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Defense Health Agency Publications

The DHA Charter (DoDD 5136.13) delegates the Director, Defense Health Agency (DHA) authority to establish and maintain, for functions assigned, a publication system for regulations, instructions, and reference documents. The Publications System Office (PSO) supports readiness as the DHA's centralized publications management office. PSO administers, indexes, and manages the DHA publication repository.

  • As publications are completed and cleared for public release, they will be made available in the digital library.
  • If you have questions about a publication, contact the Publication Officer at 1-703-275-6286.

DHA Publications Digital Library

Welcome to the digital collection of unclassified publications issued by the DHA Director. All publications located here are approved for public release.

File Date Description
DHA PM 6025-13: Implementation Guidance for Defense Health Agency Procedures Manual, “Clinical Quality Management in the Military Health System,” Volumes 1-7 9/1/2019 This Defense Health Agency-Procedures Manual (DHA-PM), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (ab), establishes the Defense Health Agency’s (DHA’s) procedures to assign responsibilities and establish procedures for managing Clinical Quality Management (CQM) in the Military Health System (MHS). This DHA-PM replaces, in full, the contents of the DoD Manual 6025.13 (Reference (e)), which is targeted for cancellation. This DHA-PM, replaces, in Volume 2, the full contents, unless otherwise stated, of the following memorandums, which are targeted for cancellation: Assistant Secretary of Defense for Health Affairs Memorandum, "Policy on Reporting Joint Commission on Accreditation of Healthcare Organizations-Reviewable Sentinel Events in the Military Health System," July 13, 2004 (Reference (h)); Assistant Secretary of Defense for Health Affairs Memorandum, "Amplifying Guidance Relating to the Reporting of Sentinel Events and Personally Identifiable Information Breaches to the Office of the Assistant Secretary of Defense (Health Affairs)," February 13, 2012 (Reference (i)) [as related to the reporting of sentinel events only]; and Assistant Secretary of Defense for Health Affairs Memorandum, "Medical Quality Assurance and Clinical Quality Management in the Military Health System Sentinel Event and Root Cause Analysis Process Improvements," March 12, 2015 (Reference (j)).
DHA PM 6025-13: Implementation Guidance for DHA Procedures Manual, “Clinical Quality Management in the Military Health System,” Volume 1 9/1/2019 This Defense Health Agency-Procedures Manual (DHA-PM), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (ab), establishes the Defense Health Agency’s (DHA’s) procedures to assign responsibilities and establish procedures for managing Clinical Quality Management (CQM) in the Military Health System (MHS). This DHA-PM replaces, in full, the contents of the DoD Manual 6025.13 (Reference (e)), which is targeted for cancellation. This DHA-PM, replaces, in Volume 2, the full contents, unless otherwise stated, of the following memorandums, which are targeted for cancellation: Assistant Secretary of Defense for Health Affairs Memorandum, "Policy on Reporting Joint Commission on Accreditation of Healthcare Organizations-Reviewable Sentinel Events in the Military Health System," July 13, 2004 (Reference (h)); Assistant Secretary of Defense for Health Affairs Memorandum, "Amplifying Guidance Relating to the Reporting of Sentinel Events and Personally Identifiable Information Breaches to the Office of the Assistant Secretary of Defense (Health Affairs)," February 13, 2012 (Reference (i)) [as related to the reporting of sentinel events only]; and Assistant Secretary of Defense for Health Affairs Memorandum, "Medical Quality Assurance and Clinical Quality Management in the Military Health System Sentinel Event and Root Cause Analysis Process Improvements," March 12, 2015 (Reference (j)).
