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Policies

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2018-2019 COAST GUARD OIX ANNUAL INFLUENZA (FLU) IMMUNIZATION PROGRAM

Policy

Coast Guard medical guidance for the 2018-19 influenza season and its influenza immunization program.

DHA-MSR 6025.01

Policy

This Defense Health Agency-Multi-Service Regulation (DHA-MSR), based on the authority of References (a) through (c), and in accordance with the guidance of References (d) through (h) and (j): a. Establishes the Defense Health Agency’s (DHA) procedures to be followed when recalls (All Food and Drug Activity (ALFOODACT) messages) are issued for hazardous food, nonprescription drugs, dietary supplements, nonprescription medical devices, health and beauty aid items, and pet food which may be in military accounts (hereinafter referred to as “hazardous food and nonprescription drugs”). b. Ensures the expeditious identification, segregation, and reporting of recalled items is performed at all applicable DoD food supply levels. c. Cancels and replaces AR 40-660/DLAR 4155.26/NAVSUPINST 10110.8C/AFR 161.42/MCO 10110.38C, “DoD Hazardous Food and Nonprescription Drug Recall System,” all editions (Reference (i)).

  • Identification #: DHA-MSR 6025.01
  • Date: 9/7/2018
  • Type: Administrative Instructions
  • Topics: N/A

DHA TM 4165.01, Volume 4: Defense Medical Logistics Standard Support – Facilities Management (DMLSS-FM): Facility Systems Inventory (FSI) Module

Policy

This Defense Health Agency-Technical Manual (DHA-TM), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) and (d), establishes the Defense Health Agency’s (DHA) procedures for managing data in the Military Health System’s (MHS) Computer Aided Facility Management/Computerized Maintenance Management System (CAFM/CMMS) of record, DMLSS-FM.

  • Identification #: 4165.01, Volume 4
  • Date: 9/6/2018
  • Type: DHA Technical Manual
  • Topics: N/A

2019 Monthly Premium Rates for TRS, TRR, and TYA

Policy

Policy Memorandum to Establish 2019 Monthly Premium Rates for TRICARE Reserve Select, TRICARE Retired Reserve, and TRICARE Young Adult

DHA PI 5025.01: DHA Publication System

Policy

DHA Procedural Instruction 5025.01 establishes the DHA Publication System and provides guidance, assigns responsibilities, and sets procedures for the development, coordination, approval, publication, and review of Defense Health Agency (DHA) publications.

  • Identification #: DHA PI 5025.01
  • Date: 8/24/2018
  • Type: DHA Procedural Instruction
  • Topics: Business Support

DHA-IPM 18-005: 2018-19 Seasonal Influenza Vaccination Program

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): •Provides guidance for the Seasonal IVP. Please disseminate this message to all military activities to include, but not limited to, Commanders of Medical Treatment Facilities (MTFs), immunization clinics, patient-centered medical homes, public health offices, pharmacy services, ships, aid stations, and medical logistics/supply sections that administer or order/receive/store influenza vaccine. •This DHA-IPM is effective immediately and will expire 12 months from the date of issue.

  • Identification #: 18-005
  • Date: 8/14/2018
  • Type: DHA Interim Procedures Memorandum
  • Topics: Influenza Seasonal

DHA PI 6025.08: Pharmacy Enterprise Activity EA

Policy

This Defense Health Agency-Procedural Instruction (DHA-PI): a. Based on the authority of References (a) through (c), and in accordance with the guidance of References (d) through (g), establishes the Defense Health Agency’s (DHA) procedures to: (1) Exercise management responsibilities for Pharmacy Shared Service/EA functions in the Military Health System (MHS). This DHA-PI is binding on the MHS and supports the Director’s, DHA, responsibility to develop appropriate management models to maximize efficiencies in the activities carried out by DHA. (2) Recognize the Pharmacy Work Group (PWG) as the operational body to implement pharmacy strategies and programs per the Director’s, DHA, guidance. Also, develop strategic initiatives and business process models to optimize pharmacy operations and programs in accordance with Reference (e). (3) Promulgate guidance, define roles, assign responsibilities, and prescribe procedures for the development, coordination, execution, and implementation of standardized Pharmacy Operations and EA procedures within the MHS and Military Departments (MILDEPs). (4) Execute Pharmacy EA assigned responsibilities and functions, and in accordance with Reference (b), when needed, rely on advice and assistance of governance councils established by the Under Secretary of Defense for Personnel and Readiness and the Assistant Secretary of Defense for Health Affairs (ASD(HA)), including senior representatives of the MILDEPs. (5) Provide DHA combat support agency pharmacy functions, in accordance with Reference (b), specifically involving support for operating forces engaged in planning for, or conducting, military operations, including support during conflict or in the conduct of other military activities related to countering threats to U.S. National Security. The Pharmacy EA innovatively manages and standardizes DoD pharmacy operations in a fiscally responsible manner to optimize readiness, improve health, and lower costs through better care. (6) Support baseline knowledge, skills, and abilities for each wartime pharmacy specialty, addressing gaps between peacetime and deployed operational requirements, in collaboration with the MILDEPs, and military Medical Treatment Facility (MTF) pharmacies. (7) Support programs for skills and knowledge assessments and provide for training/retraining opportunities, as needed, for each wartime pharmacy specialty for military MTF pharmacies. (8) Empower enterprise-level pharmacy clinical communities to define, prioritize, and implement “best-in-class” High Reliability Organization practices to enable readiness through decreasing variation, improving outcomes, and positively impacting healthcare in the MHS. (9) Support the scaling and reconfiguring of pharmacy capabilities required to support the forward operating environment; e.g., hospital ship, combat support hospitals, Expeditionary Medical Support. The Services’ Surgeons General will have deployed medical mission command over health services support of pharmacy resources and capabilities at various levels of command and at diverse locations. b. Transforms varied Tri-Service Pharmacy Operations approaches into a single, integrated DHA Pharmacy Program that standardizes pharmacy shared services and optimizes business processes as directed by the National Defense Authorization Act for Fiscal Year 2017, Section 702 (Reference (c)). c. Drives standardization of institutional and operational commands, sustains and improves medical readiness, creates value within the MHS, and achieves interoperability across platforms to deliver better health care to the warfighter, MHS beneficiaries, and build a medically ready force.

