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WARRIOR TRANSITION PROGRAM

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					WARRIOR TRANSITION PROGRAM


         AN OVERVIEW




           8 August 2007




           Unclassified
                                                WARRIOR TRANSITION PROGRAM

                                                   BRIEFING OUTLINE
           PURPOSE: To provide information on the Army’s Warrior Transition Program




                            Mission
                            Warrior Transition Background
                            Mission Essential Task List
                            Warrior Transition Office
                            WTU Assignment/Attachment Criteria
                            Community Based Healthcare Organization
                            Army Medical Action Plan
                            Ombudsman Program
                            Medical Assistance Group
                            Monitoring/Tracking Systems


Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address   SECURITY CLASSIFICATION HERE   Date-Time-Group
WARRIOR TRANSITION PROGRAM




    “I am a Warrior in
 Transition. My job is to
heal as I transition back
   to duty or become a
productive, responsible
citizen in society. This is
    not a status but a
mission. I will succeed in
 this mission because I
       am Warrior. “




                              Back to Dashboard
                     WARRIOR TRANSITION PROGRAM

                Warrior Transition Background
•   June 2003: Mobilized Reserve Component Soldiers
      – Injured Soldiers returning and medevaced from Afghanistan (OEF) and Iraq
        (OIF) in greater numbers
      – Soldiers who reported to MOB stations who were not medically deployable
        were kept at MOB stations to either fix and deploy or refer to Physical
        Disability Evaluation System (PDES)
      – Soldiers demobing were able to stay on Active Duty for treatment of “In Line
        of Duty” conditions (medical conditions aggravated or incurred while
        mobilized)
      – First Nurse Case Managers were mobilized to manage Reserve population
•   June 2003- March 2004
      – Formal MHO structure, operations, organization and dedicated Command
        and Control established on Installations
      – Each MHO Soldier assigned to a Nurse Case Manager
      – Developed MHO Program operational standards
WARRIOR TRANSITION PROGRAM
                                              Army Medical Action Plan
                                       WARRIOR TRANSITION PROGRAM
                                                                                                                          1. What We Have Done
                                                                                                                          2. How We Track
                                      LONG TERM                            “An Evolutionary Process”                      3. What We Need
                                      OBJECTIVE             Phase V                                                       4. The Way Ahead
                                           S
                                                                                           Phase I   Implement
                                                         • FOC                                       QWs / MDMP
                                                         • Tracking
                                                Unit     compliance
                                                Sustainment
                                                Visits                                               AMAP
                                             AMAP                                                     Cell
                                             CONF
                                      DAIG                                                                     WTU
    • IOC                             Complianc
    • Long Term OBJ                                                                                                   AMAP
                                      e Visits SRG                                                                    SYNCH
              Phase IV
                                                             EXORD                                                    CONF
                                                                              Wounded
SHORT TERM                                                   Key Tasks:        Warrior

OBJECTIVES                                                   1.   Empower CDRs
                                             SRG             2.   Continuum of Care                                                               PCM
                                                             3.   Leadership Involvement                      SRG
                                                             4.   Optimize PDES                                                              TRIAD
                                                             5.   Provide Requirements to PPBES              G1 SFAC
                                                                                                             Conference
                                                             6.   Seamless Warriors in Transition
                                                SRG          7.   Communicate AMAP Initiatives


                                      SAVs         16th

                                                                                                                              CSA Quick Wins:
                                                          Leadership       AUSA              SRG                             1. Est C2
                                                          Visits           Symposium
                                                                                                                             2. Inst Structure
                                                                                    15th
    • Staff Asst Visits                                                                                                      3. Ownership
                          Phase III
    • Short Term OBJ                                                                                                         4. Housing
                                                                                   My
                                                                                  MEB                                        5. Family SPT
                                                                                                                             6. TNG & Doctrine
                                                                                                                             7. Patient Visibility
                                                                                                                             8. Care & Benefits
*Click Red boxes for details                                                                                                 9. Improve MEB
                                                                           Phase II
                                             • OPORD (CSA QWs)                                                               10. Enhance PEB
                                             • Unit CDR Visits                                                                 Representation
                WARRIOR TRANSITION PROGRAM

         Warrior Transition Background
• March - April 2007
   – Congress asks Army to evaluate structure, care, systems,
     and process for all “Warriors in Transition” regardless of
     Compo or GWOT affiliation.
   – Development of Warrior Transition Unit
      • Staffing Ratios set for PCM, CM, PLT SGT, PEBLO,
        BH, etc.
   – Same standard set for all Soldiers
   – Ombudsman Program established at MTFs
   – Significant changes made in the Army Physical Disability
     Evaluation System (PDES)
   – Greater emphasis placed on training of the Cadre
              WARRIOR TRANSITION PROGRAM

             Mission Essential Task List
• The Army will…
   – provide Command/Control and Administrative Support
     (including pay)
       • Trained to focus on special needs of WT Soldiers
   – provide high quality, expert medical care, and case
     management support
       • Primary Care Provider, Case Manager, Behavioral
         Health, Specialty Providers
   – administratively process with speed and compassion
     those who will leave the Army, and
   – facilitate Transition of separating and REFRADing
     Soldiers to VHA or TRICARE for follow-on care.
                 WARRIOR TRANSITION PROGRAM

               Warrior Transition Office

• The Warrior Transition Office consists of the Office of the
    Director, the MEDCOM Medical Assistance Group, and the
    MTF Ombudsmen.
•   The WTO serves as OTSG/MEDCOM’s focal point for the
    coordination of activities, programs and services that are
    provided in support of the Army’s WT Programs.
•   The Director has primary responsibility for creating an
    environment of collaboration and maintaining staff
    coordination relationships within OTSG/MEDCOM and with
    non-MEDCOM agencies, ensuring effective collaboration
    and integration of resources committed to WT Programs.
                 WARRIOR TRANSITION PROGRAM

          WTO Roles and Responsibilities
•   Define roles and responsibilities for OTSG/MEDCOM activities
    with responsibilities for WT support.
•   Provide a permanent organizational structure to streamline the
    roles and functions for WT support, operationalize, manage and
    sustain the Army Medical Action Plan tasks and actions for the
    OTSG/MEDCOM.
•   Synchronize, coordinate and facilitate WT initiatives, programs
    and services across OTSG/MEDCOM.
•   Provide coordination with external commands, agencies, and
    activities in support of WT Program.
•   Develop and implement metrics and performance measures to
    continuously measure the effectiveness of WT plans, policies
    and programs to achieve and sustain desired outcomes.
                WARRIOR TRANSITION PROGRAM

              WTU Concept of Operations

• Provide Soldiers high-quality living conditions.