DHA PM 6025-13: Implementation Guidance for DHA Procedures Manual, “Clinical Quality Management in the Military Health System,” Volume 2 9/1/2019 This Defense Health Agency-Procedures Manual (DHA-PM), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (ab), establishes the Defense Health Agency’s (DHA’s) procedures to assign responsibilities and establish procedures for managing Clinical Quality Management (CQM) in the Military Health System (MHS). This DHA-PM replaces, in full, the contents of the DoD Manual 6025.13 (Reference (e)), which is targeted for cancellation. This DHA-PM, replaces, in Volume 2, the full contents, unless otherwise stated, of the following memorandums, which are targeted for cancellation: Assistant Secretary of Defense for Health Affairs Memorandum, "Policy on Reporting Joint Commission on Accreditation of Healthcare Organizations-Reviewable Sentinel Events in the Military Health System," July 13, 2004 (Reference (h)); Assistant Secretary of Defense for Health Affairs Memorandum, "Amplifying Guidance Relating to the Reporting of Sentinel Events and Personally Identifiable Information Breaches to the Office of the Assistant Secretary of Defense (Health Affairs)," February 13, 2012 (Reference (i)) [as related to the reporting of sentinel events only]; and Assistant Secretary of Defense for Health Affairs Memorandum, "Medical Quality Assurance and Clinical Quality Management in the Military Health System Sentinel Event and Root Cause Analysis Process Improvements," March 12, 2015 (Reference (j)).
DHA PM 6025-13: Implementation Guidance for DHA Procedures Manual, “Clinical Quality Management in the Military Health System,” Volume 3 9/1/2019 This Defense Health Agency-Procedures Manual (DHA-PM), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (ab), establishes the Defense Health Agency’s (DHA’s) procedures to assign responsibilities and establish procedures for managing Clinical Quality Management (CQM) in the Military Health System (MHS). This DHA-PM replaces, in full, the contents of the DoD Manual 6025.13 (Reference (e)), which is targeted for cancellation. This DHA-PM, replaces, in Volume 2, the full contents, unless otherwise stated, of the following memorandums, which are targeted for cancellation: Assistant Secretary of Defense for Health Affairs Memorandum, "Policy on Reporting Joint Commission on Accreditation of Healthcare Organizations-Reviewable Sentinel Events in the Military Health System," July 13, 2004 (Reference (h)); Assistant Secretary of Defense for Health Affairs Memorandum, "Amplifying Guidance Relating to the Reporting of Sentinel Events and Personally Identifiable Information Breaches to the Office of the Assistant Secretary of Defense (Health Affairs)," February 13, 2012 (Reference (i)) [as related to the reporting of sentinel events only]; and Assistant Secretary of Defense for Health Affairs Memorandum, "Medical Quality Assurance and Clinical Quality Management in the Military Health System Sentinel Event and Root Cause Analysis Process Improvements," March 12, 2015 (Reference (j)).
DHA PM 6025-13: Implementation Guidance for DHA Procedures Manual, “Clinical Quality Management in the Military Health System,” Volume 4 9/1/2019 This Defense Health Agency-Procedures Manual (DHA-PM), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (ab), establishes the Defense Health Agency’s (DHA’s) procedures to assign responsibilities and establish procedures for managing Clinical Quality Management (CQM) in the Military Health System (MHS). This DHA-PM replaces, in full, the contents of the DoD Manual 6025.13 (Reference (e)), which is targeted for cancellation. This DHA-PM, replaces, in Volume 2, the full contents, unless otherwise stated, of the following memorandums, which are targeted for cancellation: Assistant Secretary of Defense for Health Affairs Memorandum, "Policy on Reporting Joint Commission on Accreditation of Healthcare Organizations-Reviewable Sentinel Events in the Military Health System," July 13, 2004 (Reference (h)); Assistant Secretary of Defense for Health Affairs Memorandum, "Amplifying Guidance Relating to the Reporting of Sentinel Events and Personally Identifiable Information Breaches to the Office of the Assistant Secretary of Defense (Health Affairs)," February 13, 2012 (Reference (i)) [as related to the reporting of sentinel events only]; and Assistant Secretary of Defense for Health Affairs Memorandum, "Medical Quality Assurance and Clinical Quality Management in the Military Health System Sentinel Event and Root Cause Analysis Process Improvements," March 12, 2015 (Reference (j)).
