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Tables of Contents for Methods & Actions for Improving Performance of the Department of Defense Disability Evaluation System
Chapter/Section Title
Page #
Page Count
Preface
iii
Figures
ix
Tables
xi
Summary
xiii
Acknowledgments
xxv
Acronyms
xxvii
Introduction
1
4
Questions of Interest Regarding the Disability Evaluation System
2
1
Research Approach
3
1
Organization of This Report
4
1
Background on the Disability Evaluation System
5
8
Training as a Central Focus of This Study
5
2
Findings and Recommendations from Previous Studies of the Disability Evaluation System
7
6
Medical Disability Discharge Procedures (June 8, 1992)
7
1
Preliminary Functional Economic Analysis (November 1993)
8
1
Disability Payments to Military Personnel (December 1989)
9
1
Follow-up Audit of Disability Payments to Military Personnel (Decemberl994)
10
1
The Veterans' Claims Adjudication Commission Report to Congress Pursuant to Public Law 103-446 (December 1996)
11
2
Disability Evaluation System Overview
13
30
Purpose Statement and Desired Outcomes
13
2
External Customers
15
1
The Organizational Setting
15
4
The Elements of the Disability Evaluation System
16
1
Organizational Location
17
2
System Operating Framework Across Departments: Overview of the Disability Evaluation Phases
19
24
Medical Evaluation and Disposition by the Medical Evaluation Board
21
6
Physical Disability Evaluation and Disposition
27
12
Appellate Review and Disposition Beyond the Physical Evaluation Board
39
2
Final Disposition by the Appropriate Personnel Authorities
41
2
Issues and Interventions for Achieving Consistent Policy Application
43
26
Goal Fabric Analysis Overview
44
2
Applying Goal Fabric Analysis to Resolve Identified Issues
46
20
Assistant Secretary of Defense Decisions Intervention
48
2
Policy Guidance Intervention
50
2
Organizational Intervention
52
2
Personnel Policy Intervention
54
1
Personnel Management Intervention
55
1
Training Intervention
56
5
Information Source Development Intervention
61
2
Management Information System Deployment Intervention
63
1
Process Intervention
64
2
Incentives Intervention
66
1
A Paradigm Shift: From Ensuring Consistent Policy Application to Improving System Performance
66
3
Disability Evaluation System Training Analysis and Recommended Changes In Training to Improve System Performance
69
42
Methodology
70
1
Bodies of DES-Specific Knowledge
70
13
Current Disability Evaluation Training Within the Department of Defense
71
2
Target Population
73
4
Competencies Derived from Desired Outcomes
77
4
Training Content: DES Topics
81
2
Training Design
83
6
DES-Specific Knowledge Needed Immediately Upon Assignment
83
1
Frequency with Which Primary Participants Apply DES-Specific Bodies of Knowledge
84
1
Assignment Practices Causing High Turnover Rates Among Some Primary Participants
85
1
Widely Dispersed Primary Participant Populations
85
1
Military Department DES Web Sites
85
1
Advantages and Disadvantages of Self-Directed Computer-Based Distance Training and Classroom Training
86
3
Department of Defense Training Recommendations
89
22
Recommendations for Self-Directed Computer-Based Distance Training
90
14
Recommendations for Classroom Training
104
7
Monitoring System Performance
111
20
The Need for a Management Information System
112
2
Assessing the Performance of the Disability Evaluation System
114
4
Developing an Integrated Set of Performance Measures
118
4
Process Improvements Intervention
119
1
Enhanced Primary Participant Competency Intervention
119
1
A Framework for Integrating Outcome and Output Performance Measures
120
2
Implementing a Measurement System
122
9
General Observations
122
2
A Set of Metrics
124
7
Costs and Benefits of Training
131
12
General Assumptions
132
1
Costs
133
2
Cost of Self-Directed Computer-Based Distance Training
133
2
Cost of Classroom Training
135
1
Benefits
135
6
Quantifiable Benefits
136
4
Nonquantifiable Benefits
140
1
Training Results
141
2
Conclusions
143
76
Study Objectives, Approach, and Recommendations
143
4
Systems Perspective of the Disability Evaluation System
147
2
Other Applications of the Issues-Based and Purpose-Driven Analytic Approaches
149
1
Suggestions for Future Study
150
1
Appendix
A. Overview of the Office of the Under Secretary of Defense and Organizational Responsibility for the Disability Evaluation System
151
6
B. Military Department Interpretations of the Purpose of the Disability Evaluation System
157
4
C. Disability Evaluation System Issues
161
6
D. Example of Goal Fabric Analysis Development
167
6
E. Relating Actions to Objectives
173
14
F. Comparing the Issues-Driven and Purpose-Driven Analytic Approaches
187
4
G. Disability Evaluation System Training Topics for Primary Participant Populations Across Military Departments
191
12
H. Description of Metrics for Assessing Disability Evaluation System Performance
203
10
I. Cost-Benefit Analysis Data
213
6
Bibliography
219
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