wtb command brief
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WTB Command Info Brief
LTC David Weisberg
Dated: 5 Oct 10
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Agenda Mission
How I see our Battlefield
MEDEVAC Process
WTU Entrance Criteria
Triad of Care
Comprehensive Transition
Plan WTB Structure
WTB Assets
Enhanced Access to Care
WT Demographics
WTB Population by MedicalCondition
WT COMPO Breakdown
Cadre COMPO Breakdown
Return to Force
Questions
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Warrior in TransitionMission Statement
I am a Warrior in Transition. My job is to heal as I
transition back to duty or continue serving the nation as aVeteran in my community. This is not a status, but a
mission. I will succeed in this mission because I am aWarrior and I am Army strong.
Battalion Mission
Provide command and control, primary care and case
management for Warriors in Transition to establishconditions for healing and promote the timely return to theforce or transition to continue serving the nation as a
Veteran in their community.
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How I See Our Battlefield
Decisive Operation Development and Execution ofComprehensive Transition Plans (CTP)
Decisive Point - WT Transition
Main Effort WTs- Triad of Care
Center of Gravity Access to Care
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How I See Our Battlefield
Shaping Operations
Quality of Life
Wellness Program
Town Hall Meetings
Team Building/MWR Events
Reception Operations
Work Plans- Civilian Education
Soldier and Family Assistance Center (SFAC)
Special Events
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This Why WTs are in the WTB - It is How they accomplish their
mission
Synchronization of the medical and non-medical plans of care.
Normally developed between days 2-29
Includes estimated transition date determined by medical transitiondate
Developed by YOU, ICW your Family and facilitated by WTB and
support team (PCM, NCM, SL, SW, OT, Chaplain, SFAC, AW2and others as needed)
Comprehensive Transition Plan (CTP)
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Comprehensive Transition Plan (CTP)
WTU Comprehensive Transition Plan
STANDARDHEALTH CARE
TRANSITIONALSERVICES
RTDSeparateREFRAD
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Triad (Quad) of Care Squad Leader
Critical link for the WT not only to the Chain of Command, but also
with the NCM and PCM &family
Nurse Case Manager
Vital link between the WT and every medical specialty clinic andmedical provider
Tracks the WTs progress on meeting clinical goals and coordinatesthe appropriate referrals for the WT as needed to remain on track formeeting goals
Primary Care Manager
Serves as the patient advocate for WTs and their Families while
providing clinical ownership, accountability and enhanced continuityof care to facilitate WT movement through the medical process
Social Worker Serves as Behavioral Health (BH) Care Manager,conducts BH risk and clinical assessments.
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HHC Structure
INTAKE (40 WTs) PSG
1st Squad (10 WTs)
2nd
Squad (10 WTs)
3rd Squad (10 WTs)
4th Squad (10 WTs)
NCM
NCM
REMOTE CARE (40 WTs)
1st Section (20 WTs)
2nd Section (20 WTs)
E7NCM
TRANSIT PLATOON (40 WTs)
Transit Section (30 WTs)
RTD/REFRAD Squad (10 WTs)
Commander1SG
XO
PCMSenior Nurse Case Manager
Social WorkerOccupational Therapist
PADFinance
HR
CTP ManagerCOTA
BSW
E7NCM
E7
E6
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Line Company Structure
1st Platoon (40 WTs) PSG
1st Squad (10 WTs)
2nd
Squad (10 WTs)
3rd Squad (10 WTs)
4th Squad (10 WTs)
NCM
NCM
2nd Platoon (40 WTs) PSG
1st Squad (10 WTs)
2nd
Squad (10 WTs)
3rd Squad (10 WTs)
4th Squad (10 WTs)
NCM
NCM
3rd Platoon (40 WTs) PSG
1st Squad (10 WTs)
2nd Squad (10 WTs)
3rd Squad (10 WTs)
4th
Squad (10 WTs)
NCM
NCM
Commander1SG
XO
PCMSenior Nurse Case Manager
Social WorkerOccupational Therapist
PADFinance
HR
CTP ManagerCOTA
BSW
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Battalion Assets S1 (+ Finance)
S3
S4
Drivers Cell
Chaplain
BN Nurse Case Manager
BN Surgeon
BN SR Social Worker
BN OT BN PAD
FRSA
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Assets in Direct Support of the CTP
WTB Health Clinic
Soldier and Family Assistance Center (SFAC)
Army Wounded Warrior Program (AW2)
PEBLO
Legal- MEB/PEB Counsel
Ombudsmen
Wellness Program
TAMC Enhanced Access to Care
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Must meet all 3 criteria:1. Temporary profile, or anticipated to receive a profile, > 6
months with duty limitations that preclude the Soldier fromtraining for or contributing to unit mission accomplishment.
