MEDICAL READINESS ASSESSMENT GROUP OPERATION DESERT STORM MEDICAL LESSONS LEARNED.

File: 970207_aadci_111.txt
Page: 111
Total Pages: 139





        ODS MEDICAL LESSONS LEARNED
            PERSONNEL CATEGORY
            PERSONNEL ISSUE NO. 1 Credentialing of Medical Personnel
            (SGHR ITEMS NOs. 77, 102, 121, 139)

        DISCUSSION: IMA, ANG, and AFRES physicians are credentialed differently. At
        some MTFs providers were given provisional privileges, while at others they were
       not allowed to practice until complete credentialing had been accomplished. No
      planned guidance was available on credentialing providers at contingency
        hospitals. ANG nurses who were civilian Primary Care Nurse Practitioners could
        not be utilized in this capacity due to credentialing; Net loss of expertise
        and need for more physicians

        RECOMMENDATIONS: Pre-mobilization credentialing kit being developed by ANGRC;
        use provisional credentialing to solve problem; once activation location is
        known forward copies of current credentials ASAP.
        HQ ARPC/SG could coordinate the transfer of credential folders when an IMA
        is assigned to an MTF. Consistent policy needs to be developed.
        Guidance be developed regarding credentialing of providers for
                                                              contingencies.
       Arrange pre-mobilization credentialing or Nurse Practitioners despite their
        Duty AFSC.

        ACTIONS REQUIRED: ANGRC develop pre-mobilization credentialing kit; use
        provisional credentialing. AFRES and ANG develop policy that will allow
        utilization of Nurse Practitioners; Nurses will continue to be utilized as
        clinical nurses and should maintain training or that function, new policy will
        allow for their utilization as Nurse Practitioners if situations warrant.

        ACTIONS COMPLETED: Pre-mobilization credentialing kit has been developed.
  |     AFRES/REM has issued policy where Nurse Practitioners will carry that specialty
        as their secondary AFSC; ANG is following AFRES' lead.

        STATUS: OPEN.

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