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DHA releases App to Support Service Member Recovery

Infographic for the Antidepressant Adherence app The Antidepressant Adherence app focuses on improving medication compliance ( Photo by: DHA Connected Health).

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Psychological Fitness | Depression | Technology

According to the Centers for Disease Control and Prevention, 13% of Americans take some form of antidepressant.

From that population, it is expected that nearly 50% of those individuals will prematurely stop taking their medication. To combat any relapse that may occur when stopping a mental wellness treatment plan, the Defense Health Agency recently released the Antidepressant Adherence mobile application.

The Antidepressant Adherence app supports those taking medication, and works to ensure that military beneficiaries receive the support they need to continue on their mental wellness journey. With this mobile app, patients can learn the long-term benefits of their medication, and the risks that can occur when medication is abruptly stopped.

"For some patients, being on a mental wellness journey can be confusing," explained Air Force Maj. (Dr.) David Quackenbush, developer and adolescent medicine physician for Cadet Medicine at the United States Air Force Academy in Colorado Springs, Colorado. "The Antidepressant Adherence app focuses on improving medication compliance, allowing patients to customize their medication experience, and opening a line of communication between the patient and provider. A mental wellness treatment plan is a joint effort, and this app is a great digital asset for the patient and provider."

The Antidepressant Adherence app includes features such as:

  • Beneficiary education information about the medications and their side effects
  • A calendar to keep track of medication compliance
  • Alerts for beneficiaries when to take medication and when refills are needed
  • Aids to help beneficiaries in tracking moods
  • Access to national crisis lines to call or text for immediate support

Military Health System providers and staff can leverage the Antidepressant Adherence app to monitor patients through patient notes, improve medication education, and encourage patients to stay engaged with their mental wellness treatment plan. Patients can also feel confident that they are receiving current and evidence-based information and support lines.

"The app can be easily installed from wherever patients install apps and is easy to use," said Army Lt. Col. (Dr.) Amit Gupta, psychiatrist and Behavioral Health Chief at Keller Army Community Hospital and Installation Director of Psychological Health at the U.S. Military Academy in West Point, New York. "As a provider, it takes a couple of minutes to set it up for the first time for your patient and add their first medication. From there, the app will remind them to take their medication, offers a wealth of information about their medications, as well as allows the patient to add feedback related to missed doses and side effects. If you're looking to improve medication adherence, or to at least discover issues with medication adherence, this app is an easy way to help your patient."

This free app is available through multiple smartphone application stores, and was developed to work with the patient's modern lifestyle. As digital health becomes more prevalent, the app can be a key tool for patients. From the profile section, patients can easily adjust medication, customize medication alerts that work with their schedule, track all appointments, and include provider information.

Because the app is password protected, patients can feel secure journaling their reactions to their medication and write down why they missed a dose of their medication.

By improving engagement and medication compliance, the MHS is working to provide optimal healthcare for ensure service members, while also improving overall force readiness.

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DHA-PI 8000.01: Information Technology Infrastructure Service Delivery Management Program

Policy

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) procedures for: a. Requesting, managing, and delivering high quality Information Technology (IT) Infrastructure services by the Chief Information Officer (CIO) and Deputy Assistant Director (DAD), Information Operations (IO). b. Providing an automated, on-demand capability to submit, track, and manage requests for IT Infrastructure service offerings from the DAD-IO or Defense Information System Agency (DISA) service catalogs from submission to fulfillment or cancellation.

  • Identification #: 8000.01
  • Date: 10/5/2021
  • Type: DHA Procedural Instruction
  • Topics: Technology

DHA-PI 8400.02 Financial Management of Information Technology Systems and Services

Policy

Establishes the Defense Health Agency’s (DHA) procedures to provide overarching guidance, implement procedures, and manage aspects of the Defense Health Program’s (DHP) Financial Management of Information Technology (IT), Systems and Services for the Military Health System (MHS) enterprise. The established procedures apply across the DHA components to include Military Medical Treatment Facilities (MTFs) and Other Lines-of-Business (OLB). Directs the use of Ektropy, the Information Operations (IO) web-based IT planning ledger, to identify all DHP-funded IT personnel and IT-related expenditures, across all Budget Activity Groups (BAGs) and across the Future Years Defense Program (FYDP).

