State of the Category 2011State of the Category 2011

Scott Gaustad, PTChief Therapist Officer

USPHS Hospital at WhiteriverWhiteriver, Arizona

Welcome to Category Day!Welcome to Category Day!

2011 USPHS Scientific and Training Symposium

• Thank you to Symposium Category Day organizing committee -- Chair CAPT John Figarola

CAPT(sel) Alicia Hoard

• Thank you to TPAC and Chair CDR Tom Schroeder

• Welcome to guests

State of the CategoryState of the Category

Outline

• Who we are

• Where we work

• What we’ve done

• Promotion

• Readiness

• Transformation/Policies

USPHS Commissioned Corps by Agency

AGENCY COUNT

ACF 3AHCPR 8ATSDR 38BOP 762CDC 847CIA 1DHS 465DOC 16DOD 3

DOD TMA 210

DOS 1EPA 76FDA 930HCFA 107HRSA 214IHS 2088

INTERIOR 52

JUSTICE 14

NIH 323OS 197PSC 55

SAMHSA 55

USAMRMC 4

USDA 21

USPHS Commissioned Corps by Category

CAT ABBR COUNT

DEN 329

DIET 99

EHO 365

ENG 421

HSO 1220

MED 891

NURSE 1533

PHARM 1096

SCI 304

THER 146

VET 86

Who we are…Who we are…

Who we are…Who we are…

USPHS Commissioned Corps by Temporary Grade

TGRADE COUNT

ENS (JA) 60

LTJG (A) 244

LT (SA) 997

LCDR (F) 1879

CDR (SR) 1635

CAPT/DIR 1636

RADM/ASG 28

RADM/ASG 10

SURG GEN 1

Who we are…Who we are…

Who we are…Who we are…

Where we work…Where we work…

Where we work…Where we work…

Distribution of Category Officers across OpDivs 4/15/2011

0%

20%

40%

60%

80%

100%

MED DEN NURSE ENG SCI EHO VET PHARM DIET THER HSO

CDC

NIH

CMS

FDA

HRSA

OS

Other-HHS

Other Non-HHS

DHS

DOD TMA

BOP

IHS

What we’ve done…What we’ve done…

• Promoting Physical Activity Guidelines

• 2012 Benchmarks

• New TPAC members/ sub/committee chairs

• HHS Portal continues to evolve

• New website server

• Billet refinement for new Billet Collection System

• Web page

• Listserv

• Therapist Guide to Deployment revision

• Retirement recognition

• Readiness Support

• Mentoring

• Category, AMSUS, responder awards

• Educational opportunities/ advanced practices

• Vacancy list

• Promotion preparation guide, credentials review guide

• Category roster and profile

• P&P review

Activities in 10/11 TPAC year

What we’ve done…What we’ve done…

Individual accomplishments – Awards

• PHS Awards

– Outstanding Service Medal

– Meritorious Service Medal

– Achievement Medal

– Crisis Response Service Award

– Recruitment Service Ribbon

– FRMB

– National Defense Service (DoD)

• COA/COF recognition

• Agency and duty station recognition

– Directors awards, employee of the year

What we’ve done…What we’ve done…

Category awards – luncheon

Individual accomplishments – training

• Advanced degrees/certificates

• Earned Board Specialties

OCS,GCS, CWS, PH, MS-HCA

• Participated in professional training professional conferences/CEUs, readiness and response, and OBC

What we’ve done…What we’ve done…Service

• COA office, local and national

• Healthy lifestyles, health fairs, PT Month activities

• Community service

• Recruiting

• Expert on grant reviews

• CC Ensemble and Choir

• Manuscript reviews for professional journals

Clinical Programs• Bariatrics, diabetes

• Wound care, spinal cord

• Student education

• Vestibular Rehabilitation

What we’ve done…What we’ve done…Presentations• Agency/Local

• Professional societies (APTA)

• 2011 COF/COA symposium

• CEU courses

Publications• The Hearing Journal

• Journal of the Acoustical Society of America

• Journal of the American Academy of Audiology

• Brain

• Pediatric Neurology

• Pediatric Blood and Cancer

• Arthritis Care and Research

• Physical and Occupational Therapy in Pediatrics

• American Journal of Occupational Therapy

• Pediatric Physical Therapy

• Book chapters

What we’ve done…What we’ve done…

Accessions – Presidential Nominations awaiting Senate confirmation – 2 listsLTjg Michael Anderson

