the Warrior Care And Transition Program (WCTP) are on Title (h) OrdersSoldiers In-Process through one of these four methodsMRP RC on active duty (AD)MRP2 RC REFRAD from ADADME RC WII in LOD during IDTAGR Soldiers (same process as AC)EligibilityDeterminationPrimary Care ManagerWTC Medical Review BoardWTC Medical Review BoardPrimary Care ManagerTriad of LeadershipTriad of LeadershipHRCHRCEntrance ApprovalSoldier is wounded, ill or injuredPCM: definitive care neededTriad of Leadership ApprovalDeMob site or WTU submits RFO to HRCHRC publishes ordersSoldier is wounded, ill or injuredSoldier’s Unit submits requestWTC MRB: definitive care needed; recommends approvalHRC ApprovalHRC publishes ordersSoldier is wounded, ill or injuredSoldier’s Unit submits requestWTC MRB: definitive care needed: recommends approvalHRC ApprovalHRC publishes ordersSoldier is wounded, ill or injuredPCM: six mos/complex care mgmtTriad of Leadership ApprovalDeMob site or WTU submits RFO to HRCHRC publishes ordersProcess Steps
16Entry CriteriaCompo 2/3 Soldiers, except AGRs, must meet the following criteria:(1) Be in the Line of Duty and(2) Condition(s) require(s) *definitive care. Soldier is on a temporary Profile(3) Program is voluntary. Army determines care location.*Definitive care is defined as a specific treatment or sequence of treatments of at least 60 days duration, and requiring a significant commitment of the Soldier’s time, which, in the opinion of competent medical authority, will upon completion either return the Soldier to duty or will meet the criteria for Medical Retention Determination Point (MRDP) and referral to the Integrated Disability Evaluation System (IDES).
17Attached to a Warrior Transition Unit Soldier returns to Parent Unit Soldier Entry ProcessSoldier is Wounded, Ill or InjuredYesIs Soldier Evac’d from TheaterYesNoNOTE: Determination is made as to eligible to remain in WTU or return to unitSoldier is evaluated by PCMAttached to a Warrior Transition UnitDoes Soldier meet Entry CriteriaNoYesTriad of Leadership ReviewApprovedNot ApprovedSoldier returns to Parent Unit
18Continuum of Care (Comprehensive Transition Plan (CTP)) “The CTP provides Soldiers and Families clarity, purpose, hope, and direction as they prepare to move forward with the next phase of their lives.”Lieutenant General Patricia D. Horoho,The Surgeon GeneralCOADCOARReturn to DutyResetTrain/ ReadyAvailable20411,955Army Force Generation137210354WTUCBWTUVeterans“Path to Independence…One Step at a Time”Soldier and Family Assistance CenterSocial WorkersPharmacistsChaplainsLegal SupportOperation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn CareManagement TeamTransition/Career CounselingMEB PhysicianCareer and Education ReadinessPhysical Evaluation Board Liaison OfficerFederal Recovery CoordinatorVA Liaison for HealthcareCaregiver Support CoordinatorsEmployment CounselingEducation CounselingOccupational TherapistsPhysical TherapistsTransition CounselingSpecialty CareReturn to Duty /Release from Active DutyTriad of Care and Interdisciplinary TeamWarrior TransitionUnit/Community BasedUnitFamily/FriendsArmy Wounded Warrior Advocate (Life Cycle Management Plan)Veterans Affairs Integration and Hand OffMedical Retention Determination PointInprocessingTransition ReviewRehabilitationRehabilitationIntegrated Disability Evaluation SystemVeterans AffairsGoal SettingPost TransitionReintegrationComprehensive Transition Plan(Domains – Career, Physical, Emotional, Social, Family, Spiritual)DD214Mr. Mark Jackson (703)
19RC Exit CriteriaRC Soldiers normally leave the WCTP in one of three ways:(1) Voluntary withdrawal (WTU Consolidated Guidance). Soldier must request in writing.(2) Meet retention standards FFD (DODI )(3) Completes PDES determination (DODI )
21Takeaways Enduring mission…efficiently resourced Currently, the Warrior Care and Transition Program is an enduring mission funded in the Program Objective Memorandum primarily by Defense Health Program funds. The Army must take a cautious approach to any reductions to resourcing the program.Keeping faith with our wounded, iIl, and injured SoldiersSoldiers will willingly fight as long as they know there is an effective system of medical care available to save their lives if necessary.Conserving fighting strength through focused care management and transition planningThe Warrior Care and Transition Program contributes to Army Force Generation by returning at least 50% of wounded, ill, and injured Soldiers to duty.Unleashing unlimited potentialThe patient-centered approach to care that comprises the Warrior Care and Transition Program focuses on each Soldier’s abilities not their disabilities.Through an effective program of adaptive reconditioning, Soldiers are learning that they can meet and exceed the physical and personal goals they set for themselves.
22QUESTIONS COL Catherine Mozden Chief, CBWTU Remote Care Clinical Services DivisionWarrior Transition Command
23Warrior Care and Transition Program Overview Soldier Success through Focused CommitmentSGT Joel Tavera and Parents/CaregiversAW2 Veteran SSG (R) Shilo Harris and FamilySPC Joshua Kerber with his Triad of Care-Dr. Mark A. Passamonti, CPT Lashon S. Duncanson, and SGT Candice L. DawkinsBG David J Bishop, Commander, Warrior Transition Command
24Released from Active Duty (REFRAD) Medically Separated/Retired YesSoldier’s profile Permanent (P) and Temporary (T) rated 1s or 2sCOMPO 2/3 Soldier receiving careYesReleased from Active Duty (REFRAD)NoA single T3 that will spontaneously resolve to a 1 or 2 rating in < 30 daysYesNoMRDP reached? Not expected to meet retention standards?Fit for Duty?IDESStays in WTUSoldier Exit ProcessYesNoNoCOAR?Eligible for and accepts non-medical retirementRetireYesYesNoNoMedically Separated/RetiredADMIN/UCMJSeparationSeparateYesNoYesContinuation of Care