TRIPLER Army Community Hospital Community
United States Army Health Clinic-Schofield Barracks
The mission of the United States Health Clinic- Schofield Barracks (USAHC-SB) is to improve the readiness and health of our community by delivering quality, effective, and holistic care. Our vision is to be the Pacific Region’s medical home of choice.
The USAHC-SB is located at Schofield Barracks, Hawaii, and is one of the 10 Army Medical Treatment Facilities (MTFs) that support a Division. We have the second largest number of enrollees, 34,598, in the Regional Health Command-Pacific (RHC-P), while maintaining the second lowest per-member/per-month cost in Tricare Regional Office-West for large clinics.
USAHC-SB supports its community by providing holistic health care across 10 service lines with 40 different clinics. The 10 service lines include: Soldier Centered Medical Home (SCMH), Patient Centered Medical Home (PCMH), Behavioral Health (BH), Sports Medicine, Brain Injury, Ancillary Services, Readiness Clinics, Allied Health, Acute Care Clinic, and Public Health. On an average day there are 4,488 health care encounters. Our pharmacy is easily one of the best in MEDCOM. The average wait time for Active Duty is 6.5 minutes and 8.3 minutes for family members. The pharmacy fills, on average 1,537 prescriptions daily. Our self-care program has saved beneficiaries $67,000 over a period of six months.
The USAHC-SB 10 primary care clinics see just over 1,000 patients per day. Both the Soldier (SCMH) and Patient (PCMH) medical homes hold the coveted level 3 accreditation from the National Committee for Quality Assurance (NCQA). PCMH earned their level 3 accreditation in December 2012, while maintaining the same level of quality for 48 months. SCMH recently earned their level 3 accreditation in February 2017. The NCQA assures that all patients receive a high standard and both departments are constantly working at full capacity to ensure that their patients receive nothing but the best possible care. The NCQA is a private organization whose goal is to improve the quality of health care. It was founded in 1990 with the sole purpose to bring attention to the rapidly increasing need of improved quality of health care. In order for a health clinic to receive the highly coveted NCQA certification, they must first pass a rigorous set of 60 standards and submit performance reports in 40 areas, and recorded performances in 157 factors. These factors are distributed between six program component areas; patient-centered access, team-based care, population health management, care management and support, care coordination and transitions, performance measurement and quality improvement. USAHC-SB SCMH proudly earned the national highest level (level 3) of accreditation and the NCQA certification.
The USAHC-SB Behavioral Health (BH) department has tripled in size, expanding from three clinics to 10; with a staff of less than 40 to a staff of over 140. Most recently, the 2nd Infantry Brigade Combat Team’s (2IBCT) Embedded Behavioral Health clinic was relocated to the 2IBCT footprint. At the opening ceremony, Colonel Deydre Teyhen, Commander of the USAHC-SB, stated, “We need to continue to decrease both, the stigma of seeking behavioral health care and the barriers to seeking care. Today’s opening of the 2nd Brigades Embedded Behavioral Health represents a very visible step in reaching those goals.” We continue to assist in eliminating the stigma of seeking BH care. We also opened the new Aviation Medicine Clinic on Wheeler Army Airfield. This new facility includes Combat Aviation Embedded Behavioral Health Clinic, SCMH, Physical Therapy, and Pharmacy. These moves allow Soldiers convenient access to BH care which could have prevented Soldiers from seeking care. We also continued to invest in more resources to support the children and family members of Schofield Barracks by growing the Child and Family Behavioral Health Services (CAFBHS). CAFBHS programs help families who need assistance and guidance with their children’s development. We also integrated the Substance Use Disorder Clinical Care into the USAHC-SB over the last year.
The USAHC-SB is continuously looking for ways to improve our care. We are transitioning from a health care system to a System for Heath. One major addition to our System for Health was made by incorporating Move to Health (M2H), powered by the Performance Triad (P3), into our facility. M2H is a holistic approach to improving the health and wellness of our staff and our community. M2H is designed to assist individuals change habits, which over time, will improve their overall life style. M2H covers nine aspects, which make up the M2H wheel, that are important to discuss during a patient encounter; sleep, activity, nutrition, personal development, surroundings, emotional, spiritual, family/social and mindfulness. By incorporating these eight lifestyle factors in patient encounters, providers will be able to get a full spectrum synopsis of their patient’s life which will allow them to assist them on multiple levels of care. By incorporating M2H in patient encounters, it opens a dialogue that acts as a gateway to gaining more information about the patient. It provides the provider a way to look at all aspects in the patient’s life. This allows the provider to identify a factor that might not have previously been considered, as a potential cause of illness.
USAHC-SB hosted the Office of the Surgeon General in support of training our staff in M2H. Leaders and medical providers attended the M2H Foundation course in June and again in January. This was a three day course that covered the M2H concepts and how to incorporate it into patient encounters, but also how in implement it in their daily life. There are two committees, one staff and the other patient focused, that facilitate goals and plans of implementation.
The staff and providers at USAHC-SB work diligently to provide our beneficiaries with the absolute best care possible. We are continually researching, and developing new methods to make every patient encounter positive and stress free as we move towards a System for Health.