LTjg Lisa Mays

LTjg Lauren Richards

Retirements - Luncheon recognitionCAPT Jessie Lief May 1, 2011

CDR Mark Melanson March 1, 2011

CDR Denise Brasseaux December 1, 2010

CAPT Lois Goode September 1, 2010

CAPT Terry CavanaughJuly 1, 2010

Recognition: What we’ve doneRecognition: What we’ve done

Temporary Promotions (PY ’11)

3*- O-6

11 - O-5

8 - O-4

*EC promotion 1

Permanent Promotions (PY ’11)

2 - O-6

6 - O-5

5 - O-4

Recognition: What we’ve doneRecognition: What we’ve done

• RADM Penelope Slade-Sawyer Appointed as Senior Advisor to the Assistant Secretary for Health

• Officer Mid-Level Course (June 5 through June 17, 2011)– LCDR Dean Trombley – DCCTCD

• CAPT Karen Siegel completes four year term as CPO

PromotionsTemporary Promotions• Bart E. Drinkard • Jill Tillman • Anne K Whitis • Francine Barnett• Tami Bonebrake • Carlos Alberto Estevez • Allison Longenberger • Tanesha Mcculley • Josef Otto • Joann Shen• Steven Spoonemore JR• Jodi Tanzillo• Alicia S. Hoard • Sue Newman• Matthew Armentano • Michelle Baker • Teshara G. Bouie • Alexander Brenner • Jessica Feda • Mary Thembani• Joseph Golding • Dan M. Smith

Permanent Promotions

• Ngocanh Carolyn Bui• Alice A Hopper • Tanesha Mcculley • Joann Shen• Teshara G. Bouie • Mike D. Faz • Joseph Golding • Jeffrey Richardson • Dan M. Smith• Jean E. Bradley • Scott P. Gaustad • Michelle Y. Jordan Garner • Kathleen M. Oneill • Richard Shumway • Daniel C. Weaver• Nancy J. Balash • S. Michelle. Hooper

Recognition: What we’ve doneRecognition: What we’ve done

PromotionPromotion

Success rates for promotion vary slightly from year to year. In PY11 up for T-O4, down for T-O5 & O-6.

PromotionPromotion

Your raw scores on the benchmarks any given year are not meaningful compared to a previous year

PromotionPromotion

Your raw scores are meaningful compared to the scores of officers who were promoted

PromotionPromotion

• Comments on the score sheet provide insight into areas on which to focus to improve your performance/ scores for next year

• At least 2 board members must check box for strength/ suggestion to appear

• All free text comments appear

• 55 board members in PY11! Not a Hybrid Board

60

PromotionPromotionGeneral feedback to all officers

• Current CVs are very important

• Check Therapist Category for current year Promotion Benchmarks

• Use recommended CV format on website

• Be cautious in use of abbreviations and discipline specific “jargon”

• Do your best to make sure PIR, CV, officer/ROS statements, and COER attachments all tell cohesive story about you. Educate your rating and reviewing official about importance of completing documents.

PromotionPromotion

General feedback to all officers:

• Career counseling encouraged but not required for any officer not promoted. Officers are free to choose who performs the counseling.

• Category career counseling by CPO or designee required for officers ranked in the lowest quartile. This must be documented in OPF.

• Officers ranked in lowest decile x3 years referred to retention review board.

• Officers not meeting readiness standards receive automatic not recommend and referred to review board.

• Defer (vs not recommend) also option for temporary promotion for officers felt not ready to serve at next highest rank. These officers also referred to retention review board.

PromotionPromotionGeneral feedback to all officers

• Review your OPF to see if you can EASILY locate information that addresses ALL promotion benchmarks.

• List the contact hours for continuing education• Please consider the fax machine you are using• Common issues included missing or out-of-date

documents, 100% under the officer’s influence; CVs, Officer Statements, Continuing Education List.

• Verify that documents are complete, accurate, error free, and legible after they are faxed to the OPF.

