Skip main navigation

Military Health System

Clear Your Browser Cache

This website has recently undergone changes. Users finding unexpected concerns may care to clear their browser's cache to ensure a seamless experience.

Skip subpage navigation

Clinical Improvement Priorities for MTF Providers

The Defense Health Agency has identified several priorities for DHA and military treatment facility (MTF) performance. Of these priorities, several focus specifically on improvements in clinical process and care delivery to achieve top outcomes in readiness and health. The DHA Chief Medical Officer, Dr. Paul Cordts, is responsible for implementation of these priorities in support of the DHA Director and the Assistant Director for Health Care Administration. They include:

Campaign Plan Projects

Accreditation and Compliance*

This program will provide MTF staff with a comprehensive and systematic process for reviewing their MTF's accreditation and compliance, allowing them to demonstrate their ability to meet Department of Defense (DOD) policy mandates, regulatory requirements, and health care standards.

Dental Universal Protocol

The Dental Universal Protocol will provide MTF staff with a standardized approach, including pre-procedural verification and guidance to ultimately reduce wrong-site surgery, specifically in the area of dental procedures. 

Graduate Medical Education*

The standardization of the MHS Graduate Medical Education (GME) Program will provide the policy, procedures, and direction to ensure continued accreditation of GME programs to support a ready medical force.

Influenza Immunizations

The goal is to increase influenza immunizations for all beneficiaries across the Military Health System.

Postpartum Hemorrhage

The Postpartum Hemorrhage (PPH) Bundle will provide MTFs with a standardized approach to recognize, respond, and report PPH to decrease associated morbidity and mortality across the MHS.

Ready Reliable Care Communications*

The Ready Reliable Care Safety Communication Bundle will provide MTF staff with a standardized approach for team-based communication and other safety communication practices, including: 

  1. Safety Leadership Rounds (WalkRounds™)
  2. Leader Daily Safety Briefs
  3. Unit Based Huddles
  4. I-PASS Tool for Patient Handoffs
  5. Surgical Briefs and Debriefs
  6. Universal Protocol

For More Information:

Stepped Care Model for Pain

The primary care Stepped Care Model for Pain will allow MTFs to standardize and effectively implement evidence-based best practices for management of acute and chronic pain in the primary care setting.

Quadruple Aim Performance Plan (QPP) Projects

Acute Concussion Pathway

The Acute Concussion Care (ACC) Pathway will provide MTFs with a standard assessment and treatment plan for acute concussion, which includes:

  1. Incorporating an acute assessment MACE2 tool at initial appointment
  2. Follow-up within 72 hours after the diagnosis of mild Traumatic Brain Injury (mTBI)
  3. Complete Progressive Return to Activity process prior to return to full duty.

Behavioral Health Treatments & Outcomes

Increased adoption of the Behavioral Health Data Portal will allow MTFs to track behavioral health treatment and outcomes for all beneficiaries. The portal reduces redundancy for patients, streamlines the screening process, and focuses improvement on outcomes that matter to patients.

Opioid Overdose/Naloxone Distribution

Through standardized management of chronic pain, this program will ensure that patients taking long-term opioid therapy with an elevated risk of opioid-related harm receive overdose education and at least one prescription for naloxone medication in a 12-month window.


Find other recently published DHA Clinical Guidance on the Policies page.

Note: * Denotes operational improvement priorities

You also may be interested in...

Jun 28, 2024

Acute Concussion Care Pathway: MACE 2 and PRA Training Flyer

.PDF | 236.96 KB

The Traumatic Brain Injury Center of Excellence hosts a combined Military Acute Concussion Evaluation and Progressive Return to Activity clinical recommendation virtual training. Attendees may earn two CEUs through the Defense Health Agency Continuing Education Program Office. Download the flier for the complete 2024 training schedule.

Jul 12, 2023

What is the Acute Concussion Care Pathway?

What is the Acute Concussion Care Pathway? The Acute Concussion Care Pathway is one of the DHA Director’s Quadruple Aim Performance Plan projects. The intent is to equip providers with state-of-the-science tools to standardize concussion assessment and care across the MHS. It is supported by the DHA Procedural Instruction 6490.04 which establishes the infrastructure to ensure patients achieve optimal concussion clinical outcomes.

TBICoE developed this infographic as a quick reference tool that demonstrates application of the standardized acute concussion assessment and care process. By adhering to this established pathway of care for mild TBI, providers across the MHS can ensure a reduction in unwarranted variation and foster an integrated, standardized system of readiness and ...

Last Updated: October 23, 2023
Follow us on Instagram Follow us on LinkedIn Follow us on Facebook Follow us on X Follow us on YouTube Sign up on GovDelivery