• Prevent unnecessary procedural delays.

• Establish conditions that facilitate Soldiers healing process
 physically, mentally, and spiritually.

• Provide a Triad of Warrior Support that consist of squad
 leaders, CMs, and PCMs, working together to ensure
 advocacy for WT Soldiers, continuity of care and a seamless
 transition in the force or return to a productive civilian live.
                WARRIOR TRANSITION PROGRAM


      Staffing Ratios for Warrior Transition Units
• 1 Company for every 200 WT
• 1 Co Cdr and 1SG for every Company
• 1 XO for each company of at least 150 WT
• 1 PSG for every 36 WT
• 1 Squad Leader for every 12 WT
• 1 Nurse Case Manager for every 18 WT (MEDCEN)
• 1 Nurse Case Manager for every 36 WT (MEDDAC)
• 1 Human Resource Sergeant for every 200 WT
• 1 Social Worker (family therapist qualified) for every 100 WT
    (1 to 50 at WRAMC and BAMC)
•   3 Human Resource Specialists for every 200 WT
•   1 Finance Sergeant for every 200 WT
                  WARRIOR TRANSITION PROGRAM


      Staffing Ratios for Warrior Transition Units (cont.)
•   1 Supply Sergeant for every 200 WT
•   1 Supply Specialist for every 200 WT
•   1 Patient Administration Sergeant/Specialist for every 200 WT
•   MEB Physician for every 200 Soldiers in MEB/PEB process
•   1 Primary Care Manager for every 200 WT
•   1 Training Specialist for every 200 WT
•   1 Occupational Therapist for every WT Brigade or Battalion
•   1 Occupational Therapy Technician/ Recreation Specialist for
    every 200 WT
•   1 PEBLO for every 30 Soldiers in MEB/PEB process
•   Ombudsmen are “earned” as follows:
•   o >35 WTs – 200 WTs = 1 Ombudsman
•   o 201 WTs – 400 WTs = 2 Ombudsmen
•   o 401 WTs – 600 WTs = 3 Ombudsmen
                WARRIOR TRANSITION PROGRAM

                             Triad

• The Triad: PCM, Case Manager, and PLT SGT/SQD LDR
 collects Soldier data and information; analyzes data and
 information to produce a plan of care, treatment, and service
 specific to each Soldier’s needs.

• Primary Care Manager (Physician)
   – Provide primary oversight and continuity of health care and
     ensures the level of care provided is of the highest quality.
     The relationship developed between patients and their PCM
     is the basis for successful prevention-oriented, coordinated
     health care. Patients reap benefits from consistent health
     care and improved overall health.
                   WARRIOR TRANSITION PROGRAM

                                 TRIAD

• Case Manager: Licensed healthcare professionals (usually registered
  nurses) that assess, plan, implement, coordinate, monitor, and evaluate
  options and services to meet Soldier’s health needs.

• Squad Leader: NCO responsible for all that the squad does or fails to do.
  He is a tactical leader and, as such, leads by example. The squad leader
  works as part of the Triad providing for the care of the Warrior and their
  Family.
    – Ensures the Warrior is care for during the Army Physical Disability
       Evaluation System
    – Maintains accountability of his soldiers and equipment.
    – Submits requests for awards and decorations; ensures that the
       Warrior’s records are transferred from losing unit to gaining unit.
    – Inspects the condition of Soldiers' billeting, clothing, and equipment.
    – Keeps the platoon sergeant/leader informed on squad’s medical
       status and requirements.
                    WARRIOR TRANSITION PROGRAM


        WTU ASSIGNMENT / ATTACHMENT CRITERIA
• Each Army MTF will maintain a warrior transition unit (WTU). Units will
    vary in size from small detachments to brigades, depending on patient
    population.
•    A Warrior in Transition is any Soldier who requires significant medical
    intervention in order to heal and return to duty or to make a successful
    transition to veteran status.
•   Assignment or attachment to a WTU will not be performed solely to
    facilitate the early requisitioning of replacement personnel or for purely
    compassionate reasons.
•   Service members that do not meet the criteria of AR 40-400 will not be
    attached or assigned to a WTU.
•   All Service members who present to the MTF for medical evaluation or
    treatment from off-installation locations and who will be present more
    than 24 hours will be required to report to the WTU for accountability and
    control purposes.
•   For those Soldiers who are on medical TDY orders, the orders will
    specify that the Soldier is under the command and control of the WTU
    while at the MTF. All Service members in a TDRL status will report to
    the WTU upon arrival at the MTF.
                     WARRIOR TRANSITION PROGRAM

              WTU Assignment Criteria for Active Component

• Requires a temporary profile of more than 6 months duration.
• Treatment plan requires the Soldier to spend most of his/her time
    receiving and/or traveling to and from medical treatment.

• Requires an MEB and therefore requires a permanent profile with duty
    limitations that preclude the Soldier from contributing to the parent unit’s
    mission.

