1. 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.”

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

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

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

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

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

7. Choke points in the process Dental Immunizations Audiology Occupational Health

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

9. NAS Patuxent River Medical Readiness May 2006 UIC Title UnitsHIVPHA*DNAMMRIPVHepATdYFABOSCTG6PDPPDPAPRdns NAVHEALTHCLI NIC PATUXENT RIVER N6609895%73%100%92%91%90%93%92%97%96% 85%71%91% ARMY N9900040%3%97%33% 30%23%17%40%17%13%23%0%30% AIR FORCE N9900225%3%100%22%25% 19%13%38%16% 6%50%25% COAST GUARD N990045% 98%5%7%5% 2%5% 2%33%12% MAD N9900667%39%98%79%68%85%82%58%96%83%82%67%100%75% MCSF N9900851%32%100%91%89%79%96%93%97%95% 73%100%82% DEPMEDS NAVHOSP PATUXENT RIVER DET N4713694%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 2005. 651 represents 19% of the base active duty population.

10. COMMANDSHIVPHADNAMMR Poli o Hep A Tetanu s Yel FevBld T Sick CellG6PDPPDTotal % Co mpl. Perso ns VSX-1(NRL) (31686)686371545352716671 566375989%71 NAVTESTWING LANT (39782)146150153146140122155148154157150140176193%157 VX-23 (39783)305324346325307280345329345350324298387892%350 HX-21 (39784)465153 5154503955 524860792%55 VX-20 (39785)134137145129134125143124146148138131163492%148 STU TPS (42846)42 4135343143414043324146590%43 NTPS (44689)2935 29312933283536322938188%36 VC-6 SS DET (46550)88109 999 811092%10 NAS PAX (47608)330358372310295274368352360377333332406190%377 VQ-4 DET (49403)48747658534075716176567175983%76 NAWCAD (NWCF) (49860)848593787978928091938780102091%93 COPTEVFOR DT VX-1 (52819)291300312266245221310308287315281298343491%315 VC-6 (55243)61627065616469567172665877590%72 VX-1 (55600)291300312266245221310308287315281298343491%315 TOTAL1883198920891823173816002073195920132118189818952307891%2118 PERCENTAGE89%94%99%86%82%76%98%92%95%100%90%89% Total Base AD Personnel (Navy)2350250126262174210820062588239425342679231600%23622863889%2679 PERCENTAGE88%93%98%81%79%75%97%89%95%100%86%88% COMFORT (47136)2731 27252331302732273134690%32 NHC PAX (66098)8889938685789091 948988108396%94 TOTAL115120124113110101121 118126116119142995%126 PERCENTAGE91%95%98%90%87%80%96% 94%100%92%94% NAS Patuxent River Medical Readiness Example Report

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

12. Summary Combined appointments Stake holder meetings Continuous process improvement Technical Support

13. Questions?