DHA PM 6025-13: Implementation Guidance for DHA Procedures Manual, “Clinical Quality Management in the Military Health System,” Volume 5 9/1/2019 This Defense Health Agency-Procedures Manual (DHA-PM), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (ab), establishes the Defense Health Agency’s (DHA’s) procedures to assign responsibilities and establish procedures for managing Clinical Quality Management (CQM) in the Military Health System (MHS). This DHA-PM replaces, in full, the contents of the DoD Manual 6025.13 (Reference (e)), which is targeted for cancellation. This DHA-PM, replaces, in Volume 2, the full contents, unless otherwise stated, of the following memorandums, which are targeted for cancellation: Assistant Secretary of Defense for Health Affairs Memorandum, "Policy on Reporting Joint Commission on Accreditation of Healthcare Organizations-Reviewable Sentinel Events in the Military Health System," July 13, 2004 (Reference (h)); Assistant Secretary of Defense for Health Affairs Memorandum, "Amplifying Guidance Relating to the Reporting of Sentinel Events and Personally Identifiable Information Breaches to the Office of the Assistant Secretary of Defense (Health Affairs)," February 13, 2012 (Reference (i)) [as related to the reporting of sentinel events only]; and Assistant Secretary of Defense for Health Affairs Memorandum, "Medical Quality Assurance and Clinical Quality Management in the Military Health System Sentinel Event and Root Cause Analysis Process Improvements," March 12, 2015 (Reference (j)).
DHA PM 6025-13: Implementation Guidance for DHA Procedures Manual, “Clinical Quality Management in the Military Health System,” Volume 6 9/1/2019 This Defense Health Agency-Procedures Manual (DHA-PM), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (ab), establishes the Defense Health Agency’s (DHA’s) procedures to assign responsibilities and establish procedures for managing Clinical Quality Management (CQM) in the Military Health System (MHS). This DHA-PM replaces, in full, the contents of the DoD Manual 6025.13 (Reference (e)), which is targeted for cancellation. This DHA-PM, replaces, in Volume 2, the full contents, unless otherwise stated, of the following memorandums, which are targeted for cancellation: Assistant Secretary of Defense for Health Affairs Memorandum, "Policy on Reporting Joint Commission on Accreditation of Healthcare Organizations-Reviewable Sentinel Events in the Military Health System," July 13, 2004 (Reference (h)); Assistant Secretary of Defense for Health Affairs Memorandum, "Amplifying Guidance Relating to the Reporting of Sentinel Events and Personally Identifiable Information Breaches to the Office of the Assistant Secretary of Defense (Health Affairs)," February 13, 2012 (Reference (i)) [as related to the reporting of sentinel events only]; and Assistant Secretary of Defense for Health Affairs Memorandum, "Medical Quality Assurance and Clinical Quality Management in the Military Health System Sentinel Event and Root Cause Analysis Process Improvements," March 12, 2015 (Reference (j)).
DHA PM 6025-13: Implementation Guidance for DHA Procedures Manual, “Clinical Quality Management in the Military Health System,” Volume 7 9/1/2019 This Defense Health Agency-Procedures Manual (DHA-PM), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (ab), establishes the Defense Health Agency’s (DHA’s) procedures to assign responsibilities and establish procedures for managing Clinical Quality Management (CQM) in the Military Health System (MHS). This DHA-PM replaces, in full, the contents of the DoD Manual 6025.13 (Reference (e)), which is targeted for cancellation. This DHA-PM, replaces, in Volume 2, the full contents, unless otherwise stated, of the following memorandums, which are targeted for cancellation: Assistant Secretary of Defense for Health Affairs Memorandum, "Policy on Reporting Joint Commission on Accreditation of Healthcare Organizations-Reviewable Sentinel Events in the Military Health System," July 13, 2004 (Reference (h)); Assistant Secretary of Defense for Health Affairs Memorandum, "Amplifying Guidance Relating to the Reporting of Sentinel Events and Personally Identifiable Information Breaches to the Office of the Assistant Secretary of Defense (Health Affairs)," February 13, 2012 (Reference (i)) [as related to the reporting of sentinel events only]; and Assistant Secretary of Defense for Health Affairs Memorandum, "Medical Quality Assurance and Clinical Quality Management in the Military Health System Sentinel Event and Root Cause Analysis Process Improvements," March 12, 2015 (Reference (j)).