• Profile limitations preclude deployment (AR 40-501, chapter 5) within the
    next 60 days and the unit is scheduled to deploy within 60 days

•   Unit has no rear detachment.
      – Rear detachment capabilities are insufficient to accommodate the
        Soldier’s physical limitations.
      – Limitations prevent the Soldier from contributing to the rear
        detachment’s mission.
                     WARRIOR TRANSITION PROGRAM

             WTU Assignment Criteria for Reserve Component

• Soldier was mobilized on 10 USC 12302 orders in support of named
    operations and diverted from his/her normal mobilization mission or
    demobilization processing in order to receive medical treatment.
•   Soldier is in need of medical evaluation, treatment, and disposition
    including definitive health care for an illness, injury, or disease incurred in
    the line of duty and/or for aggravation of a pre-existing medical condition
    incurred in the line of duty.
•   The MTF commander must determine if a Soldier is not expected to RTD
    within 60 days from the time of injury or illness or if the Soldier could
    RTD within 60 days, but will have fewer than 120 days beyond the
    expected RTD date left on 10 USC 12302 partial mobilization order. In
    such a case, the Soldier will be converted from partial mobilization orders
    to medical retention processing (MRP) 12301(h) orders, subject to the
    Soldier’s consent in accordance with current personnel policy guidance
    (PPG).
                     WARRIOR TRANSITION PROGRAM


         Medical Retention Processing (MRP) Orders
• MRP Orders are utilized to extend Reserve Soldiers for pay and benefits
    while in Medical Holdover status.
      – Medevaced Soldiers
           • Once it is determined that a mobilized RC Soldier’s treatment will
             require more than 60 days, the Soldier is taken off mobilization
             orders, and placed on MRP orders. MRP is governed by Title 10
             §12301d authority. This includes inpatients.
      – Demobing Soldiers-
           • Extend a mobilized Soldier on Active Duty who needs ongoing,
             definitive care for conditions incurred or aggravated while
             mobilized.
•   A Request for Orders is sent to Human Resources Command-Alexandria
•   Soldiers must volunteer to remain on active duty on MRP orders to
    receive treatment.
•   All MHO Soldiers on MRP orders are assigned to a Medical Retention
    Processing Unit (MRPU) on designated Army installations
•   Qualified Soldiers may be attached to a Community Based Health Care
    Organization (CBHCO).
                WARRIOR TRANSITION PROGRAM

               A non-mobilized RC Soldier
• A Soldier who is in a duty status during period of non-
 mobilized AD, funeral honors duty, or inactive duty training;
 while traveling directly to or from the place at which funeral
 duty or inactive duty is performed; while remaining overnight
 immediately before the commencement of inactive duty
 training or between successive periods of inactive duty
 training, at or in the vicinity of the site of the inactive duty
 training, if the site is outside reasonable commuting distance
 of the member’s residence; and while remaining overnight at
 or in the vicinity of the place the funeral honors is to be
 performed immediately before serving such duty, if the place
 is outside of reasonable commuting distance from the
 member’s residence
                  WARRIOR TRANSITION PROGRAM

         A non-mobilized RC Soldier (cont.)
• A Soldier who incurs or aggravates an in-the-line-of-duty
    service-connected injury, illness, or disease while in an IDT
    or non-mobilization AD status, and that medical care will
    extend beyond 30 days.
      – A Soldier must be found by the MTF commander to be
         unable to perform his/her MOS/AOC within the confines
         of a medical profile. DA Form 3349 will be used to
         document this determination.
      – A Soldier must be medically approved by the Active Duty
         Medical Extension (ADME) Medical Review Board to
         enter a WTU. Such Soldiers will be placed on 10 USC
         12301(h) orders in accordance with current PPG.
•   An Active Guard and Reserve Soldier (10 USC or 32 USC)
    who meets the WTU criteria of active component Soldiers is
    eligible for a WTU
           WARRIOR TRANSITION PROGRAM

        North Atlantic Regional Medical
                  Command


                                         Ft. Drum 



                                      West Point 




                                                       Ft. Dix
                                    Walter Reed
                                             
                                                   Ft. Meade
                              Ft. Belvoir 

                                                     Ft. Lee

                                                   Ft. Eustis
                  Ft. Knox


                                    Ft. Bragg

NARMC
             WARRIOR TRANSITION PROGRAM

        Southeast Regional Medical Command

                          Ft. Campbell 




                                    Ft. Benning      Ft. Jackson
                                              
                                            Ft. Stewart

               Redstone Arsenal            Ft. Stewart
                                             Ft. Gordon



                       
                       Ft. Rucker




SERMC
                                                                       Ft. Buchanan
                   WARRIOR TRANSITION PROGRAM


        Great Plans Regional Medical Command




                                                   Ft. Riley
                             Ft. Carson
                                                                      Ft. Leonard Wood
                                                 Ft. Leavenworth


                                                         Ft. Sill
           Ft. Huachuca 

                                            Ft. Hood
                                                                      Ft. Polk
                                   Ft. Bliss


                                                  Ft. Sam Houston


GPRMC
                         WARRIOR TRANSITION PROGRAM

        Western Regional Medical Command


       Ft. Richardson                              Ft. Lewis



       Ft. Wainwright




                                       Ft. Irwin




WRMC
               WARRIOR TRANSITION PROGRAM

       Pacific Regional Medical Command



                              TAMC



              Camp Zama




PRMC
            WARRIOR TRANSITION PROGRAM


       European Regional Medical Command




                           Landstuhl
                Wuerzburg   Heidelberg




                           Vicenza 




ERMC
              WARRIOR TRANSITION PROGRAM


              Background CBHCO
• Dec 2003:
   – SEC ARMY approved concept plan to expand MHO
     operations close to Soldiers’ homes and communities
   – Get Soldiers home as soon as possible
   – Disposition Soldiers in timely manner
   – Leverage medical capacity in Soldiers’ communities
   – Free up billeting space at installations
                WARRIOR TRANSITION PROGRAM


                    What is a CBHCO?

 Community Based Healthcare Organization
 Provides Command and Control (C2) while Soldier lives at
 home, works near home
 Acquires and coordinates Medical Care close to home.
 Oversight provided by U.S. Army Medical Command
 (MEDCOM) via the 4 Regional Medical Commands.
 Program oversight provided by Ass’t Secretary of the Army for
 Manpower and Reserve Affairs (ASA, M&RA)
                   WARRIOR TRANSITION PROGRAM

                 Eligibility Criteria to CBHCO

• Soldier identified at Army installations
• Soldier must request to remain on active duty under medical retention
  processing (MRP) program [Title 10 USC §12301(d)]
• Soldier must meet eligibility and selection criteria
• Joint decision between medical and C2 for referral to CBHCO
• Soldier is attached to CBHCO and assigned duty near home; Soldier
  remains assigned to MRP Unit now WTU
• CBHCO provides C2, admin & log support, and medical management
  including medical board processing
                WARRIOR TRANSITION PROGRAM

