October 6, 2021 at 2 PM Eastern/11 AM Pacific
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The Periodic Health Assessment (PHA) is a screening tool used by the armed forces to evaluate the individual medical readiness of their Service members.
As depressing as your post is, I know you're right...First thing you should keep squarely in mind is that the PHA is primarily an administrative encounter, not a medical one. It's intended to be useful to the service, not the member.
Alright, I found the people at BUMED working to improve the system and they're open to feedback. I'm working with other docs and corpsmen at the moment to compile suggestions. If you would like to see everything so far, please shoot me a PM and I can share the google doc with you. If you just want to send me a suggestion, please post here or PM to me.
Preferred format is Topic, Problem description, Proposed solution. Please include screen shots if applicable.
Also, another common feedback I've gotten is that the Air Force's ASIMS is great. Way more user friendly, more streamlined, more succint, and incorporates readiness items that would be found in MRRS, as well as upchits/AERO type stuff, into one platform. A lot of people think we should just adopt their system rather than reinvent our own.
Very much agree with you. But I think the powers at be believe that a physician can get more out of asking someone if they have a gambling problem than a corpsman/CMA. Apparently they also think asking them if they have a gambling problem should be a required question, but asking them if they've thought about suicide shouldn't.Topic: A CMA could do this.
Problem description: None of this requires a physician to look at it. There are a few fields that should require a physician to review them, but those usually aren't selected, and a CMA can make that appointment if needed.
Proposed solution: Make this a CMA review, not an in person appointment.
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If I had to guess, I'd say no one is tracking it as there's really no way of knowing what interventions are done because of the PHA. If someone says they're extremely depressed, or excessively drinking, a new set of options pops up asking me if I think they need referral or not. If not, I get to choose if it's because they're already under care, they have no significant impairment, or "other."I wonder what the NNT is for that "intervention" ...
Or if anyone is even attempting to track it.