Enlisted Medical Department Executive Course Medical Inspector General Briefing HMCS (SW/AW) Michael W. Smith
Training Objectives Terminal Objective: • Provide an overview of current Medical Inspector General policies, processes, and practices and how they impact the Navy Medical Department. Enabling Objectives: • Describe the purpose of the BUMED Medical Inspector General. • Explain the Navy Medicine Investigation process. • Discuss key aspects of the Military Whistleblower/ Reprisal.
Training Objectives Enabling Objectives: • Explain the Medical Inspector General investigation and inspection process.
Overview • Purpose • Investigation Program • Hotline • Frequent Findings • Inspection Process • Preparation • Inspection • Focus Groups • Findings • Resolution
The Purpose • The Medical Inspector General ensures oversight of BSO-18 programs and operations ensuring safe health service delivery. • The Joint Commission (TJC) Liaison during MTF surveys • Investigate, report and assist on behalf of the Navy Surgeon General • Independent and impartial
Navy Medicine Hotline Program • Purpose: To receive and evaluate allegations pertaining to fraud, waste and mismanagement and conduct an inquiry or investigation if appropriate. • To ensure complaints are efficiently and effectively investigated and reported, close relationship with: • Office of the Naval Inspector General • Department of Defense Inspector General • Other Defense agencies' Inspectors General • Each Regional Medical IG has their own hotline, as well as the majority of echelon 4s. • BUMED Hotline 1-800-637-6175 or DSN 295-9019
Military Whistleblower/ Reprisal • Reprisal - taking or threatening to take an unfavorable personnel action, or withholding or threatening to withhold a favorable personnel action, for making or preparing to make a protected communication. • Number one Hotline Complaint in the Navy • Navy Medicine has the most Reprisal cases of any other Echelon II • DoD 7050.6 “Military Whistleblower Protection”
Military Whistleblower/ Reprisal • Most common allegation of unfavorable personnel action is a Fitness Report/Evaluation or being reassigned. • Majority of inquiries/investigations find that unfavorable personnel action occurred independent of the protected communication. • Recommendation – communicate often and in writing when counseling on performance. Maintain all Mid-term counseling documentation as mandated by instruction.
Military Whistleblower/ Reprisal • Protected Communication • Category I – Congress / IG (lawful communication) • Category II – Any office designated to receive complaints (CMEO, Safety Officer, Chain of Command, etc.) Must reasonably believe that there was a violation of rule or regulation. • “Unfavorable” Personnel Actions • Responsible Management Official Knowledge • Ex: Signing Eval • Was there an independent basis for action?
MEDIG Inspection Process • Assessment of Echelon 3-5 commands every one to three years • MEDIG develops schedule • Periodicity • Randomness • Area(s) of Concern: as required • Strong relationship with The Joint Commission
NLT 30 days after inspection Due 60 days after final report 7 business days prior Day 1 Day 3 - 4 Staff and customers surveyed Program reviews and focus groups Final report released to activity and Regional Commander MEDIG concludes process or conducts re-inspection MEDIG & Joint Commission (JC) present MEDIG/JC out brief Activity submits required ISRs Notification NLT 30 days after inspection Due 60 days after final report 30 business days prior Day 1 Day 3 - 4 Staff and customers surveyed Program reviews and focus groups Final report released to activity and Regional Commander MEDIG concludes process or conducts re-inspection MEDIG & JC present MEDIG/JC out brief Activity submits required ISRs Notification MEDIG Inspection Timeline CONUS OCONUS
Inspection Focus (Aligned with CNO & BUMED Priorities) • Deployment Readiness • Effective Force Health Protection • People • Quality of Care • Patient and Family Centered Care • Performance Based Budget • Research and Development • Financial Resources Management • Materials Management • Safety and Occupational Health
Programs Inspected • Deployment Readiness • Independent Duty Corpsman (IDC) Program • Deployment Health Assessments • Hospital Corpsman Skills Basic (HMSB)/Tactical • Combat Casualty Care (TCCC) Program • Deployment Support (Health Services Augmentation • Program/CIAC/ITEMPO Reporting) • Periodic Health Assessment for Individual Medical • Readiness (PHA/IMR) • Operational Forces Medical Liaison Support (OFMLS) • People • Good Order and Discipline Program • Navy Performance Reports • Diversity Program • Command Urinalysis Program • Command Managed Equal Opportunity (CMEO) • Navy Family Ombudsman Program • Civilian Personnel Management • Education and Training Program • Navy Retention and Career Development Program • Off-Duty Employment Program • Physical Readiness Program • Awards and Recognition Program • Civilian Drug Free Work Place (CDFWP) Program • Command Indoctrination Program • Command Sponsorship Program • Alcohol and Drug Prevention Program • Health Promotion – Wellness/ShipShape Program • Comprehensive Tobacco Control for Navy Medicine • Brig Medical Program Oversight (as required) • BEQ Management Oversight (as required) • Suicide Prevention (Operational Stress Control and • Pastoral Care) • Quality of Care • Forms and Reports Management Program • Navy Records Management (non-medical) • Primary Care Program (Medical Home port) • Access to Care • Referral Management • Health Information Management • Medical Evaluation Boards • Information Security Management Program • Patient and Family Centered Care • Sexual Assault Prevention and Response (SAPR) • Customer Relations • Case Management • Personnel Reliability Program
Programs Inspected • Materials Management • Purchase Card Program • Material Management Operations • Maintenance Management • Contract Acquisition and Purchasing Management • Equipment Management • Contracting Officer’s Representative • Safety and Occupational Health • Industrial Hygiene survey schedule • Industrial Hygiene exposure monitoring • Occupational Health Support • Motorcycle Safety • Workers Compensation • Hearing Compensation • Hazardous Drug Program • Centralized technical management of IH, OM, and • Audiology services • Environment of Care • Safety Occupational Health Management Evaluations • (SOHME) Review • Enterprise Safety Application System (ESAMS) • Mishap Review and Investigation • Federal Employee Compensation Act (FECA) • Environmental Programs • Defense Occupational and Environmental Health • Readiness System - IH implementation • Research and Development • Research Integrity Program • Biosurety • Financial Management • Comptroller Organization • Financial Reporting • Support Agreements • Civilian Time and Attendance • Budget Formulation and Execution • Accounting • DTS and Government Travel Card Program • Managers Internal Control Program • Manpower Management • Ethics • DON Hotline Program (includes Anti-Fraud Program) • Effective Force Health Protection • Emergency Management Plan • Anti-terrorism / Force Protection • Limited Duty Program (LIMDU) • Dental Practice Management
Focus Groups • Civilian (non-supervisor) staff • Department Head • Provider • CPO • E-6 and below • Civilian (supervisor) staff **as required** • Other: as required dependent on command demographics
Top Programs with RFIs (FY13)
MEDINSGEN Inspection Findings • Provided at Out-brief • Official Report in 30 days • Requirements for Improvement • Implementation Status Report (ISR) • Required within 60 days • Supplemental • Opportunities for Improvement
Program Management • Successful Program Management • Program Understanding • Guiding instructions • Shared responsibilities • Program Organization • SOP • Command instructions • Appointment letters
Program Inspection Success • Utilize MEDIG Self-Assessments • Utilize Program Subject-Matter Experts • Command • Region • BUMED • MEDIG • Command Support • Department • Director • ESC/BOB
Additional Information • BUMEDINST 5040.2C • MEDIG Website (Navy Medicine Online) • http://www.med.navy.mil • “BUMED/Headquarters” tab • Click on BUMED MEDIG • Self-Assessment Tool tab • Select Program