ALCOAST 118/09
COMDTNOTE 6120
SUBJ: PERIODIC HEALTH ASSESSMENT (PHA) FULL IMPLEMENTATION
A. COAST GUARD PERIODIC HEALTH ASSESSMENT, COMDTINST 6150.3(SERIES)
1. ALL MEMBERS WHO RECEIVE THEIR CARE AT A COAST GUARD CLINIC ARE
REQUIRED TO HAVE THEIR ANNUAL PHA. ALL CG CLINICS, INCLUDING
PREVIOUSLY DESIGNATED PILOT TEST SITES (D9 AND D17), ARE NOW
PERFORMING THE YEARLY REQUIRED PHA.
2. BEGINNING 1 MARCH 2009, THE PHA WILL BE REQUIRED FOR WHITE
SPACE PERSONNEL. WHITE SPACE PERSONNEL ARE DEFINED AS ALL COAST
GUARD ACTIVE DUTY (AD) AND SELECTED RESERVISTS (SELRES) NOT ON AD
ORDERS 31 DAYS OR MORE, WHO DO NOT RECEIVE PRIMARY CARE SERVICES AT
A COAST GUARD CLINIC. ALTHOUGH TITLED RESERVE HEALTH READINESS
PROGRAM (RHRP), THIS PROGRAM MEETS THE SERVICE NEEDS FOR WHITE
SPACE ACTIVE AND SELRES COMPONENTS.
3. WHITE SPACE AD AND SELRES MEMBERS MUST CALL 1-888-MYPHA99
(1-888-697-4299) TO MAKE A PHA APPOINTMENT USING THE RHRP CALL
CENTER DURING THEIR BIRTH MONTH PERIOD. A BIRTH MONTH PERIOD IS
DEFINED AS THE ACTUAL MONTH OF BIRTH AND THE PRECEDING TWO MONTHS.
DO NOT USE THE PREVIOUSLY PUBLISHED PHONE NUMBER IN REF A. WHEN A
MEMBER CALLS THEY ARE ENCOURAGED TO HAVE SEVERAL DATES AND TIMES
WHEN THEY WILL BE AVAILABLE FOR A PHA APPOINTMENT. A PHA KIT WILL
BE SENT BY RHRP TO THE MEMBER BEFORE THE PHA APPOINTMENT.
4. IF THE RHRP CALL CENTER CANNOT FIND A CLINICAL PROVIDER WITHIN
50 MILES OF THE MEMBERS HOME OR UNIT, THE MEMBER WILL BE INFORMED
THAT HE OR SHE WILL BE CONTACTED WHEN A PARTICIPATING CLINICAL
PROVIDER IS LOCATED.
5. ALTHOUGH THE PHA HAS REPLACED THE ROUTINE 5-YEAR PHYSICAL
EXAMINATION, IT IS NOT AN ANNUAL COMPREHENSIVE PHYSICAL
EXAMINATION. THE PHA IS A PREVENTIVE HEALTH SCREENING. PER REF A,
ALL MEMBERS MUST BRING THEIR COMPLETED FLEET HEALTH RISK ASSESSMENT
(HRA) AND, IF PRESCRIBED, TWO PAIRS OF GLASSES. WHITE SPACE MEMBERS
SHOULD ALSO BRING THEIR PHA KIT, BUT SHOULD NOT BRING THEIR HEALTH
RECORD. AT A MINIMUM, A MEMBER SHOULD EXPECT THE FOLLOWING:
  A. REVIEW OF THEIR FLEET HRA AND DISCUSSION OF THE MEMBERS
GENERAL HEALTH STATUS AND HEALTH RISK BEHAVIORS (E.G. SMOKING, LACK
OF EXERCISE, ETC.).
  B. BLOOD PRESSURE CHECK.
  C. VISION SCREENING.
  D. REVIEW OF ANY MEMBER DIVULGED HEALTH CONCERNS AND ASSESSMENT
OF EXISTING CONDITIONS.
  E. ADDITIONAL SERVICES MAY INCLUDE UPDATING A MEMBERS MEDICAL
READINESS (E.G. HIV TEST, IMMUNIZATIONS, ETC.), PERFORMING AGE AND
GENDER SPECIFIC CLINICAL PREVENTIVE SERVICES REQUIREMENTS (E.G.
