IDC MANAGEMENT PROGRAM

Blake WestHMCM, SUBFORCE IDC, USN

28 Jan 14

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INDEPENDENT DUTY CORPSMAN PROGRAM

Terminal Objective:

Describe the BUMED Independent Duty Corpsman (IDC) Community Management Program for the Hospital Corpsman (HM) Communities.

Enabling Objectives:

Explain the roles and responsibilities of the IDC Program Supervisors.

Describe the required Elements of the IDC Program. Describe the reasons for Detachment for Cause and

NEC Removal.

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INDEPENDENT DUTY CORPSMAN PROGRAM

OPNAVINST 6400.1C

• Soon to be the SECNAVINST 6400

• Training, Utilization and Certification of Independent Duty Hospital Corpsmen (IDC):

– 8402 Submarine Force IDC – 8403 Special Operations IDC– 8425 Surface Force IDC – 8494 Deep Sea Diving IDC

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Program Supervisors

• Program Director: Senior Medical Officer• Program Manager: Senior IDC• Physician Supervisor: Medical Officer• Assistant Program Manager: Usually HMC or

HM1 IDC

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ADMINISTRATION

• Documentation:– Specific command directive detailing the certification, training

and utilization of IDCs.– Program Director and Program Managers must have letters of

appointment signed by the CO.– Program Director or Program Manager must appoint in writing

a Physician Supervisor and Assistant Program Manager.– IDC is must be authorized in writing by the Physician Supervisor

to prescribe or provide medications on the formulary.– Physician Supervisors must provide a written report of the IDC’s

status to the Program Director semi-annually.

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ADMINISTRATION

• Documentation:– Program supervisors ensure the IDC completes a biennial

re-certification.– Program Manager or Assistant Program Manager

maintains a 6-part training record on each IDC.– IDC completes professional certifications (BLS, ACLS, etc.)– IDC completes 15 CME units annually.– Health record review (10% QA) of IDC records by the

Physician Supervisor (100% required for direct supervision)– IDC is certified to provide indirect patient care by the

Physician Supervisor.

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IDC PROGRAM TRACKING

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Item (per OPNAVINST 6400.1C) Total IDCNumber of

IDCs in Compliance

Number of IDCs in Non-Compliance

Total MTFNumber of MTFs in

Compliance

Number of MTFs in Non- Compliance

GRADE TREND

1. Documentation that each IDC has been certified to provide indirect clinical care by the assigned IDC Physician Supervisor.

141 138 3 98%

2. Documentation that each IDC has been authorized in writing by assigned Physician Supervisor to prescribe or provide medications carried on the IDC specific MTF formulary.

141 139 2 99%

3. Documentation that each IDC has completed the necessary professional certification (i.e., ACLS, BLS, etc.).

141 120 21 85%

4. Documentation that the IDC Physician Program Director and IDC Program Managers have received letters of appointment signed by the respective MTF Commanding Officer.

17 17 0 100%

5. Documentation that there is a specific command directive detailing the certification, training and utilization of IDCs.

17 17 0 100%

6. Documentation that the IDC Program Director or IDC Program Manager have appointed in writing a Physician Supervisor and Assistant Program Manager for each IDC.

141 136 5 96%

7. Documentation of completed biennial certification for each IDC by the Physician Supervisor or Assistant Program Manager.

141 136 5 96%

8. Documentation that the Physician Supervisor performs quarterly health record reviews on each IDC assigned and discusses clinical issues and opportunities to improve with the IDC (IDCs under direct supervision requre a 100% record review. IDC's under indirect supervision require a 10% record review).

141 130 11 92%

9. Documentation that the Physician Supervisor performs quarterly evaluations for each IDC assigned and provides written report to the Program Director semiannually.

141 132 9 94%

10. Documentation that each IDC completes 15 CME units annually. 141 75 66 53%

11. Documentation that the Program Manager or Assistant Program Manager maintains a 6-part training record on each IDC.

141 141 0 100%

OVERALL92%

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NEC REMOVAL

• NAVPERS 1221/6• Official record reveals member is no longer qualified to retain

NEC.• IDC has a documented psychological problem, substance abuse

incident, or a substantiated Family Advocacy abuse case where treatment is refused or member is designated not eligible for treatment which adversely reflects on the member’s integrity, professional conduct or moral character.

• Note: Such deviations from acceptable behavior or strong moral character may warrant (if retained) removal of the member from a patient care environment, removal of NECs, and forced conversion to an appropriate rating.

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NEC REMOVAL

• NEC removal “for cause” is recommended and supported by the CO or a command requested NEC removal subsequent to documented incompetency.

• An IDC fails to maintain “certification” and the IDC is not assigned/utilized as an IDC for three or more years and there is no opportunity for reassignment to and IDC billet at sea.

• An IDC receives disciplinary action by military or civilian authorities for conduct which reflects adversely upon the member’s reliability, integrity, trustworthiness, or moral character.

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QUESTIONS?

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