WARRIOR TRANSITION PROGRAM General Orientation to the Warrior Transition Unit (WTU) January 2008 UNCLASSIFIED Slide 1
WARRIOR TRANSITION PROGRAM Lesson 1 Overview of the Warrior Transition Unit (WTU) Terminal Learning Objective Given any situation involving Warriors in Transition, implement the principles of the Army Medical Action Plan in accordance with Department of the Army Warrior in Transition (WT) – Consolidated Guidance UNCLASSIFIED Slide 2
WARRIOR TRANSITION PROGRAM WARRIOR TRANSITION PROGRAM Unclassified Slide 3
WARRIOR TRANSITION PROGRAM TOPICS Warrior Transition Program Background Army Medical Action Plan WT Assignment/Attachment Criteria WTU Integrated Management Team (Triad) Slide 4
WARRIOR TRANSITION PROGRAM Warrior Transition Background • Road to War. The situation that created the current Wounded Warrior environment within the Army Medical Department was the result of three factors - – The volume of Medical Evaluation Board (MEB) cases significantly increased from 6,560 cases in FY02 to approximately 10,000 cases in FY05 and 06; – The number of Physical Evaluation Board (PEB) cases rose from just over 9,000 cases in CY01 to over 15,000 cases in CY05; – Policy variances between Department of Veterans Affairs, DoD, and Army regulatory guidance; the need for additional training of personnel throughout the Army Physical Disability Evaluation System process; and insufficient data management systems and information management. Slide 5
WARRIOR TRANSITION PROGRAM Warrior Transition Background • June 2003 - Mobilized Reserve Component Soldiers – Medical Holdover operations began in 2003 as large numbers of Reserve Component Soldiers were mobilized in support of Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF). – Soldiers who were not medically deployable were kept at MOB stations to fix and deploy or be referred to Physical Disability Evaluation System (PDES). – Soldiers demobing were able to stay on active duty for treatment of "in line of duty" conditions. – First Nurse Case Managers were mobilized to manage Reserve population. Slide 6
WARRIOR TRANSITION PROGRAM Warrior Transition Background • June 2003 - March 2004 - Formal Medical Hold-Over (MHO) structure and dedicated command and control established on installations. – Dedicated providers and case managers – New Command and Control (C2) and installation support structure – Accelerated access standards Slide 7
WARRIOR TRANSITION PROGRAM Warrior Transition Background • March - April 2007 – Congress asks Army to evaluate structure, care, systems, and process for all “Warriors in Transition” regardless of Compo or GWOT affiliation – Establishment of the Army Medical Action Plan (AMAP) – Medical Holdover now termed Warrior in Transition (WT) – Development of Warrior Transition Unit • Staffing Ratios set for PCM, NCM, PLT SGT, PEBLO, BH, etc. • Same standard set for all Soldiers • Ombudsman Program established at MTFs • Significant changes made in the Army Physical Disability Evaluation System (PDES) • Greater emphasis placed on training of the Cadre Slide 8
WARRIOR TRANSITION PROGRAM Mission Essential Task List WT Program Standards are based on the four Mission Essential Tasks for Warrior Transition Units • Provide Command and Control • Provide Provision of Clinical Care • Provide Administrative Support • Assist with Reintegration into the Force and/or Transition to Civilian Life Slide 9
WARRIOR TRANSITION PROGRAM “I am a Warrior in Transition. My job is to heal as I transition back to duty or become a productive, responsible citizen in society. This is not a status but a mission. I will succeed in this mission because I am Warrior.” Slide 10
WARRIOR TRANSITION PROGRAM Warrior Transition Unit (WTU) • GOAL of the WTU: Expeditiously and effectively, evaluate, treat, return to duty, and/or administratively process out of the Army, and refer to the appropriate follow-on health care system, Soldiers with medical conditions • MISSION STATEMENT: Provide command and control, primary care and case management for Warriors in Transition to establish conditions for healing and promote the timely return to the force or transition to civilian life. Slide 11
WARRIOR TRANSITION PROGRAM Slide 12
WARRIOR TRANSITION PROGRAM Army Medical Action Plan (AMAP) • The Office of the Surgeon General (OTSG) established the AMAP to develop an action plan to establish an integrated and comprehensive continuum of care and services for Warriors and their Families • Warriors and Families are treated at MTFs in conjunction with DoD, VA, and civilian medical facilities • Provide world-class care and services to match quality of service given to our Nation • Five-phase plan starting April 2007 and ending January 2008 Slide 13
