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Year in Review: Innovations aid warfighters, families

Blue light produced by smartphones and computer monitors interferes with the brain’s production of melatonin, the hormone that makes people sleepy. The Navy’s Bureau of Medicine is working on lens tinting to block blue light and enhance the sleep of service members. MHS announced this innovation among many others in 2017. (U.S. Air Force photo by Greg L. Davis) Blue light produced by smartphones and computer monitors interferes with the brain’s production of melatonin, the hormone that makes people sleepy. The Navy’s Bureau of Medicine is working on lens tinting to block blue light and enhance the sleep of service members. MHS announced this innovation among many others in 2017. (U.S. Air Force photo by Greg L. Davis)

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Military Health System Electronic Health Record | MHS GENESIS | Warrior Care | Medical Research and Development

Here’s a review of some innovations in 2017 that provided continued momentum for the Military Health System’s mission of a medically ready force and ready medical force:

Single electronic health record. MHS GENESIS is the first major upgrade to military health documentation in more than a decade. It launched in February and was deployed to four initial fielding sites in the Pacific Northwest by December: Fairchild Air Force Base, Naval Hospitals Oak Harbor and Bremerton, and Madigan Army Medical Center.

The agile and responsive system, designed to offer “seamless health care,” enables a single electronic health record for each of the 9.4 million DoD beneficiaries. MHS GENESIS will continue to roll out through 2022 to all military clinics and hospitals.

Beneficiaries are “the most important reason all of us are gathered here today,” Tom McCaffery, acting assistant secretary of Defense for health affairs, said during a launch celebration in mid-November. “This electronic health record will help us support and advance” health care.

Good night’s sleep. With sleep deprivation a significant and well-documented issue for service members, the Navy’s Bureau of Medicine is working on a tinted lens that can block blue light.

Blue light interferes with the brain’s production of melatonin, the hormone that makes people sleepy. Blue light comes from natural and artificial sources including computers, tablets, cellphones, and overhead lighting, said Navy Cmdr. Marc Herwitz, chief ancillary informatics officer for BUMED.

“Sleep is one of those hubs in the wheel of health,” said Diana Jeffery, a health psychologist and health care research analyst with the Defense Health Agency. “Without sleep, you impair mental health, cognitive functions, and decision-making skills. There are very few health functions that don’t require sleep.”

A preliminary study of the tinted lenses found that people who wore them two hours before bedtime fell asleep about 30 percent faster than those who didn’t.

More comfort and mobility. MHS and civilian researchers are collaborating on an advanced alternative to socket-based prosthetics. Osseointegration, a process that attaches the prosthesis directly to the skeleton, can improve comfort and mobility for qualified patients with amputations.

“Developing osseointegration as a capability within DoD makes good on our commitment to provide world-class solutions for combat casualties throughout the entire spectrum of care,” said Navy Cmdr. Jonathan A. Forsberg, an orthopedic oncologist at Walter Reed National Military Medical Center in Bethesda, Maryland, and an investigator at the Naval Medical Research Center.

An osseointegration clinical trial at Walter Reed is the first of its kind to be performed in the United States.

Best possible outcome.  With the goal of producing the best possible outcome for wounded warriors, senior leaders across MHS coordinated with the Joint Staff on DoD Instruction 6040.47. The instruction provides operational commanders, clinical providers, and medical planners with the best known combat medical techniques and procedures to minimize trauma-related disability and eliminate preventable deaths after injury. It also officially recognizes the Joint Trauma System as the DoD Center of Excellence for Trauma, and supports combatant commands establishing regional and individual combatant command trauma systems.

“For the first time in U.S. military history, we have the necessary policy to create and maintain a durable, enduring trauma system in times of war and peace,” said Dr. David Smith, now the reform leader for health care management for DoD.

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This memorandum from Mr. Thomas McCaffery, the Assistant Secretary of Defense for Health Affairs, officially recognizes November as Warrior Care Month, an important Department of Defense (DoD)-wide effort to increase awareness of programs and resources available to wounded, ill, and injured Service members, as well as their families, caregivers, and others who support them.

  • Identification #: N/A
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DHA IPM 18-021: Guidance for Immediate Completion and Closure of Open Encounters and Records in Legacy Systems

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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) and (e): • Establishes the Defense Health Agency’s (DHA) procedures to complete and close open encounters within the legacy systems in preparation for the implementation of Military Health System (MHS) GENESIS. • Identifies and delineates responsibilities associated with completing and closing open encounters within the legacy systems in preparation for the implementation of MHS GENESIS. • Should be used by DoD military treatment facilities (MTFs) to update procedures and workflows that pertain to the DoD Health Record Management, Patient Administration, and other MTF functions impacted by these decisions. • Is effective immediately; it must be incorporated into a DHA-Procedural Instruction. This DHA-IPM will expire effective 12 months from the date of issue.

DHA IPM 18-018: Physical Custody and Control of the DoD Health Record

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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 (p): • Establishes the Defense Health Agency’s (DHA) procedures for the physical custody and control of DoD Health Records at all DoD Military Treatment Facilities (MTFs) and the management, monitoring, review, and evaluation of DoD Health Record availability at MTFs. • This DHA-IPM is effective immediately and will expire effective 12 months from the date of issue. It must be incorporated into the forthcoming DHA-Procedural Instruction, “Health Records Management”.

DHA IPM 18-016: DHA IPM 18 016 Medical Coding of the DoD Health Records

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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 (s): • Establishes the Defense Health Agency’s (DHA) procedures for centralized oversight, standardized operations, and ensured quality and performance for the coding of DoD Health Records. • This DHA-IPM is effective immediately; it will be converted into a DHA-Procedural Instruction. This DHA-IPM will expire 12 months from the date of issue.

Warrior Care Month Recognition

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In this memorandum, Secretary of Defense, Ash Carter recognizes November as Warrior Care Month, an important DoD-wide effort to increase awareness of programs and resources available to wounded, ill, and injured Service members, as well as their families, caregivers and others to support them.

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DoDM 1332.18, Volume 3: Disability Evaluation System (DES) Manual: Quality Assurance Program (QAP)

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This manual is composed of several volumes, each containing its own purpose. This volume assigns responsibilities and procedures for the DES QAP pursuant to section 524 of Public Law 112-239 (Reference (c)).

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DoDM 1332.18, Volume 1: Disability Evaluation System (DES) Manual: General Information and Legacy Disability Evaluation System (LDES) Time Standards

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DoDM 1332.18, Volume 2: Disability Evaluation System (DES) Manual: Integrated Disability Evaluation System (IDES)

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DoD Instruction 6025.20: Medical Management (MM) Programs in the Direct Care System (DCS) and Remote Areas

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DoD Instruction 1300.24: Recovery Coordination Program (RCP)

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