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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.

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 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)).

Deployment Health Centers Review, 2016-2017

Report
8/21/2017

This report summarizes the findings and recommendations from its independent review of the Deployment Health Centers (DHCs).

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In the zone at WBAMC's inpatient wards

Article
7/17/2017
Usa Thompson, staff nurse, Surgical Ward, William Beaumont Army Medical Center, measures medication while donning a visual aid designed to limit interactions and distractions while administering medications. Inpatient Wards at WBAMC implemented distraction-free designated times and other initiatives to proactively combat potential for error in missed or incorrect medications. (U.S. Army photo by Marcy Sanchez)

William Beaumont Army Medical Center’s Inpatient Wards have proactively implemented a distraction-free designated time dubbed, Medzone

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MHS Facts and Figures

Infographic
5/1/2017
The Military Health System cares for almost 10 million Americans of all ages, delivering care in military hospitals or clinics, or providing coordinated care through our civilian TRICARE networks.

The Military Health System cares for almost 10 million Americans of all ages, delivering care in military hospitals or clinics, or providing coordinated care through our civilian TRICARE networks.

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Access, Cost, Quality, and Safety | Access to Health Care

Why do you want to be a military doctor?

Video
3/30/2017
Why do you want to be a military doctor?

During the 2017 Military Health System Female Physician Leadership Conference, we asked some military medical students and junior officers to share why they want to be a military medical doctor.

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Overview of Coast Guard Health Services

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2/9/2017

Overview of Coast Guard Health Services

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Tasking Update Deployment Health Centers Review

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2/9/2017

Tasking Update: Deployment Health Centers Review

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Tasking Update Pediatric Health Care Services

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2/9/2017

Tasking Update: Pediatric Health Care Services

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Agenda: February 9, 2017

Meeting Reference
2/9/2017

Agenda for the February 9, 2017 DHB Meeting

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Smith to MHS and beneficiaries: Keep moving forward, ready to support the mission, new leaders

Article
1/26/2017
Dr. David Smith, Deputy Assistant Secretary of Defense for Health Readiness Policy & Oversight

Dr. David Smith, who is now performing the duties of the assistant secretary of Defense for Health Affairs, talks about the transition and the future of the MHS

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AMSUS recognizes Belvoir Hospital providers

Article
12/12/2016
Dr. Robin Meadows, Outpatient Pharmacy Supervisor at Belvoir Hospital, accepted the 2016 Improved Access Award from the Association of Military Surgeons of the United States, at a ceremony in Washington Dec. 1. During the event, Navy Lt. Cmdr. Heather Shattuck was recognized as Nurse of the Year by the organization. This is the third year in a row that the honor has gone to a Belvoir Hospital nurse.

Fort Belvoir Community Hospital receives 2016 Improved Access Award for drastically reducing wait times in the Outpatient Pharmacy.

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Mechanical Ventilation Methods in Transport of Critically Injured Patients

Presentation
11/1/2016

Mechanical Ventilation Methods in Transport of Critically Injured Patients

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Pediatric Care in the Military Health System

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11/1/2016

Pediatric Care in the Military Health System briefing to the Defense Health Board, Nov. 1, 2016.

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