The Navy Surgeon General just released his Commander’s Guidance for Navy Medicine:
As you will read, Readiness, Value, and Jointness have been replaced by Readiness, Health, and Partnerships. In addition, there is a focus on value-based care. A good article on value-based care from the Harvard Business Review can be found at this link. I’ve pasted the executive summary below:
In health care, the days of business as usual are over. Around the world, every health care system is struggling with rising costs and uneven quality, despite the hard work of well- intentioned, well-trained clinicians. Health care leaders and policy makers have tried countless incremental fixes—attacking fraud, reducing errors, enforcing practice guidelines, making patients better “consumers,” implementing electronic medical records—but none have had much impact.
It’s time for a fundamentally new strategy. At its core is maximizing value for patients: that is, achieving the best outcomes at the lowest cost. We must move away from a supply- driven health care system organized around what physicians do and toward a patient-centered system organized around what patients need. We must shift the focus from the volume and profitability of services provided—physician visits, hospitalizations, procedures, and tests—to the patient outcomes achieved. And we must replace today’s fragmented system, in which every local provider offers a full range of services, with a system in which services for particular medical conditions are concentrated in health-delivery organizations and in the right locations to deliver high-value care.
The strategy for moving to a high-value health care delivery system comprises six interdependent components: organizing around patients’ medical conditions rather than physicians’ medical specialties, measuring costs and outcomes for each patient, developing bundled prices for the full care cycle, integrating care across separate facilities, expanding geographic reach, and building an enabling IT platform.
The transformation to value-based health care is well under way. Some organizations, such as the Cleveland Clinic and Germany’s Schön Klinik, have undertaken large-scale changes involving multiple components of the value agenda. The result has been striking improvements in outcomes and efficiency, and growth in market share.
(EDITOR’S NOTE: While we have great benefits in the military, one area where our benefits fall short is disability insurance. If we were to be disabled on active duty, our disability pay would not reflect our physician bonuses and higher income. For years I struggled to find supplemental disability insurance. I used the American Medical Association plan because they’d give me up to $2500/month of additional coverage and it was all I could find. That was until I contacted Andy Borgia at DI4MDs.com. He was able to get me the amount of coverage I needed when many, many other people couldn’t. For some reason many disability insurers don’t want to cover active duty. Below is a post from Andy about supplemental disability insurance.)
May is disability insurance awareness month and also the time of the year a number of physicians transition into new positions due to the completion of most training programs July 1st. As a result, it is an excellent time to examine protecting the most valuable asset any physician has, their ability to practice and earn an income. Whether you are a military physician with a number of years left to serve, soon to be exiting the military or currently in a residency/fellowship program, it would be prudent make certain you are adequately protected in the event you become disabled and unable to practice due to a sickness or accident. Statistics, which can be found all over the internet, including our site, indicate approximately 1 in 3 people will be disabled during their working career, which can be the cause of financial ruin. Disability insurance for physicians is universally recommended.
Being active duty military, you may think you are already adequately protected. This is far from accurate since military disability benefits only cover base pay and do not include incentive, special or bonus pay, allowances or private earned income. These extra forms of income usually provide the majority of a military physician’s pay and should and can be protected. If you are about to leave the military, the day after you are discharged, any military disability coverage will cease and you will be completely unprotected. Establishing an individual disability insurance policy can take up to 4 months, since medical records must be obtained so to be adequately protected requires advanced planning.
To make certain you and your family are protected, establish an individual disability insurance
policy. The individual policy contractual provisions should protect you in your chosen medical specialty for the entire benefit period, provide both total and partial disability benefits, allow for an increase in coverage upon completion of duty without additional medical requirements, and be noncancelable and guaranteed renewable (policy cannot be cancelled, premiums changed, coverage altered by the insurance company). Residents and fellows may be eligible for discounted polices if established prior to completion of training and should be taken advantage of.
Contact an experienced insurance agent that represents a number of companies and is familiar with contractual provisions and underwriting procedures, it does make a difference, to explore your
options. Please visit our website www.DI4MDS.com to obtain our Military Physician Disability Insurance Guide. This will provide an educational first step.
For a complementary personal disability insurance consultation please contact me directly (Andy G Borgia CLU, firstname.lastname@example.org, 888-934-4637).
The FY17 Staff Corps O6 promotion board basic statistics are here. I don’t have the specialty specific ones yet, but I’m sure they’ll be coming soon.
Let’s go over the basic stats for Medical Corps so that everyone understands them as they can be very confusing.
According to page 2 of the convening order, the promotion opportunity was 70%. The number of people in zone was 91. In order to find the total number of officers they could select for promotion, you take the promotion opportunity x the size of the zone:
(70% promotion opportunity) x (91 officer zone size) = 64 officers could be selected for promotion
As you see in the stats, they selected exactly 64:
- Above Zone – selected 32 of 183 or 17.5%
- In Zone – selected 31 of 91 or 34.1%
- Below Zone – selected 1 of 150 or 0.7%
As you can see, even though the promotion opportunity was 70%, the chance you got selected in zone was only 34.1% because selects came from above and below zone.
