Reserve Force and Regular Force Transition Process

Reserve Force Medical Release and Transition Process

Reserve Force Medical Release and Transition Process

Reserve Force Transition Process

Reserve Force Transition Process

Reserve Force Transition Process

Reserve Force Transition Process

Alternative Text Available

1.     Member sustains an injury or illness
2.     Member completes CF98
3.     Commanding Officer determines if injury or illness may be payable?

If yes to injury or illness being payable, then proceed to activity 4 – Commanding Officer orders an investigation
If no to injury or illness being payable, then proceed to activity 11 – does the member recover

4.     Commanding Officer orders an investigation
5.     Is the injury /illness service related?

If yes to injury or illness being service related, then proceed to scenario “Compensation” or “Extension”
If no to injury or illness being service releted, then proceed to activity 11 – does the member recover?

Scenario: Compensation (A)

5a.   Medical attention required
5b.   Commanding Officer must report injury/illness to ESDC within 3 days
5c.   Commanding Officer provides all information to member
9.     Commanding Officer provides all information to member
10.   Member applies for GECA or RFC

Transition process resumes at activity 11 – does the member recover?

 Scenario: Extension (B)

5a.  Medical attention required
6.     Is member Class C in SDA?

If yes to the member being Class C, then proceed to activity 7 - Commanding Officer extends Class C
If no to the member being Class C, then proceed to scenario “Compensation”

7.     Commanding Officer extends Class C
8.     Commanding Officer notifies DCSM and home unit of the requirement for extension of  Class C

Transition process resumes at activity 11 – does the member recover?

11.   Member recovers?

If yes to the member recovers, then proceed to activity 12 – member returns to work
If no to the member recovers, then proceed to activity 13 – is the member in receipt of Reserve Force Compensation or has the member been extended Class C? and activity

12.   Member returns to work – Transition Process ends
13.   Is the member receiving RFC or extension of Class C?

If yes to the member receiving RFC or extension Class C, then proceed to scenario “Attach to JPSU” and then proceed to activity 15 – CFHS Nurse Case Manager conducts a complexity assessment with the memberIf no to the member receiving RFC or extension Class C, then proceed to activity 21 – Base Wing Surgeon recommends PCAT

Scenario: Attach to JPSU (C)

14.   Commanding Officer recommends attaching to JPSU?

If yes to Commanding Officer recommending member be attached to JPSU, then proceed to activity 17 – member is attached to an IPSC until release
If no to the Commanding Officer recommending attaching member to JPSU, then proceed to activity 16 – member remains in his/her unit until release
16. Member remains in his/her unit until release
17. Member is attached to an IPSC until release

Scenario “attach to JPSU” ends while transition process continues at activity 15 – CFHS Nurse Case Manager conducts a complexity assessment with the member

15.   CFHS Nurse Case Manager conducts a complexity assessment with the member
18.   Nurse Case Manager obtains member’s consent to share information with other service providers
19.   Is the transition deemed complex?

If yes to transition being deemed complex, then proceed to scenario “Complex”
If no to transition being deemed complex, then member proceeds later on to activity 45 - Release Transition Plan, activity RTP
Transition process resumes at activity 21 – Base Wing Surgeon recommends PCAT

21.   Base Wing Surgeon recommends PCAT

Note: If Base Wing Surgeon does not recommend PCAT, the transition process ends here.

22.   D Med Pol determines if there is a high risk for breach of Universality of Service?

If yes to DMed Pol determining high risk for breach of universality of service, then proceed to activity 23 – D Med Pol approved PCAT
If no to DMed Pol determining high risk for breach of universality of service, then the member may be retained with or without restrictions or occupational transfer – transition process ends here

23.   D Med Pol approves PCAT
24.   D Med Pol reviews and confirms MELs and sends to DMCA
25.   DMCA initiates AR/MEL
26.   DMCA sends disclosure package to Commanding Officer
60.   Commanding Officer submits disclosure package to the member
61.   Member reviews disclosure package
61a. Member waives his/her rights?

