Your health - Our mission
Votre santé - Notre mission
Canadian Forces Health Services
Presentation to
UNDE
National Executive
23 April 2009
Your health - Our mission
Votre santé - Notre mission
Scope• CFHS System
• Primary Care System
• Challenges
• Initiatives
• Statistics
• Conclusion/Questions
Your health - Our mission
Votre santé - Notre mission
CFHS SystemDirector General
• through CMP, responsible and accountable to the CDS for the management, and administration of the CF health system
Commander
• generate and sustain combat-ready health services units and individuals
• This includes the professional development, training, and preparation of health care personnel in order to meet their operational roles.
Surgeon General
• setting of clinical policies
• delineation of clinical scopes of practice
• determination of clinical and professional content for CF courses
• interface between CF and external health care organizations
Your health - Our mission
Votre santé - Notre mission
CF H Svcs Gp HQ
G p C W O R x 2 0 0 0
R es A d v
S R L eg a l c ou n sel D P ro c S v cs
D H S v c s P e rs C IO
O & E
C o m pt S S O P ers M gt H R B M P u b lic A ffa irs S a fe ty O ffic er
C O S
C O S
D M e d P ol D F H P D H S v c s D el E C S M e d A dv
D S u rg G en
D H S O C IM IC
D C o m d D D e n t S v c s
C o m d /S u rg G e n /D G H S
Your health - Our mission
Votre santé - Notre mission
JTFJTFNorthNorth
JTFJTFPacificPacific
JTFJTFWestWest
JTFJTFCentralCentral
JTFJTFEastEast JTFJTF
AtlanticAtlantic
CF H Svcs C Ottawa
CMED
CFEME
1 Cdn Fd Hosp
1 Dent U
CF HS Trg Ctr Borden
1 H Svcs Gp 4 H Svcs Gp
CF H Svcs Gp HQ
CF H Svcs Gp
CF A HSSS
Your health - Our mission
Votre santé - Notre mission
CF H Svcs Gp - Personnel• 6331 positions (not people!)
– Military
• 2717 Regular Force
• 1382 Reserve Force
• 283 Primary Reserve List
– Public Servants 1469
– Calian contracted 480 (operational exigencies) – (of note: in 2007 >560 Calian employees)
Your health - Our mission
Votre santé - Notre mission
Largely a Primary Care System
• CF clinical specialists limited to those essential to deployed care
• Purchase many specialist services from civilian system
• Has pros and cons for care of seriously wounded from Afghanistan
• Highly unlikely to return to a system of military hospitals
Your health - Our mission
Votre santé - Notre mission
CF H Services Challenges
Your health - Our mission
Votre santé - Notre mission
CF H Services Challenges
• Governance disconnects
• Managing expectations
• Well-intentioned constructive criticism
• Deployment of electronic health record, and exploiting it for performance management
Your health - Our mission
Votre santé - Notre mission
• HSS to JTF Afghanistan –
• Kandahar Role 3 MMU transition to US (CENTCOM) leadership
CF H Services Challenges
Your health - Our mission
Votre santé - Notre mission
• Attraction & Retention
– Competition for limited HR pool; exacerbated by high op tempo
• Education and credentialing creep
• Progressive rising bar on entry to practice requirements• Maintenance of operational clinical skills when not deployed –
CF H Services Challenges
Your health - Our mission
Votre santé - Notre mission
• Full Integration of Reserves at the Gp Level
• Synchronization of Reserve trg, (IBTS, pre-deployment, indiv) leading to enhanced interoperability and maximizing economies of effort within the Gp
CF H Services Challenges
Your health - Our mission
Votre santé - Notre mission
Initiatives
• UMCC – HQ level
• LMRC – chain of command has provided clear direction
• HR(Civ) – COS professional interaction
• Clinic Manager’s Symposium
Your health - Our mission
Votre santé - Notre mission
Statistics• Since 2006 to early-2009
– 143 Calian employees have transferred into the PS– Dental Assistants, Clinical Psychologists, Social Workers,
Physiotherapist, Medical Assistant, Pharmacy Technician, Pharmacist
– What is missing: from this pool: clinicians
– Excellent employment pool for the PS
Your health - Our mission
Votre santé - Notre mission
OP RESTORE
• Overall, CFDS RESTORE will be adding a total of 179.8 FTE of public service positions, more than doubling the number of PS positions in the Dental Branch.
Your health - Our mission
Votre santé - Notre mission
Dental Branch – OP RESTORE
New positions created:• HSPHS 6 – 81.8• EG-05 - 24.0• AS and CR - 57.0• DE 2 - 17.0
Total 179.8
Your health - Our mission
Votre santé - Notre mission
QUESTIONS