DHA-PI 6490.01: inTransition Program, Change 1 7/12/2019 This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (g) and (i) through (k): a. Establishes the Defense Health Agency’s (DHA) procedures for implementing the DoD inTransition Program for Service members transferring or separating from the military who are receiving mental health care pursuant to Reference (g). b. Implements provisions of References (e) and (f). c. Incorporates and cancels Reference (h).
CY 2019 Outpatient Rates Letter 6/20/2019 CY 2019 Outpatient Rates Letter
DHA PI 3201.05: Technology Transfer (T2) Program 6/20/2019 This Defense Health Agency-Procedural Instruction (DHA-PI) based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (t), establishes responsibilities, procedures, and guidance for the Defense Health Agency’s (DHA) T2 program.
DHA IPM 19-005: BUILDER™ Sustainment Management System (SMS) 6/18/2019 This Defense Health Agency-Interim Procedures Memorandum (DHA-IPM), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (i): • Establishes the Defense Health Agency’s (DHA) procedures for managing data in the U.S. Army Corps of Engineers BUILDER™ SMS. • This DHA-IPM is effective immediately; it will be incorporated into a new publication. This DHA-IPM will expire effective 12 months from the date of issue.
DHA-MSR 6025.02: The Care and Use of Animals in DoD Research, Development, Test, and Evaluation (RDT&E) or Training Programs 6/18/2019 This Defense Health Agency-Multi-Service Regulation (DHA-MSR), based on the authority of References (a) through (af), issues Service regulations to implement Reference (q). As such, this DHA-MSR establishes the procedures to set forth policies, procedures, and responsibilities for the care and use of animals used in RDT&E or training that is conducted or supported within the continental United States and outside of the continental United States by DoD programs. This DHA-MSR covers any animal, as defined in the Glossary, being used or intended for use in RDT&E or training programs.
DHA PI 6025.17: Healthcare Resolutions, Disclosure, Clinical Conflict Management and Healthcare Provider (HCP) Resiliency and Support in the Military Health System (MHS) 6/18/2019 This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) through (c), and in accordance with the guidance (d) through (m), establishes Defense Health Agency’s (DHA) procedures to: a. Promulgate guidance, assign responsibilities, and prescribe procedures for the MHS Healthcare Resolutions Program as a major part of the MHS commitment to transparency. b. Establish MHS procedures and implement DoD and DHA policies on issues related to management and disclosure of adverse, unexpected or unanticipated events, clinical conflict, and HCP resiliency and support. c. Outline roles and responsibilities in the areas of disclosure of adverse and unexpected events, clinical conflict management, a patient’s right to be heard, and HCP resiliency and support in the MHS.
Methodology Determination of 2020 Premium Rates for TRICARE Reserve Select 6/13/2019 This document describes how the calendar year 2020 TRICARE Reserve Select (TRS) premium rates were calculated
Memorandum to Establish 2020 Premium Rates for TRICARE Reserve Select, TRICARE Retired Reserve, TRICARE Young Adult, and the Continued Health Care Benefit Program 6/6/2019 Calendar Year 2020 premium rates are established for TRICARE Reserve Select, TRICARE Retired Reserve, TRI CARE Young Adult, and Fiscal Year 2020 premium rates for the Continued Health Care Benefit Program.
DHA PI 6025.18: Animal Access to Facilities 5/21/2019 This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (p), establishes the Defense Health Agency’s (DHA) procedures to provide guidance for Animal Access to the DHA Facilities, to include warrior transition and rehabilitation facilities, encompassing service animals, Military Working Animals, and animals used in Animal-Assisted Therapies (AATs) and Animal-Assisted Activities (AAAs).
