recovery team’s roles and responsibilities · roles and responsibilities recovery care...

Recovery Team’s Roles and Responsibilities

Recovery Care Coordination (RCC) CourseMarch 25, 2019

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Presenter(s)/Moderator

Joshua ArnoldProgram Analyst (Case Manager)

Navy Wounded Warrior – Safe Harbor

Barbara Wilson, MEdSenior Program Manager, Education and Training (J7)

Defense Health AgencyFalls Church, VA

2“Medically Ready Force…Ready Medical Force”

Disclosures

∎ Presenter(s) have no relevant financial or non-financial relationships to disclose relating to the content of this activity; or presenter(s) must disclose the type of affiliation/financial interest (e.g. employee, speaker, consultant, principal investigator, grant recipient) with company name(s) included.

∎ The views expressed in this presentation are those of the author and do not necessarily reflect the official policy or position of the Department of Defense, not the U.S. Government.

∎ This continuing education activity is managed and accredited by the Defense Health Agency J7 Continuing Education Program Office (DHA J7 CEPO) in collaboration with the Professional Education Services Group/AffinityCE (PESG/ACE), DHA J& CEPO and PESG/ACE as well as all accrediting organizations do not support or endorse any product or service mentioned in this activity.

∎ DHA J7 CEPO and PESG staff, as well as activity planners and reviewers have no relevant financial or non-financial interest to disclose.

∎ Commercial support was not received for this activity.


Learning Objectives

When you complete this lesson, you should be able to do the following:

∎ Define “Recovery Team”

∎ Distinguish possible members of the Recovery Team

∎ Differentiate the Recovery Team’s roles and responsibilities

∎ Explain the collaboration process of the Recovery Team


What is a Recovery Team?

The Recovery Team (often referred to as a Care Management Team) is a group of professionals from diverse disciplines who come together to provide the following:

∎ Comprehensive assessment

∎ Consultation

∎ Care Plan development for Service members and their families and caregivers

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Image Source: Powerpoint (Office 2010) [Computer Software]. Team-building1. [JPEG file]. Redmond, WA: Microsoft.

“Medically Ready Force…Ready Medical Force”

Recovery Team Members

“Medically Ready Force…Ready Medical Force” 6

• All Recovery Teams shall include the recovering Service member’s (RSM’s) commander, RSM, a Recovery Care Coordinator (RCC) or Federal Recovery Coordinator (FRC), a Medical Care Case Manager (MCCM), and a Non-Medical Care Manager (NMCM).

• They may also include medical professionals such as primary care managers, mental health providers, physical and occupational therapists, and others such as Physical Evaluation Board Liaison Officer (PEBLO), Veterans’ Affairs Medical Services Coordinators (MSC), chaplain, and family support program representatives.

DoDI 1300.24, Enclosure 3, 4a

• Medical Care Case Managers: Primary Care Physician/Manager, Nurse Case Manager, Behavioral Health Providers

• Non-Medical Care Managers: RCC, FRC, Advocate, Liaison• Commander/Chain of Command: Squad Leader, Platoon Sergeant

Variations in the Field

Recovery Team Roles & Responsibilities

∎ Develop and continually evaluate the Care Plan with the recovering Service member

∎ Provide "checks and balances" to ensure that the interests and rights of the Service member and family/caregiver are addressed

∎ Identify gaps in support services

∎ Evaluate the support system (family/caregiver) of the Service member

∎ Collaborate with the recovering Service member and family/caregiver to resolve difficult issues


Key Recovery Team Roles

∎ Recovery Care Coordinator (RCC) Primarily responsible for the review and assistance of recovering

Service member and family care management throughout the Continuum of Care

Oversees the development and execution of the Care Plan∎ Non-medical Care Manager (NMCM)

Assists the Service member in resolving problems involving financial, administrative, personnel, transitional, and other matters that arise during care, recovery and transition

∎ Caregiver and Family Caregiver/family control their own level of involvement in the care and

support of recovering the Service member Caregiver is designated by the Service member


Key Recovery Team Roles, cont.

Medical Care Case Manager (MCCM)

Assists Service member throughout the Continuum of Care in the 1) receipt of medical care and 2) review of medical status

Federal Recovery Coordinator (FRC)

Provides assistance and coordination for the care, management and transition of catastrophically injured Service members on active duty and veteran status

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Image Source: Warrior Care staff. (c. 2013). 2276758205_b84f02c07d _injury (photograph). [JPEG file].


Recovery Team Meetings

∎ Recovery Teams meet based on policy and recovering Service member’s needs and the RCC should attend if possible.

∎ What happens in the Recovery Team meeting?Review current status

(health care, mental health, well-being)Gather input from all team membersCreate and implement plans for the future

∎ Recovery Teams are from diverse disciplines. Some teams may work together very well, others may not They vary in their level of formality The role of the RCC may vary on different teams

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Image Source: Powerpoint (Office 2007) [Computer Software]. Calendar-Planning-photo. [JPEG file]. Redmond, WA: Microsoft.


RCC Daily Activities

Recovery Rehabilitation ReintegrationCollaborate with Recovery Teams to ensure the recovering Service member and family/caregiver have access to all available services

Develop, implement and oversee the Care Plan in accordance with governing program guidance

Coordinate with key personnel to facilitate effective rehabilitation and reintegration

Address and support family/caregiver’s needs as they relate to the Care Plan, and assist in coordination of local and state resources

Coordinate and monitor non-medical services and identify gaps in non-medical service; assist with coordination or resources needed to develop and improve the outcome for enhanced delivery of non-medical services


Discussion: What can you, as an RCC, contribute to the

team?


What Can You Contribute to the Team?

