| 6/14/2016 | Memorandum: #Ser ED/ AT0333985, Good Catch Recognition Award Process | This memorandum describes the annual Navy Medicine "Surgeon General Good Catch Annual Recognition Award". A "Good Catch" signifies a near miss, unsafe condition, or error(s) (environmental, IT, process, system design) that was identified early to prevent and/or minimize preventable harm to patients. |
| 5/19/2016 | Memorandum: Trusted Care – Patient Centeredness Vision | This memorandum from the Air Force Surgeon General describes the "Patient Centeredness Vision" which encompasses the six aims of health care: safe, effective, patient centered, timely, efficient, and equitable. |
| 4/20/2016 | Memorandum: Patient Centered Practice Hours | This memorandum encourages Air Force military treatment facilities to establish more patient-centered clinic hours. |
| 1/11/2016 | Memorandum: Prevention of Retained Surgical Items Standard Operation Procedure | The purpose of this memorandum is to provide guidance to perioperative personnel for prevention of unintended retained surgical items during operative or other invasive procedures. |
| 10/1/2015 | Guideline: Trusted Care Concept of Operations | This Trusted Care concept of operations (CONOPS) describes the transformation of the Air Force Medical Service into a high reliability healthcare system. High reliability organizations (HROs), as originally described in the nuclear power and aviation industries, consistently achieve better-than-expected outcomes despite operating in complex or high-risk environments. |
| 8/26/2015 | Memorandum: National Surgical Quality Improvement Program | This memorandum describes the American College of Surgeons (ACS) National Surgical Quality Improvements Program (NSQIP) - a risk adjusted, outcomes-based program which measures and assists in improving the quality of surgical care. |
| 6/29/2015 | DHA-PI: MEDCOM Regulation Number 40-54: Medical Services | This regulation provides a standard process and procedure for surgical and procedural site verification of patients undergoing operative or other invasive procedures. This regulation supersedes MEDCOM Regulation 40-54, 23 Feb 2009. |
| 6/5/2015 | Memorandum: First Call Resolution and Do Not Call Back Policy | This policy requires first call resolution for all patients requesting appointments at all Air Force medical treatment facilities. Under this policy, beneficiaries will not be asked to call back for an appointment. |
| 4/27/2015 | Memorandum: First Call Resolution and Expeditious Reply to Patient Policy | This policy requires first call resolution for all patients requesting appointments at all National Capital Region Medical Directorate medical treatment facilities. Under this policy, beneficiaries will not be asked to call back for an appointment. |
| 3/27/2015 | Instruction: Credentialing and Privileging Program | This instruction updates and reissue policy and procedures for the Credentialing and Privileging Program for the Department of the Navy (DON) as part of the DON Clinical Quality Management Program (CQMP). |
| 3/17/2015 | Instruction: Air Force Instruction 44-102: Medical Care Management | This instruction implements Air Force Policy Directive (AFPD) 44-1, Medical Operations, and provides guidance for the organization and delivery of medical care. It implements various publications of Department of Defense (DoD), recognized professional organizations, the Joint Commission (TJC), the Accreditation Association for Ambulatory Health Care (AAAHC) and appropriate health and safety agencies |
| 2/12/2015 | Memorandum: Non-Availability of Patient Appointments at Medical Treatment Facilities | This policy is to be implemented immediately to ensure patients are not told to call back the next day for an appointment. |
| 1/21/2015 | Guideline: MEDCOM Regulation 40-49: Medical Services Surgical Counts | This regulation provides guidelines for accountability of items used during operative and other invasive procedures (inclusive of minimally invasive procedures) to ensure they are not retained in a patient. This regulation addresses which items will, at a minimum, be counted, as well as when, how, and by whom the surgical count will be performed. |
| 10/30/2014 | Instruction: Air Force Instruction 44-176: Access to Care Continuum | This publication implements AFPD 44-1, Medical Operations. It provides guidance and procedures for Access to Care (ATC) operations within the Air Force Medical Service (AFMS). It establishes the roles, responsibilities, definitions and requirements for implementing, sustaining and managing ATC for AFMS Medical Treatment Facilities (MTFs). |
| 10/17/2014 | Memorandum: Army OTSG/MEDCOM Policy Memo 14-083: Prevention of Ventilator-Associated Pneumonia (VAP) | This policy memorandum directs Commanders to incorporate health care delivered to patients placed on ventilators at the patient's bedside whose measures that have been shown to prevent or reduce VAP as described in the current scientific literature. |
| 10/23/2014 | Memorandum: Army OTSG/MEDCOM Policy Memo 14-085: Prevention of Catheter Associated Urinary Tract Infections (CAUTI) | This policy memo provides standardized definitions, standardized guidelines for insertion and maintenance of urinary catheters, and standardized processes for data collection and reporting of CAUTIs. |
