Canadian Forces Health Services Information Brief

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Canadian Forces Health ServicesInformation Brief
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INTRODUCTION
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Today

• Support to CF deployed operations
• Health care initiatives
• How they affect you
• The health well-being of CF members is our
  reason for being

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Today

• We will do our utmost to restore your good
  health.
• CF leadership is responsible for your health and
  well-being.
• CFHS to provide the most effective, science-based
  medical practices and procedures at our
  disposal. 
• We are always looking for ways to improve the
  quality of care. 

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• You have a responsibility to
• monitor your own health
• seek timely advice
• be an active participant
• help develop the treatment plan
• adhere to the treatment plan

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• Your health care provider has a responsibility
  to
• listen to you
• involve you in the process of prevention,
  diagnosis and treatment
• provide high quality, evidence-based diagnosis,
  advice and treatment
• follow-up on the treatment plan.

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32 questions about CF health services in six main
areas

• Pre-deployment screening
• Pre-deployment environmental analysis
• Deployment health care
• Post-deployment health services
• Current health issues
• Patient-Doctor responsibilities

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PRE-DEPLOYMENT
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Pre-deployment

• What kind of pre-deployment screening is
  conducted now by the CFHS?

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Pre-deployment

• Periodic Health Examination (PHE).

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Pre-deployment

• PHE is currently your responsibility

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Pre-deployment

• PHE allows us
• to identify diseases and conditions that are
  affecting the health of the member
• to provide an opportunity for the member to bring
  health concerns to the attention of a Medical
  Officer (MO)
• to verify and update immunization status
• to reaffirm or amend any medical restrictions

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Pre-deployment

• Valid PHE complete questionnaire

• Lapsed PHE complete medical examination
• Honesty and accuracy are vital

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Pre-deployment

• Programs
• Strengthening the Forces
• Service Level Arrangement, administered CFPSA

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Pre-deployment

• Multidisciplinary team approach including unit
  volunteers.

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Pre-deployment

• As part of the pre-deployment screening, is any
  information recorded as a base-line for future
  post-deployment reference/follow-up, i.e., blood
  samples, hair, urine, etc?

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Pre-deployment

• Is there any pre-deployment psychosocial
  screening process?

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Pre-deployment Environmental Analysis
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Pre-deployment - Environmental Analysis

• Does the CFHS send anyone into operational
  theatres before CF deployments to verify the
  safety of those areas?

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Pre-deployment - Environmental Analysis

• What type of tests do they perform?
• To whom do they report?

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Pre-deployment - Environmental Analysis

• Who makes the stay/go decisions with respect to
  deployments based in situations where the
  in-theatre environ-mental analysis is
  inconclusive or negative?

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Pre-deployment - Environmental Analysis

• What plans are there to improve CF capabilities
  in this area?

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DeploymentHealthCare 
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Deployment Health Care

• What level of health care can CF members expect
  to receive on deployed ops?

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Deployment Health Care

• What plans are there to improve the level of care
  provided to those who are deployed?

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Post-deployment Health Services
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Post-deployment Health Services

• What type of post-deployment screening process is
  there now? 

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Post-Deployment Health Services

• Prior to leaving the SDA all members should be
  briefed about the necessity and importance of a
  complete medical examination on return to Canada.
• Before leaving the SDA, members must make a
  Declaration of Injury or Illness (Annex A to
  CFMO 27-03).

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Post-Deployment Health Services

• Injury or illness in the SDA, report for a
  complete medical examination but within 2 days of
  the end of disembarkation leave.
• No injury or illness in the SDA, report for a
  complete medical examination within 30 working
  days of the end of disembarkation leave.

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Post-Deployment Health Services

• Examinations and tests may vary depending upon
  the nature and location of the deployment.
•  Bring any and all health concerns to the
  attention of the MO. No concern is too small to
  be addressed.
• If health concerns arise later that may be
  related to a deployment discuss them with an MO.

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Post-Deployment Health Services

• Help is available through Post-deployment
  clinics, the Canadian Forces Health Information
  Line and the Canadian Forces Member Assistance
  Program CFMAP.

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Post-Deployment Health Services

• Describe the role of the Post-Deployment Clinics.

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Post-Deployment Health Services

• Certain types of complaints are more common among
  veterans of all deployments, including
• dizziness
• headaches
• joint and muscle pains

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Post-Deployment Health Services

• Phenomenon was first noted during the U.S. Civil
  War
• Post-Deployment Clinics opened in January 1998 to
  provide serving and retired CF members with
  access to health care and follow-up programs.

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Post-Deployment Health Services

• Post-Deployment Clinics located at Halifax,
  Valcartier, Ottawa, Edmonton, and Esquimalt.
• Services available to serving and retired
  personnel.
• Questions regarding the Post-Deployment Clinics?
  Cal 1-800-883-6094, Monday-Friday 0700 hrs to
  1700 hrs EST. All calls are confidential.