DHA IPM 19-004: Utilization of the Case Management (CM) Registry (Active and Screening) for Military Health System (MHS) Beneficiaries 5/16/2019 This Defense Health Agency-Interim Procedures Memorandum (DHA-IPM), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (q), establishes the Defense Health Agency’s (DHA) procedures to: • Outline responsibilities for MHS and Service Department CM personnel to utilize the CM Screening Registry. • Identify requirements to utilize CM coding in alignment with current MHS CM coding guidance in accordance with Reference (h). • Require the use of standardized Adult and Pediatric Tri-Service Workflow (TSWF) forms for CM documentation (inclusive of telephonic, virtual, or face to face screening) located within AHLTA system and future Electronic Health Record MHS GENESIS in accordance with Reference (i). • This DHA-IPM is effective immediately and will expire effective 12 months from the date of issue. It must be incorporated into an enduring DHA-Procedural Instruction to support sustained Military Medical Treatment Facility (MTF) implementation.
DHA PI 1100.01: Guidance for Manpower Program 5/16/2019 This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authorities of References (a) and (b), and in accordance with the guidance of References (c) through (m), establishes Defense Health Agency’s (DHA) procedures to: a. Understand and monitor baseline manpower requirements using the quarterly-published DHA Joint Table of Distribution (JTD). b. Request adjustments to their manpower requirements by utilizing the process of submitting Manpower Change Requests (MCRs) or Organizational Change Requests (OCRs). c. Identify the coordination, roles, and responsibility of organizations within the DHA, including the Markets, Medical Treatment Facilities (MTFs), and other activities with respect to manpower functions. The DHA prescribes: (1) Strategic priorities of the DHA and References referred to in Enclosure 1; (2) How manpower is managed within the DHA; and (3) Guidance to DHA, associated Markets, and MTF personnel.
DHA PI 6200.02: Comprehensive Contraceptive Counseling and Access to the Full Range of Methods of Contraception 5/13/2019 This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) and (b), in accordance with the requirements of References (c) through (i), and the guidance of References (j) through (v), establishes the Defense Health Agency’s (DHA) procedures for comprehensive standards on healthcare with respect to access to comprehensive contraceptive counseling and the full range of contraceptive methods for members of the Armed Forces and all eligible beneficiaries of the Military Health System (MHS).
DHA PI 8160.01: Defense Health Program (DHP) System Inventory Management and Reporting 5/13/2019 This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (m), establishes the Defense Health Agency’s (DHA) overarching guidance to implement the policies and procedures for the DHP-funded systems inventory management, registration, and reporting using the Defense Information Technology Portfolio Repository (DITPR).
DHA PI 6025.16: Processes and Procedures for Implementation of Standardized Perinatal Training 4/30/2019 This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (p), establishes the Defense Health Agency’s (DHA) procedures to describe standard processes and criteria for developing and sustaining comprehensive systems to provide, assess, and monitor standardized perinatal training for military medical personnel providing services to mothers and infants.
DHA PI 6025.15: Management of Problematic Substance Use by DoD Personnel 4/16/2019 This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (aa), establishes the Defense Health Agency’s (DHA) procedures to assign responsibilities for problematic alcohol and drug use identification, diagnosis, and treatment for DoD military personnel.
Guidance for Medical Care in Military Treatment Facilities for Service Members Diagnosed with Gender Dysphoria 3/12/2019 Guidance for Medical Care in Military Treatment Facilities for Service Members Diagnosed with Gender Dysphoria
(DTM)-19-004 -Military Service by Transgender Persons and Persons with Gender Dysphoria 3/12/2019 Implements the policy in the February 22, 2018 Secretary of Defense Memorandum and the February 2018 DoD Report and Recommendations on Military Service by Transgender Persons, assigns responsibilities, and prescribes procedures regarding the standards for accession, retention, separation, in-service transition, and medical care for Service members and applicants with gender dysphoria, as applicable.
