Improving the Deployment of Army Health Care Professionals

Improving the Deployment of Army Health Care Professionals: An Evaluation of PROFIS

Melony E. Sorbero
Stuart S. Olmsted
Kristy Gonzalez Morganti
Rachel M. Burns
Ann C. Haas
Kimberlie Biever
Copyright Date: 2013
Published by: RAND Corporation
Pages: 122
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  • Book Info
    Improving the Deployment of Army Health Care Professionals
    Book Description:

    The Army Medical Department uses the Professional Filler System (PROFIS) to manage the deployment of health care professionals and their assignment to military treatment facilities when not deployed. This report describes the functionality of PROFIS in the current operating environment of ongoing deployments and assesses potential modifications and improvements to the system.

    eISBN: 978-0-8330-8112-4
    Subjects: Health Sciences, History

Table of Contents

  1. Front Matter
    (pp. i-ii)
  2. Preface
    (pp. iii-iv)
  3. Table of Contents
    (pp. v-viii)
  4. Figures
    (pp. ix-x)
  5. Tables
    (pp. xi-xii)
  6. Summary
    (pp. xiii-xviii)
  7. Acknowledgments
    (pp. xix-xx)
  8. Abbreviations
    (pp. xxi-xxii)
  9. CHAPTER ONE Introduction
    (pp. 1-4)

    The Army Medical Department (AMEDD) has multiple missions, including to provide a medical force that supports deployed operations and to deliver health care to soldiers and retirees and their families. The AMEDD does not have enough medical personnel to simultaneously fully staff the requirements it has for both (1) deployable Table of Organization and Equipment (TOE) units, such as combat support hospitals (CSHs) that are under the command of the U.S. Army Forces Command (FORSCOM) and other commands, and (2) Table of Distribution and Allowances (TDA) units, such as military treatment facilities (MTFs), clinics, and other commands on Army bases,...

  10. CHAPTER TWO Background
    (pp. 5-18)

    The Army did not always use PROFIS to manage the deployment of medical personnel. This chapter describes the background and timeline for the development of PROFIS and some of the changes that have occurred to PROFIS over the past decade. We also describe briefly how other services manage deployment of health care professionals, as well as how five of our allies manage these deployments.

    The available AMEDD inventory of medical professionals does not allow full staffing of MTFs and TOE units simultaneously. PROFIS was created in 1986 to assign medical officers to MTFs in peacetime and to fill medical positions...

  11. CHAPTER THREE Data and Methods
    (pp. 19-34)

    This report uses four distinct types of data: interviews with Army personnel in AMEDD and FORSCOM involved in different aspects of PROFIS; data from a survey of health care professionals across seven corps in MEDCOM; Army Medical Department Resource Tasking System (ARTS) data on PROFIS deployments; and Defense Manpower Data Center administrative data that track Army personnel. This chapter describes the data, how we collected them, and the approaches we took to analyze the information.

    We conducted semistructured key-informant interviews¹ as part of the project task focused on identifying concerns with the performance of PROFIS in the current operating environment....

  12. CHAPTER FOUR Effect of and Concerns About PROFIS
    (pp. 35-60)

    Following our initial interviews with stakeholders and MEDCOM and FORSCOM staff, we developed a list of key issues and concerns regarding PROFIS. These issues vary in importance and degree by stakeholder. Our survey, follow-on interviews, and other data analysis plans were designed to inform these issues. This chapter presents these issues and concerns and the supporting evidence for them.

    Using what we learned in the interviews, we grouped stakeholders into four categories: health care professionals; MTF and regional medical command commanders, managers, and administrative staff; Office of the Surgeon General/MEDCOM staff; and receiving (deploying) unit commanders and staff. Many health...

  13. CHAPTER FIVE Potential Modifications to PROFIS
    (pp. 61-76)

    In this chapter, we describe potential modifications to PROFIS that could address some of the issues raised in Chapter Four. Generally, PROFIS works as designed, allowing medical personnel to work in fixed facilities primarily and then supplement deploying units as necessary. We do not think that abandoning PROFIS is necessary, but these modifications could improve the system from a variety of stakeholder viewpoints. The modifications would need to work under the current deployment circumstances, under conditions when PROFIS fillers are not deploying frequently, and under the conditions to support a very large-scale, short-notice deployment.

    We did not formally analyze or...

  14. CHAPTER SIX Conclusions and Recommendations
    (pp. 77-82)

    This chapter presents our conclusions and recommendations. Using the information from our analysis of reports about PROFIS and MEDCOM deployments, interviews of Army personnel in AMEED and FORSCOM involved in different aspects of PROFIS, a survey of health care professionals across seven corps in MEDCOM, and analysis of personnel data and PROFIS data on deployments, we arrived at the conclusions listed below:

    PROFIS generally works. It enables the Army to deploy the required number of health care professionals with the appropriate skills, but there are areas for improvement.

    PROFIS is largely viewed as equitable, but a sizable minority view it...

  15. APPENDIX A PROFIS Areas of Concentration/Military Occupational Specialties, by PROFIS Tier and Number of Army Personnel in Each, as of December 2009
    (pp. 83-88)
  16. APPENDIX B AOCs, by Strata, Used in the Survey Sampling and Analyses
    (pp. 89-94)
  17. APPENDIX C AOCs That Are Allowed Substitutions for the Battalion Surgeon
    (pp. 95-96)
  18. References
    (pp. 97-100)