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PDHRA AR Referral

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References

AR 600-8-4 Line of Duty Policy, Procedures, and Investigations 4 Sep 2008. Revision due out July 2013

OPORD 11-011, Medical Not Ready (MNR) Process, Annex A

MILPER Message Number 05-273 Line of Duty (LOD) Post Deployment Health Reassessment Policy (Issued 3 Nov 05/Expired 30 Nov 07) still valid

MILPER Message Number 08-081 Post-Deployment Health Reassessment Referral and Line of Duty Policy for Reserve Component Soldiers (Issued 19 Mar 08/Expired 30 Nov 09) still valid.

Other references available at AR G1 website:https://arg1web.usar.army.mil/

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Agenda

LOD Module Capabilities PDHRA Statistics System Requirements Current Roles and Responsibilities AR Referral view/print capability Changes within eMMPS Issues

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LOD Module Capabilities LOD Module Capabilities

LOD Module website: https://medchart.ngb.army.mil/LOD/ With version 3.7 in Dec 11, the LOD Module was renamed

Electronic Medical Management Processing System (eMMPS)

Provides a system to track and monitor: LOD’s PDHRA Referrals (AR Referrals) INCAP Pay

Future State MED Board Packet processing 12301(H) orders processing (ADOP)

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Current StatusCurrent Status

There are currently 4144 open LOD’s and 648 open PDHRA referral’s in the Army Reserve, of these 72% of PDHRA’s are in a late status and 75% of LOD’s are in a late status

Late status for PDHRA’s is >60 days Of the 648 open PDHRA AR Referrals 72% are in a

draft status Draft status is when it is in LHI’s queue to action for AR

Referrals

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PDHRA/LOD Statistics By MSCPDHRA/LOD Statistics By MSC *as of 3 SEP12

MSCeMMPS Users

Open PDHRA

Referrals

Open LOD's

Late LOD's Informal>40days Formal>75days

Overdue

377th SC(T)   137 899 674 75%79th SSC   47 335 247 74%USACAPOC(A)   65 287 218 76%412th TEC   55 282 217 77%200th MPC   66 284 211 74%416th TEC   89 269 205 76%807th MDSC   20 269 202 75%3rd MDSC   15 192 149 78%AR MEDCOM   12 178 140 79%87th USARSC   4 146 109 75%335th SC(T)   15 131 103 79%108th TC   15 139 91 65%MIRC   20 118 89 75%85th USARSC   1 97 78 80%80th TC   14 102 74 73%9th MSC 201 10 73 65 89%

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PDHRA/LOD Statistics By MSCPDHRA/LOD Statistics By MSC *as of 3 SEP 12

MSCeMMPS Users

Open PDHRA

Referrals

Open LOD's

Late LOD's Informal>40days Formal>75days

Overdue

11th TAC   13 83 56 67%75th BCTD   4 60 49 82%USA JSTSC   7 66 46 70%1st MSC   9 68 42 62%84th TC   2 35 33 94%99th RSC 1895 0 14 12 86%88th RSC 2493 0 6 5 83%HQ USARC   1 5 4 80%63rd RSC 1733 0 3 3 100%ARCD   7 2 2 100%311th TSC   0 1 1 100%7th CSC 8 19 0 0 0%81st RSC 2138 0 0 0 0%OCAR   1 0 0 0%USARSC West   0 0 0 0%TOTAL: 8468 648 4144 3125 75%

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Statistical ImprovementsStatistical Improvements

There are currently 17366 approved PDHRA AR Referrals completed in the module (To date last year there were 5229 approved PDHRA AR Referrals)

Reason for the incredible change is having the RSC PDHRA Case Manager approve the AR Referral instead of the Unit Commander Unit Commanders did not understand the PDHRA Referral

process

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System Requirements System Requirements

Uses must register through eMMPS LOD module: https://medchart.ngb.army.mil/LOD/

Complete HIPAA certification and upload into your profile prior to access approval HIPAA certification can be completed in eMMPS LOD when

registering by clicking on RC CBT System under the HIPAA section during registration

Ensure that you choose the correct user role and RSC, also check receive email box to ensure receipt of correspondence

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Current Roles and Responsibilities Current Roles and Responsibilities

Soldier- completes PDHRA through AKO, unit, call in, or a yellow ribbon event

LHI- receives draft, reviews, signs off and forwards to RSC PDHRA Case Managers

RSC PDHRA Case Managers- review and sign off AR Referral

AR Referral is sent to MMSO and referral out for care is initiated

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Current Roles and Responsibilities Current Roles and Responsibilities

The Unit Commander- receives an email stating the Soldier has an AR Referral for care related to a possible LOD condition

The AR Referral generates a DA 2173, that the Soldier uses as the referral

This is not a LOD, an LOD has to be created once the Soldier has the medical documentation to support the LOD

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AR Referral Process Step 1AR Referral Process Step 1

The RSC PDHRA Case Manager clicks on my PDHRA’s under the drop down for PDHRA

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AR Referral Process Step 2AR Referral Process Step 2

The RSC PDHRA Case Manager see their list of AR Referrals to act on, click on the Case ID to process

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AR Referral Process Step 3 AR Referral Process Step 3

The RSC PDHRA Case Manager then reviews the referral information, this will give the details of the condition that the Soldier requires follow up care on. Once reviewed they will click the next button on the bottom right

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AR Referral Process Step 4AR Referral Process Step 4

Select the next action that you want to perform from the “action” drop down. Select approved, then the digitally sign button is enabled

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AR Referral Process Step 5AR Referral Process Step 5

The Digitally sign box shows up asking if you are sure you want to sign, click “ok” then you see that the signature is accepted. Click Continue, and this completes the process.

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Upcoming Changes in eMMPS LOD Module

Upcoming Changes in eMMPS LOD Module

AR Referral DA 2173 view/print capability for Unit Administrators and RSC PDHRA Coordinators

MSC hierarchy will be implemented in the Module in Jan 2013 MSC drop down box for users profiles and Soldier

LOD/INCAP/AR Referral

Approval authority of Informal LOD’s to MSC’s on 1 Oct 2012

eMMPS 3.8 was to be released by 1 Oct 12 but has been put on hold which includes the above changes

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IssuesIssues

No tracking whether Soldier goes for their LOD/Referral appointments or how many appointments they attended

No follow up to see if a LOD should be initiated for the AR Referral condition

AR Referrals sitting out in draft form for LHI to review from PDHRA’s completed over the phone, some as long as 900+ days

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QUESTIONS