WARRIOR TRANSITION PROGRAM Army Medical Action Plan (AMAP) Actions to be implemented include - • Establishing and institutionalizing a C2 structure for Warriors undergoing long-term definitive, rehabilitative, and convalescent care • Prioritizing mission support and creating ownership of actions and processes • Flexing housing policies and focusing on Family support issues • Developing training and doctrine to facilitate and ensure a system with provides timely and effective support • Creating full patient visibility throughout the process and facilitating the continuum of care • Improving the MEB process and eliminating delays in the PEB process Slide 14
WARRIOR TRANSITION PROGRAM Warrior Transition Office • The WTO serves as OTSG/MEDCOM’s focal point for the coordination of activities, programs and services that are provided in support of the Army’s WT Programs. • The Warrior Transition Office consists of the Office of the Director, the MEDCOM Medical Assistance Group, and the MTF Ombudsmen. The Director • The Director has primary responsibility for creating an environment of collaboration and maintaining staff coordination relationships within OTSG/MEDCOM and with non-MEDCOM agencies, ensuring effective collaboration and integration of resources committed to WT Programs. Slide 15
WARRIOR TRANSITION PROGRAM Warrior Transition Office MEDCOM Ombudsman Program • Function as Soldier-Family Advocates for the U.S. Army Medical Command (MEDCOM) in support of the Army’s Warrior in Transition (WT) Program. • Located at the Army military treatment facilities (MTFs) and serve as a liaison between the MEDCOM, and the Soldier, his or her Family, and MTF Commander; acting as a communicator, facilitator, and problem solver. • Utilize administrative, organizational, listening, and educational skills to assist the Soldiers and their Families with their issues. • Have a collaborative relationship with the MTF Patient Advocacy Office. The Ombudsmen work closely with the MEDCOM Medical Assistance Group (MAG) to assist with the resolution of issues that come through the Army Wounded Soldier and Family Hotline. Slide 16
WARRIOR TRANSITION PROGRAM Warrior Transition Office MEDCOM Medical Assistance Group • Ensures that Warrior in Transition Soldiers and their Families are provided with responsive and thorough investigations of their concerns • Provides functional knowledge of operations in MTFs; the Veterans Administration compensation and disability rating systems; the Army Physical Disability System • Serves as subject matter expert for Patient Administration Division (PAD) operations in MTFs, the Warrior in Transition Programs and structure • Provides functional knowledge of the Soldier-Family Advocates programs and services, and provides the skills needed to optimize the efficiency and effectiveness of the SFAs • Prepares the MEDCOM response to all questions or issues regarding all aspects of the MEDCOM Soldier-Advocate Program Slide 17
WARRIOR TRANSITION PROGRAM Soldier Family Assistance Center (SFAC) or Warrior and Family Assistance Center (WFAC) • Provide full spectrum of personnel, finance, and administrative support and assistance to the Wounded Warriors and their Family members – “One-stop shop” • Coordinate with other government and private organizations from support services • Receive and distribute donated items to deserving Soldiers and Family members • Key Personnel – Soldier Family Assistance Liaison – Inventory Specialist – Budget Analyst – Military Coordinator – Family Program Specialist Slide 18
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WARRIOR TRANSITION PROGRAM WTU Assignment/Attachment Criteria • Each Army MTF will maintain a warrior transition unit (WTU). Units will vary in size from small detachments to brigades, depending on patient population. • A Warrior in Transition is any Soldier who requires significant medical intervention in order to heal and return to duty or to make a successful transition to veteran status. • Service members must meet the criteria of AR 40-400. • All Service members who present to the MTF for medical evaluation or treatment from off-installation locations and who will be present more than 24 hours will be required to report to the WTU for accountability and control purposes. • For those Soldiers who are on medical TDY orders, the orders will specify that the Soldier is under the command and control of the WTU while at the MTF. All Service members in a TDRL status will report to the WTU upon arrival at the MTF. Slide 20
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