ReadinessDecember 31

• If ready – earn 0 points on readiness precept (PY-12)

• If not – automatic not recommend for promotion

March 31

• Part of administrative check along with licensure and other issues

• If ready – stay on rank order list

• If not – removed from rank order list, even if scored well enough by promotion board to be promoted

PromotionPromotion

The Promotion Precepts are weighted as follow:

• 1. Performance Rating and Reviewing Official’s Statement (Performance) - 40%

• 2. Education, training, and professional development - 20%

• 3. Career progression and potential - 25%

• 4. Professional contributions and services to the PHS Commissioned Corps (Officership) - 15%

• 5. Basic Readiness ***0%

• IMPORTANT NOTE***: Although the Readiness precept no longer carries any weight with regard to numerical score for promotion, basic readiness remains one of the several administrative checks for promotion. Officers in a "not ready" status at the 31 Dec OFRD status report prior to the promotion year will receive an automatic Board Not Recommend. In addition, officers in a "not ready" status at the subsequent 31 Mar OFRD status report, who were otherwise successful, will be removed from the successful list. Officers are advised to maintain basic readiness at all times.

PromotionPromotion

Readiness Readiness (Jan 1-Mar 31 2011)(Jan 1-Mar 31 2011)

4/10/11

ReadinessReadiness

• Medical exam delinquencies have improved.

Readiness by Time

0%

20%

40%

60%

80%

100%

Dec-96 Dec-98 Dec-00 Dec-02 Dec-04 Dec-06 Dec-08 Dec-10

OFRD Current Response Teams

Rapid Deployment Forces Team (RDF) Description

Applied Public Health Team (APHT) Description

Mental Health Team (MHT) Description

Services Access Team (SAT) Description

National Incident Support Team (NIST) Description

Regional Incident Support Team (RIST) Description

Capitol Area Provider Teams (CAP) Description

Deployment Teams Deployment Teams

ReadinessReadiness

Relatively few changes in last year

• If not ready when reviewed for temporary promotion, promotion held.

Future plans

• New policies in development have been delayed for additional review, partly due to release of physical activities guidelines.

• Changes to look for on release include additional disciplinary actions, BMI standards, and modifications to the President’s Challenge option.

Deployments

• State of the Union

• Haiti Earthquake

• Deepwater Horizon Oil Spill

• Field-based training

ReadinessReadiness

TransformationTransformation

Current Priorities

• Direct Access – implemented about 1 year ago. Now primary means to enter some readiness info, but be familiar with all data fields.

• Billets – anticipated to conclude this fall

• Accountability Restructuring

BCS ConclusionBCS Conclusion

1. TPAC reviewers overwhelmingly agreed that the BCS roll-out and education process for Therapist Category officers, agency supervisors and reviewing officials were sufficient.

2. Therapist Category Rapid Responders were: under-utilized throughout the billet collection process. had the Rapid Responders been effectively utilized, many or all

of the inconsistencies (red flags) could have been eliminated. may have improved the process to have also encouraged the

supervisor and reviewing officials to contact the Rapid Responders to assist in the review.

3. All “red” flag items have been submitted to agency liaisons.

Recently approved OCCFM Initiatives and Issuances

• PPM 11-001, Revision to Billet ProgramCCI 251.01, Professional Licensure and Certification

• POM 11-005, Entry Grade on Appointment to the Corps

• POM 11-004, Promotion Precept Weights

• CCI 231.03, Appointment Standards (Category Specific)

• POM 11-003, Uniform of the Day – Spring and Summer 2011

• CCI 231.01, Appointment Standards (General)

• CC25.1.1, COER Policy

• POM 11-002, 2010 Annual COER

• Award of Military Decorations

New Policies in last yearNew Policies in last year

Policies in DevelopmentPolicies in Development

• Administrative and Disciplinary Actions

• Allotments

• Associate Recruiter Program

• Child Support/Alimony Garnishment Orders

• Consolidated Special Pays

• Deployment Readiness

• Details (Blanket)

• Domestic/Family Neglect; Violence, Abuse and Treatment

OCCFM Initiatives and Proposed Issuances in process:

Policies in DevelopmentPolicies in Development

• Equal Opportunity

• Force Management (Assimilation Program)

• Former Spouse Payments from Retired Pay

• Leave

• Physical Training Uniform

• Political Activities

• Promotions Directive

• Protected Communications

• Replacement for BDU - pending

• Travel and Transportation Allowances

• Uniforms - Discipline

OCCFM Initiatives and Proposed Issuances in process:

• Promotions Directive

• Protected Communications

• Ready Reserve Corps

• Reserve Corps Officers Deemed Regular Corps

• Revisions to Assignment Incentive Pay

• Revisions to Dental Special Pays

• Revisions to Incentive Special Pay

• Revisions to Multiyear Retention Bonus

• Revisions to Nurse Special Pays

• Revisions to Retention Special Pay

Policies in DevelopmentPolicies in Development

OCCFM Initiatives and Proposed Issuances in process:

Health Care ReformHealth Care Reform

Patient Protection and Affordable Care Act (ACA)

• Sec. 5209. Elimination Of Cap On Commissioned Sec. 5209. Elimination Of Cap On Commissioned Corps. Corps.