DHA IPM 19-003: Reserve Health Readiness Program 3/8/2019 This Defense Health Agency-Interim Procedures Memorandum (DHA-IPM), based on the authority of References (a) through (c), and in accordance with the guidance of References (d) through (i): • Provides utilization guidance and funding requirements for the RHRP contract to supplement Reserve Component Individual Medical Readiness (IMR) and Deployment Health activities when Service organic health readiness resources are not available to meet mission requirements. • Provides utilization guidance and funding requirements for the RHRP contract for Active Duty enrolled in TRICARE Prime Remote, U.S. Coast Guard (USCG), USCG Reserves, and re-deploying DoD civilians (e.g., U.S. Army Corps of Engineers and U.S. Army Intelligence and Security Command). • Communicate procedure guidance to all DoD organizations utilizing RHRP services. • Will expire effective 12 months from the date of issue and be converted to a DHA-Procedural Instruction.
Military Service by Transgender Persons and Persons with Gender Dysphoria 3/1/2019 This Fact Sheet for Service Members discusses the Department of Defense policy with respect to Military Service by Transgender Persons and Persons with Gender Dysphoria, and answers frequently asked questions about the policy
Designation of a DHA HIPAA Privacy Officer and HIPAA Security Officer 1/23/2019 This Policy Statement establishes policy and details the core tenets of the HIPAA Privacy and Security Rules at DHA for the use, disclosure, and protection of protected health information (PHI).
DHA PI 8140.01: Acceptable Use of Defense Health Agency Information Technology (IT) (Updated) 10/16/2018 This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (m), establishes the Defense Health Agency’s (DHA) procedures for acceptable use of DHA IT by authorized and privileged users.
DHA PI 5025.01: DHA Publication System 8/24/2018 DHA Procedural Instruction 5025.01 establishes the DHA Publication System and provides guidance, assigns responsibilities, and sets procedures for the development, coordination, approval, publication, and review of Defense Health Agency (DHA) publications.
DHA PI 6025.08: Pharmacy Enterprise Activity EA 8/14/2018 This Defense Health Agency-Procedural Instruction (DHA-PI): a. Based on the authority of References (a) through (c), and in accordance with the guidance of References (d) through (g), establishes the Defense Health Agency’s (DHA) procedures to: (1) Exercise management responsibilities for Pharmacy Shared Service/EA functions in the Military Health System (MHS). This DHA-PI is binding on the MHS and supports the Director’s, DHA, responsibility to develop appropriate management models to maximize efficiencies in the activities carried out by DHA. (2) Recognize the Pharmacy Work Group (PWG) as the operational body to implement pharmacy strategies and programs per the Director’s, DHA, guidance. Also, develop strategic initiatives and business process models to optimize pharmacy operations and programs in accordance with Reference (e). (3) Promulgate guidance, define roles, assign responsibilities, and prescribe procedures for the development, coordination, execution, and implementation of standardized Pharmacy Operations and EA procedures within the MHS and Military Departments (MILDEPs). (4) Execute Pharmacy EA assigned responsibilities and functions, and in accordance with Reference (b), when needed, rely on advice and assistance of governance councils established by the Under Secretary of Defense for Personnel and Readiness and the Assistant Secretary of Defense for Health Affairs (ASD(HA)), including senior representatives of the MILDEPs. (5) Provide DHA combat support agency pharmacy functions, in accordance with Reference (b), specifically involving support for operating forces engaged in planning for, or conducting, military operations, including support during conflict or in the conduct of other military activities related to countering threats to U.S. National Security. The Pharmacy EA innovatively manages and standardizes DoD pharmacy operations in a fiscally responsible manner to optimize readiness, improve health, and lower costs through better care. (6) Support baseline knowledge, skills, and abilities for each wartime pharmacy specialty, addressing gaps between peacetime and deployed operational requirements, in collaboration with the MILDEPs, and military Medical Treatment Facility (MTF) pharmacies. (7) Support programs for skills and knowledge assessments and provide for training/retraining opportunities, as needed, for each wartime pharmacy specialty for military MTF pharmacies. (8) Empower enterprise-level pharmacy clinical communities to define, prioritize, and implement “best-in-class” High Reliability Organization practices to enable readiness through decreasing variation, improving outcomes, and positively impacting healthcare in the MHS. (9) Support the scaling and reconfiguring of pharmacy capabilities required to support the forward operating environment; e.g., hospital ship, combat support hospitals, Expeditionary Medical Support. The Services’ Surgeons General will have deployed medical mission command over health services support of pharmacy resources and capabilities at various levels of command and at diverse locations. b. Transforms varied Tri-Service Pharmacy Operations approaches into a single, integrated DHA Pharmacy Program that standardizes pharmacy shared services and optimizes business processes as directed by the National Defense Authorization Act for Fiscal Year 2017, Section 702 (Reference (c)). c. Drives standardization of institutional and operational commands, sustains and improves medical readiness, creates value within the MHS, and achieves interoperability across platforms to deliver better health care to the warfighter, MHS beneficiaries, and build a medically ready force.
