STATUS OF OMS ACTIONS ON IG SURVEY REPORT

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP78-06180A000100070019-0
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 6
• Document Creation Date: December 12, 2016
• Document Release Date: May 20, 2002
• Sequence Number: 19
• Publication Date: March 10, 1969
• Content Type: MFR

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10 March 1969
MEMORAl-TDUM FOR THE RECORD
SUBJECT : Status of OMS Actions on IG Survey Report
REFERENCE: Inspector General's Survey of the Office of Medical
Services, July 1968
D/MS, DD/MS and ExO/0W met 3 March 1969 to review the status of CMS
actions on the recommendations contained in the IG Survey Report of July
1968. Following is a summary of the status of these actions.
Recommendation No. l
It is recommmended that the Deputy Director for Support:
a. Instruct the Director of Medical Services to formally
designate a flight surgeon and to delineate his responsibilities.
b. Prepare a Headquarters Notice announcing that an Agency
flight surgeon has been designated within OHS and describing
the functions of his position,
a. A position for a flight surgeon has been added to the
CN1S staffing complement, a flight surgeon has been designated,
and PMCD/OP has been provided an outline of his responsibilities
so that a position description may be prepared.
b. D/N1S suggested that prior to preparation of a Headquarters
Notice, the appropriate physical location for the flight surgeon
within the CMS be determined. This should be determined so that
any extra time the flight surgeon may have will be appropriately
utilized. If he were to be located, for example, in the Clinical
Division his availability to the CD might have some relationship
to CD's professional and/or administrative manpower plans and needs.
DD/V1S will discuss this with AC/CD.
Recommendation No. 2
It is recommended that the Deputy Director for Support, in coordination
with the Deputy Director for Science and Technology, develop a procedure
which will enable the Director of Medical Services to participate in the
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Action:
The procedure suggested is, based on report from believed
to be in effect. DDJ1? will, however, look into this in connection with
Recommendation 1.
Recommendation No-
It is recommended that the Deputy Director for Support instruct the
Director of Medical Services:
a. To develop procedures to determine and to notify Type A
contract doctors the plans for their continued employment by the
Agency one year before the expiration of their contract.
b. To establish, in consultation with the Director of Training,
a program of orientation training for all doctors entering on full-
time duty with the Agency as well as appropriate orientation for
those doctors returning from an overseas assignment for duty in
headquarters.
c. To seek the assistance of the Director of Personnel in
reviewing all existing contracts with professional medical per-
sonnel and in establishing, insofar as possible, uniform contracting
procedures.
a. Procedures for notifying Type A contract Medical Officers
of the plans for their continued employment one year before expira-
tion of contract have been developed by AC/SD who is responsible
for this procedure.
b. AC/CD has consulted with DDTR on the orientation training
of Medical officers on EOD and upon return from overseas assignment.
DDTR believes that appropriate OTR courses are sufficiently frequent
to provide ample opportunity for this orientation training without
the need for special or tutorial training. OTR will, however, con-
sider the latter type of training when the need warrants it.
a. AC/SD has contacted CPD/OP and received their assistance
in reviewing all existing contracts with professional medical per-
sonnel. Insofar as possible, uniform contracting procedures are in
effect.
Recommendation No. 4
It is recommended that the Director of Medical Services have Panel C
review the current assignments of medical technicians and medical service
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officers, arrange for those who have been in the same positions for long
periods to be consulted as to their career desires, and insofar as Possi-
ble accommodate those who wish other assignments.
This has been done and provision has been made for it on a continuing
basis.
Recommendation No. 5
It is recommended that the Deputy Director for Support direct the
Director of Medical Services:
a. To request the Director of Personnel to furnish a personnel
specialist to fill the position of Personnel Officer*
b. To request the Director of Finance to furnish a finance
specialist to fill the position responsible for the financial
administration of the Office of Medical Services.
a* or, to investigate the possibility of obtaining the services
of a support officer, who has experience and training in both the
personnel and finance fields, and of combining the responsibilities
in one position.
