“Defense Health Primer: U.S. Coast Guard Health Services” –CRS

New Orleans, September 5, 2005 – A Disaster Medical Assistance Team member (left) assures a rescued man that the trip to the airport will be safe. Thousands of people are airlifted from the Ernest N. Morial Convention Center pickup site to the New Orleans Airport every day. Photo by Win Henderson / FEMA photo.

The Congressional Research Service has another Coast Guard related “primer,” a two page basic explanation, written for congressmen and their staffers, to provide basic understand. This one is on healthcare, “Defense Health Primer: U.S. Coast Guard Health Services.”

It covers mission, organization, budget, USCG healthcare personnel, USPHS support to the USCG, USCG health services, interaction with TriCare, and current challenges including electronic health records, USPHS support, and the disability evaluation system.

Thanks to Bryant’s Maritime Consulting for bringing this to my attention.

2 thoughts on ““Defense Health Primer: U.S. Coast Guard Health Services” –CRS

  1. “…and $230.6 million in mandatory funds that pay for USCG retiree health care”

    The above quote was from the Primer.

    Just curious as to what someone thinks they mean by this? I thought MILITARY retirees were on their own for health care costs (Tricare Retiree, Medicare, Tricare For Life, etc…)
    Or is this money that the USCG is spending on CIVILIAN retirees and funding their health care plans??
    Or is this money that the USCG has to transfer to the VA for health care related costs??

    Something don’t smell right.

  2. 1. To MassholeCoastie, DHA/Tricare then bills the CG for the services rendered under Tricare. After working at CGHQ, it was amazing to learn the wonkish nature of the funding.

    2. The graphic is not really correct. The amount of clinics is actually a lot less as it appears the report is counting the location of where PHS staff is located. Air Stations have Flight Surgeons, and there are medical clinics at USCGA, TRACENs, etc, but they are not all staffed and supported the compared to the ones at Bases. Service delivery is not standardized. For example, Alameda does or did offer onsite PT, but others do not.

    3. At one point, they wanted to save money, they wanted to shut down the CGHQ pharmacy and then told patients to go to the JBAB and other MTFs or use express scripts to get our medicine. sheesh that clinic serves like 2-3000 patients, and chronic ones at end of service (more senior than boot camp or CGA). Apparently the commandant (or some other senior staff) came in then for a visit, and the pharmacy was reopened the next day, despite the planned closer being in a overhead funding reduction that was approved years before.

    4. The healthcare system also makes some basic assumptions like metropolitan access to services, having a driving license, etc…Think about the large scale remote stations (think Oregon Coast) of junior people. Some come from major cities and without a drivers license. These stations can be up to 2+ hours away from a needed specialist or where no nearby MTF exists. They then get a referral far away and cant go to a local doctor as they aren’t in Tricare, but may not even have a drivers license since they grew up in New York City and only took the subway.

    5. The electronic health system is a serious issue. I had to make a huge effort to collect and get all my records to bring them back to my CG system. I had to explain that not only I needed this for future VA claims, but the irony of being cyber compliant. Thus, to obtain cyber compliancy, the records went from a computer system back to a paper based system to then be cyber compliant!

    6. Patient loading at CG clinic varies greatly. CGA/TRACEN Cape May deal with new service personnel. Air Stations are very operational. CGHQ is more chronic and end of service (I have seen people with 5 volumes of medical records)

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