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Transformation Update

The Commissioned Corps of the U.S. Public Health Service (Corps) is undergoing transformation in order to more effectively and efficiently meet its mission of “protecting, promoting, and advancing the health and safety of the Nation.” As was outlined in last month’s update, transformation will significantly enhance the Corps’ business processes related to officer recruitment, accessions, assignments, training, career development, readiness and response, and the Information Systems that support each of these activities. Together, these changes will enable the Corps to meet the needs of the Department of Health and Human Services (Department or HHS), adapt quickly to changes in those needs, and continue to excel at its historical role of providing public health and clinical services to agencies and underserved populations.

The Commissioned Corps Transformation Implementation Plan, containing the force management changes approved by Secretary Leavitt, has been distributed to Corps leaders, Chief Professional Officers (CPOs), Professional Advisory Committee (PAC) members, and other stakeholders. It is posted on the Commissioned Corps Management Information System (CCMIS) Web site at http://dcp.psc.gov, and all officers are strongly urged to read it. It provides detailed information on the manner in which the Corps will be organized and managed once transformation is fully implemented. The major areas of focus in the Plan are briefly described below.

Sizing: The Corps will expand by 10 percent to total active duty force strength of 6,600. To meet the critical agency missions and the readiness and deployment requirements of the Corps, setting of agency position allocation goals may be necessary. It will be important that positions be available at junior-, mid- and senior-levels in order to accommodate the Corps’ growth and allow for career progression and mobility within and between agencies. Plans are now being put into place by HHS’ agencies to emphasize the hiring of Corps officers. When funds are appropriated for the Health and Medical Response (HAMR) teams, as many as 210 additional officers will be added to the force. Additional expansion is projected in immigration health programs and other PHS activities.
Recruitment: In addition to achieving a 10 percent increase in the total active duty force strength of the Corps, the overall recruitment system will be improved. Efforts will be geared toward recruiting officers both to the Corps at large and to specific positions. These activities must be timed for success by recruiting potential officers who are in the midst of their career-decision process. Accessions will be streamlined through the development of an electronic Call to Active Duty system. New materials that promote the Corps are being developed and distributed, and incentive packages will be developed and advertised to new recruits in order to make the Corps a more attractive career opportunity. Recruitment for HAMR team members has already begun and a new advertising campaign will start in 2007.
Functional Groups: In order to enhance readiness and deployment, recruitment and assignment, and career development of its officers, and to shape the Corps through the promotion process, the Corps will begin characterizing its officers not only by their profession, but by their clinical, applied public health, mental health and research roles as well, both for the functional roles they play within their agencies and while in deployment status. Likewise, position vacancies will highlight the functional group that is sought. By coupling the officers’ profiles (including their functional groups) with robust assignments and deployment systems, officers with the appropriate clinical, applied public health, research, and mental health background can be referred to selecting officials or deployed in response to a public health emergency.
Training and Career Development: Upon their call to active duty, officers will be required to attend a 2-week orientation course that will ensure that each meets the basic readiness requirements for deployment, informs them of the role of the PHS and its agencies, instills in them a sense of the responsibilities of officership and elaborates opportunities for career development. The current Basic Officer Training Course will be expanded to mirror similar 2-week officer orientation courses offered to personnel in the medical, basic science and medical service corps of the armed forces. Also included in long-term planning will be more senior officer development activities in a more structured program for intermediate, advanced and executive leadership officer development.
Position Classification: Each position encumbered by a Corps officer will be identified by a unique billet that describes the professional qualifications of the incumbent, the officer’s functional role, duties that are specific to the billet and the career pathway in which the billet fits. Position vacancies for which Corps officers may compete will include the same information. Detailed billet descriptions will also enable officers to take a proactive approach to managing their career progression and future assignments and facilitate officer assignments.
Assignments: Transformation, to be successful, must create and maintain systems whereby the Corps can readily support the critical missions of the Department. Effective force management requires that the system be able to maintain up-to-date officer profiles, accessed by their official personnel files. These profiles and databases will support the referral of officer candidates to selection officials as positions become available.
The Officer Profile system will provide a list of qualified officers based upon the criteria established by the agency to supervisors and selecting officials during their search. The Corps will develop the Officer Profile system, maintain it, refer candidates for vacant positions, develop appropriate benchmarks for career development, identify appropriate positions for rotation and assist as “detailers” according to the Department of Defense model.
Included among the important Department needs are positions that are historically difficult to fill, involve significant hardship for the incumbent and his/her family, are in remote/isolated locations and those that subject the officers to hazardous working conditions. The new recruitment, assignment, classification, training and career development systems will enable the Corps to identify specific needs, target recruitment accordingly, and assign officers rapidly for 2-4 year tours to address the needs, develop their functional skills as needed and rotate them through continued targeted recruitment of replacement officers.
Readiness: The Department is required to mount robust responses to public health emergencies. The revitalized Corps will consist of an organized, tiered response structure. The teams and the magnitude of the response will be tailored to the severity of the event and the specialties required. Much has already been written about this, and more details will be provided in future updates.
This article provides a brief glimpse of the details of transformation. It is important that each officer read the Commissioned Corps Transformation Implementation Plan which is posted on the CCMIS Web site. It is equally important that officers engage in the transformation process. CPOs, Commissioned Corps Liaisons, PACs, Junior Officer Advisory Group, Minority Officers Liaison Council, and the Corps’ leadership will be asking for officers to assist with transformation’s implementation. Each of you is urged to answer that call.
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