• Sec. 5210. Establishing A Ready Reserve Corps - Sec. 5210. Establishing A Ready Reserve Corps - pendingpending

• Sec. 203. Commissioned Corps And Ready ReserveSec. 203. Commissioned Corps And Ready Reserve

• Sec. 5315. United States Public Health Sciences Sec. 5315. United States Public Health Sciences Track – pendingTrack – pending

Health Care ReformHealth Care Reform

Regular vs Ready Reserve Corps

• There shall be in the Service a commissioned Regular Corps and a Ready Reserve Corps for service in time of national emergency.

• Commissioned officers of the Ready Reserve Corps shall be appointed by the President and commissioned officers of the Regular Corps shall be appointed by the President with the advice and consent of the Senate.

Therapists by CorpsTherapists by Corps

Health Care ReformHealth Care Reform

Regular Corps

• Section 202 of the Department of Health and Human Services Appropriations Act, 1993 (Public Law 102-394) is amended by striking `not to exceed 2,800'.

• (b) Assimilating Reserve Corp Officers Into the Regular Corps- Effective on the date of enactment of the Patient Protection and Affordable Care Act, all individuals classified as officers in the Reserve Corps under this section (as such section existed on the day before the date of enactment of such Act) and serving on active duty shall be deemed to be commissioned officers of the Regular Corps.

Health Care ReformHealth Care ReformReady Reserve Corps• PURPOSE- The purpose of the Ready Reserve Corps is to fulfill the

need to have additional Commissioned Corps personnel available on short notice (similar to the uniformed service's reserve program) to assist regular Commissioned Corps personnel to meet both routine public health and emergency response missions.

• USES- The Ready Reserve Corps shall--

a) participate in routine training to meet the general and specific needs of the Commissioned Corps;

b) be available and ready for involuntary calls to active duty during national emergencies and public health crises, similar to the uniformed service reserve personnel;

c) be available for backfilling critical positions left vacant during deployment of active duty Commissioned Corps members, as well as for deployment to respond to public health emergencies, both foreign and domestic; and

d) be available for service assignment in isolated, hardship, and medically underserved communities (as defined in section 799B) to improve access to health services.

The future…The future…

““Chance favors the prepared mind” – Louis PasteurChance favors the prepared mind” – Louis Pasteur

• Direct Access – increased usesDirect Access – increased uses

• Billets – active when all convertedBillets – active when all converted

• Health Care Reform – many policies affectedHealth Care Reform – many policies affected

• Review of CC operational componentsReview of CC operational components

• Ready Reserve CorpsReady Reserve Corps

• Compensation and Pay Advisory Board findingsCompensation and Pay Advisory Board findings

• Accountability Restructuring Accountability Restructuring (OCCO/OCCFM/OSG)(OCCO/OCCFM/OSG)

Surgeon General InitiativesSurgeon General InitiativesOur Role in: Our Role in:

• Childhood Overweight and Obesity Prevention Initiative

• National Prevention, Health Promotion and Public Health Council

• Women’s Health Issues

In Memory

• CAPT James M. Cox, (Ret). CAPT Cox was the Chief Professional Officer in 1979 and served for 32 years.

• CAPT Joseph K. Reed, Jr., (Ret) served 25 years. He was a pioneer in podiatric physical therapy and avid bicyclist.

• Dr. Arthur J. Nelson Jr., PT.

It is with great sadness that I learned of Joe Reed’s passing. Joe was one of the first physical therapists who provided foot care and foot orthoses, especially for patients with peripheral neuropathy. I first met Joe in 1976 when I was stationed at the US Public Health Service Hospital in Staten Island, New York. Joe taught me and many others how to make foot orthoses and shoe modifications for the diabetic patients. He truly was a pioneer in the development of foot orthoses for diabetic and Hansen’s disease patients. Any physical therapist who specializes in the foot and ankle, especially those with an interest in foot orthoses, should know they have Joe Reed to thank being one of the pioneers and leader in this area of PT specialization.

Tom McPoil

The Mission of the Commissioned Corps of the U.S. Public Health Service

"Protecting, promoting and advancing the health and safety of the Nation."