Note ref 61a: 1) If the member is Class B or C, he or she has 15 working days to submit written representation  2) if  the member is Class A, he or she has 30 calendar days to submit written representation
If yes to the member waiving his/her rights, then proceed to activity 61b – is the member eligible for RFC or Extension of Class C
If no to the member waiving his/her rights, then proceed to activity 28 – DMCA awaits for written representation

28.   DMCA waits for written representation
61b. Is the member eligible for RFC or Extension of Class C?

If yes to the member being eligible for RFC or Extension of Class C, then proceed to activity 29 – is the member’s transition deemed complex?
If no to the member being eligible for RFC or Extension of Class C, then proceed to activity 32 – DMCA adjudicates AR/MEL with notice

29.   Is the member’s transition deemed complex?

If yes to the member’s transition being deemed complex, then proceed to activity 30 – DMCA holds the file until ITP is received
If no to the member’s transition being deemed complex, the proceed to activity 33 – DMCA adjudicates AR/MEL with transition
30.   DMCA holds file until ITP is received
31.   DMCA receives confirmation of ITP, and then also proceeds to activity 33 – DMCA adjudicates AR/MEL with transition

32.   DMCA adjudicates AR/MEL with notice, the proceeds to activity 34 – DMCA issues release message with notice
33.   DMCA adjudicates AR/MEL with transition, then proceeds to activity 35 – DMCA issues release message with transition
34.   DMCA Issues release message with notice
35.   DMCA Issues release message with transition
44.   IPSC receives and sends release message to VAC
45.   IPSC coordinates and supervises Release Transition Plan (RTP) until release date
57.   VAC Client Service Agent receives referral for a Transition Interview
57a. Does the member have an ITP?

If yes to the member having an ITP, then proceed to activity 55a - scenario “Complex (D)”                 If no to the member having an ITP, then proceed to activity 63 – VAC Client Service Agent contacts CFHS Nurse Case Manager to determine the need for a case conference

63.   VAC Client Service Agent contacts CFHS Nurse Case Manager to determine the need for a case conference
64.   VAC Client Service Agent conducts a transition interview with the member
65.   VAC Client Service Agent completes the risk tool assessment (RRIT-R)
66.   VAC Client Service Agent obtains member’s consent to share information with other service providers
67.   Is Case Management required?

If yes to a case management being required, then proceed to activity 70 -  scenario “VAC Case Manager (E)”
If no to a case management being required, then proceed to activity 68 – VAC Client Service Agent may adjudicate

68.   VAC Client Service Agent may adjudicate
69.   VAC Client Service Agent follows-up as per established standards determined by risk levels

Scenario: Complex (D)

19.   Member’s transition is deemed complex

20.   CFHS NuCM completes referral to SISIP, VAC CM and IPSC Service Manager
37.   IPSC Services Manager obtains member’s consent to share information
38.   IPSC Services Manager refers member to VAC and SISIP
52.   VAC Case Manager receives referral for ITP
53.   VAC Case Manager gets member’s consent
54.   VAC Case Manager consults with CFHS Nurse Case Manager
39.   IPSC Service Manager advises JPSU HQ Ops O of ITP
46.   JPSU advises DMCA of ITP
48.   SISIP receives notification of ITP

48a.   If applicable, SISIP assist member in completion of LTD

49.   SISIP develops a proposes a Vocational Rehabilitation Program (VRP) with member
50.   SISIP advises the IPSC Service Manager when VRP is prepared
41.   IPSC Services Manager distributes VRP to Interdisciplinary team members
42.   IPSC Services Manager convenes meeting of ITP and the member
43.   IPSC Services Manager participates at ITP Meeting – Interdisciplinary Team Member
62.   Member participates at ITP Meeting (if permitted)
51.   SISIP participates at ITP meeting– Interdisciplinary Team Member
55.   VAC Case Manager participates at ITP Meeting – Interdisciplinary Team Member

55a.   VAC Case Manager continues ongoing case planning until post release
Note: Joint Case Conference (minimum one month prior release)

58.   Base Wing Surgeon and Nurse Case Manager participate at ITP meeting – Interdisciplinary Team Member
56.   The interdisciplinary team recommends a release date as part of the ITP and sends recommendations to JPSU
47.   JPSU HQ sends ITP recommendations to DMCA Transition process resumes at activity 31 – DMCA receives confirmation of ITP

Scenario: VAC Case Manager (E)

70.   VAC Case Manager assesses the member
71.   Is Case Management required?

If yes to case management being required, then proceed to scenario “Risk Level (F)”
If no to case management being required, then proceed to activity 75 – VAC case

Manager notes decision
75.   VAC Case Manager notes decision
76.   VAC Case Manager follows-up with member following decision
80.   VAC Case Manager follows-up with the member post release as per standards and based on risk level – Transition Process ends here.