  • Identification #: 8400.02
  • Date: 8/2/2021
  • Type: DHA Procedural Instruction
  • Topics: Technology

DHA IPM 18-015: Cybersecurity Program Management

Policy

This Defense Health Agency-Interim Procedures Memorandum (DHA-IPM), based on the authority of References (a) through (c), and in accordance with the requirements of References (d) through (y): • Establishes the Defense Health Agency’s (DHA) procedures to implement and maintain a DHA Cybersecurity Program for the Military Health System (MHS) to protect and defend DHA information and Information Technology (IT). • Is effective immediately; it will be converted into DHA-Procedural Instruction (DHA-PI), “Cybersecurity Program Management.” This DHA-IPM will expire effective 12 months from the date of issue.

  • Identification #: 18-015
  • Date: 10/28/2020
  • Type: DHA Interim Procedures Memorandum
  • Topics: Technology

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

Policy

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.

DHA PM 6025-01: Primary Care Behavioral Health (PCBH) Standards

Policy

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 (i), establishes the Defense Health Agency’s (DHA) procedures to establish required standards for: a. Military Medical Treatment Facilities (MTFs) and primary care clinics for adult, child and adolescent, health behavior, behavioral medicine, and behavioral health services in primary care. b. Behavioral Health Consultants (BHCs). c. Behavioral Health Care Facilitators (BHCFs). d. External Behavioral Health Consultants (EBHCs). e. Primary Care Clinic Leaders.

DHA IPM 18-013: Risk Management Framework (RMF)

Policy

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 (ac): • Incorporates cybersecurity strategy, policy, awareness/training, assessment, continuous monitoring, authorization, implementation, and remediation. • Aligns with the Deputy Assistant Director, Information Operations (DAD IO) J-6/Chief Information Officer’s (CIO) key concept of increasing cybersecurity of Defense Health Agency’s (DHA) Information Technology (IT); therefore, robust risk assessment and management is required. • Encompasses lifecycle risk management to determine and manage the residual cybersecurity risk. • This DHA-IPM is effective immediately; it will be converted into a DHA-Procedural Instruction. This DHA-IPM will expire effective 12 months from the date of issue.

  • Identification #: 18-013
  • Date: 9/20/2019
  • Type: DHA Interim Procedures Memorandum
  • Topics: Technology

DHA PI 3201.05: Technology Transfer (T2) Program

Policy

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.

  • Identification #: 3201.05
  • Date: 6/20/2019
  • Type: DHA Procedural Instruction
  • Topics: Technology

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

Policy

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 18-017: Military Health System (MHS) Information Technology (IT) Investment Management Framework

Policy

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 (v), establishes Defense Health Agency’s (DHA) procedures to: • Establish the overarching guidance to implement policies and procedures for managing DHA Deputy Assistant Director, Information Operations (DAD IO)/J-6 Defense Health Program (DHP) IT resources. The DHA Investment Management Framework is used as an enabler for MHS leadership to make informed transparent financial decisions associated with the DHA DAD IO/J-6 systems, services, and capabilities and will continue to be used in the foreseeable future. • Provide full and total awareness of all IT across the enterprise ensuring all MHS healthcare-related IT investments are accounted for and integrated both operationally and financially. This includes all IT systems, applications, and devices and all their funding identified to manage a coherent and integrated healthcare capability across the enterprise. • Provide and supersede guidance and instructions previously provided through the Services. As Military Medical Treatment Facilities (MTFs) transition to DHA management and responsibility, procedures in this DHA-IPM will supersede IT systems guidance and instructions previously provided through the Services; including IT systems in all MTFs, clinics, and enterprise services provided to Other Lines-of-Business (OLB), such as training and research, etc. In addition, it supports a coherent and comprehensive catalog of IT capability investments encompassing all IT used to support the MHS mission. • Require that all funding sources, type and Budget Activity Group (BAG), purchasing or supporting any IT must be identified for inclusion in the DHA portfolio of IT capability investments. • Provide superseding guidance and instruction, through this DHA-IPM until a DHA-Procedural Instruction is issued previously provided by the Services in References (w) through (ad), for the MTFs as they are transitioned to DHA management and responsibility. • This DHA-IPM is effective immediately and it will be converted into a DHA-Procedural Instruction. This DHA-IPM will expire effective 12 months from the date of issue.