CHOLESTEROL TEST, PAP SMEAR, ETC.). FOR WHITE SPACE PERSONNEL, HIV
TESTING WILL BE PERFORMED BY EXISTING LOCAL COAST GUARD PROCESSES.
  F. IF A MEMBER IS HEALTHY, AND HAS NO READINESS OR CLINICAL
PREVENTIVE SERVICE NEEDS, THEIR PHA VISIT MAY BE BRIEF.
  G. WHITE SPACE AD AND SELRES MEMBERS WHO RECEIVE THE PHA VIA THE
RHRP CONTRACTORS WILL BE REFERRED BACK TO THEIR PRIMARY CARE
MANAGER (PCM), EITHER DOD OR CIVILIAN, FOR ANY NECESSARY
FOLLOW-UP. ALL FOLLOW-UP DOCUMENTATION AND RESULTS SHALL BE
RETURNED TO THE MEMBERS HEALTH RECORD CUSTODIAN BY THE RHRP
CONTRACTOR.
6. ONCE A MEMBER MAKES A PHA APPOINTMENT VIA THE TOLL-FREE RHRP
CALL CENTER, THAT IS THE MEMBERS APPOINTED PLACE OF DUTY FOR THAT
TIME PERIOD AND THEY MUST SHOW UP FOR THAT APPOINTMENT. THE COAST
GUARD INCURS A SIGNIFICANT COST (UNDER THE CONTRACT) FOR NO SHOWS.
MEMBERS WHO ARE MARKED AS A NO-SHOW WILL BE NOTIFIED BY THE HEALTH,
SAFETY, AND WORK-LIFE SUPPORT ACTIVITY (HSWL SUPACT), AS WELL AS
THEIR CHAIN OF COMMAND. IF A MEMBER MUST CANCEL AN APPOINTMENT, THE
MEMBER MUST CALL 1-888-MYPHA99 (1-888-697-4299) NO LATER THAN 72
HOURS PRIOR TO THE APPOINTMENT.
7. MEMBERS USING THE RHRP CALL CENTER SHOULD NOT NEGOTIATE WITH
THE CONTRACTORS REGARDING THE PROVIDERS ASSIGNED TO THEM. THE RHRP
PROVIDER WILL MOST LIKELY NOT BE THE MEMBERS CIVILIAN OR MILITARY
PRIMARY CARE PROVIDER.
8. SELRES MEMBERS ARE AUTHORIZED AND SHOULD REQUEST ONE READINESS
MANAGEMENT PERIOD IN DIRECT ACCESS FOR THE DATE OF THE PHA - THIS
CONSTITUTES OFFICIAL ORDERS FOR THE PHA.
9. MEMBERS WHO HAVE COMPLETED THE PHA PROCESS CAN COMPLETE AN
ANONYMOUS PHA SATISFACTION SURVEY LOCATED AT
HTTP://WEBAPPS.MLCA.USCG.MIL/DYNAMICSURVEY. CLICK ON "TAKE A
SURVEY". ON THE NEXT PAGE, SELECT "PHA SATISFACTION SURVEY".
10. FOR QUESTIONS REGARDING RHRP/PHA POLICY CONTACT COMDT(CG-1121),
CDR ERICA SCHWARTZ AT ERICA.G.SCHWARTZ(AT)USCG.MIL OR
(202)475-5172.  FOR QUESTIONS REGARDING PHA IMPLEMENTATION CONTACT
MLC(K)LANT, LT TIM KULZER BY EMAIL AT TIMOTHY.J.KULZER(AT)USCG.MIL
OR (757)628-4362 OR MLC(K)PAC, LT AARON FULCHER AT
AARON.E.FULCHER(AT)USCG.MIL OR (510)637-1214. FOR RESERVE SPECIFIC
QUESTIONS CONTACT LT RICHARD LAVIGNE AT RICHARD.J.LAVIGNE2(AT)
USCG.MIL OR (202)475-5449.
11. RELEASED BY RADM MARK J. TEDESCO, DIRECTOR OF HEALTH, SAFETY
AND WORK-LIFE.
12. INTERNET RELEASE AUTHORIZED.