Naval Health Clinic Patuxent River

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Naval Health ClinicPatuxent River
To promote, protect and restore the health or
our Sailors, Marines, their families and all
others entrusted to our care.
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Lesson Learned

• Combined Wellness visit and medical readiness
• Challenges encountered
• Workable Solutions

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Capabilities of NHC Pax River

• Audiology
• Dental
• Immunizations
• Laboratory
• Occupational Health
• Optometry
• Primary Care/ Flight Medicine
• X-Ray

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Stakeholders

• Primary Care Providers / Clinics
• Dental
• Immunizations
• Laboratory
• Medical Records
• Commands and Command CFLs
• Occupational Health
• Optometry

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Capture of Personnel

• Capture all base wide check-ins
• Communication with each commands CFL to track
  PHA completions

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Appointments

• Cattle Call appointments versus scheduled
  appointments
• Preparation for appointments
• Post appointment process

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Choke points in the process

• Dental
• Immunizations
• Audiology
• Occupational Health

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Technology Assistance

• SAMS data entry
• Access Database to create coversheet from SAMS
• SAMS Uploads
• Data Entry at the point of care

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NAS Patuxent River Medical Readiness May 2006
UIC Title Units HIV PHA DNA MMR IPV HepA Td YF ABO SCT G6PD PPD PAP Rdns
NAVHEALTHCLINIC PATUXENT RIVER N66098 95 73 100 92 91 90 93 92 97 96 96 85 71 91
ARMY N99000 40 3 97 33 33 30 23 17 40 17 13 23 0 30
AIR FORCE N99002 25 3 100 22 25 25 19 13 38 16 16 6 50 25
COAST GUARD N99004 5 5 98 5 7 5 5 2 5 5 5 2 33 12
MAD N99006 67 39 98 79 68 85 82 58 96 83 82 67 100 75
MCSF N99008 51 32 100 91 89 79 96 93 97 95 95 73 100 82
DEPMEDS NAVHOSP PATUXENT RIVER DET N47136 94 67 100 94 91 88 94 91 100 97 97 82 60 89

Avg 85 55 99 84 82 81 86 76 94 87 87 75 67 82
651 base personnel's birthdate fell between
June and October resulting in an underestimation
of PHA compliance. The annual PHA requirement
did not go into effect until Oct 2005. 651
represents 19 of the base active duty population.
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Example Report
NAS Patuxent River Medical Readiness
COMMANDS HIV PHA DNA MMR Polio Hep A Tetanus Yel Fev Bld T Sick Cell G6PD PPD Total Compl. Persons
VSX-1(NRL) (31686) 68 63 71 54 53 52 71 66 71 71 56 63 759 89 71
NAVTESTWING LANT (39782) 146 150 153 146 140 122 155 148 154 157 150 140 1761 93 157
VX-23 (39783) 305 324 346 325 307 280 345 329 345 350 324 298 3878 92 350
HX-21 (39784) 46 51 53 53 51 54 50 39 55 55 52 48 607 92 55
VX-20 (39785) 134 137 145 129 134 125 143 124 146 148 138 131 1634 92 148
STU TPS (42846) 42 42 41 35 34 31 43 41 40 43 32 41 465 90 43
NTPS (44689) 29 35 35 29 31 29 33 28 35 36 32 29 381 88 36
VC-6 SS DET (46550) 8 8 10 9 10 9 9 9 10 10 10 8 110 92 10
NAS PAX (47608) 330 358 372 310 295 274 368 352 360 377 333 332 4061 90 377
VQ-4 DET (49403) 48 74 76 58 53 40 75 71 61 76 56 71 759 83 76
NAWCAD (NWCF) (49860) 84 85 93 78 79 78 92 80 91 93 87 80 1020 91 93
COPTEVFOR DT VX-1 (52819) 291 300 312 266 245 221 310 308 287 315 281 298 3434 91 315
VC-6 (55243) 61 62 70 65 61 64 69 56 71 72 66 58 775 90 72
VX-1 (55600) 291 300 312 266 245 221 310 308 287 315 281 298 3434 91 315
TOTAL 1883 1989 2089 1823 1738 1600 2073 1959 2013 2118 1898 1895 23078 91 2118
PERCENTAGE 89 94 99 86 82 76 98 92 95 100 90 89      
                               
Total Base AD Personnel (Navy) 2350 2501 2626 2174 2108 2006 2588 2394 2534 2679 231600 2362 28638 89 2679
PERCENTAGE 88 93 98 81 79 75 97 89 95 100 86 88      
                               
COMFORT (47136) 27 31 31 27 25 23 31 30 27 32 27 31 346 90 32
NHC PAX (66098) 88 89 93 86 85 78 90 91 91 94 89 88 1083 96 94
TOTAL 115 120 124 113 110 101 121 121 118 126 116 119 1429 95 126
PERCENTAGE 91 95 98 90 87 80 96 96 94 100 92 94      
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Training Issues

• SAMS data entry
• Occupational Health Screens
• Immunization Training
• Process training (patient flow, record screens)
• SAMS uploads, IMR Uploads
• Standardize reporting process

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Summary

• Combined appointments
• Stake holder meetings
• Continuous process improvement
• Technical Support

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Questions?