Patient Administration Subspecialty

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Patient Administration Subspecialty

• CDR Bob Rahal
• LCDR Danielle M. Wenzel, MSC, USN
• Patient Admin Assistant Specialty Leader
• Navy Medicine, Manpower, Personnel, Training
  and Education Command

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Specialty Leader

• Specialty Leader
• CDR Robert Rahal, MSC, USN
• Assistant Specialty Leader (Interim Specialty
  Leader)
• LCDR Danielle Wenzel, MSC, USN
• Assists detailers
• Career advice
• Manning of subspecialty

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STATUS OF COMMUNITY
Projected
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PROMOTION
Percentage
5 of 8
3 o 4
4 of 7
2 of 2
2 of 4
1 of 2
1 of 2
5 of 7
3 o 5
2 of 4
0 of 1
0 of 0
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1801 Promotion
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Patient Administration Subspecialty

• Subspecialty Code - 1801
• Authorized billets 66
• Training billets 0
• MSC Officers with primary 1801 80
• MSC Officers with secondary or tertiary1801 104
  secondary 48 tertiary
• PAC students/year 80 (100)

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Patient Administration Subspecialty
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Billet distribution(total 65)
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Patient Administration Assignments

• CONUS MTFs
• Small/Medium/Teaching Facilities
• OCONUS MTFs
• Shipboard Assignments as MAO
• Fleet Surgical Teams-Recently lost the billets
• Instructor Billet
• NAVMED East/West
• Managed Care Assignments
• Road Map

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Years of service 2 4 6 6 8 10 12 14 16 18 20 20 22 24 26 28 30
Promotion
Mentorship
Specialty competency
Naval Competency
Leadership Courses
Education
Preference Duty Stations
Alternate Duty Stations (on and off ramps)
Business Acumen
ENS
LCDR
LTjg
CDR
LT
CAPT
Choose your mentors
Provide
Mentorship
Professional Activity
Patient Admin Course
Asst Specialty Leader/Specialty Leader
Board Cert in Healthcare Mgmt or Admin
SME National Professional Assoc
BMDOC
MEDREG/POMI/FMMTC
Capstone
AMDOC
C4/Disaster Management
Inter Agency
Command Staff
Flt Hospital
Any Service War College
OIS
Serve on Board Any Capacity
Master Degree
PhD/MD
DUINS/Internship/Director Programs
NPGS
Lg/Teaching MTF as DIVO Sm/Med MTF (CONUS or
OCONUS) as Dept Head HQ/BUMED or NAVMED
Dept Hd Lg or Teaching MTF DFA/OIC Director BUMED
PAD Executive Medicine
MAO Carrier or AMPHIB FST/MRCO CASEVACOfficer/GPMR
C
Disaster Management
Bus Case Analysis
RVU Clinic Mngt
Information Mngt
Preparing Business Plan
Project Management
Analytical Decision Making
Financial Management
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MSC All HCA Roadmap
PCO
PXO
Building the Toolbox Lane (Earned outside of PCS
orders)
Post CO/Policy
O-6
Interagency/Capstone Active Mentor
CO/Senior Staff
PERFORMANCE
MEDCEN DFA XO/Senior Staff
Specialty Leader (or Asst)
O-5
Director Large MTF/Senior Operational/BUMED HQ
staff Large clinic OIC
AMDOC Active Mentor
PCS Billets Lane (Permanent Job/Orders by
detailer)
OIC Senior Operational/ BUMED/HQ Staff
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MSC All HCA Roadmap
Officer within Prof Association
DFA/OIC operational/BUMED staff
O-4
Building the Toolbox Lane (Earned outside of PCS
orders)
BMDOC Officer within Prof Association
Follow on DUINS tour DFA/OIC operational/BUMED
staff
During 2nd MTF tour Pt. Admin/Fiscal/Supply
school a must Professional association
PERFORMANCE
O-1 to O-3
Duins/2nd MTF tour HQ staff
During 1st MTF tour POMI school a must
deployment if available
PCS Billets Lane (Permanent Job/Orders by
detailer)
Operational tour Recruiting Jr. Staff EA Non
MTF (research)
Initial MTF tour
DP
DUINS Further specialization of HCA in
technical filed
IPP/HSCP
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Community Strengths

• Diversity of assignments
• Ability to move in and out of community
• Only source of formal Navy training in general
  healthcare administration
• Foundation for healthcare leadership positions
• Corporate knowledge

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Community Concerns

• Retention of experienced officers for multiple
  tours in Patient Administration
• Perception that role has diminished
• Burnout and stress in Patient Administration
  positions at MTFs
• Lack of policy guidance on critical issues
• Need for better information flow
• Recent move for general HCA, 01-03

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Supporting the Community

• Establishment of PAD Specialty Leader web page
  (NKO)
• Annual Patient Administration Training Symposium
• PEBLO PEB Conference May 2008 Orlando
• Permanent Specialty Leader identified
• CDR Robert Rahal, MSC, USN

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COMMUNITY ENVIRONMENT

• Mentoring
• Mostly done by phone and email
• Recruitment
• Recruited as Health Care Administrators
• Interview incoming Candidates
• Retention
• Difficult to track. MSCs move in and out of
  community

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CONTRIBUTIONS

• IA
• Mostly as Medical Regulators
• Patient Administration Officers in EMF
• Operational
• All MAOs come through PAC
• Carrier - Patient Admin coded
• Fleet Surgical Teams
• National Professional Achievements
• ACHE Awards
• Recognized for Operational and Overseas Duty

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Patient Administration Summary

• Only HCA subspecialty that deals directly with
  patients
• Cradle to Grave Business
• Huge Customer Service Base
• Fleet Support and Operational Readiness
• Wonderful base of information for MSC HCA

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Current/Continuing Deployments

• Medical Task Force/Expeditionary Medical
  Facility-Kuwait
• Landstuhl Medical Center (PAD)
• Iraq/Afghanistan Healthcare Infrastructure team
• Hospital Ships Comfort/Mercy (MRO/PAD)
• Medical Administration Officers (MAO) onboard
  Carriers/Gators/FST

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Patient Administration

• Thank you!
• Any Questions?