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DHA IPM 18-012: The DoD Medical Ethics Program (DoDMEP) in the Military Health System (MHS)

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 (k), establishes Defense Health Agency’s (DHA) procedures that: • Apply to Active Duty Service members, namely Active Component members and Reserve Component members on active duty for a period of more than 30 days, who, hereafter, are referred to collectively as Active Duty Service members (References (e) and (f)). • Establish a set of common guidelines, standards, and procedures governing the DoDMEP for military health care personnel in all locations. • Outline implementing procedures for DHA collaboration with the DoDMEP office, to be known as the DoD Medical Ethics Center (DMEC), which is to operate under the direction of the President of the Uniformed Services University of the Health Sciences (USUHS). • Implement guidance for the DoD mission, vision, guiding principles of the DoDMEP (DMEC) as set forth in Reference (g) and delineate areas of responsibility between the DHA and USUHS, including: o The provision of medical ethics education and training (E&T) to health care providers and other health care personnel; o Creation and maintenance of a DMEC portal; and o Medical ethics consultation services to MHS health care personnel across all settings. • This DHA-IPM is effective immediately and will expire effective 12 months from the date of issue.

Implementing Congressional Direction for Reform of the Military Health System

Policy

Policy Memorandum, signed by Deputy Secretary of Defense Patrick M. Shanahan, to direct implementation of the Military Health System (MHS) organizational reform required by the National Defense Authorization Act.

DHA PI 6430.02: Defense Medical Logistics (MEDLOG) Enterprise Activity (EA)

Policy

a. Provides instructions for implementing Defense Medical Logistics (DML) programs and shared services as directed by References (a) through (e) to promote efficiency and cost effectiveness in the delivery of DoD healthcare and joint readiness for the support of combatant commanders. b. Leads the EA in standardizing medical logistics materiel and business processes to deliver better health care, create value within the Military Health System (MHS), sustain and improve medical readiness and achieve interoperability across platforms. c. Provides functional direction to medical treatment facilities (MTFs) to synchronize shared medical logistics programs across the continuum of care through an EA that reduces procedural variance and establishes strategic partnerships to deliver medical logistics services to the MHS. It enables Defense Health Agency (DHA) MEDLOG to execute policies set forth by the Director, DHA, associated with its management and administration authority of military MTFs as directed in References (a), (b), and (e). d. Based on the authority of References (a) through (c), and in accordance with the guidance of References (d) and (e), this DHA-PI: (1) Establishes DHA’s procedures to exercise management responsibilities of MEDLOG EA functions in the MHS. This DHA-PI is binding on DoD Components and supports the responsibility of the Director, DHA, to develop appropriate management models to maximize efficiencies in the activities carried out by DHA. (2) Implements medical logistics strategies and programs outlined in Reference (e). (3) Recognizes the Defense Medical Logistics Proponent Committee (DMLPC) as the authoritative body representing the Defense Medical Logistics Enterprise (DMLEnt) in providing overarching guidance and business process development to implement medical logistics strategies and programs per Reference (e). (4) Defines roles, assigns responsibilities, and promulgates procedures for the development, coordination, execution, and implementation of standardized MEDLOG EA procedures and business processes within the MHS. (5) Executes MEDLOG EA assigned responsibilities and functions in accordance with References (b) and (e). When needed, relies 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. (6) Outlines procedures to provide DHA Combat Support Agency (CSA) medical logistics functions in accordance with Reference (b), specifically involving support for operating forces engaged in planning for the full spectrum of military operations and to counter threats to U.S. national security.

  • Identification #: DHA PI 6430.02
  • Date: 9/27/2018
  • Type: DHA Procedural Instruction
  • Topics: N/A

DHA IPM 18-010: Medical Community of Interest Circuits

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 (f), establishes the Defense Health Agency’s (DHA) procedures to procure and to establish contact and support for the deployment and monitoring of the installation of the Med-COI circuits. Another DHA-Procedural Instruction, “Circuit Management,” will cover all other circuits and services of the Medical Circuit Management Office (MCMO).

  • Identification #: 18-010
  • Date: 9/27/2018
  • Type: DHA Interim Procedures Memorandum
  • Topics: N/A

DHA PM 6010 13 MEPRS Volume 2

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 (d), establishes the Defense Health Agency’s (DHA) procedures to: - a. Provide a uniform and standardized system of healthcare managerial cost accounting for the Military Health System (MHS) and MEPRS. MEPRS: (1) Provides detailed uniform performance indicators, common expense classification by work/cost center, uniform reporting of personnel utilization data by work centers, and a labor cost assignment methodology. (2) Methodology provides consistent performance data to managers responsible for healthcare delivery in support of dual Warfighter Support Operations and integrated Tri-Service healthcare missions. (3) Defines a set of functional work/cost centers, applies a uniform performance measurement system, prescribes a cost assignment methodology, and obtains reported information in standard formats for fixed Military Medical Treatment Facilities (MTFs) and DTFs. Resource and performance data must reflect the resources used in delivering healthcare services and comply with MEPRS functional work/cost center requirements. Data must be complete, accurate, and timely, and in sufficient detail to permit review and audit by management. - b. Prescribes detailed functional information for the standardized MEPRS Uniform Chart of Accounts Operational Functional Cost Codes (FCCs). - c. Cancels and along with DHA Procedures Manual “Medical Expense and Performance Reporting System (MEPRS) Procedures Manual for Fixed Military Medical and Dental Treatment Facilities: Business Rules, Volume 1,” September 27, 2018 (Reference (e)) reissues DoD 6010.13-M, “Medical Expense and Performance Reporting System for Fixed Military Medical and Dental Treatment Facilities,” April 7, 2008 (hereby canceled) (Reference (f)).

