wtb command brief

8/3/2019 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

4


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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

5


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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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18

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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23

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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