                 Selection Criteria to CBHCO

•   Soldier must be AD NG (Compo 2) or USAR (Compo 3)
• Currently looking at criteria for AC (Compo 1) Soldiers
• Soldier needs more than 60 days of clinical care and
management
• Appropriate medial care must be available within the
community.
• The Soldier must meet a number of other administrative
conditions (e.g. no UCMJ pending); demonstrate reliability
• Duty Location (Title 10) available within normal commuting
distance (50 mi).
             WARRIOR TRANSITION PROGRAM

       CBHCO Command & Control Functions

• Maintain 100 % accountability of Soldiers
• Ensure Soldiers keep ALL medical appointments and
 comply with CBHCO rules
• Assign meaningful (Title 10) work to all Soldiers who are
 able to work and ensure they report for work daily
• Coordinate with Army installations, medical community,
 higher HQ, etc.
• Training, UCMJ, promotions, schools, other C2 actions
• Return to WTU Soldiers who do not clinically progress or
 who fail to comply with program
              WARRIOR TRANSITION PROGRAM

            Case Management Functions
• Screen and accept transfers from a MTF
• Provider and Case Management intake on arrival
• Social Work Care Manager intake assessment
• Continue plan of care and co-manage future care
• Medical referrals and TRICARE authorizations
• Document CM process and medical review
• Retrieve and review consultation/referral reports
• Monitor progress and status; optimal benefit
• Communicate with commander, report compliance
 problems
                               WARRIOR TRANSITION PROGRAM

                                         CBHCO Staffing Model
         CBHCO: MHO population              GRADE     BR       BOA       200   300   350

Company Commander                           O4-O5    01A         1       1     1     1

Executive Officer                           O3-O4    01A      1 > 200    0     1     1

First Sergeant                              E7-E8    IMM         1       1     1     1

Platoon Sergeant                            E6-E7    IMM       1: 50     4     6     7

Supply Specialist                           E5-E6    92Y         1       1     1     1

Administrative Assistant to Cadre           E4-E6    42A       1:200      1    2     2

Human Resources NCOIC                       E6-E7    42A         1       1     1     1

Human Resources Specialist                  E4-E6    42A       1:100     2     3     4

Case Manager Supervisor                     O5-O6     AN         1       1     1     1

Case Manager                                O3-O5     AN      1 to 25    8     12    14

Medical Officer                             O4-O6     MC         1       1     1     1

Nurse Practitioner/Physician Assistant      O3-O5   66P/65D      1       1     1     1

Behavioral Health Specialist                 CIV     LCSW        1       1     1     1

Chief, PAD/PEBLO                            O3-O5    70E         1       1     1     1

PAD NCOIC/Assistant PEBLO                   E6-E7    71G      1 > 100    1     1     1

PAD Specialist                              E4-E6    71G      1 to 100   2     3     3

USAR LNO                                    O3-O5    05A         1       1     1     1

TOTAL for each CBHCO                                                     28    38    42
                           WARRIOR TRANSITION PROGRAM


                                                                  CBHCOs
                                                WI CBHCO
                                           Rock Island Arsenal, IL          Concord, MA
                                              RMC: NARMC                    RMC: NARMC

CA CBHCO                                                                           MA CBHCO
    Sacramento CA
     RMC: WRMC



                                                                           VA CBHCO
                Riverton, UT
               RMC: GPRMC
                                AR CBHCO                                   Virginia State Military
                                 Camp Robinson, AR                              Reservation,
                                   RMC: GPRMC                               Virginia Beach, VA
                    UT CBHCO                                                  RMC: NARMC




                                                                             Orlando, FL
                                                 AL CBHCO                   RMC: SERMC

                                        Redstone Arsenal, Huntsville, AL    FL CBHCO
                                                RMC: SERMC
                                                                                     PR CBHCO
                                                                                 Ft. Buchanan
                                                                                 RMC: SERMC
             WARRIOR TRANSITION PROGRAM

       ARMY MEDICAL ACTION PLAN
• Establishes integrated and comprehensive continuum of
care and services for WT Soldiers in conjunction with
Department of Defense, Veterans Affairs, and Civilian
facilities.
• AMAP was developed as a four-phase plan.
   •Phase I - 28 APR – 15 JUN 07
   •Phase II - 16 JUN – 15 JUL 07
   •Phase III -16 JUL – 03 SEP 07
   •Phase IV - 04 SEP 07 – 01 JAN 08
• OTSG/MEDCOM Army Medical Action Plan supplements
the Army AMAP with more specific requirements for the
RMCs and MTFs.
                 WARRIOR TRANSITION PROGRAM

         ARMY MEDICAL ACTION PLAN
• The Chief of Staff of the Army approved ten quick win
 actions that were to be implemented by 15 June 07.
   –   Established command and control (C2),
   –   Institutionalized structure,
   –   Prioritized mission support
   –   Created ownership,
   –   Created more flexible housing policies,
   –   Focused on family support,
   –   Developed training and doctrine,
   –   Created full patient visibility,
   –   Facilitated the continuum of care,
   –   Fixing the MEB, eliminating PEB delay
                    WARRIOR TRANSITION PROGRAM

            MEDCOM Ombudsman Program
• The Ombudsmen function as Soldier-Family Advocates for the U.S.
    Army Medical Command (MEDCOM) in support of the Army’s Warrior in
    Transition (WT) Program.
•   The Ombudsmen are located at the Army military treatment facilities
    (MTFs) and serve as a liaison between the MEDCOM, and the Soldier,
    their family, and MTF Commander; acting as a communicator, facilitator,
    and problem solver.
•   The Ombudsmen utilize administrative, organizational, listening, and
    educational skills to assist the Soldiers and their Families with their
    issues.
•   The Ombudsmen have a collaborative relationship with the MTF Patient
    Advocacy Office. The Ombudsmen work closely with the MEDCOM
    Medical Assistance Group (MAG) to assist with the resolution of issues
    that come through the Army Wounded Soldier and Family Hotline.
                   WARRIOR TRANSITION PROGRAM

