TY - BOOK AU - Sorbero,Melony E.S. AU - Olmsted,Stuart S. AU - Morganti,Kristy Gonzalez AU - Burns,Rachel M. AU - Haas,Ann C. AU - Biever,Kim ED - Arroyo Center. ED - RAND Health. ED - Rand Corporation. ED - United States. TI - Improving the deployment of Army health care professionals: an evaluation of PROFIS SN - 0833078046 (pbk. : alk. paper) AV - UH223 .I47 2013 PY - 2013/// CY - Santa Monica, CA PB - RAND KW - United States KW - Army KW - Medical personnel KW - Personnel management KW - Deployment (Strategy) KW - Military, Medicine KW - Military Medicine KW - Military Personnel N1 - "RAND Arroyo Center and RAND Health."; Includes bibliographical references (p. 97-99); Introduction -- Background -- Data and Methods -- Effect of and Concerns About PROFIS -- Potential Modifications to PROFIS -- Conclusions and Recommendations -- Appendix A: PROFIS Areas of Concentration/Military Occupational Specialties, by PROFIS Tier and number of Army Personnel in each, as of December 2009 -- Appendix B: AOCs, by Strata, Used in the Survey Sampling and Analyses -- Appendix C: AOCs That Are Allowed Substitutions for the Battalion Surgeon; Also available on the internet via WWW in PDF format N2 - The Army Medical Department uses the Professional Filler System (PROFIS) to manage the deployment of health care professionals. PROFIS allows health care providers to practice in a military treatment facility (MTF) when not deployed, which contributes to the maintenance of their medical and technical skills. There are concerns that PROFIS is not fully meeting the requirements it was designed to satisfy. Underlying concerns are that some medical personnel deploy more frequently and for longer durations than others, that PROFIS may cause dissatisfaction among health care professionals that may affect their retention, and that PROFIS deployments may lead to reduced access to care at the MTFs from which health care professionals deploy. In addition, receiving units report that some PROFIS personnel are not well-trained soldiers and that they are not well integrated with their PROFIS unit when they deploy. This report assesses the current functionality of PROFIS and how the system could be improved. The authors (1) reviewed the literature and interviewed key stakeholders; (2) analyzed databases to determine which health care professionals were deployed, how often, and for how long; and (3) conducted a web-based survey of Army health care professionals. They found that PROFIS has a variety of impacts on the predictability of deployments, the skills and training of medical personnel, perceived access to care at the MTFs, the perception of equity among medical personnel, and the retention of medical personnel. The authors describe 23 potential modifications to the system and highlight 11 as being most promising UR - http://www.rand.org/pubs/technical_reports/TR1227.html ER -