The process of obtaining, verifying, and assessing the qualifications of both privileged and non-privileged providers to provide safe patient care services. This assessment serves as the basis for decisions regarding delineation of clinical privileges, as well as appointments and reappointments to the medical staff. The required information should in...

The granting of permission and responsibility of a health care provider to provide specified or delineated health care within the scope of the provider’s license, certification, or registration.

Permission granted by the privileging authority to provide medical and other patient care services. Clinical privileges define the scope and limits of practice for privileged providers and are based on the capability of the health care facility, licensure, relevant training and experience, current competence, health status, judgment, and peer and departme...

Process of review that allows health care organizations to demonstrate their ability to meet regulatory requirements and standards established by a recognized accrediting organization.

Consistent with Section 1102 of Title 10, U.S.C., any peer review activity carried out before, on, or after November 14, 1986 by, or for, the DOD to assess the quality of medical care, including activities conducted by individuals, military medical or dental treatment facility committees, or other review bodies responsible for quality assurance, credenti...

Any PS event that both reaches the patient (i.e., adverse events and no-harm events) and has an HRM assessment that determines that the event is likely to present a possible financial loss to the Federal Government. All DOD RE are PCEs. All events that trigger a PCE will also be referred to the PS manager to ensure capture in the joint PS reporting system...

A program for the systematic monitoring and evaluation of the various aspects of a project, service, or facility to ensure that standards of quality are being met. Clinical quality assurance’s main purpose is to verify that clinical quality control is being maintained.

The proceedings, records, minutes, and reports that emanate from quality assurance program activities and are produced or compiled by the DOD as part of MQA as defined in Section 1102 of Title 10, U.S.C. The proceedings, records, minutes, and reports that emanate from quality assurance program activities and are produced or compiled by the DOD as par...

Monitoring clinical services for stability, detecting emerging process problems (special causes), and taking steps to address them. Clinical quality control is about ensuring that a process remains stable (“in control”) over time, that its performance remains within the upper and lower control limits. It is usually performed by those closest t...

The degree to which health care services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge. Care that is evidence-based and provided in a technically and culturally competent manner with good communication and shared decision making.

Clinical and clinical support services on ships and planes, in deployed settings, and in all other circumstances outside a military hospital or clinic.

CQI consists of systematic and continuous actions that lead to measurable improvement in health care services and the health status of targeted patient groups. Focuses on the application of several widely accepted process improvement methodologies to improve clinical performance and desired outcomes.

Any assessment of the quality of medical care carried out by a health care provider, including any such assessment of professional performance, any Patient Safety program comprehensive systematic analysis or report, or any other such assessment carried out by a health care provider under the provisions of this issuance.

Telemedicine, also known as telehealth or virtual health, is the use of telecommunications and information technologies to provide health assessment, treatment, diagnosis, intervention, consultation, clinical supervision, education, and information across distances. This term includes:

• Distant site. The distant site is where the health care prov...

Consistent with 10 U.S.C. 1073c and DOD Directive 5136.13, any fixed facility of the Department of Defense that is outside of a deployed environment and used primarily for health care, including dental care; and any other location used for purposes of providing health care services as designated by the Secretary of Defense or Undersecretary of Defense for...