        MEDCOM Medical Assistance Group
•   Ensures that Warrior in Transition Soldiers and their Families are
    provided with responsive and thorough investigations of their
    concerns.
•   Provides functional knowledge of operations in MTFs; the
    Veterans Administration compensation and disability rating
    systems; the Army Physical Disability System.
•   Serves as subject matter expert for Patient Administration Division
    (PAD) operations in MTFs, the Warrior in Transition Programs and
    structure;
•   Provides functional knowledge of the Soldier-Family Advocates
    programs and services, and provides the skills needed to optimize
    the efficiency and effectiveness of the SFAs.
•   Prepares the MEDCOM response to all questions or issues
    regarding all aspects of the MEDCOM Soldier-Advocate Program.
                WARRIOR TRANSITION PROGRAM

       Data Systems in Support of WTU
• Warrior Transition Web Reporting
   – Web-based data system used to track and monitor MHO Soldiers
   – Data input by CM or Admin Support Staff
      • Demographics, general diagnostic categories, MEB/PEB Status
      • Location of Assignment WTU or CBHCO Case Manager
• Armed Forces Health Longitudinal Technology Application
 (AHLTA).
   – Military Electronic Medical Record
• Joint Patient Tracking Application (JPTA)
   – Web-based patient tracking and management tool that collects,
     manages, analyzes and reports data on patients arriving at medical
     treatment facilities (MTFs) from forward deployed locations
                                                WARRIOR TRANSITION PROGRAM


                                                       BACK UP SLIDES




Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address   SECURITY CLASSIFICATION HERE   Date-Time-Group
       Madigan AMC              Reynolds ACH                 Irwin ACH               Munson AHC                   GLWACH                   Ireland ACH          Fort Drum MEDDAC
     Fort Lewis, WA               Fort Sill, OK            Fort Riley, KS        Ft Leavenworth, KS        Ft Leonard Wood, MO           Fort Knox, KY             Fort Drum, NY
                                                    WARRIOR TRANSITION PROGRAM
TDA Fill: 88% Ratio: 207% TDA Fill: 66% Ratio: 176% TDA Fill: 17% Ratio: 140% TDA Fill: 150% Ratio: 189% TDA Fill: 71% Ratio: 162% TDA Fill: 78% Ratio: 157% TDA Fill: 40% Ratio: 146%

        Bassett ACH                                                                                                                                                    Kenner AHC
   Fort Wainwright, AK                                                                                                                                                 Fort Lee, VA
TDA Fill: 53% Ratio: 600%                                                                                                                                      TDA Fill: 19% Ratio: 300%

  Ft Richardson MEDDAC                                                                                                                                                  Keller ACH
    Fort Richardson, AK                                                                                                                                              West Point, NY
TDA Fill: 65% Ratio: 179%                                                                                                                                      TDA Fill: 17% Ratio: 77%

         Evans ACH                                                                                                                                                 Fort Dix MEDDAC
     Fort Carson, CO                                                                                                                                                   Fort Dix, NJ
TDA Fill: 18% Ratio: 168%                                                                                                                                      TDA Fill: 85% Ratio: 135%

   Wm Beaumont AMC                                                                                                                                                  Kimbrough ACC
       Fort Bliss, TX                                                                                                                                               Fort Meade, MD
TDA Fill: 52% Ratio: 113%                                                                                                                                      TDA Fill: 33% Ratio: 200%

         Weed ACH                                                                                                                                                  Walter Reed AMC
       Fort Irwin, CA                                                                                                                                              Washington, D.C.
TDA Fill: 67% Ratio: 189%                                                                                                                                      TDA Fill: 88% Ratio: 94%

  Raymond W. Bliss AHC                                                                                                                                                 Dewitt ACH
    Fort Huachuca, AZ                                                                                                                                               Fort Belvoir, VA
TDA Fill: 100% Ratio: 300%                                                                                                                                     TDA Fill: 50% Ratio: 30%

        Tripler AMC                                                                                                                                                 McDonald AHC
        Honolulu, HI                                                                                                                                                 Fort Eustis, VA
TDA Fill: 37% Ratio: 140%                                                                                                                                      TDA Fill: 21% Ratio: 72%

    Bavaria MEDDAC                                                                                                                                                   Womack AMC
  Wuerzburg, Germany                                                                                                                                                 Fort Bragg, NC
TDA Fill: 56% Ratio: 400%                                                                                                                                      TDA Fill: 43% Ratio: 125%

   Heidelberg MEDDAC                                                                                                                                                  Moncrief ACH
  Heidelberg, Germany                                                                                                                                              Fort Jackson, SC
TDA Fill: 70% Ratio: 550%                                                                                                                                      TDA Fill: 19% Ratio: 141%

     Landstuhl RMC                                                                                                                                                 Eisenhower AMC
   Landstuhl, Germany                                                                                                                                               Fort Gordon, GA
TDA Fill: 67% Ratio: 550%                                                                                                                                      TDA Fill: 24% Ratio: 46%

   Carl R. Darnall AMC                                                                                                                                                  Winn ACH
       Fort Hood, TX                                                                                                                                                Fort Stewart, GA
TDA Fill: 38% Ratio: 112%                                                                                                                                      TDA Fill: 48% Ratio: 213%

        Brooke AMC               Bayne-Jones ACH             Blanchfield ACH                Fox ACH                   Lyster AHC            Rodriguez AHC               Martin ACH
  Fort Sam Houston, TX              Fort Polk, LA           Fort Campbell, KY       Redstone Arsenal, AL          Fort Rucker, AL          Fort Buchanan, PR       Fort Benning, GA
TDA Fill: 36% Ratio: 31%     TDA Fill: 62% Ratio: 73%   TDA Fill: 5% Ratio: 26%   TDA Fill: 100% Ratio: 0%   TDA Fill: 100% Ratio:   0%          CBHCO         TDA Fill: 22% Ratio: 73%