DHA PI 6025.07: Naloxone in the MTFs 6/19/2018 This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) through (c), and in accordance with the guidance of References (d) through (h), establishes the Defense Health Agency’s (DHA) procedures for prescribing and dispensing naloxone by pharmacists in MTFs to eligible beneficiaries, upon beneficiary request, or when the pharmacist determines the beneficiary meets the established criteria for being at risk for a life-threatening opiate overdose.
DHA PI 6025.04: Pain Management and Opioid Safety in the MHS 6/8/2018 The purpose of our MHS Pain Management Campaign is to enable Clinical Communities to provide evidence-based pain management guided by clinical practice guidelines (CPGs): effectively treat acute and chronic pain; promote non-pharmacologic treatment; prevent acute pain from becoming chronic; and minimize use of opioids with appropriate prescribing only when indicated. The Pain Management Clinical Support Service achieves these ends through clinical improvements in pain care, clinician and patient education, and research. This Defense Health Agency-Procedural Instruction (DHA-PI) is a dual effort between the Pain Management Clinical Support Service and the Clinical Communities to achieve our stated purpose through implementation of the MHS Stepped Care Model.
DHA PI 6025.25: Military Health System (MHS) Drug Take Back (DTB) Program 2/20/2018 This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (g): - Describes procedures for MHS organizations to offer beneficiaries the option of returning their controlled and non-controlled prescriptions and over-the-counter medications for disposal through a DTB program. The DTB program will provide an environmentally safe method for beneficiaries to properly and safely remove unused and expired medications from circulation, including medications that can be used for suicide or suicide attempts and have the potential for misuse, diversion, or accidental poisoning. - Details the tasks and procedures necessary to ensure successful implementation of the MHS DTB program within military Medical Treatment Facilities (MTFs).
DHA TM 4165.01, Volume 2: Defense Medical Logistics Standard Support – Facilities Management (DMLSS-FM): Requirements Module 2/20/2018 This Defense Health Agency-Technical Manual (DHA-TM), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (h), establishes the Defense Health Agency’s (DHA) procedures for managing data in the Military Health System’s (MHS) Computer Aided Facility Management/Computerized Maintenance Management System (CAFM/CMMS) of record, DMLSS-FM.
DHA-PM 6015.01: Military Medical Treatment Facility (MTF) Uniform Business Office (UBO) Operations 10/24/2017 This Defense Health Agency-Procedures Manual (DHA-PM), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (ah), establishes the Defense Health Agency’s (DHA) procedures to: Provide guidelines for the operation of MTF UBOs. It prescribes uniform billing procedures and accounting practices for the management and follow-up of patient accounts, including collecting, depositing, posting, and reconciliation. Prescribe procedures for the Third Party Collections (TPCs), Medical Services Account (MSA), and Medical Affirmative Claims (MAC) programs, such as identification of beneficiaries who have other health insurance (OHI), coordination of benefits, and recovery of claims.
DHA-PI 6040.02: Sharing of Beneficiary Health Care Data through the Virtual Lifetime Electronic Record (VLER) Health Information Exchange (HIE) Initiative 8/14/2017 This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (e) and (g): establishes the Defense Health Agency’s (DHA) procedures to implement DoD policy, assigns responsibilities, and provides instructions for extending the VLER HIE Initiative capability to non-active duty beneficiaries of the Military Health System (MHS); establishes the options available to beneficiaries and others who receive care who do not want to share their information through the VLER HIE Initiative with eHealth Exchange or similar partners who are outside the MHS; does not apply to Active Duty Service members, nor to Reserve Component Service members eligible to receive care in MHS facilities. In accordance with Reference (e), the information of beneficiaries in these categories will be included in MHS HIE participation, and they may not opt out; and incorporates, updates, and cancels Reference (f).
