Skip to main content

Soldier Readiness Processing: Time for a New Paradigm in Managing Musculoskeletal Injuries After Deployment?

Publication ,  Journal Article
Rhon, DI; Golden, KJ; Trevino, AJ; Hatler, BS
Published in: Mil Med
March 2017

BACKGROUND: The drowning impact that musculoskeletal injuries (MSI) have on Soldier readiness, deployability, and escalating health care costs is growing. These injuries are associated with approximately 25 million lost duty days each year. The need to curb costs and improve efficacy and efficiency of health care delivery is pressing. This requires the consideration of new paradigms for clinical pathways and health care delivery processes. Soldiers returning from a deployment go through a screening process to ensure any medical, dental, and administrative issues are adequately addressed. This is a great opportunity to influence optimal musculoskeletal (MSK) care, as nonbattle MSI are the most common injury sustained during a combat deployment. These screening processes usually consist of high throughput in short periods, taxing the usual flow of care through the associated medical clinic. Because the highest percentage of medical visits are related to MSK complaints, a dedicated clinic with specialty providers seeing these patients directly may improve the quality and efficiency of care. METHODS: This report provides the details related to the implementation of a MSK specialty clinic such as this at Madigan Army Medical Center, for the return of a U.S. Army Reservist Brigade Combat Team of approximately 4,000 Soldiers. It provides a framework for determining patient flow and triaging of patients to expedited appropriate care directly from the screening site. We report on the demographics and types of injuries seen after deployment, and the patient satisfaction associated with those that were seen in this specialty clinic. FINDINGS: Comparison to usual care were outside the scope of this report, however the patient satisfaction with the process was recorded, and was very high for all 284 patients that received care through this expedited care pathway. DISCUSSION: This article provides a framework for an expedited clinical care pathway for patients returning from deployment that have MSI. It provides a platform for future feasibility testing and prospective studies related to the economic impact of this model when compared to usual care.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Mil Med

DOI

EISSN

1930-613X

Publication Date

March 2017

Volume

182

Issue

3

Start / End Page

e1569 / e1574

Location

England

Related Subject Headings

  • Warfare
  • United States
  • Surveys and Questionnaires
  • Strategic, Defence & Security Studies
  • Prospective Studies
  • Musculoskeletal Diseases
  • Morbidity
  • Military Personnel
  • Middle Aged
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Rhon, D. I., Golden, K. J., Trevino, A. J., & Hatler, B. S. (2017). Soldier Readiness Processing: Time for a New Paradigm in Managing Musculoskeletal Injuries After Deployment? Mil Med, 182(3), e1569–e1574. https://doi.org/10.7205/MILMED-D-16-00124
Rhon, Daniel I., Kerrie J. Golden, Amy J. Trevino, and Brian S. Hatler. “Soldier Readiness Processing: Time for a New Paradigm in Managing Musculoskeletal Injuries After Deployment?Mil Med 182, no. 3 (March 2017): e1569–74. https://doi.org/10.7205/MILMED-D-16-00124.
Rhon DI, Golden KJ, Trevino AJ, Hatler BS. Soldier Readiness Processing: Time for a New Paradigm in Managing Musculoskeletal Injuries After Deployment? Mil Med. 2017 Mar;182(3):e1569–74.
Rhon, Daniel I., et al. “Soldier Readiness Processing: Time for a New Paradigm in Managing Musculoskeletal Injuries After Deployment?Mil Med, vol. 182, no. 3, Mar. 2017, pp. e1569–74. Pubmed, doi:10.7205/MILMED-D-16-00124.
Rhon DI, Golden KJ, Trevino AJ, Hatler BS. Soldier Readiness Processing: Time for a New Paradigm in Managing Musculoskeletal Injuries After Deployment? Mil Med. 2017 Mar;182(3):e1569–e1574.

Published In

Mil Med

DOI

EISSN

1930-613X

Publication Date

March 2017

Volume

182

Issue

3

Start / End Page

e1569 / e1574

Location

England

Related Subject Headings

  • Warfare
  • United States
  • Surveys and Questionnaires
  • Strategic, Defence & Security Studies
  • Prospective Studies
  • Musculoskeletal Diseases
  • Morbidity
  • Military Personnel
  • Middle Aged
  • Male