  • Identification #: 18-017
  • Date: 11/6/2018
  • Type: DHA Interim Procedures Memorandum
  • Topics: Technology

DHA PI 8140.01: Acceptable Use of Defense Health Agency Information Technology (IT) (Updated)

Policy

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.

  • Identification #: DHA PI 8140.01
  • Date: 10/16/2018
  • Type: DHA Procedural Instruction
  • Topics: Technology

Waiver of Restrictive Licensure and Privileging Procedures to Facilitate the Expansion of Telemedicine Services in the Military Health System 12-010

Policy

In order to facilitate the expansion of telemedicine services in the Military Health System, this memorandum waives selective provisions of Department of Defense 602S.13-R, "Clinical Quality Assurance in the Military Health System," June 11 , 2004. This waiver is conditioned on the specific provisions of this memorandum, and shall remain in effect, unless modified or revoked, until the cancellation and reissuance of DoD 602S.13-R, or the issuance of a Department of Defense Instruction for or including telemedicine.

MHS Enterprise Architecture Signed Memo and Guide 20120730

Policy

Announcement of the release of the Military Health System (MHS) Enterprise Architecture (EA) Guide. The guide supports the MHS CIO’s responsibilities for development and maintenance of EA, which complies with the Department of Defense’s responsibilities under the Clinger-Cohen Act of 1996, Public Law 104-106.

  • Identification #: 00-memo-2012-07-30
  • Date: 7/30/2012
  • Type: Memorandums
  • Topics: Technology

Guidance on the Establishment of a Human Cell, Tissue, and Cellular and Tissue Based Products Program

Policy

This memorandum requests the Services resource a Human Cell, Tissue, and Cellular and Tissue Based Products (HCT/Ps) Program that complies with regulatory standards for management and oversight of HCT/Ps, according to the best fit for their Service.

Standard Enterprise Architecture Requirements for Acquiring Information Management/Information Technology Products and Services

Policy

The Military Health System (MHS) Information Management/Information Technology (IM/IT) Strategic Plan established enterprise-wide interoperability and common architecture goals for MHS 1M/IT products and services that promote agility and interoperability within MHS and externally with Federal and industry partners.

  • Identification #: 00-memo-2012-06-19
  • Date: 6/19/2012
  • Type: Memorandums
  • Topics: Technology

MHS Cloud First Adoption Directive and Policy Guidance Signed Memo and Attachment

Policy

The National Defense Authorization Act for Fiscal Year (FY) 2012 mandates that the Department of Defense (DoD) and its agencies develop a strategy to migrate to using Cloud computing services. Against this backdrop, DoD released an IT Enterprise Strategy and Roadmap plan in September 2011 developed by the DoD CIO, Teri Takai. This memorandum is consistent with Federal and DoD strategies, directives, and plans as they relate to implementation of a Military Health System (MHS) Cloud First policy aligning with the MHS mission

  • Identification #: 00-memo-2012-05-22
  • Date: 5/22/2012
  • Type: Memorandums
  • Topics: Technology

DHA-PI 8000.01: Information Technology Infrastructure Service Delivery Management Program

Policy

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) procedures for: a. Requesting, managing, and delivering high quality Information Technology (IT) Infrastructure services by the Chief Information Officer (CIO) and Deputy Assistant Director (DAD), Information Operations (IO). b. Providing an automated, on-demand capability to submit, track, and manage requests for IT Infrastructure service offerings from the DAD-IO or Defense Information System Agency (DISA) service catalogs from submission to fulfillment or cancellation.