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

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: 8/14/2018
  • Type: DHA Procedural Instruction
  • Topics: Technology

DHA-IPM 17-007: Humane Slaughter of Animals in DoD Programs

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 in Reference (d): Provides guidance and describes procedures for the humane slaughter of animals in DoD food procurement and survival training programs and details the tasks and procedures necessary to ensure humane slaughter and compliance with applicable DoD, Federal, State, and local laws and regulations; is effective immediately and will be incorporated into a Defense Health Agency-Procedural Instruction when DoD Directive 6400.04E (Reference (c)) is updated; will expire effective 12 months from the date of issue; and cancels DoD Veterinary Service Activity Policy Memorandum B-003 (Reference (e)).

  • Identification #: DHA-IPM 17-007
  • Date: 8/6/2018
  • Type: DHA Interim Procedures Memorandum
  • Topics: Veterinary Service

DHA PI 6490.01: BH Treatment and Outcomes Monitoring

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 (k): a. Establishes the Defense Health Agency’s (DHA) procedures for the collection and analysis of BH outcome data. b. Addresses how DoD will standardize BH outcome data collection to: assess variations in mental health and substance use care among in-garrison medical treatment facilities (MTFs) and clinics; assess the relationship of treatment protocols and practices to BH outcomes; and identify barriers to provider implementation of evidence-based clinical guidance approved by DoD. c. Designates the Army as the DoD lead Service for maintenance and sustainment of the Behavioral Health Data Portal (BHDP) in specialty care mental health and substance use clinics, referred to collectively as BH clinics, until BHDP functionality can be integrated with GENESIS or another electronic health record (EHR) system managed by DHA. d. Designates DHA Information Operations (J-6) as lead on transitioning BHDP functional requirements related to outcomes monitoring to future EHR data collection platforms and processes.

TRICARE Retail Refund DoD Pricing Agreement

Policy

This agreement satisfies the requirement of TRICARE regulation (32 CFR 199.21(q)(2)(i)) for a manufacturer’s written agreement and for establishing refund procedures (32 CFR 199.21(q)(3)(i)).

  • Identification #: N/A
  • Date: 7/9/2018
  • Type: Guidelines
  • Topics: N/A

Guidance for the 2018-2019 Annual Influenza Immunization Program

Policy

ASD(HA) memo detailing the forthcoming immunization requirements for the 2018-19 influenza season.

DHA IPM 18-001: Standard Appointing Processes, Procedures, Hours of Operation, Productivity, Performance Measures and Appointment Types in Primary, Specialty, and Behavioral Health Care in Medical Treatment Facilities (MTFs)

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 (j) and Reference (l): Establishes the Defense Health Agency’s (DHA) procedures to describe standard appointing processes, procedures, and appointment types in primary, specialty, and behavioral healthcare in Defense Health Program (DHP)-funded Department of Defense (DoD) MTFs. This DHA-IPM is effective immediately and cancels Reference (k); it must be incorporated into a future DHA-Procedural Instruction. This DHA-IPM will expire effective 12 months from the date of issue.

  • Identification #: DHA IPM 18-001
  • Date: 7/3/2018
  • Type: DHA Interim Procedures Memorandum
  • Topics: N/A

DHA-IPM 17-004: Transition to a New, Single Healthcare Industry Organization to Certify Patient-Centered Medical Homes (PCMHs) in the Direct Care System

Policy

This Defense Health Agency-Interim Procedures Memorandum (DHA-IPM), based on the authority of References (f) and (g), and in accordance with the guidance of References (a) and (b) through (e): Describes the Services’ and Defense Health Agency’s (DHA) responsibilities for the direct care system’s transition from the current certifying body for PCMHs to a new, single certifying body to be used uniformly across the direct care system. A common set of leading healthcare industry standards based on universal PCMH principles against which military PCMHs will be evaluated supports consistency in PCMH implementation, identifies necessary actions to reduce variance in clinical procedures across the direct care system, and measures the effectiveness of PCMH partnership with specialty care to better coordinate and integrate care. The use of PCMH standards will allow objective comparison of military PCMHs against leading civilian PCMHs. Will expire effective 12 months from date of issue and will be incorporated into a future DHA-Procedural Instruction (PI) for MTF PCMHs. The Services will incorporate this DHA-IPM, and future DHA-PI, into Military Service Department PCMH policies.

  • Identification #: DHA-IPM 17-004
  • Date: 6/27/2018
  • Type: DHA Interim Procedures Memorandum
  • Topics: N/A

DHA-IPM 17-003: Accounting for Defense Health Program (DHP) Primary Care Managers (PCMs)

Policy

This Interim Procedures Memorandum provides guidance on the establishment of use of uniform accountability and business rules for accounting of PCMs in Defense Medical Human Resource System-internet (DMHRSi).

  • Identification #: DHA-IPM 17-003
  • Date: 6/20/2018
  • Type: DHA Interim Procedures Memorandum
  • Topics: Business Support
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