GUARD III Changes

1
Periodic Health Assessment (PHA)
BMC Naval Station Norfolk, VA (Sewells
Point) Health Promotions Wellness and PHA
Departments CDR Elum-O'Neal Department Head PHA
Provider
2

• Spring 2008 PHA Challenges
• 1. Medical Records not onboard.
• 2. Members not enrolled to the clinic.
• 3. PARFQs filled out incorrect.
• 4. Failure to keep appointments (No-Shows).
• 5. Failure to complete the PHA
• 6. Body Fat Waivers

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What is a PHA?

• Readiness and Prevention
• A PHA is an annual requirement for all active
  duty members that satisfies the Navys need to
  report Individual Medical Readiness (IMR) to the
  Department of Defense (DoD).

4
What is a PHA?

• The PHA (1) captures, reviews, verifies, and
  corrects deficiencies in IMR
• (2) verifies compliance with various elements
  of Deployment Health
• (3) identifies behavioral risk factors,
  provides individualized counseling based on
  identified risks and assesses current health
  status
• (4) provides referrals to clinical preventive
  services (colonoscopy, mammography, coronary
  artery disease, screeningetc.) for early
  detection and prevention of chronic illnesses
• (5) serves as clearance to participate in the
  semi-annual
• Physical Readiness Test (PRT)

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PHA is not..

• - A sickcall visit
• - A specialist referral service
• - PRT waiver service
• - LIMDU referral service
• - BCA waiver service
• - Re-enlistment/Separation/Retirement Physical
• - Overseas/Sea-duty Screening

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Periodic Health Assessment (PHA)
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BHC Sewells Point 2007 PHA Options

• By Appointment Only
• 2 Options
• Same Day PHA Clinic
• Regular PHA Appointment Part 1 and Part 2
  appointments

YOUR RECORD MUST BE ON FILE 96 HOURS PRIOR TO
YOUR APPOINTMENT AT THE CLINIC!!
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• Same Day PHA Clinic
• 1. Monday Thursday from 0600 to 1430.
• 2. Appointment Call 953-9039/9042 or come to
  the PHA Appointment Desk located in the
  Main Mall area across from Pharmacy.
• 3. Anyone who selects this option must be in the
  Health Promotions/PHA Department, NLT 0600
  (located in the New Bldg, Room 1F22) the day of
  your appointment.
• 4.Fast for 12 hours no eating, drinking or
  chewing tobacco for 12 hours prior to your
  appointment except water and prescription meds.
  Additionally, no alcohol can be consumed 48 hours
  prior to your lab work being drawn.
• 5. After you are screened by our staff you will
  be assigned to the morning or afternoon clinic.
  You may bring a snack to eat after your labs have
  been drawn.

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• Regular PHA Appointment
• (Part 1 and Part 2 Appointment Required)
• 1. Part, call Hampton Roads Appointment Center
  1-866-645-4584 or Health Promotions/PHA
  Department at 953-9039/9042 or come to PHA
  Appointment Desk located in the mall area across
  from Pharmacy.
• 2. Part 1 Appointment identifies discrepancies.
  Arrive ready for blood work to be drawn. Fast,
  12 hrs prior to that appointment. No eating,
  drinking or chewing tobacco 12 hrs prior to
  appointment except water and Rx medications.
  Additionally, no alcohol can be consumed 48 hours
  prior to your lab work being drawn. You may bring
  a snack to eat after your labs have been drawn.
• 3. Part 2 appointment, seen by a Provider.
  Appointment made by clinic staff only _at_
  953-9039/9042.

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How can you help us help you?

• Bring your medical record to BHC Sewells Point
  Medical Record Department 96 hours prior to your
  scheduled appointment, keep your appointments,
  and arrive 20 minutes early.
• Prior to your appointment complete the PHA
  Pre-Appointment Check-List by click on
• http//www-nmcp.med.navy.mil/SewellsPt/Wellness/PH
  APre-AppointmentChecklist03Jan08.doc

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• Tips for PHA success.
• 1. PHA Representative (CFL) 8. Keep appoint.
  PHA and PCM
• 2. Plan early 9. All personnel must see
  HBA
• 3. Know what to expect 10. PHA once a year.
• 4. No check-in-box 11. Complete the
  Pre-Appointment
• 5. Common Sense Rule
  checklist.
• 6. Come prepared 12. The
  PHA is considered complete
• 7. Honest medical history ONLYwhen
  all IMR
• deficiencies are completed!
• PCM (Primary Care Manager)
• HBA (Health Benefit Advisor)

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• CFLs will see
• PARFQs for 100 of all personnel and SF 600s
  for those who require a waivers BCA Not waived
  typed or written for all waivers
• On the bottom of the PARFQ Cleared or Waived
  pending completion of lab, mammography,
  Optometry, Audiology, PCM visit, etc.
  Nothing written means nothing pending
• AHLTA SF 600 PHA Form (electronic PHA
  documentation) look for the Outstanding PHA
  Requirements line.

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J

Body Fat Waivers
Senior Medical Officer only
CAPT Andrew Nelson signature on
SF600/PARFQ No other
provider
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2007 No Shows and Available
Appointments

• Jan 91/1071 (8.4)
• Feb 193/2053 (9.4)
• Mar 348/2578 (13.5)
• Apr 379/2382 (15.9)
• May 238/2408 (9.9)
• Jun 133/2003 (6.7)
• Jul 194/1990 (9.7)
• Aug 314/2242 (14.0)
• Sep 256/2413 (10.6)
• Oct 295/2078 (14.2)
• Nov 149/1039 (14.3)

2007 No Show Rates and Available appointments
as of Dec 07 2590/22,257 overall no show rate
11.6.
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Completing your PHA means.

• You have successfully completed an annually
  requirement which will allow you to participate
  in the semiannual PFA.
• Care about yourself
• Love your family
• Care about your shipmates
• Want to be healthy now and during retirement
  years

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POC Info

• Department Head, Health Promotions/PHA
  
  angelia.elum-oneal_at_med.navy.mil
  757-953-8811
• Senior Enlisted Leader
  David.W.Short_at_mar.med.navy.mil
  
  757-953-8898
• LCPO, Health Promotions/PHA
  James.HillIII_at_med.navy.mil
• 
  757-953-8815
• LCPO, Medical Records
  Jody.Tison_at_med.navy.mil
  
  757-953-8712

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References

• DoD Instruction 6025.19, Individual Medical
  Readiness (IMR), January 3, 2006
• ASD(HA) Policy Memorandum 06-006, February 16,
  2006
• NAVMED P-117, Manual of the Medical Department
• The Guide to Clinical Preventive Services, 2006
  Recommendations of the U.S. Preventive Services
  Task Force
• BUMEDINST 6230.15A
• SECNAVINST 6230.4

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Health Promotions Wellness Department
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• Health Promotions (HP) and Wellness
• Classes Healthy Heart, Nutrition, Ship Shape,
  Tobacco
• Cessation Workshop, Right
  Weight
• Calendar 2008 Calendar JAN - JUL 2008 visit
  our website
• http//www-nmcp.med.navy.mil/SewellsPt/hea
  lthpromo.asp
• Plan All Training and Health Fairs assistance
  schedule are
• planned around calendar
• Schedule Classes by calling 1-866-645-4584 or
  953-8813

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• Health Promotions (HP) and Wellness
• Remember, we are here to help you with all
  your HP and Wellness needs.
• Not signing up for a class may result in the
  member not receiving the required class
  materials, handouts, and or visual aids
• Some classes require medical assets
• If you plan to attend call to get a seat.
• POC Peg Smith 953-8813