By agreement with the DD/S -- and after discussion with OP and OF who
are not interested in providing incumbents from their career services -- no
action is required until one of these positions becomes vacant when the
matter is to be discussed again with DD/S.
Recommendation No. 6
It is recommended that the Director of Medical Services:
a. Establish a Selection Processing Division to consist of the
existing Selection Support Branch and the Selection Processing Center,
each of which to be designated as separate branches (Psychiatric
Screening Branch and Clinical Activities Branch, respectively) within
the division*
be Designate the chief of this division to be responsible for
all OMS applicant screening.
c. Eliminate from the normal review of applicant disqualifications
the Chief of the Psychiatric Staff, the Chief of the Clinical Division,
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and the Special Assistant for Clinical Activities.
Actions completed. Consideration will now be given to formalizing
the SPD (established by internal CMS directives) with OP.
Recommendation No. 7
It is recommended that the Director of Medical Services:
a. Establish a Medical Services Division to consist of the existing
Psychiatric Staff and Clinical Division, each of which is to be desig-
nated as a separate branch within the division.
b. Eliminate the position of Special Assistant for Clinical
Activities.
a. Executive Director-Comptroller has sustained the 0MS non-
concurrence in this recommendation.
b. Continuation of the Si/CA as an Administrative officer --
Special Assistant to D/MS has also been agreed to.
Recommendation No. 8
It is recommended that the Director of Medical Services establish more
effective procedures for providing timely medical guidance on employees to
Agency officials for management purposes, it being understood that in certain
cases this will of necessity be less than definitive.
As a result of an OMS panel chaired by C/SPD, Registrar is developing
an "Interim Disposition Form" for informing Agency officials of any fore-
seeable delay in a disposition.
Recommendation No. 9
It is recommended that the Director of Medical Services:
a. Provide chiefs of operating components names of individuals
who have not been examined for two years.
b. Develop procedures to follow up and maintain contact with
each employee until the degree of action taken by the employee has
satisfied the firm medical recc endations made by the doctor during
the Executive Annual Examination.
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a. OILS counter-proposal has been accepted: OMS will monitor
this.
b. Action completed and new follow-up procedures designed by
AC/CD are in effect.
Recommendation No. 10
It is recommended that the Director of Medical Services and the Director
of Personnel take steps to reduce substantially the amount of time required
for processing applications for medical disability retirement.
Action:
Action completed. Time required for medical disability cases has been
reduced appreciably. A-SA/CA will monitor.
Recommendation No. 11
it is recommended that the Deputy Director fir Support develop effective
procedures for keeping the office of Personnel informed concerning employees
who have been injured, who are ill, or who have died, as well as employees
and dependents who are medically evacuated from overseas.
Action completed. A-SA/CA has not with OP and OS officials and agree-
ment has been reached on notification procedures.
Recommendation No. 12
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It is recommended that the Deputy Director for Support amend HR
to require that employees must have had a medical examination by an Agency
doctor within the past three years before receiving approval for continuous
overseas service.
has not vet been amended as recommended because this regulation
is under consideration (A-SA/CA) for a major revision. Procedure recommended
by the IG report is, however, in effect and is monitored by Registrar with
whom the procedure was recently reviewed.
Recommendation No. 13
it is recommended that the Deputy Director for Support amend HR
to place the responsibility for determining which geographic areas require
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dependent physical examinations on the Director of Medical Services.
CAS non-concurrence sustained. C/FSS is updating this system.
Recommendation No. 14
Action on this recammendation (and Recommendation 15a) as suggested by
the Executive Director-Comptroller has been completed.
Recommendation No. 15
It is recommended that the Deputy Director for Support:
b. Instruct the Director of Medical Services to change the
title of the Assessment and Evaluation Staff to the Psychological
Services Division.
a. Action completed as part of action on Reconnendation 14.
b. No action yet. Other titles have been suggested. C/AES
recommends "Psychological Services Staff" for reasons which he Will
Executive officer
Office of Medical Services
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