∎ Connect the team to a wealth of resource knowledge

∎ Share prior interventions that have proven to be successful/unsuccessful

∎ Build a bridge of communication between multiple resources

∎ Clarify the role of a resource

∎ Build resource networks

∎ Discuss relevant concerns expressed to you by the recovering Service member and family/caregiver – with their permission

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Image Source: Warrior Care staff. (2016). Connect graphic. [BMP file].


What Can You Contribute to the Team? (cont.)

∎ Communicate clearly

∎ Understand each member’s role, how you can work together, and what is expected of you

∎ Ensure realistic expectations

∎ Follow up – do what you say you will

∎ Provide flexibility and creative solutions

∎ Exhibit an open mind

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Image Source: Warrior Care staff. (2017). Dialogue graphic. [BMP file].


Small Group Activity

Recovery Team for Staff Sergeant (SSgt) Jones∎ Each table is to assign a note-taker, time keeper, and a spokesperson.∎ Using the SSgt Jones scenario and working in table teams, determine

who needs to be on the Recovery Team, both medical and non-medical professionals.

∎ Based on those roles, hold a 10-minute Recovery Team meeting to discuss SSgt Jones’ case.

∎ Develop a plan of action to be reflected in the Comprehensive Recovery Plan, which establishes the recovering Service member’s issues, who will address each issue, and how the team will work together going forward.

∎ Share the results of your Recovery Team’s conversation with class.


Case 2: SSgt Jones

Case History: TBI from a motorcycle accident 18 months ago Speech and mobility problems Has had many surgeries – cranioplasties (2) at Walter

Reed Bethesda, spent time at the Tampa VA and then Quality of Life Institute in NE.

Assigned to USMC Wounded Warrior Battalion 2 months ago.

Can’t sleep, not doing well with pain meds, poor memory

Image Source: Powerpoint (Office 2007) [Computer Software]. MP900449075_silhouettes. [PNG file]. Redmond, WA: Microsoft.

Background: Father & Stepmother are primary caregivers. Stepmother moved from home in Paducah, KY to live with SSgt Jones in

Camp Lejeune, NC. He wants to move his home of record from Paducah to Lejeune.


Possible Recovery Team Members

∎ Command Leadership∎ Medical Care Case Manager∎ Non-Medical Care Manager∎ Recovery Care Coordinator∎ Federal Recovery Care

Coordinator∎ Advocate∎ Primary Care Managers∎ Mental Health Providers∎ Chaplain∎ Physical Therapist

∎ Orthopedic Therapist∎ Speech Therapist∎ Physical Evaluation Board

Liaison Officer (PEBLO)∎ Military Liaisons∎ Family Support Programs∎ Department of Veterans

Affairs/Transition and Care Management Services

∎ Occupational Therapist∎ Caregiver/Family Member


Key Takeaways

The following are examples of important or key “take-away” messages: ∎ Working together, the Recovery Team provides assessment,

consultation, and Care Plan development. ∎ Recovery Team members ensure there are “checks and

balances” in addressing the interests and rights of the Service member and family/caregiver.

∎ Key Recovery Team members include RCC, NMCM, caregiver/family, MCCM, and FRC. There is a long list of other possible members including chaplain, physical therapist, mental health specialist, PEBLO, Command leadership, etc.


References

Department of Defense Instruction. (2009). DoDI 1300.24 Recovery Care Coordination.

Retrieved from : http://warriorcare.dodlive.mil/files/2016/03/DoDI-Recovery-Care-

Coordination_1300.24.pdf

Department of Veterans Affairs (VA) and the Department of Defense (DoD). (2016).

Memorandum of Understanding (MOU) between VA and DoD : Interagency Complex Care

Coordination Requirements for Service Members and Veterans. Retrieved from:

http://warriorcare.dodlive.mil/files/2016/04/MOU-for-VA_DoD-IC3-Processes.pdf


http://warriorcare.dodlive.mil/files/2016/03/DoDI-Recovery-Care-Coordination_1300.24.pdf

http://warriorcare.dodlive.mil/files/2016/04/MOU-for-VA_DoD-IC3-Processes.pdf

References (continued)

Department of Defense Task Force on the Care, Management, and Transition of

Recovering Wounded, Ill, and Injured Members of the Armed Forces. (2014).

Reference Handbook of Key Topics and Terms, Including updates from NDAA

2014. Retrieved from:

https://rwtf.defense.gov/Portals/22/Documents/Reference/fy2014reference.pdf

Hussein M. Tahan PhD, RN & Teresa M. Treiger RN-BC, MA, CHCQM-CM/TOC. (2016).

CMSA Core Curriculum for Case Management, 3rd Edition. Retrieved from:

http://www.lww.com/Product/9781451194302


https://rwtf.defense.gov/Portals/22/Documents/Reference/fy2014reference.pdf

http://www.lww.com/Product/9781451194302

How to Obtain CE Credits

To receive continuing education credit (CE), you must complete the program posttest(s) and evaluation(s) before collecting your certificate(s). The posttests and evaluations will be available through 10 April 2019 at 11:59 pm ET.1. Use this link to enroll and access the courses:

https://www.dhaj7cepo.com/registration/?groupid=2500243&course=10836252. Click the link on the bottom to create an Adobe ID: Get an Adobe ID.3. After logging in, click My Learning on the left menu bar. 4. Select the session you would like to evaluate from the Recovery Care Coordinator (RCC)

Course.5. Click the “Start” button. You will be asked to view the Accreditation Statement and then

complete the evaluation and posttest. You must pass the posttest with a score of 80% or higher before you are permitted to proceed with collecting your certificate.

6. Your work will be saved as you progress through the modules. 7. To return to the LMS at any time, visit: https://dhaj7.captivateprime.com.


https://www.dhaj7cepo.com/registration/?groupid=2500243&course=1083625

https://dhaj7.captivateprime.com/