AND2. Acuity of the wound, illness, or injury requires extensive
case management.
AND
3. Triad of Leadership reviews all Soldiers submissionpackets and make decision on disposition.
WTU Entrance Criteria
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Entrance ProcessCompo 1
1 of 2
1MEDEVAC from TheaterPatient Movement Request (PMR) STARTC
Met at TAMC ER by WTB
Attached to WTB
2- Japan or Korea
MEDEVAC to TAMC (PMR)
OR
Medical TDY
3- WTB to WTB Transfer
Initiated by outgoing WTB
PMR to TAMC-WTB
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4In-patient at TAMCInitiated by TAMC Case Manager
Often QRD
5- Commander InitiatedUnit Commander (BDE CM) Contact WTB BN Nurse Case Manger
Unit Commander Assembles Entrance Request Packet
WTU Entrance Matrix
Profile
Commanders Statement objective statement of Soldiers
medical condition
Commanders Memo - why Soldier should be accepted into WTB
Unit Commander Submits Entrance Request Packet to WTB PAD
Entrance ProcessCompo 1
2 of 2
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Entrance ProcessCompo 2 & 3
1 of 2
1MEDEVAC from Theater
Patient Movement Request (PMR) STARTC
Met at TAMC ER by WTB
Attached to WTB
Medical Retention Process (MRP)
2- Medical Retention Process for Evaluation (MRPE)60 Day Evaluation Orders
SRP or Reverse SRP
If criteria is met change to MRP orders
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Entrance ProcessCompo 2 & 3
2of 2
3After Released from Active Duty
Unit initiated Medical Retention Process 2 (MRP2)
4- Active Duty Medical Extension
Injured during training
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24 hours for urgent care Initial evaluation screening within 1 working day 3 working days for routine primary care(Tricare-30 days) 3 working days for initial specialty care for MEB related
condition(Tricare-30 days) 7 working days for all other specialty care(Tricare-30 days) 7 calendar days for diagnostic tests(Tricare-30 days) 14 calendar days for medically indicated non-emergentsurgeries required to reach optimum medical benefit or fit for
duty status(Tricare-60 days)
Enhanced Access to Care
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WTDemographics
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WTs 212
Purple Heart Recipients 15
Soldiers Who Have Deployed
- Battle Related Injured- Non-Battle Related Injured
119
Soldiers Who Have Never Deployed 93
Females 24
2198
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WT COMPO Breakdown
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WT Compo Enlisted Officer Total
AC 128 12 140
NG 31 2 33
RES 32 7 39
BN Total 191 21 212
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Cadre COMPO Breakdown
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Compo #
AC 48
NG 9
RES 20
CIV 66
BN Total 143
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Orthopedic: 60%
Internal Med: 17%
Behavioral Health (non PTSD): 36%
Gen Surg & Other Surg: 8.8%
Neurological: 16%
PTSD 30%
TBI (Mild, Moderate, Severe) 17%
Eye & ENT 12%
Cardio 1.4%
Amputation (Upper & Lower) 0.0%
Endocrine ` 0.7%
Dental 1.8%
Burns 0.4%
WTU Population byMedical Condition
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Cumulative WT Total Population 1109 WT Population (on 31 DEC 07) 186
Gains since 1 JAN 08 923
Transitioned 716 (82%)
Return to Duty (AD) 353 (49%) REFRAD (USAR/ARNG) 106 (15%)
Separated 251 (35%)
Deceased 6 (1%)
Return to Force
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QUESTIONS ?
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