  • Identification #: 8000.01
  • Date: 10/5/2021
  • Type: DHA Procedural Instruction
  • Topics: Technology

DHA-PI 8400.02 Financial Management of Information Technology Systems and Services

Policy

Establishes the Defense Health Agency’s (DHA) procedures to provide overarching guidance, implement procedures, and manage aspects of the Defense Health Program’s (DHP) Financial Management of Information Technology (IT), Systems and Services for the Military Health System (MHS) enterprise. The established procedures apply across the DHA components to include Military Medical Treatment Facilities (MTFs) and Other Lines-of-Business (OLB). Directs the use of Ektropy, the Information Operations (IO) web-based IT planning ledger, to identify all DHP-funded IT personnel and IT-related expenditures, across all Budget Activity Groups (BAGs) and across the Future Years Defense Program (FYDP).

  • Identification #: 8400.02
  • Date: 8/2/2021
  • Type: DHA Procedural Instruction
  • Topics: Technology

DHA IPM 18-015: Cybersecurity Program Management

Policy

This Defense Health Agency-Interim Procedures Memorandum (DHA-IPM), based on the authority of References (a) through (c), and in accordance with the requirements of References (d) through (y): • Establishes the Defense Health Agency’s (DHA) procedures to implement and maintain a DHA Cybersecurity Program for the Military Health System (MHS) to protect and defend DHA information and Information Technology (IT). • Is effective immediately; it will be converted into DHA-Procedural Instruction (DHA-PI), “Cybersecurity Program Management.” This DHA-IPM will expire effective 12 months from the date of issue.

  • Identification #: 18-015
  • Date: 10/28/2020
  • Type: DHA Interim Procedures Memorandum
  • Topics: Technology

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

Policy

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.

DHA PM 6025-01: Primary Care Behavioral Health (PCBH) Standards

Policy

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 (i), establishes the Defense Health Agency’s (DHA) procedures to establish required standards for: a. Military Medical Treatment Facilities (MTFs) and primary care clinics for adult, child and adolescent, health behavior, behavioral medicine, and behavioral health services in primary care. b. Behavioral Health Consultants (BHCs). c. Behavioral Health Care Facilitators (BHCFs). d. External Behavioral Health Consultants (EBHCs). e. Primary Care Clinic Leaders.

DHA IPM 18-013: Risk Management Framework (RMF)

Policy

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 (ac): • Incorporates cybersecurity strategy, policy, awareness/training, assessment, continuous monitoring, authorization, implementation, and remediation. • Aligns with the Deputy Assistant Director, Information Operations (DAD IO) J-6/Chief Information Officer’s (CIO) key concept of increasing cybersecurity of Defense Health Agency’s (DHA) Information Technology (IT); therefore, robust risk assessment and management is required. • Encompasses lifecycle risk management to determine and manage the residual cybersecurity risk. • This DHA-IPM is effective immediately; it will be converted into a DHA-Procedural Instruction. This DHA-IPM will expire effective 12 months from the date of issue.

  • Identification #: 18-013
  • Date: 9/20/2019
  • Type: DHA Interim Procedures Memorandum
  • Topics: Technology

DHA PI 3201.05: Technology Transfer (T2) Program

Policy

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.

  • Identification #: 3201.05
  • Date: 6/20/2019
  • Type: DHA Procedural Instruction
  • Topics: Technology

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

Policy

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 18-017: Military Health System (MHS) Information Technology (IT) Investment Management Framework