Scenario: Risk Level (F)

72.   Is the member engaged?

If yes to the member being engaged, then proceed to activity 73 – VAC Case Manager requests an assessment and determines needs for case management
If no to the member being engaged, then proceed to activity 74 – VAC Case Manager attempts to engage the member

74.   VAC Case Manager attempts to engage the member, then proceed to activity 80 - VAC Case Manager follows-up with the member post release as per standards and based on risk level
73.   VAC Case Manager requests assessment and determines needs for case management
77.   VAC Case Manager advises and consults with CFHS Nurse Case Manager
78.   VAC Case Manager opens case plan with member and completes CNCI
79.   VAC Case Manager adjudicates on VAC services/benefits or treatment
Transition process resumes at activity 80 - VAC Case Manager follows-up with the member post release as per standards and based on risk level

Regular Force Transition Process

Regular Force Transition Process

Alternative Text Available

The first activity of the transition process is:

1.     CFHS Nurse Case Manager conducts a  complexity assessment with the member
2.     Transition is deemed complex
3.     Sends referrals for ITP & confirms CA results to DMCA
4.     Base Wing surgeon recommends Permanent CATEGORY  (PCAT)
5.     D Med Pol reviews and confirms Medical Employment Limitations (MEL)
6.     D Med Pol approves CF2088 / PCAT
7.     Is the member a high risk to breach the universality of service?

If yes to the member being a high risk of breaching universality of service, then proceed to activity #9 – DMCA initiates an AR/MEL  and sends an advisory message to the unit as well as scenario “Complex (A)”
If no to the member being a high risk of breaching universality of service, then proceed to activity #8 – the transition process ends here, Return to Work process may start.

8.     Transition process ends - Member may proceed to return to work process
9.     DMCA initiates administrative review/MEL and sends an advisory to the unit
10.   Does the member waive his/her rights?

If yes to the member waiving his/her rights, then proceed to activity # 15 – DMCA adjudicates AR/MEL
If no to the member waiving his/her rights, then proceed to activity # 11 – DMCA sends disclosure package to the unit Commanding Officer

11.   DMCA sends disclosure package to the unit Commanding Officer
17.   Unit Commanding Officer submits disclosure package to the member
12.   DMCA awaits member’s written representation
13.   Is the member’s transition deemed complex?

If yes to the member’s transition being deemed complex, then proceed to activity # 14 – DMCA holds the file until receipt of the Integrated Transition Plan
If no to the member’s transition being deemed complex, then proceed to activity # 15 – DMCA adjudicates AR/MEL

14.   DMCA holds the file until receipt of Integrated Transition Plan
15.   DMCA Adjudicates AR/MEL
16.   DMCA issues release message

Note: the transition process branches out into two (in no specific order):
1) activity 18 – unit Commanding Officer informs the member of the decision and
2) activity 30 – IPSC submits the release message to VAC

18.   Unit Commanding Officer informs the member of DMCA’s decision then proceed to scenario “JPSU (B)”

Scenario: Posting to JPSU (B) –
19. Commanding Officer recommends the member be posted to JPSU?
If yes to the Commanding Officer recommending the member be posted to JPSU, then proceed to activity 20 – DMC approves posting to JPSU
If no to the Commanding Officer recommending attaching member to JPSU, then proceed to activity 21 – member remains in his/her unit
Scenario “Posting to JPSU” ends while transition process continues at activity 30 – IPSC Services Manager submits release message to VAC

30.   IPSC Services Manager submits referral to VAC
31.   IPSC Services Manager coordinates and supervises the release transition plan
32.   VAC Client Service Agent receives referral from IPSC
33.   Does the member have an ITP?

 If yes to the member having an ITP, then proceed to sub-scenario “VAC Case Management (C)
If no to the member having an ITP, then proceed to activity 33a – VAC Client Service Agent contacts CFHS Nurse Case Manager to determine the need for a case conference

33a. VAC Client Service Agent contacts CFHS Nurse Case Manager to determine the need for a case conference
34.   VAC Client Service Agent conducts a transition interview, completes RRIT-R, and obtains consent from the member to share information with other service providers
35.   Is Case Management required based on risk?