                                                                                                                                     WTU BDE x 1     WTU BN x 13     WTU CO x 21
                                          WARRIOR TRANSITION PROGRAM
                 WTs:    68                                                               WTs: 34                       WTs:   269                     WTs:    16
 WTU BN          MEB:   151
                                                                          WTU CO          MEB: 17
                                                                                                       WTU BN           MEB:   273
                                                                                                                                      WTU CO           MEB:    26
        Tripler AMC                                                         Ft Richardson MEDDAC               Madigan AMC                     Weed ACH
        Honolulu, HI                                                          Fort Richardson, AK             Fort Lewis, WA                 Fort Irwin, CA
TDA Fill: 37% Ratio:    140%                                              TDA Fill: 65% Ratio: 179%    TDA Fill: 88% Ratio:    207%   TDA Fill: 67% Ratio:    189%
  Req    Assgd Attch     OH                                                 Req     Assgd Attch OH       Req     Assgd Attch    OH      Req    Assgd Attch     OH
   99       25    12      37                                                 20       0     13    13      181      61     99    160      15        4      6    10
 RATIO Goal OH            %                                                RATIO Goal OH          %     RATIO Goal OH            %     RATIO Goal OH            %
    PCM      1     1    100%                                                   PCM    1      1  100%        PCM     1      2   149%       PCM      1      1   100%
    NCM      4     3     79%                                                  NCM     1      2  212%       NCM 15         29   194%       NCM      0      1   225%
      SL     6     8    141%                                                    SL    3      6  212%          SL 22       50   223%         SL     1      4   300%
    PSG      2     7    371%                                                   PSG    1      2  212%        PSG     7     18   241%       PSG      0      1   225%
  PEBLO      1     7    700%                                                PEBLO     0      1    NA     PEBLO      2      8   400%     PEBLO      0      2    NA
MEB MD       1     1    100%                                              MEB MD      1      1  100%   MEB MD       2      5   250%   MEB MD       1      1   100%




                 WTs:    0                                   WTs:    0
 WTU CO          MEB: 49
                                              WTU CO         MEB: 46
    Heidelberg MEDDAC                              Bavaria MEDDAC
    Heidelberg, Germany                          Wuerzburg, Germany
 TDA Fill: 70% Ratio: 550%                    TDA Fill: 56% Ratio: 400%
   Req    Assgd Attch OH                        Req    Assgd Attch OH
    20      14     0    14                       16      9     0     9
  RATIO Goal OH         %                      RATIO Goal OH         %
     PCM     0     1   NA                         PCM    0     1    NA
     NCM     0     1   NA                         NCM    0     1    NA
       SL    0     6   NA                           SL   0     4    NA
     PSG     0     2   NA                         PSG    0     1    NA
   PEBLO     1     1  100%                      PEBLO    1     2   200%
 MEB MD      1     1  100%                    MEB MD     1     1   100%
                                                              WTs:    0                    WTs:    0
                                              WTU CO          MEB: 74      WTU CO          MEB: 22
                                                    Landstuhl RMC                 Bassett ACH
                                                  Landstuhl, Germany          Fort Wainwright, AK
                                              TDA Fill: 67% Ratio: 550%   TDA Fill: 53% Ratio: 600%
                                                Req    Assgd Attch OH     TDA Req Assgd Attch OH
                                                 24      16     0    16      15       2     6      8
                                               RATIO Goal OH         %     RATIO Goal OH          %
                                                  PCM     0     1    NA       PCM     0     1     NA
                                                  NCM     0     1    NA       NCM     0     0     NA
                                                    SL    0     4    NA         SL    0     3     NA
                                                   PSG    0     4    NA        PSG    0     1     NA
                                                PEBLO     1     3  300%     PEBLO     0     1     NA
                                              MEB MD      1     1  100%    MEB MD     1     1   100%


0 – 49%                        50 – 75%      76-100%                                                                            Back to Big Map
                                                 WARRIOR TRANSITION PROGRAM
                 WTs: 184                      WTs:     67                       WTs:    48                       WTs:    40                    WTs:    3                    WTs:    5
 WTU BN          MEB: 411
                               WTU BN          MEB:    237     WTU CO           MEB:     71
                                                                                                WTU BN            MEB:   164    WTU CO          MEB: 16
                                                                                                                                                             WTU CO          MEB: 62
    Carl R. Darnall AMC                 Evans ACH                   Reynolds ACH                         Irwin ACH                     Munson AHC                      GLWACH
        Fort Hood, TX                Fort Carson, CO                  Fort Sill, OK                     Fort Riley, KS              Ft Leavenworth, KS          Ft Leonard Wood, MO
TDA Fill: 38% Ratio: 112%      TDA Fill: 18% Ratio:    168%   TDA Fill: 66% Ratio:      176%    TDA Fill: 17% Ratio:     140%   TDA Fill: 150% Ratio: 189%   TDA Fill: 71% Ratio: 162%
  Req     Assgd Attch OH         Req     Assgd Attch    OH      Req    Assgd Attch       OH       Req     Assgd Attch     OH      Req     Assgd Attch OH       Req     Assgd Attch OH
   181       59     9   68        164      27     3     30       29       5       14     19        103       11     7     18       4        6     0     6       21       14    1    15
 RATIO Goal OH          %       RATIO Goal OH            %     RATIO Goal OH              %      RATIO Goal OH             %     RATIO Goal OH          %     RATIO Goal OH          %
     PCM      1     1 109%          PCM     1     2    200%       PCM     1        1    100%         PCM      1     2    200%       PCM     1     1   100%       PCM      1    1   100%
    NCM 10         18 176%         NCM      2     6    322%       NCM     1        3    225%        NCM       1     5    450%       NCM     0     1    NA        NCM      0    1   720%
       SL 15       15  98%            SL    6     7    125%         SL    4        9    225%           SL     3     0     0%          SL    1     2   200%          SL    0    2   480%
     PSG      5     7 137%          PSG     2     6    322%       PSG     1        3    225%         PSG      1     3    270%       PSG     0     1    NA        PSG      0    1   720%
  PEBLO       3    13 433%       PEBLO      2     8    400%     PEBLO     1        4    400%      PEBLO       1     5    500%     PEBLO     0     2    NA      PEBLO      1    7   700%
MEB MD        3     1  33%     MEB MD       2     3    150%   MEB MD      1        1    100%    MEB MD        1     2    200%   MEB MD      1     1   100%   MEB MD       1    1   100%




