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MHS Health Care Glossary

Military Health System (MHS) Health Care Glossary serves as the official repository and consolidated reference (as a secondary source) for terms and definitions used within the MHS. Some terms may have multiple and varying definitions based on the context and primary source of authority. Note that certain definitions may be approved only for limited use in a single primary reference document, while others may have broad applicability in multiple contexts and issuances. To determine the most appropriate definition in a particular context, consult all relevant source documents. Any disparities between this Glossary and primary sources are unintentional, and the primary source shall control.

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Reinstatement of Privileges

Glossary Term
Date of Publication:
10/29/2013

The revision of an adverse privileging action that restores all or a portion of the provider’s clinical privileges. Reinstatement of privileges is reportable to the National Practitioner Data Bank (NPDB).

Source of Definition:

DoD Manual 6025.13: Medical Quality Assurance and Clinical Quality Management in the Military Health System (MHS)

Restriction of Privileges

Glossary Term
Date of Publication:
10/29/2013

A temporary or permanent limit placed on all or a portion of a provider’s clinical privileges.  The restriction may require some type of supervision.  Restriction of privileges is reportable to the National Practitioner Data ...

Source of Definition:

DoD Manual 6025.13: Medical Quality Assurance and Clinical Quality Management in the Military Health System (MHS)

Revocation of Privileges

Glossary Term
Date of Publication:
10/29/2013

All clinical privileges of a healthcare provider are permanently removed.  In most cases, such action may be followed by action to terminate the provider’s DoD service. Revocation of privileges is reportable to the National ...

Source of Definition:

DoD Manual 6025.13: Medical Quality Assurance and Clinical Quality Management in the Military Health System (MHS)

Root Cause Analysis (RCA)

Glossary Term
Date of Publication:
10/29/2013

A systematic process for identifying the causal and contributory factors associated with adverse events and near misses which includes the development of corrective action plans and outcomes measures.  The analysis focuses primarily on ...

Source of Definition:

DoD Manual 6025.13: Medical Quality Assurance and Clinical Quality Management in the Military Health System (MHS)

Sentinel Event (SE)

Glossary Term
Date of Publication:
10/29/2013

An unexpected occurrence involving death or serious physical or psychological injury or risk thereof. Serious injury specifically includes loss of limb or function.  The phrase “or the risk thereof” includes any process ...

Source of Definition:

DoD Manual 6025.13: Medical Quality Assurance and Clinical Quality Management in the Military Health System (MHS)

Significantly Involved Providers

Glossary Term
Date of Publication:
10/29/2013

Providers who actively delivered care in primary or consultative roles during the episode(s) of care that gave rise to the allegation, regardless of the standard of care (SOC) determination.

Source of Definition:

DoD Manual 6025.13: Medical Quality Assurance and Clinical Quality Management in the Military Health System (MHS)

Standard of Care (SOC)

Glossary Term
Date of Publication:
10/29/2013

Healthcare diagnostic or treatment judgments and actions of a provider generally accepted in the healthcare discipline or specialty involved as reasonable and appropriate.

Source of Definition:

DoD Manual 6025.13: Medical Quality Assurance and Clinical Quality Management in the Military Health System (MHS)

Summary Suspension

Glossary Term
Date of Publication:
10/29/2013

The temporary removal of all or part of a provider’s privileges, taken prior to the completion of due process procedures, based on peer assessment and command determination that the action is needed to protect patients or the integrity ...

Source of Definition:

DoD Manual 6025.13: Medical Quality Assurance and Clinical Quality Management in the Military Health System (MHS)

Supervised Privileges

Glossary Term
Date of Publication:
10/29/2013

Supervised privileges are those privileges granted to healthcare providers who do not meet the requirements for independent practice because they lack the necessary licensure or certification; however, all educational requirements have been ...

Source of Definition:

DoD Manual 6025.13: Medical Quality Assurance and Clinical Quality Management in the Military Health System (MHS)

Supervision

Glossary Term
Date of Publication:
10/29/2013

The process of reviewing, observing, and accepting responsibility for assigned personnel. The types of supervision are:1) indirect. The supervisor performs retrospective record review of selected records. Criteria used for review relate to ...

Source of Definition:

DoD Manual 6025.13: Medical Quality Assurance and Clinical Quality Management in the Military Health System (MHS)

Suspension

Glossary Term
Date of Publication:
10/29/2013

The temporary removal of all or part of a provider’s privileges resulting from incompetence, negligence, or unprofessional conduct after due process procedures are completed.  Suspension of privileges is reportable to the National ...

Source of Definition:

DoD Manual 6025.13: Medical Quality Assurance and Clinical Quality Management in the Military Health System (MHS)

Tele-Mental Health

Glossary Term
Date of Publication:
10/29/2013

The provision of mental healthcare services using an interactive telecommunications system between a healthcare provider and patient in different locations.

Source of Definition:

DoD Manual 6025.13: Medical Quality Assurance and Clinical Quality Management in the Military Health System (MHS)

Temporary Privileges

Glossary Term
Date of Publication:
10/29/2013

Granted in situations when time constraints will not allow full credentials review.

Source of Definition:

DoD Manual 6025.13: Medical Quality Assurance and Clinical Quality Management in the Military Health System (MHS)

The Joint Commission (TJC)

Glossary Term
Date of Publication:
10/29/2013

An independent, not-for-profit organization that is a standards-setting and accrediting body in healthcare. TJC accreditation and certification is recognized nationwide as a symbol of quality that reflects an organization’s commitment to ...

Source of Definition:

DoD Instruction 6025.13: Medical Quality Assurance (MQA) and Clinical Quality Management in the Military Health System (MHS) Instruction

Unsafe Condition

Glossary Term
Date of Publication:
10/29/2013

Potential event. Any circumstance that increases the probability of an adverse event.

Source of Definition:

DoD Manual 6025.13: Medical Quality Assurance and Clinical Quality Management in the Military Health System (MHS)
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