How to Read Your Performance Summary Report (PSR)
One of the most important documents viewed during promotion boards is your Performance Summary Report or PSR. It is the document that summarizes all of your FITREPs for the board, and it can be difficult to interpret. I created a screencast that will show you how to read your PSR. Here are the PPT slides and the screencast:
FY17 O4 Promotion Board Members and Convening Order Released
The FY17 O4 promotion board just concluded. As usual, the promotion opportunity for LCDR was 100%. This means that the board COULD select every eligible officer for promotion if they wanted to. They never do, but they could. If you read the convening order, you’ll see that Medical Corps is the only community that has a 100% promotion opportunity:
“Flaw” in New Military Retirement System?
Here is an interesting read from Military Times that discusses discount rates and what some experts consider a “flaw” in the new retirement system:
The New Military Retirement System has Major Flaw, Financial Experts Warn
New USUHS Masters and Doctoral Medical Education Degrees
The Uniformed Services University of the Health Sciences (USUHS) has some new degrees for anyone looking for a medical education degree. If you are on active duty you have to be local to attend. They are, however, working on a pathway for active duty to apply and PCS there to do the degree if accepted, similar to how they do the Naval War College. The info is contained in these PDF files:
BUMED Futures and Innovation Lead Position Available – 05/06 Summer 2016
Contact your Detailer or Specialty Leader if interested:
Position: BUMED Futures and Innovation Lead
Directorate: BUMED Executive Directorate
Classification: 05/06, GS 14/15
Reports To: Deputy Director, for the Executive Director (TED)
Report Date: JUNE/JULY 2016
INTRODUCTION
The position of Lead, Futures and Innovation is held by a senior medical department officer (O-5- O6) or civilian equivalent. The incumbent works for the BUMED Executive Directorate (TED) and is an advisor to all officers, enlisted and civilian personnel. S/He offers the Navy Medicine enterprise with strategic planning resources and technical advice on all issues. Specifically, s/he empowers members of the TED cell and Navy Medicine Leaders with the critical skills of strategic foresight and futures thinking for the new era of complexity and change in Military Medicine. The incumbent works closely with the BUMED Chief Medical Officer, Digital Health Office, and Chief Digital Officer to help support innovation, process improvement, and patient safety and quality initiatives. Additionally, s/he is responsible to assist in the oversight and efficient program management of activities related to the successful implementation of the new DoD Healthcare Management Systems Modernization (DHMSM) initiative.
DESIRED CRITERIA FOR THE POSITION
- Senior medical department officer (O-5 and above, Medical Corps, Nurse Corps, Medical Service Corps, Dental Corps) or civilian equivalent.
- Superb leadership and management skills.
- Facilitative counseling and team-building skills.
- An advanced degree in a related field (health care, business or computer science, MBA, MPA, MPH, MD or PhD) or equivalent experience.
- Knowledge of technology and information systems planning to support business goals in a health care setting.
- Understanding of the MHS health information technology strategy and operational plans.
- Training and experience with management models such as high reliability organization, transitional leadership, etc.
Surgeon General’s Guidance & Value-Based Care
The Navy Surgeon General just released his Commander’s Guidance for Navy Medicine:
Navy Medicine Commanders Guidance
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.
Guest Post: Supplemental Disability Insurance for Active Duty Physicians
(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, andyb@di4mds.com, 888-934-4637).
FY17 CAPT Board Statistics and Basic Promotion Board Math
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.
CAPT Select List Released
Congrats to all the new Captain Selects! (link here and list pasted below)
UNCLASSIFIED
ROUTINE
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FM SECNAV WASHINGTON DC
TO ALNAV
INFO SECNAV WASHINGTON DC
CNO WASHINGTON DC
CMC WASHINGTON DC
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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.//
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