                WTs:    0                                                                                                                                                    WTs: 94
WTU CO          MEB: 34
                                                                                                                                                             WTU CO          MEB: 15
  Raymond W. Bliss AHC                                                                                                                                            Bayne-Jones ACH
    Fort Huachuca, AZ                                                                                                                                               Fort Polk, LA
TDA Fill: 100% Ratio: 300%                                                                                                                                   TDA Fill: 62% Ratio: 73%
  Req     Assgd Attch OH                                                                                                                                       Req    Assgd Attch OH
   5        4     1     5                                                                                                                                       21       5      8   13
 RATIO Goal OH          %                                                                                                                                     RATIO Goal OH         %
    PCM     0     0    NA                                                                                                                                        PCM     1      1 100%
    NCM     0     1    NA                                                                                                                                        NCM     3      1  38%
      SL    0     3    NA                                                                                                                                          SL    8      6  77%
    PSG     0     1    NA                                                                                                                                        PSG     3      2  77%
  PEBLO     1     1   100%                                                                                                                                     PEBLO     0      1   NA
MEB MD      1     1   100%                                                                                                                                   MEB MD      1      1 100%




                  WTs: 163                                                                                                                                                   WTs: 512
WTU BN            MEB: 126                                                                                                                                   WTU BN          MEB: 97
    Wm Beaumont AMC                                                                                                                                                  Brooke AMC
        Fort Bliss, TX                                                                                                                                          Fort Sam Houston, TX
TDA Fill: 52% Ratio: 113%                                                                                                                                    TDA Fill: 36% Ratio: 31%
  Req     Assgd Attch OH                                                                                                                                       Req    Assgd Attch OH
   114       15     44   59                                                                                                                                     168     54     6     60
 RATIO Goal OH           %                                                                                                                                    RATIO Goal OH           %
     PCM      1      2 245%                                                                                                                                       PCM    3     2    78%
    NCM       9      9  99%                                                                                                                                      NCM 28        9    32%
       SL 14        18 133%                                                                                                                                         SL 43      0     0%
     PSG      5      4  88%                                                                                                                                       PSG 14      14    98%
  PEBLO       1     12 1200%                                                                                                                                   PEBLO     1     2   200%
MEB MD        1      1 100%                                                                                                                                  MEB MD      1     3   300%


                               0 – 49%                        50 – 75%                         76-100%                                                 Back to Big Map
                                                  WARRIOR TRANSITION PROGRAM
                 WTs:   0                       WTs: 628                     WTs:      0                    WTs: 162                      WTs:    25                     WTs: 103
WTU CO           MEB: 76
                                WTU BDE         MEB: 82       WTU CO         MEB:     36
                                                                                            WTU BN          MEB: 127     WTU CO           MEB:    70    WTU CO           MEB:    0
        Kenner AHC                    Walter Reed AMC               Kimbrough ACC               Fort Drum MEDDAC                  Keller ACH                 Fort Dix MEDDAC
        Fort Lee, VA                  Washington, D.C.              Fort Meade, MD                Fort Drum, NY                West Point, NY                   Fort Dix, NJ
TDA Fill: 19% Ratio: 300%       TDA Fill: 88% Ratio: 94%      TDA Fill: 33% Ratio:   200%   TDA Fill: 40% Ratio: 146%    TDA Fill: 17% Ratio:     77%   TDA Fill: 85% Ratio: 135%
  Req    Assgd Attch OH           Req     Assgd Attch OH        Req    Assgd Attch    OH      Req     Assgd Attch OH       Req     Assgd Attch    OH      Req     Assgd Attch OH
   21        4     0    4          198     171     3    174      18       0     6      6       87      10    25     35      29        5    0        5      33      26      2    28
 RATIO Goal OH          %        RATIO Goal OH            %    RATIO Goal OH           %     RATIO Goal OH          %     RATIO Goal OH             %    RATIO Goal OH          %
    PCM      0     2   NA            PCM     3     3    96%       PCM     0     0     NA        PCM     1     2   247%       PCM      1    1     100%       PCM     1      1  194%
    NCM      0     1   NA           NCM 35        39 112%         NCM     0     1     NA        NCM     5     6   133%       NCM      1    0       0%       NCM     3      8  280%
      SL     0     2   NA              SL 52      54 103%           SL    0     1     NA          SL 14      24 178%           SL     2    2      96%         SL    9      3   35%
    PSG      0     0   NA            PSG 17        1     6%       PSG     0     1     NA        PSG     5     4    89%       PSG      1    1     144%       PSG     3      7  245%
  PEBLO      1     2  200%        PEBLO      1    10 1000%      PEBLO     1     2    200%     PEBLO     1     3   300%     PEBLO      1    3     300%     PEBLO     0      1    NA
MEB MD       1     1  100%      MEB MD       1     6   600%   MEB MD      1     1    100%   MEB MD      1     1   100%   MEB MD       1    1     100%   MEB MD      0      1    NA




                 WTs:   219                                                                                                                                              WTs: 10
WTU BN           MEB:   107
                                                                                                                                                        WTU CO           MEB: 25
        Ireland ACH                                                                                                                                              Dewitt ACH
       Fort Knox, KY                                                                                                                                         Fort Belvoir, VA
TDA Fill: 78% Ratio:    157%                                                                                                                            TDA Fill: 50% Ratio: 30%
  Req     Assgd Attch    OH                                                                                                                               Req     Assgd Attch OH
   100      31    47     78                                                                                                                                4        2     0     2
 RATIO Goal OH            %                                                                                                                              RATIO Goal OH          %
     PCM     2     3    150%                                                                                                                                PCM     1     0    0%
    NCM      6     9    148%                                                                                                                                NCM     0     0    NA
       SL 18      30    164%                                                                                                                                  SL    1     0    0%
     PSG     6    10    164%                                                                                                                                PSG     0     0    NA
  PEBLO      1    10    1000%                                                                                                                             PEBLO     0     2    NA
MEB MD       1     2    200%                                                                                                                            MEB MD      1     1   100%