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Other Programsand Resources 
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Other Programs and Resources

• Canadian Forces Member Assistance Program
• Canadian Forces Health Information Line
• Canadian Forces Case Managers.

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Other Programs and Resources

• What is the Canadian Forces Member Assistance
  Program CFMAP?

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Other Programs and Resources

• What is the Canadian Forces Health Information
  Line?

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Other Programs and Resources

• What are case managers and what will their role
  be in the CFHS?

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Other Programs and Resources

• Case Manager
• The Case Manager is a nurse trained to help
  members navigate the military and civilian health
  care systems.

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Other Programs and Resources

• Case Manager Program Benefits
• CF members will be more knowledgeable about their
  health condition and the services/programs that
  can help them
• The military health care of CF personnel will be
  monitored and coordinated to help CF members get
  what they need when they need it

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Other Programs and Resources

• Case Manager Benefits (cont)
• Transition to civilian health care will be
  smoother for CF members and
• CF members will have help in applying for health
  care benefits.

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Other Programs and Resources

• What will case managers do for you the CF member?
  
• Review medical files
• Talk to doctors
• Meet and get to know patients
•  Help patients understand their condition
• Provide information about services or
  programs

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Other Programs and Resources

• Develop a care plan
•  Monitor and coordinate care plans
•  Check to determine patients progress
•  Work with patients to decide when case
  management is no longer required.

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Other Programs and Resources
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Current Health Issues
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Current Health Issues

• Relationship between deployments and the
  development of mental illness
• Depleted Uranium Testing
• The Gulf War Veterans Linkage Study with
  Statistics Canada
• The CF preventative vaccination program
• The current shortage of doctors in the CF and our
  plans to address that challenge

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Current Health Issues - Mental Health

• Post traumatic stress disorder (PTSD)
• What is the incidence of PTSD among
  post-deployed CF members?
• What programs exist to treat mental health
• problems related to deployments?
• What plans are there to further improve CFHS
  ability to successfully treat mental health
  problems related to deployments?

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Current Health Issues DU Testing

• Why has the CF DU testing program remained
  voluntary in light of all the media interest
  this issue created in January?
• Describe the DU test administered on behalf
  of DND?
• What have the results of DND tests been to
  date? 

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Current Health Issues DND/ StatsCan Linkage
Study

• What is the purpose of the DND/Stats Can
  linkage study of Gulf War veterans?
• Is there any reason to believe the study will
  reveal a higher than average cancer/
  mortality rate among Gulf War veterans?
• Will the results of the study be made public?

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Current Health Issues CF Vaccination Program

• What are the advantages to CF members of
  participating in the preventive vaccination
  program?

• When can CF members be ordered to accept
  vaccinations?

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Current Health Issues The Current CF Doctor
Shortage and Some Solutions

• What steps are being taken to address the
  shortage of MOs?

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Patient-Doctor ResponsibilitiesIts Your Health
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Patient-Doctor Responsibilities(Its Your
Health) 
Health Care Provider (HCP)
ChainofCommand(CoC)
Patient
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Patient-Doctor Responsibilities

• What specific responsibilities do CF health care
  providers - particularly doctors - have for the
  patients in their care?

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Patient-Doctor Responsibilities

• Doctors and health care workers are responsible
  for
• Working with you to set goals for your
  health.
• Monitoring your progress towards your health
  goals.
• Listening to all of your concerns in a
  caring and non-judgmental manner.

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Patient-Doctor Responsibilities

• Diagnosing disease and illness and providing
  appropriate medical care.
• Recommending, in conjunction with you, an
  appropriate treatment plan for your current
  illness.
• Following-up on how you respond to the
  agreed to treatment plan and making changes
  if needed.

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Patient-Doctor Responsibilities

•  Developing, in conjunction with you and your
  supervisor, a work plan that will maximize
  your chances of returning to full health and
  full employability.
• Supporting you, in whatever way they can,
  throughout the diagnosis, treatment and
  recovery process
• Providing sound health care advice and
  guidance to the chain of command

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Patient-Doctor Responsibilities

• What responsibilities do patients have within
  the CFHS?

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Patient-Doctor Responsibilities

• For your part, you as a patient are responsible
  for
• Seeking the help of an appropriate health
  care provider when you have concerns about
  your health.
• Taking an active part in decisions about
  your own health.

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Patient-Doctor Responsibilities

• Asking questions and voicing your concerns.
• Trying to understand your health problem
  and what you can expect from any medicine or
  treatment prescribed to help your condition.

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Patient-Doctor Responsibilities

• Following the agreed to treatment plan
  including taking medicines as prescribed and
  keeping appointments.
• Watching for problems and getting help
  solving them.

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Other initiatives

• Centralization - One authority responsible for
  Canadian Forces Health Services.
• Accreditation - The same high standard throughout
  the Canadian Forces Health Services.

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Putting it all together
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• Understanding and Caring for those who serve
  anytime, anywhere.