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Canadian Forces Health Services

Canadian Forces Health Services. Presentation to UNDE National Executive 23 April 2009. Scope. CFHS System Primary Care System Challenges Initiatives Statistics Conclusion/Questions. Director General

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Canadian Forces Health Services

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  1. Canadian Forces Health Services Presentation to UNDE National Executive 23 April 2009

  2. Scope • CFHS System • Primary Care System • Challenges • Initiatives • Statistics • Conclusion/Questions

  3. Director General through CMP, responsible and accountable to the CDS for the management, and administration of the CF health system CFHS System • Commander • generate and sustain combat-ready health services units and individuals • This includes the professional development, training, and preparation of health care personnel in order to meet their operational roles. • Surgeon General • setting of clinical policies • delineation of clinical scopes of practice • determination of clinical and professional content for CF courses • interface between CF and external health care organizations

  4. CF H Svcs Gp HQ

  5. CMED CFEME 1 Cdn Fd Hosp 1 Dent U 1 H Svcs Gp CF H Svcs Gp CF H Svcs Gp HQ 4 H Svcs Gp CF HS Trg Ctr Borden CF H Svcs C Ottawa JTF North CF A HSSS JTF West JTF East JTF Pacific JTF Central JTF Atlantic

  6. CF H Svcs Gp - Personnel • 6331 positions (not people!) • Military • 2717 Regular Force • 1382 Reserve Force • 283 Primary Reserve List • Public Servants 1469 • Calian contracted 480 (operational exigencies) • (of note: in 2007 >560 Calian employees)

  7. Largely a Primary Care System • CF clinical specialists limited to those essential to deployed care • Purchase many specialist services from civilian system • Has pros and cons for care of seriously wounded from Afghanistan • Highly unlikely to return to a system of military hospitals

  8. CF H Services Challenges

  9. CF H Services Challenges • Governance disconnects • Managing expectations • Well-intentioned constructive criticism • Deployment of electronic health record, and exploiting it for performance management

  10. CF H Services Challenges • HSS to JTF Afghanistan – • Kandahar Role 3 MMU transition to US (CENTCOM) leadership

  11. CF H Services Challenges • Attraction & Retention • Competition for limited HR pool; exacerbated by high op tempo • Education and credentialing creep • Progressive rising bar on entry to practice requirements • Maintenance of operational clinical skills when not deployed –

  12. CF H Services Challenges • Full Integration of Reserves at the Gp Level • Synchronization of Reserve trg, (IBTS, pre-deployment, indiv) leading to enhanced interoperability and maximizing economies of effort within the Gp

  13. Initiatives • UMCC – HQ level • LMRC – chain of command has provided clear direction • HR(Civ) – COS professional interaction • Clinic Manager’s Symposium

  14. Statistics • Since 2006 to early-2009 • 143 Calian employees have transferred into the PS • Dental Assistants, Clinical Psychologists, Social Workers, Physiotherapist, Medical Assistant, Pharmacy Technician, Pharmacist • What is missing: from this pool: clinicians • Excellent employment pool for the PS

  15. OP RESTORE • Overall, CFDS RESTORE will be adding a total of 179.8 FTE of public service positions, more than doubling the number of PS positions in the Dental Branch.

  16. Dental Branch – OP RESTORE New positions created: • HSPHS 6 – 81.8 • EG-05 - 24.0 • AS and CR - 57.0 • DE 2 - 17.0 Total 179.8

  17. QUESTIONS

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