Congrats to all the new Captain Selects! (link here and list pasted below)
UNCLASSIFIED ROUTINE R 271500Z APR 16 FM SECNAV WASHINGTON DC TO ALNAV INFO SECNAV WASHINGTON DC CNO WASHINGTON DC CMC WASHINGTON DC BT UNCLAS ALNAV 026/16 MSGID/GENADMIN/SECNAV WASHINGTON DC/-/APR// SUBJ/FY-17 ACTIVE-DUTY NAVY CAPTAIN STAFF CORPS SELECTIONS// RMKS/1. I am pleased to announce the following Staff Corps Officers on the Active-Duty List for promotion to the permanent grade of Captain. 2. This message is not authority to deliver appointments. Authority to effect promotion will normally be issued by future NAVADMINs requiring NAVPERS 1421/7 preparation and forwarding of document to PERS-806. 3. Frocking is not authorized for any Officer listed below until specific authorization is received per SECNAVINST 1420.2A. 4. For proper alphabetical order read from left to right on each line. The numbers following each name to the right indicate the relative seniority among selectees within each competitive category. Members are directed to verify their select status via BUPERS Online. Medical Corps Akins Roger Scott 0031 Alsina Manuel F 0053 Altamar Hernan Orlando 0011 Ancona Michael R 0008 Antle Susan Farrar 0035 Berry Kyle R 0047 Bunten Bradley L 0033 Bustamante Alexander I 0051 Callan James E 0056 Carr Russell B 0057 Dalitsch Walter W 0003 Demers Gerard 0032 Ellingson Christopher 0025 Espiritu Jennifer M 0026 Feldman Brian L 0061 Franzos Marc A 0043 Gallus Katerina Maria 0017 Gilhooly Jonathan E 0062 Gonzalez Hermann Franc 0015 Hagerman Rodney S 0038 Hanley Keith A 0001 Hanling Steven R 0023 Hussey Sean M 0034 Johnson David P 0058 Juliano Michael L 0052 Klugh Arnett 0036 Lavery Eric A 0054 Lee Mike Hyun 0048 Lenart Mark J 0041 Lujan Eugenio 0050 Matwiyoff Gregory N 0027 Mclean Matthew David 0039 Moroney John W 0060 Nanos George P III 0028 Norris Craig Dewayne 0042 Omeara Kevin Michael 0046 Orsello Christopher A 0030 Penta Joseph F 0013 Powell Blaine Michael 0020 Quast Timothy M 0022 Rader Scott B 0037 Ramirez Alfredo R 0021 Randall Craig J 0045 Ricca Robert L 0064 Rice George M 0010 Robinson Michael A 0055 Rue John Paul Harris 0012 Sanchez Marlene L 0049 Sayles Timothy E 0014 Schiemel Andrew W 0007 Shiau Danny T 0016 Shippey Stuart H III 0006 Shusko Michael P 0063 Spalding Bryan M 0029 Spooner Michael T 0044 Stedjelarsen Eric T 0019 Steigleman Walter A 0040 Temple Richard W 0059 Thomas Karin E 0009 Tucker Anthony 0024 Wells Brian P 0004 Whittaker David Robert 0018 Wilson Charles E 0002 Wittenberger Michael D 0005 Dental Corps Adcook Richard Scott 0014 Avillo Andrew James 0009 Craig David Merrill 0004 Donovan Sean Pat 0005 Evans Eric Scott 0013 Lee Chad Alan 0002 Mclaughlin John Daniel 0012 Monasky Ann Barbara 0008 Morales Enrique Manuel 0006 Myaingmisfeldt Rachel 0011 Stokes Steven Marc 0010 Walker Gary Jude 0003 Wilson John Hinton 0007 Young Benjamin Wayne J 0001 Medical Service Corps Archila Andrew Mario 0008 Artino Anthony R Jr 0007 Bouma Matthew Frank 0014 Brenner David Bruce 0019 Brown Gabriel Toliver 0012 Bunch Roger Lynn 0025 Christian Alan Brent 0017 Darby Jason B 0020 Durand Paul Brandon 0005 Gellman Gregg William 0013 Greenstein Scott Lawre 0016 Gross Jessie Enrique 0004 Hardin Brandon Wayne 0021 Hindman Traci Jo 0009 Hodapp Kristin Rebecca 0031 Im Peter Oo 0018 Lauby Todd J 0002 Lepore Karla Mae 0030 Linderman James Russel 0011 Mckenzie Chad Eric 0022 Newell Steven Wayne 0003 Newton Keith Bernard 0024 Obenauer Peter Joseph 0015 Pimentel Guillermo 0023 Pinkham Wendy Hauler 0001 Rice Rose Ellen 0028 Ringer Cheryl Christin 0026 Shobe Katharine Krause 0029 Smith Tara Nicole 0010 Stancil Jeffrey Dwayne 0027 Stephens Douglas Eugen 0006 Judge Advocate General's Corps Cooper Shane D 0008 Eskridge Laurin N 0007 Goldsmith Jennie L 0013 Gonzalez David Michael 0014 