DHA-TM 4165.01, Volume 1: Defense Medical Logistics Standard Support-Facilities Management (DMLSS-FM) Volume 1: Facilities Inventory Module 7/10/2017 This Defense Health Agency-Technical Manual (DHA-TM), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (w), establishes the Defense Health Agency’s (DHA) procedures for managing data in the Military Health System’s (MHS) Computer Aided Facility Management/Computerized Maintenance Management System (CAFM/CMMS) of record, DMLSS-FM.
DHA-PI 4165.01: Real Property Asset (RPA) Management 6/22/2017 This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (u), establishes the Defense Health Agency’s (DHA) procedures for managing the Military Health System’s (MHS) Real Property Inventory (RPI).
DHA-PI 6025.02: Nondiscrimination in Military Health System (MHS) Health Programs and Activities 6/9/2017 This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (k), establishes procedures to implement statutory nondiscrimination requirements applicable to federally-assisted and federally-conducted health programs and activities under Reference (d) in the MHS.
DHA-PI 6200.06: Periodic Health Assessment (PHA) Program 5/9/2017 This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (w), establishes the Defense Health Agency’s (DHA) procedures for annual PHAs in Active Duty and Reserve Components of the DoD.
DHA-PI 6200.01: Comprehensive Infection Prevention and Control (IPC) Program 4/24/2017 This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (j), assigns responsibilities and establishes procedures for implementing a comprehensive infection prevention plan across the Military Health System (MHS).
DHA-PI 1025.01: Health Education and Training Electronic Learning (eLearning) Product Development and Sustainment 2/16/2017 This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (j), establishes the Defense Health Agency’s (DHA) processes and procedures for development and sustainment of health education and training eLearning products for the Military Health System (MHS).
DHA-PI 6040.01: Implementation Guidance for the Utilization of DD Form 1380, Tactical Combat Casualty Care (TCCC) Card 1/20/2017 This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (i), provides procedures on the use of the DD Form 1380, TCCC card, June 2014, as revised from DD Form 1380, U.S. Field Medical Card, December 1991, for standardized and consistent documentation of prehospital care by the Military Departments. Use of the DD Form 1380, TCCC card, in the prehospital environment, by both medical and non-medical first responders for battle and non-battle injuries is the preferred method of documentation in accordance with Reference (d) and an approved form to document care in accordance with Reference (e).
DHA PI Number 6025.01: Implementing the American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) across the Military Health System (MHS) 12/8/2016 This Defense Health Agency-Procedural Instruction (DHA-PI) assigns responsibilities and establishes uniform guidelines, standards, and procedures for all DoD Medical Treatment Facilities (MTFs) providing healthcare services in the direct care system to implement the surgical quality and reporting guidelines developed by ACS NSQIP, as well as DoD procedural requirements.
DHA-PI 6025.05: Personal Services Contracts (PSCs) for Health Care Providers (HCPs) 10/11/2016 This Defense Health Agency Procedural Instruction (DHA-PI), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (h), establishes the Defense Health Agency’s (DHA’s) procedures for implementing the authority for PSCs for HCPs.
DHA TM 7220.01: CCAS Object Class Code Crosswalk 4/29/2016 The object class code is a data element that captures what products and services are being procured. This document is intended to be accompany the DHA Technical Manual number 7220.01 - DHP CCAS Guidance.
DHA TM 7220.01: DHP Common Cost Accounting Structure (CCAS) Guidance 4/29/2016 The Technical Manual establishes common structure and accounting practices for the budgetary and cost accounting field and will complement the programming and budgeting guidance that is currently prepared to assist the Service Medical Activities in the preparation and submission of their program objective memorandum.

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