| 6/16/2014 | Directive: Army MEDCOM Regulation 40-57: Trial of Labor for Patients Attempting Vaginal Birth After Previous Cesarean Delivery | This regulation provides standardized guidance to promote maximum effectiveness and safety to the maternal-fetal unit during trial of labor (TOL) for vaginal birth after cesarean (VBAC) section delivery and to provide an optimal environment and psychosocial support to the patient. |
| 3/10/2014 | Directive: Army MEDCOM Regulation 40-59: Standardization of Inpatient Falls Risk Assessment and Documentation Falls Prevention Program | This regulation directs standardized implementation of endorsed evidence-based falls risk assessment tools: the Johns Hopkins Hospital Fall Risk Assessment© (adult) and the Miami Children’s Hospital’s Humpty Dumpty Scale© (pediatric). In addition, this regulation requires incorporation of falls assessment documentation into the inpatient (Essentris) electronic medical record (EMR). |
| 1/31/2014 | Federal Regulation: Army MEDCOM Regulation 40-48: Fires Associated with the Performance of Surgical Procedures | The purpose of this regulation is to provide policy and recommendations that will help ensure minimal risk of fires associated with the performance of surgical procedures in any healthcare setting to include, but not limited to, the following: operating room (OR), office-based, ambulatory surgery, and intensive care unit type. |
| 4/28/2017 | Federal Regulation: #Army MEDCOM Regulation 40-41, Medical Service – The Patient Safety Program | This regulation outlines the activities of the Army Medical Department Patient Safety Program to identify and centrally report actual and potential events in medical/dental systems and processes and to improve patient safety and healthcare quality throughout the AMEDD. |
| 5/23/2011 | Instruction: Navy BUMED Instruction 6010.28: Healthcare Resolutions Program | This instruction establishes Navy Medicine strategic policy for the promotion of organizational transparency and full disclosure following unanticipated or adverse outcomes of care; to assist the enterprise in "doing the right thing" when there are unanticipated outcomes of care, treatment and services; to train and coach providers in disclosure techniques and to resolve complex healthcare issues at the earliest opportunity, outside a legal venue, with equitable resolutions for patients, providers, and the organization. |
| 5/22/2009 | Federal Regulation: Army Regulation 40-68: Clinical Quality Management | This consolidated regulation prescribes policies, procedures and responsibilities for the administration of the Clinical Quality Management Program. It includes DoD and statutory policies addressing medical services quality management requirements. In addition, it implements DoD 6025.13 – R, DoDD 6000.14 and other DoD guidance. |
| 3/27/2007 | Memorandum: Mandatory Use of Full Patient Name and Date of Birth for Patient Identification | This memorandum requires military treatment facilities to use a patient's full name and date of birth for patient identification to standardize the patient identification process. |
| 3/27/2007 | Memorandum: Standardized "Do Not Use" Medical Abbreviations List | This memorandum established a list of standardized "do not use" medical abbreviations for all handwritten orders and medication-related documentation, including free-text computer entries and pre-printed forms. |
| 6/11/2004 | Directive: Military Health System (MHS) Clinical Quality Assurance (CQA) Program Regulation | This Department of Defense (DoD) Regulation (6025.13-R) identifies the various components comprising the DoD's efforts to ensure that beneficiaries receive quality care. |
| 2/14/2003 | Instruction: Navy BUMED Instruction 6010.18A: Participation in the National Practitioner Data Bank | This instruction requires all military and civilian practitioners who are assigned to, employed by or contracted to the Department of the Navy to participate in the National Practitioner Data Bank. |
| 12/18/2002 | Instruction: Navy BUMED Instruction 6010.23: Participation in the Military Health System Patient Safety Program | This instruction requires all shore-based commands providing medical and dental services, providing care, or participating in the health care delivery system to support the MHS Patient Safety Program. |
| 10/29/1996 | Instruction: #Navy BUMED Instruction 6010.21, Navy BUMED Instruction 6010.21: Risk Management Program | This instruction establishes policy and assigns responsibility for organizational risk management activities. It defines minimal requirements for proactive and reactive responses in naval medical and dental treatment facilities. |
| 4/2/2015 | Memorandum: #OTSG/MEDCOM Policy Memo 15-019, First call Resolution and Do Not Call Back Policy | This Army OTSG/MEDCOM policy identifies responsibilities of MTF commanders, primary care, specialty care and other stakeholders identified in the appointing process to ensure patient satisfaction for our beneficiaries; outlines use of alternative portals such as Army Medicine Secure Messaging, Nurse Advice Line and TRICARE Online; specific procedures are also identified to correctly transfer calls in accordance with existing access to care standards, referral management protocols, and proper use of managing clinic schedules to ensure appointing success the first time one of our patients seeks access. |