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Policies

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DHA IPM 18-020: Guidance for the Provision of Human Immunodeficiency Virus (HIV) Pre-Exposure Prophylaxis (PrEP) for Persons at High Risk of Acquiring HIV Infection

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 Military Health System’s (MHS) guidance for the provision of HIV PrEP for persons at high risk of HIV acquisition (ACQ). • Describes the elements and resources required to implement an HIV PrEP program. • Establishes the indications for HIV PrEP, laboratory (lab) testing and monitoring, and prescribing of HIV PrEP. • Provides a link to an HIV PrEP toolkit for providers. • This DHA-IPM is effective immediately; it will be converted to a DHA-Procedural Instruction. This DHA-IPM will expire effective 12 months from the date of issue.

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

MILPERSMAN 1730-020 Immunization Exemptions for Religious Beliefs

Policy

Process for requesting immunization exemptions, pursuant to the Navy Military Personnel Manual.

Air Force In-Service Transition of Airmen Identifying as Transgender

Policy

This memorandum extends the policy and guidance associated with in-service transition of Airmen identifying as transgender established in Air Force Policy Memorandum 2016-36-01 (AFPM2016-36-01), dated 6 October 2016. To the extent the memorandum's directions are consistent with other Air Force publications, this information herein prevails, in accordance with Air Force Instruction 33-360, Publications and Forms Management.

DoDI 6200.07 Delivery of Direct Health Care to Non Detainee Host Nation HN Civilians

Policy

This issuance establishes policy, assigns responsibilities, and provides procedures for DoD personnel engaged in or supporting the delivery of direct health care to HN civilians during military exercises or operations.

  • Identification #: DoDI 6200.07
  • Date: 10/22/2018
  • Type: Instructions
  • Topics: N/A

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 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: 10/17/2018
  • 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

DHA IPM 18-014: Joint Medical Executive Skills Program (JMESP)

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 (f). • Assigns responsibilities, describes procedures, and formalizes the JMESP within the Military Health System (MHS). This program assists in preliminary education and training for commanders or directors of DoD medical treatment facilities and leaders of DHA and TRICARE Regional Offices, to include officers, enlisted, and civilians. • Redesignates the Director, DHA, as the DoD lead for the JMESP. • Is effective immediately; it must be incorporated into a new DHA-Procedural Instruction. This DHA-IPM will expire 12 months from the date of issue.

  • Identification #: 18-014
  • Date: 10/16/2018
  • Type: DHA Interim Procedures Memorandum
  • Topics: N/A

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: 10/10/2018
  • Type: DHA Interim Procedures Memorandum
  • Topics: Technology

DHA PI 6025.10: Standard Processes, Guidelines, and Responsibilities of the DoD Patient Bill of Rights and Responsibilities in the Military Health System (MHS) MilitaryMedical Treatment Facilities (MTFs)

Policy

This Defense Health Agency-Procedural Instruction (DHA-PI): Based on the authority of References (a) through (d), and in accordance with the guidance of References (e) through (t), establishes the Defense Health Agency’s (DHA) procedures to begin standard processes and guidelines for the Patient’s Bill of Rights and Responsibilities, (Reference (e)), in MTFs.

  • Identification #: 6025.10
  • Date: 10/9/2018
  • Type: DHA Procedural Instruction
  • Topics: Access to Health Care

DHA PI 6025.11: Processes and Standards for Primary Care Empanelment and Capacity in Medical Treatment Facilities (MTFs)

Policy

This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) through (c), and in accordance with the guidance of References (d) through (k), establishes the Defense Health Agency’s (DHA) procedures to describe processes and standards for calculating and adjusting primary care empanelment and MTF empanelment capacity, authorized adjustments for leadership roles by Component and accounting for Defense Health Program (DHP)-funded Primary Care Managers (PCMs) in MTFs.

  • Identification #: 6025.11
  • Date: 10/9/2018
  • Type: DHA Procedural Instruction
  • Topics: N/A

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
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