Naval Health Clinic Patuxent River “To promote, protect and restore the health or our Sailors, Marines, their families and all others entrusted to our care.”

Lesson Learned Combined Wellness visit and medical readiness Challenges encountered Workable Solutions

Capabilities of NHC Pax River Audiology Dental Immunizations Laboratory Occupational Health Optometry Primary Care/ Flight Medicine X-Ray

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

Capture of Personnel Capture all base wide check-ins Communication with each command’s CFL to track PHA completions

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

Choke points in the process Dental Immunizations Audiology Occupational Health

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

NAS Patuxent River Medical Readiness May 2006 UIC Title UnitsHIVPHA*DNAMMRIPVHepATdYFABOSCTG6PDPPDPAPRdns NAVHEALTHCLI NIC PATUXENT RIVER N %73%100%92%91%90%93%92%97%96% 85%71%91% ARMY N %3%97%33% 30%23%17%40%17%13%23%0%30% AIR FORCE N %3%100%22%25% 19%13%38%16% 6%50%25% COAST GUARD N990045% 98%5%7%5% 2%5% 2%33%12% MAD N %39%98%79%68%85%82%58%96%83%82%67%100%75% MCSF N %32%100%91%89%79%96%93%97%95% 73%100%82% DEPMEDS NAVHOSP PATUXENT RIVER DET N %67%100%94%91%88%94%91%100%97% 82%60%89% Avg85%55%99%84%82%81%86%76%94%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 represents 19% of the base active duty population.

COMMANDSHIVPHADNAMMR Poli o Hep A Tetanu s Yel FevBld T Sick CellG6PDPPDTotal % Co mpl. Perso ns VSX-1(NRL) (31686) %71 NAVTESTWING LANT (39782) %157 VX-23 (39783) %350 HX-21 (39784) %55 VX-20 (39785) %148 STU TPS (42846) %43 NTPS (44689) %36 VC-6 SS DET (46550) %10 NAS PAX (47608) %377 VQ-4 DET (49403) %76 NAWCAD (NWCF) (49860) %93 COPTEVFOR DT VX-1 (52819) %315 VC-6 (55243) %72 VX-1 (55600) %315 TOTAL %2118 PERCENTAGE89%94%99%86%82%76%98%92%95%100%90%89% Total Base AD Personnel (Navy) % %2679 PERCENTAGE88%93%98%81%79%75%97%89%95%100%86%88% COMFORT (47136) %32 NHC PAX (66098) %94 TOTAL %126 PERCENTAGE91%95%98%90%87%80%96% 94%100%92%94% NAS Patuxent River Medical Readiness Example Report

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

Summary Combined appointments Stake holder meetings Continuous process improvement Technical Support

Questions?