Kulis ANG, Alaska, conducted a rapid improvement event to develop a better flow for their individual medical readiness. We hope you enjoy this outbrief from that event.

1. 176 WG, Kulis ANGB Out-Brief – Individual Medical Readiness Rapid Improvement Event (3-7 August 2009 ) Facilitators: Capt R. R. (Ray) Teeter (168 ARW/FM) TSgt W. T. (Billy) Wilkerson (125 FW/SFS) Date: 3 – 7 Aug 2009 Level II Mentor: Ms. Linda Berry, Ctr

8. Goals and Expected Outcomes Created by NGB/CFX Consistent WG IMR compliance at or above 80% Members to complete medical requirements and show for appointments Create one report that will satisfy each unit Green: Met the Goal Yellow: In process of meeting goal Red: Did not meet goal

12. CURRENT STATE Calendar Days Flow Touch Total 217 26

13. Current State Created by NGB/CFX

15. FUTURE STATE Calendar Days Flow Touch Total 157 25

16. Future State Created by NGB/CFX

19. Current State Vs Future State Created by NGB/CFX Calendar Days Current State Future State Difference % Flow Time 217 157 -60 -28% Touch Time 26 25 -1 -4%

20. Metrics Created by NGB/CFX ≤ 20% % of Non-Compliance After Action Report (No Show Listing) Measure Metric Success IMR Compliance % of Compliance ≥ 80%

21. Action Plan IT Support 20NOV09 MSgt Hassell Project Create Database for UHM’s - ACCESS 9OCT09 MSgt Brunner Project Develop UHM Training 20SEP09 Maj Olivera Do It Monthly IMR Task Force Meeting Description Type Do it, Project, Event OPR ECD Comments Individual routing form Do It TSgt Laughlin-Hall 20SEP09 Create Database for UHM’s - EXCEL Project MSgt Hassell 20SEP09 Developed standard UHM training with OI Project MSgt Garrett 10OCT09 Train UHMs Project MSgt Brunner 10OCT09

22. Lessons Learned Created by NGB/CFX

24. Created by NGB/CFX Questions?