                 WTs:   306                                                                                                                                             WTs:     38
WTU BN          MEB:    295                                                                                                                             WTU CO          MEB:     95
       Womack AMC                                                                                                                                             McDonald AHC
       Fort Bragg, NC                                                                                                                                         Fort Eustis, VA
TDA Fill: 43% Ratio:    125%                                                                                                                            TDA Fill: 21% Ratio:     72%
  Req     Assgd Attch    OH                                                                                                                               Req    Assgd Attch     OH
   181      29    48      77                                                                                                                               33       4      3      7
 RATIO Goal OH            %                                                                                                                              RATIO Goal OH            %
     PCM     2     2    131%                                                                                                                                PCM     1      1    100%
    NCM      9     8     94%                                                                                                                                NCM     1      1     95%
       SL 26      36    141%                                                                                                                                  SL    3      1     32%
     PSG     9    10    118%                                                                                                                                PSG     1      2    189%
  PEBLO      2     4    200%                                                                                                                              PEBLO     1      4    400%
MEB MD       2     4    200%                                                                                                                            MEB MD      1      1    100%


                                                 0 – 49%                    50 – 75%                     76-100%                                   Back to Big Map
                                              WARRIOR TRANSITION PROGRAM
                 WTs:    0                    WTs: 73                      WTs:    0                     WTs: 96                      WTs: 252                     WTs:    6
WTU CO           MEB:   15
                             WTU BN           MEB: 214
                                                           WTU CO          MEB:    3
                                                                                        WTU BN           MEB: 183
                                                                                                                      WTU BN          MEB: 151
                                                                                                                                                   WTU CO          MEB: 22
         Lyster AHC                Blanchfield ACH                   Fox ACH                     Martin ACH                 Eisenhower AMC                Moncrief ACH
     Fort Rucker, AL              Fort Campbell, KY           Redstone Arsenal, AL            Fort Benning, GA              Fort Gordon, GA             Fort Jackson, SC
TDA Fill: 100% Ratio:   0%   TDA Fill: 5% Ratio: 26%       TDA Fill: 100% Ratio: 0%     TDA Fill: 22% Ratio: 73%      TDA Fill: 24% Ratio: 46%     TDA Fill: 19% Ratio: 141%
  Req     Assgd Attch   OH     Req     Assgd Attch OH        Req     Assgd Attch OH       Req     Assgd Attch OH        Req     Assgd Attch OH       Req    Assgd Attch OH
   1        1     0      1      114      6      0     6       1        0     1     1       100       5    17     22      155      20   17     37      26       2     3     5
 RATIO Goal OH           %    RATIO Goal OH           %     RATIO Goal OH          %     RATIO Goal OH            %    RATIO Goal OH           %    RATIO Goal OH          %
    PCM     0     0     NA        PCM    1      1  100%        PCM     0     0    NA         PCM     1     2   200%        PCM     2    1    50%       PCM     1     1   100%
    NCM     0     0     NA       NCM     2      1   49%        NCM     0     0    NA        NCM      3     0     0%       NCM 14       11    79%       NCM     0     0    NA
      SL    0     0     NA          SL   6      0    0%          SL    0     0    NA           SL    8     1    13%          SL 21      0     0%         SL    1     1   200%
    PSG     0     0     NA        PSG    2      1   49%        PSG     0     0    NA         PSG     3     8   300%        PSG     7    8   114%       PSG     0     1   600%
  PEBLO     0     1     NA     PEBLO     2      2  100%      PEBLO     0     1   100%     PEBLO      1     1   100%     PEBLO      1    9   900%     PEBLO     0     1    NA
MEB MD      1     0     0%   MEB MD      2      1   50%    MEB MD      1     0    0%    MEB MD       1     1   100%   MEB MD       1    1   100%   MEB MD      1     1   100%




                                                                                                                                                                   WTs:      73
                                                                                                                                                   WTU BN          MEB:     134
                                                                                                                                                            Winn ACH
                                                                                                                                                         Fort Stewart, GA
                                                                                                                                                   TDA Fill: 48% Ratio:     213%
                                                                                                                                                     Req     Assgd Attch     OH
                                                                                                                                                      103      16    33      49
                                                                                                                                                    RATIO Goal OH             %
                                                                                                                                                        PCM     1     2     200%
                                                                                                                                                       NCM      2     7     345%
                                                                                                                                                          SL    6     8     132%
                                                                                                                                                        PSG     2     9     444%
                                                                                                                                                     PEBLO      1     5     500%
                                                                                                                                                   MEB MD       1     2     200%




     Rodriguez AHC
    Fort Buchanan, PR




0 – 49%                      50 – 75%                     76-100%                                                                            Back to Big Map
             WARRIOR TRANSITION PROGRAM

                    WTU VISION


An effective Company or Battalion that takes care of
Warriors in Transition so they can focus on their
mission to heal. High quality living conditions and no
unnecessary procedural delays. A TRIAD of Squad
Leaders, Case Managers, and Primary Care Manager
(Physicians) who all work together to ensure advocacy
for Warriors, continuity of care, and a seamless
transition into the force or return to a productive civilian
life.
                                                                                                                           WTU BDE - 1
    Landstuhl
                         *Vicenza
                                     WARRIOR TRANSITION PROGRAM                                                            WTU BN - 13
                                                                                                                           WTU CO - 20
    Heidelberg
                        *Camp Zama
    Wuerzburg           *DUIC but no WTU
                        structure
                                                                                             Ft. Drum
                                                                                                        West Point

                                                                                                                             Ft. Dix
    Ft. Lewis                                Ft. Riley
                                                                                                                           Ft. Belvoir
                        Ft. Carson                        Ft. Leavenworth                WRAMC
                                                                                                                             Ft. Lee


                                     Ft. Leonard Wood                             Ft Meade                              Ft. Eustis

                                                                                                        Ft. Knox        Ft. Bragg
                                               Ft. Sill                Ft. Campbell
    Ft. Irwin         Ft Huachuca

                                                                                                                      Ft. Jackson
                                       Ft. Hood
                                                                     *Redstone Arsenal
     Ft. Richardson
                                                                                                                   Ft. Gordon

                        Ft. Bliss
                                                                                                                       Ft. Stewart
                                                                            Ft Rucker
Ft. Wainwright

                                           Ft. Sam Houston         Ft. Polk
                      TAMC                                                                                            Ft. Buchanan
                                                                                         Ft. Benning

				
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