If yes to a case management being required, then proceed to activity 38 - scenario “VAC Case Manager (D)”
If no to a case management being required, then proceed to activity 36 – VAC Client Service Agent adjudicates

36.   VAC Client Service Agent adjudicates
37.   VAC Client Service Agent follows-up as per established standards determined by risk levels

Scenario: Complex (A)

This scenario begins at activity #3 - CFHS Nurse Case Manager sends referrals for an integrated transition plan (ITP) to SISIP, VAC Case Manager and IPSC Services Manager and confirms complexity assessment result to DMCA

Note:  the Complex process branches out into two:
1) activity #22 – IPSC Services Managers obtains consent from the member to share information with other service providers and
2) sub-scenario “VAC Case Management (C)

22.   IPSC Services Manager obtains consent from the member to share information with other service providers
23.   IPSC notifies JPSU of ITP
24.   JPSU informs DMCA of ITP
25.   IPSC Services Manager informs VAC Case Manager of ITP
26.   IPSC Services Manager receives confirmation from SISIP regarding proposed Vocational Rehabilitation Plan (VRP)
27.   IPSC coordinates the ITP
28.   Inter-disciplinary team develops ITP and submits to JPSU including recommendations for release date
29.   JPSU sends recommendations to DMCA
Transition process resumes at activity #15 – DMCA adjudicates AR/MEL

Sub-Scenario: VAC Case Management (C)

50.   VAC Case Manager consults with CFHS Nurse Case Manager and SISIP
51.   VAC Case Manager is a member of the inter-disciplinary team
Note: VAC Case Manager provides on going coordinated case planning with CFHS and conducts a joint case conference with CFHS (minimum one month pre-release)

Scenario: VAC Case Manager (D)

38.   VAC Case Manager assesses the member
39.   Is Case Management required?

If yes to case management being required, then proceed to scenario “Risk Level (E)”
If no to case management being required, then proceed to activity #40 – VAC Case Manager notes decision

40.   VAC Case Manager notes decision
41.   VAC Case Manager follows-up with member following decision
42.   VAC Case Manager follows-up with the member post release as per standards and based on risk level – Transition Process ends here.

Scenario: Risk Level (E)

43.   Is the member engaged?

If yes to the member being engaged, then proceed to activity #46 – VAC Case Manager requests an assessment and determines needs for case management
If no to the member being engaged, then proceed to activity #44 – VAC Case Manager attempts to engage the member

44.   VAC Case Manager attempts to engage the member, then proceed to activity #45 - VAC Case Manager follows-up with the member post release as per standards and based on risk level
45.   VAC Case Manager follows-up with the member post release as per standards and based on risk level – the transition process ends here
46.   VAC Case Manager requests assessment and determines needs for case management
47.   VAC Case Manager advises and consults with CFHS Nurse Case Manager
48.   VAC Case Manager opens case plan with member and completes CNCI
49.   VAC Case Manager adjudicates on VAC services/benefits or treatmentTransition process resumes at activity 45 - VAC Case Manager follows-up with the member post release as per standards and based on risk level

Acronyms

 

  
AR/MEL Administrative Review / Medical Employment Limitation
CFHS Canadian Forces Health Services
CM Case Manager
CNCI Case Need and Complexity Indicator
CO Commanding Officer
DCSM Director Casualty Support Management
Disclosure Pakage Contains either a copy or a summary of all relevant documents
DMCA Director Military Careers Administration
DMedPol Director Medical Policy
EXT Extension
GECA Government Employee's Compensation
IPSC Integrated Personnel Support Centres
ITP Integrated Transition Plan
JPSU Joint Personnel Support Unit
MEL Medical Employment Limitation
NuCM Nurse Case Manager
PCAT Permanent Category
RFC Reserve Force Compensation
RRIT-R Regina Risk Indicator Tool- Reestablishment
RTP Release Transition Plan
TI Transition Interview
SDA Special Duty Area
US Universality of Service
VAC CM Veterans Affairs Canada Case Manager
VAC CSA Veterans Affairs Canada Client Service Agent
Voc Rehab Vocational Rehabilitation
VRP Vocational Rehabilitation Plan
VRPSM Vocational Rehabilitaion Program for Serving Members

 

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