DHA IPM 18-011: Video Network Center (VNC) Endpoint Standards

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 (g): - Provides guidance for video network endpoint standards required for sites to connect to the Defense Health Agency (DHA) VNC network. These standards will help ensure security compliance, efficiency, and best practices are maintained across the DHA network. Meeting certification requirements brings many benefits, including: increased assurances of a successful video teleconference (VTC) experience, full access to bridge and point-to-point calls, and access to peer video networks, including the Department of Veterans Affairs, academia, and industry partners. Compliance with stated standards does not preclude users connecting to other DoD approved networks. - 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 #: 18-011
  • Date: 9/27/2018
  • Type: DHA Interim Procedures Memorandum
  • Topics: Technology

DHA PM 6010 13 MEPRS Volume 1

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 (ae), establishes the Defense Health Agency’s (DHA) procedures to: - a. Provide a uniform and standardized system of healthcare managerial cost accounting for the Military Health System (MHS) and the MEPRS. MEPRS: (1) Provides detailed uniform performance indicators, common expense classification by work center/cost center, uniform reporting of personnel utilization data by work centers, and a labor cost assignment methodology. (2) Methodology provides consistent performance data to managers responsible for healthcare delivery in support of dual Warfighter Support Operations and integrated Tri-Service healthcare missions. (3) Defines a set of functional work centers/cost centers, applies a uniform performance measurement system, prescribes a cost assignment methodology, and obtains reported information in standard formats for fixed Military Medical Treatment Facilities (MTFs) and fixed Military DTFs. Resource and performance data must reflect the resources used in delivering healthcare services and also comply with MEPRS functional work/cost center requirements. Data must be complete, accurate, and timely, and in sufficient detail to permit review and audit by management at all levels of the Health Affairs (HA) and DHA organizations. - b. Prescribes the standardized procedures, business rules, service units, allocation factors and guidelines for the uniform reporting of expense, labor/personnel, and/or output data for fixed military medical and DTFs. - c. Cancels and along with DHA Procedures Manual “Medical Expense and Performance Reporting System (MEPRS) Procedures Manual for Fixed Military Medical and Dental Treatment Facilities Uniform Chart of Accounts, Volume 2,” September 27, 2018 (Reference (e)) reissues DoD 6010.13-M, “Medical Expense and Performance Reporting System for Fixed Military MTFs and DTFs,” April 7, 2008 (hereby canceled) (Reference (f)).

DHA IPM 18-007: Service Delivery Management 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 (e): - Establishes the Defense Health Agency’s (DHA) procedures for implementing and managing high quality information technology (IT) services by the Chief Information Officer (CIO), Deputy Assistant Director Information Operations (DAD IO/J-6), Military Health System (MHS). The DHA Service Delivery Management program provides customers requesting IT services from the DAD IO/J-6 or Defense Information Systems Agency service catalogs with an on-demand, automated system that provides a single-entry point to submit service requests. The automated system enables DAD IO/J-6 to align business needs and use repeatable and scalable processes to holistically track, manage, and report on customer submitted requests for IT services from submission to fulfillment. - Is binding on DoD Components and supports the Director’s, DHA, responsibility to develop appropriate management models to maximize efficiencies in the activities carried out by the DHA. - This DHA-IPM is effective immediately; it will be converted into a DHA-Procedural Instruction (DHA-PI). This DHA-IPM will expire effective 12 months from the date of issue.

  • Identification #: 18-007
  • Date: 9/19/2018
  • Type: DHA Interim Procedures Memorandum
  • Topics: Technology

DHA IPM 18-009: Military Health System (MHS) Enterprise Architecture (EA)

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 (y): • Establishes the Defense Health Agency’s (DHA) procedures to identify the requirements for the execution of an EA, which demonstrates compliance with the DoD EA guidance. • Implements policy, issues guidance, assigns responsibilities, and assures compliance of EA within the MHS. • Provides objectives, scope, and structure of the MHS EA. • Specifies architecture requirements for information technology (IT) investments and programs. • 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 #: 18-009
  • Date: 9/19/2018
  • Type: DHA Interim Procedures Memorandum
  • Topics: N/A

DHA IPM 18-008: Use of Medical Q Services (MQS) Contract by Military Treatment Facilities (MTFs)

Policy

This Defense Health Agency-Interim Procedures Memorandum (DHA-IPM), based on the authority of References (a) through (d): - Instructs MTFs and servicing contracting offices to use the DHA MQS contracts for the procurement of health care staffing requirements for market segments of physician, nurse, dental, and ancillary contract services in the United States and its Territories. - Is effective immediately; it must be incorporated into a forthcoming change to DHA Procedural Instruction 6025.05 (Reference (g)). This DHA-IPM will expire effective 12 months from the date of issue.

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
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