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NMCSD PHA RE-ENGINEERING PROCESS: LESSONS LEARNED

NMCSD PHA RE-ENGINEERING PROCESS: LESSONS LEARNED. CDR IRA AMARGO, NP NMCSD HEALTH PROMOTION WELLNESS CENTER (619) 532-9331 (Co-authors, LT Jill Martin, MC and Monique Beauchamp, MFT). OBJECTIVES. Upon completion of this presentation, define the purpose of the PHA.

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NMCSD PHA RE-ENGINEERING PROCESS: LESSONS LEARNED

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  1. NMCSD PHA RE-ENGINEERINGPROCESS: LESSONS LEARNED CDR IRA AMARGO, NP NMCSD HEALTH PROMOTION WELLNESS CENTER (619) 532-9331 (Co-authors, LT Jill Martin, MC and Monique Beauchamp, MFT)

  2. OBJECTIVES Upon completion of this presentation, define the purpose of the PHA. Identify 3 lessons learned at Naval Medical Center San Diego while implementing the PHA program. Describe the clinical team approach to each PHA appointment at NMCSD.

  3. THE SHIFTING PARADIGM! • Gone - The 5-Year Physical • Here -The health maintenance visit - Evidence-based medicine

  4. PHA – “A SIGN OF THE TIMES!” • Purpose of PHA to maintain readiness and provide long term health benefits for our force • Implementation poses many obstacles • Re-engineering challenges are different for perspective Commands

  5. LESSONS LEARNED • Command support a must! • NO LEAVE granted unless “R” or readiness status complete – to include the PHA • Multi-Departmental Approach • Defined roles of each clinic • Primary Care Clinic (PCC) • Medical Mobilization Planning Office (MMPO) • Health Promotion, Wellness Center • Specific clinic for PHA • Decreases congestion at the PCC • Provides time for a thorough med record scrub on AHLTHA

  6. LESSONS LEARNED (Cont.) Periodic Health Assessment Update Checklist & Readiness Status Verification Notice defined as: • Two-part process – annual training requirements, SAMs update, dental classification • To be completed prior to appointment at the Wellness Center!!!

  7. PHA APPOINTMENT • Order appropriate labs prior to appointment • 30-40 minute Provider time slots • 15 minutes prior to Provider Appt: • Medical record review by corpsmen • Vital signs (Entered into AHLTA) • Computer-based Health Risk Appraisal • AHLTA PHA template developed to fit command needs • Educational tools available in clinic (pamphlets, patient hand-outs)

  8. Other Observations • Document history well by completing note during appointment • NMCSD completes the DD 2708-1 which is the history questionnaire from the previous 5-year physical exams • Educate patients about biological past family history as it pertains to their health and their family’s health • Interview styles may vary, but the AHLTA template keeps providers on track

  9. Summary • Command Support • Define Departmental Roles • Standardize PHA appointment, deviating for specific risk factors • ENSURE RESPONSIBILITY FOR THEIR OWN HEALTH IS TRANSFERRED TO THE PATIENT – WE PROVIDE GUIDELINES!!!

  10. QUESTIONS?????

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