1. Guarding America - Defending Freedom MEDFAC Kahuna to retire? Doc Pond

2. Guarding America - Defending Freedom Medical Manpower Redistribution (Transformation) Wing Director of Psychological Health(WDPH) Transition Flight Surgeon Manning/Retention 1/4 of ANG Medical manpower now allocated for homeland response WDPH transition to GS position decreases cost and improves capability Flight surgeon recruiting/retention must be improved due to readiness & cost Redistribute remaining 3/4 of medical manpower equitably Change WDPH from contract to GS position; increase capabilities Facilitate flying, update badging, engender military opportunities ADFAC Feb 14 MEDFAC Top 3 Issues COAs Col William “Doc” Pond MEDFAC Chair (260) 602-5167 wwpond@aol.com wwpond@aol.com

3. Guarding America - Defending Freedom Homeland Response is a high priority National Guard core mission TAGs view Medical Support of CERFP/HRF a “no fail” mission Manpower bill for medical support viewed as a medical function Support for the CERFP/HRF initially viewed as an ANG responsibility from the100,000+ ANG High workload of non-medical units remains unchanged and cannot spare manpower 1640 (of 5300 in ANG Medical) now support Homeland Emergency Response Mission Additional duties of lost manpower must be reassigned to remaining personnel. Perform manpower study to quantify essential Wing workload (done) Distribute manpower among units based upon workload compared to other units Stratify all MDG tasks, allocate manpower to highest value items Improve efficiency for remaining tasks ADFAC Feb 14 MEDFAC Manpower Redistribution Issues COAs

4. Guarding America - Defending Freedom 4 ANGMS Transformation to Relevance Authorized UMD

5. Guarding America - Defending Freedom Homeland Response is a high priority National Guard core mission TAGs view Medical Support of CERFP/HRF a “no fail” mission Manpower bill for medical support viewed as a medical function Support for the CERFP/HRF initially viewed as an ANG responsibility from the100,000+ ANG High workload of non-medical units remains unchanged and cannot spare manpower 1640 (of 5300 in ANG Medical) now support Homeland Emergency Response Mission Additional duties of lost manpower must be reassigned to remaining personnel. Perform manpower study to quantify essential Wing workload (done) Distribute manpower among units based upon workload compared to other units Stratify all MDG tasks, allocate manpower to highest value items Improve efficiency for remaining tasks ADFAC Feb 14 MEDFAC Manpower Redistribution Issues COAs

6. Guarding America - Defending Freedom Wing DPH program trialed as contract to speed initiation with minimal tail in event that program was terminated. Wing DPH has generally been well received and commanders are comfortable with personnel in position ADFAC briefing by Rear Admiral Hunter Filling Wing DPH with GS saves $7M LCSW DPH as GS can accomplish deployment assessments, command directed evaluations, etc. 2/3 of Wing current DPH are not LCSW Present DPHs may be well received, but not able to accomplish all proposed tasks All new Wing DPH should be LCSW If Wing commander desires and realizes inability to complete certain new proposed tasks, non-LCSW DPH may remain in position Continue transformation of Wing DPH program to GS positions ADFAC Feb 14 MEDFAC Wing DPH Issues COAs

7. Guarding America - Defending Freedom Flight Surgeons are expensive and labor intensive to recruit and train Guard Flight Surgeon manning at in ANG remains stable at 65-70% Training to operational level is 4-5 years Retaining a flight surgeon to year 15 results in 100% saving vs loss at year 10 Flight surgeons serve because of personal satisfaction, patriotism For flight surgeons past 10 year mark, compensation is not a significant factor Inability to fly, deploy, be recognized, progress in career negatively impact retention of seasons flight surgeons Facilitate flying opportunities from line policy (SG policy allows flying and DoD) Update flight surgeon badging to base on operational performance, not flight pay Broaden operational skills training Set deployment length to allow maintaining critical skills, e.g. 60 days. ADFAC Feb 2014 MEDFAC Flight Surgeon Retention Issues COAs