Hoelz Joseph Gehlen 0004 Leary Thomas Francis 0002 Lemoyne Irve Charles J 0005 Luken Michael John 0003 Mcleod Jonathan Mark 0001 Monahan Robert Paul Jr 0006 Nauman Joshua Paul 0012 NgBaumhackl Elysia Gah 0010 Vavra Randall James 0011 Nurse Corps Bailey Johannes Michae 0028 Barnett Melissa Ann 0022 Braun Lisa Anne 0005 Buss Kevin Paul 0004 Carrillo Raul J 0018 Cunningham Craig Andre 0025 Deaton Laura Dawn 0027 Domotorffy Eva S 0019 Eckenrode John Edwin 0011 Farino Melissa Ann 0024 Fisak Jean Frances 0017 Hawker Jeremy John 0020 Hillery Julie Maria 0001 Hosea Lonnie Shelton 0016 King Heather Cuniff 0008 Kohler Michael Shawn 0002 Lemaire Clint Anthony 0023 Lewis Rachel Marsh 0030 Loesche Paul Andrew 0012 Lopez Eddie 0015 Messmer Scott Jacob 0010 Meyerhuber Daniel Nels 0021 Parks Steven James 0014 Parrott Justice Mason 0006 Pickett Sara Sharmayne 0013 Scott Thecly H 0009 Smith Kathaleen Lynett 0007 Taylor Joseph Lee 0003 Vogelrogers Elizabeth 0029 Volk John Edward 0026 Supply Corps Ayers Susan L 0021 Benedetto Michael V 0004 Blake Patrick Christop 0024 Booth William D 0018 Carnal David Dewitt 0028 Cash Eugene S 0002 Doyle David Edward 0019 Dozier Pamela Chanel 0008 Duenas John Sablan 0011 Dwy Charles 0031 Feliz Jose L 0007 Fitch Jason Bradley 0003 Garrigus Mark Reed 0015 Gathright Nicola M 0020 Gawaran Edmond J 0010 Heryford Michael Willi 0017 Holman Matthew D 0026 Hunter Julie M 0006 King Jerry Allen 0023 Lask Gregory Robert 0030 Mackenzie Douglas Stew 0005 Neville Thomas Joseph 0012 Scott Thomas A 0001 Treanor Julie Mary 0016 Troy Milton W III 0009 Turner Alsandro H 0029 Turner Dennis J 0013 Wanack Todd Alan 0022 Weber Leroy H 0014 Yanero Anthony Dominic 0027 York Michael 0025 Chaplain Corps Brown Michael David 0011 Donahue Kim Macdonald 0010 Hakanson John Michael 0006 Haley Brian Joseph Cam 0002 Johnson James Lowell 0008 Kalantzis John Angelo 0009 Mode Daniel Lawrence 0012 Moured Emile George 0007 Pittman James Howard 0004 Schluter Greg Thaddeus 0005 Stallard William Danie 0003 Stamm Brian James 0001 Civil Engineer Corps Anderson John Rogers 0002 Cook Daniel W 0012 Cuadros Jorge Ricardo 0014 Dandrea Eileen Jean 0004 Deviney Jeffrey Corbin 0009 Geertsema Cameron Jae 0008 Hendricks Kent R 0011 Lengkeek Jeffrey Dale 0010 Price Nathanael B 0013 Siemer William Andrew 0001 Spears Kemit Wayne 0006 Stasick Steven James 0007 Via Christopher R 0003 Vogel Burr Michael 0005 5. Released by Ray Mabus, Secretary of the Navy.// BT #0001 NNNN UNCLASSIFIED//
There are a lot of people you can turn to when you need career advice. There’s your Specialty Leader, your Detailer, and other senior mentors you’ve developed relationships with during your career. If you want your record reviewed, you can either e-mail your Detailer or go to the Advanced Medical Department Officer’s Course (AMDOC) where a Detailer will review it one-on-one with you. What do you do if you want an outside opinion or you can’t peel away to go to AMDOC? Well…that’s where the new MCCareer.org Career Consult & Record Review comes in!
If you just have some questions to ask, go to the new tab on the website, submit your questions, and hit send. I’ll get back to you as soon as I can.
If you want your record reviewed, go to BUPERS On-Line and download the PDF copies of your Officer Summary Record and Performance Summary Record. Once you have them, e-mail me with them attached (e-mail address on the tab or on the mail.mil global) and I’ll review your record for you. It’s that simple.
1. Job: DOD Liaison to the Centers for Disease Control 2. Fill date: Summer 2016 3. Rank: CDR and above (although if I was a LCDR I'd apply) 4. Population health background required and must be eligible for orders. The relevant documents that describe everything are here and here. Anyone interested should contact their Detailer.