Policy

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 (v), establishes Defense Health Agency’s (DHA) procedures to: • Establish the overarching guidance to implement policies and procedures for managing DHA Deputy Assistant Director, Information Operations (DAD IO)/J-6 Defense Health Program (DHP) IT resources. The DHA Investment Management Framework is used as an enabler for MHS leadership to make informed transparent financial decisions associated with the DHA DAD IO/J-6 systems, services, and capabilities and will continue to be used in the foreseeable future. • Provide full and total awareness of all IT across the enterprise ensuring all MHS healthcare-related IT investments are accounted for and integrated both operationally and financially. This includes all IT systems, applications, and devices and all their funding identified to manage a coherent and integrated healthcare capability across the enterprise. • Provide and supersede guidance and instructions previously provided through the Services. As Military Medical Treatment Facilities (MTFs) transition to DHA management and responsibility, procedures in this DHA-IPM will supersede IT systems guidance and instructions previously provided through the Services; including IT systems in all MTFs, clinics, and enterprise services provided to Other Lines-of-Business (OLB), such as training and research, etc. In addition, it supports a coherent and comprehensive catalog of IT capability investments encompassing all IT used to support the MHS mission. • Require that all funding sources, type and Budget Activity Group (BAG), purchasing or supporting any IT must be identified for inclusion in the DHA portfolio of IT capability investments. • Provide superseding guidance and instruction, through this DHA-IPM until a DHA-Procedural Instruction is issued previously provided by the Services in References (w) through (ad), for the MTFs as they are transitioned to DHA management and responsibility. • This DHA-IPM is effective immediately and it will be converted into a DHA-Procedural Instruction. This DHA-IPM will expire effective 12 months from the date of issue.

  • Identification #: 18-017
  • Date: 11/6/2018
  • Type: DHA Interim Procedures Memorandum
  • Topics: Technology

DHA PI 8140.01: Acceptable Use of Defense Health Agency Information Technology (IT) (Updated)

Policy

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.

  • Identification #: DHA PI 8140.01
  • Date: 10/16/2018
  • Type: DHA Procedural Instruction
  • Topics: Technology

Waiver of Restrictive Licensure and Privileging Procedures to Facilitate the Expansion of Telemedicine Services in the Military Health System 12-010

Policy

In order to facilitate the expansion of telemedicine services in the Military Health System, this memorandum waives selective provisions of Department of Defense 602S.13-R, "Clinical Quality Assurance in the Military Health System," June 11 , 2004. This waiver is conditioned on the specific provisions of this memorandum, and shall remain in effect, unless modified or revoked, until the cancellation and reissuance of DoD 602S.13-R, or the issuance of a Department of Defense Instruction for or including telemedicine.

MHS Enterprise Architecture Signed Memo and Guide 20120730

Policy

Announcement of the release of the Military Health System (MHS) Enterprise Architecture (EA) Guide. The guide supports the MHS CIO’s responsibilities for development and maintenance of EA, which complies with the Department of Defense’s responsibilities under the Clinger-Cohen Act of 1996, Public Law 104-106.

  • Identification #: 00-memo-2012-07-30
  • Date: 7/30/2012
  • Type: Memorandums
  • Topics: Technology

Guidance on the Establishment of a Human Cell, Tissue, and Cellular and Tissue Based Products Program

Policy

This memorandum requests the Services resource a Human Cell, Tissue, and Cellular and Tissue Based Products (HCT/Ps) Program that complies with regulatory standards for management and oversight of HCT/Ps, according to the best fit for their Service.

Standard Enterprise Architecture Requirements for Acquiring Information Management/Information Technology Products and Services

Policy

The Military Health System (MHS) Information Management/Information Technology (IM/IT) Strategic Plan established enterprise-wide interoperability and common architecture goals for MHS 1M/IT products and services that promote agility and interoperability within MHS and externally with Federal and industry partners.

  • Identification #: 00-memo-2012-06-19
  • Date: 6/19/2012
  • Type: Memorandums
  • Topics: Technology

MHS Cloud First Adoption Directive and Policy Guidance Signed Memo and Attachment

Policy

The National Defense Authorization Act for Fiscal Year (FY) 2012 mandates that the Department of Defense (DoD) and its agencies develop a strategy to migrate to using Cloud computing services. Against this backdrop, DoD released an IT Enterprise Strategy and Roadmap plan in September 2011 developed by the DoD CIO, Teri Takai. This memorandum is consistent with Federal and DoD strategies, directives, and plans as they relate to implementation of a Military Health System (MHS) Cloud First policy aligning with the MHS mission

  • Identification #: 00-memo-2012-05-22
  • Date: 5/22/2012
  • Type: Memorandums
  • Topics: Technology
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