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Provider Resources

TBICoE develops practical, easy-to-use clinical tools to support military and civilian health care providers in assessing and treating service members and veterans who have sustained a TBI. Providers can access clinically-relevant information and resources that address common symptoms associated with mild TBI, such as headache, sleep disturbances and vision problems. We also offer Provider Education materials for our clinical recommendations and tools.

Most clinical recommendations have related patient resources to help providers educate their patients through recovery. Check out the Patient and Family Resources section to locate fact sheets, family and caregiver support tools.

TBI educators, known as regional education coordinators, may also be available in your location to provide training on our clinical tools. Email TBICoE's dissemination branch to be connected with an REC nearest you.

Supporting TBI Resources for DODI 6490.11 and DHA-PI 6490.04

The DODI 6490.11, DOD Policy Guidance for Management of Mild Traumatic Brain Injury/Concussion in the Deployed Setting establishes policy, assigns responsibilities, and provides procedures on the management of mild traumatic brain injury (mTBI), also known as concussion, in the deployed setting. The DHA-PI 6490.04 Required Clinical Tools and Procedures for Assessment and Clinical Management of Mild Brain Injury (mTBI)/Concussion in Non-Deployed Setting establishes the Defense Health Agency's required clinical tools and procedures for management of mTBI/concussion, specifically, the use of the Military Acute Concussion Evaluation, Version 2 (MACE 2) and a progressive return to activity (PRA) framework for the assessment, management, and rehabilitation of all patients with mTBI/concussion.

The following resources specifically support these policies.

Military Acute Concussion Evaluation 2 (MACE 2)

Progressive Return to Activity Following Acute Concussion/Mild TBI

Recurrent Concussion Evaluation Card

Clinical Recommendations for Mild TBI

TBICoE optimizes clinical care by combining evidence from medical literature, health care research and expert opinion to develop and provide clinical suites to help providers deliver evidence-based treatment and address the challenges associated with mild TBI.

Learn more about clinical recommendations and supporting resources.

*NEW* Dizziness and Visual Disturbances Following Mild TBI Clinical Suite

Find and download the new clinical recommendation and supporting resources here!

Dizziness and Visual Disturbances Following Concussion/Mild Traumatic Brain Injury

Sleep Disturbances Following Concussion/Mild TBI

Headache Following Concussion/Mild TBI

Cognitive Rehabilitation Following Mild to Moderate TBI

Neuroimaging Following Concussion/Mild TBI

Neuroendocrine Dysfunction Screening Following Concussion/Mild TBI

Neurocognitive Assessment Tool (NCAT) Testing Following Concussion/Mild TBI

Additional Clinical Support Tools

TBICoE also offers the following tools to assist in the identification, treatment and management of patients with mild TBI in deployed and non-deployed settings.

Find and download the additional tools here.

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Vestibular Ocular Motor Screening (VOMS)

Publication
7/31/2020

The VOMS for Concussion Instructions is a clinical support tool for use with the MACE 2.

Recommended Content:

Traumatic Brain Injury Center of Excellence | Provider Resources | TBI Educators | Traumatic Brain Injury | TBI Resources

ICD-10 Coding Guidance for TBI

Publication
7/31/2020

DVBIC developed these training slides based on the latest coding guidance and the Military Health System Professional Services and Specialty Medical Coding Guidelines Version 5.0, to facilitate consistent and accurate coding for TBI diagnoses and related symptoms and conditions.

Recommended Content:

Traumatic Brain Injury | TBI Screening | TBI Resources | Traumatic Brain Injury Center of Excellence | Provider Resources | TBI Educators

Provider Training Slides for Management of Headache Following Concussion/Mild TBI

Publication
7/31/2020

Presentation that educates health care providers about the intent of and how to use the Management of Headache Following Concussion/Mild TBI clinical recommendation (includes knowledge tests and case studies).

Recommended Content:

Traumatic Brain Injury Center of Excellence | Provider Resources | TBI Educators

Indications and Conditions for Neuroendocrine Dysfunction Screening Post Mild TBI Clinical Recommendation

Publication
7/31/2020

This clinical recommendation serves as a reference tool offering medical guidance following indications from post-injury neuroendocrine screening.

Recommended Content:

Traumatic Brain Injury Center of Excellence | Provider Resources | TBI Resources

Indications and Conditions for Neuroendocrine Dysfunction Screening Post TBI Clinical Support Tool

Publication
7/31/2020

This clinical support tool serves as a quick reference offering medical guidance following indications from post-injury neuroendocrine screening.

Recommended Content:

Traumatic Brain Injury Center of Excellence | Provider Resources | TBI Resources

Management of Headache Following Concussion/mTBI Clinical Recommendation

Publication
7/31/2020

This clinical recommendation outlines the assessment and management of headache following mild TBI. It includes specific recommendations regarding how health care providers can help patients manage pharmacologic and non-pharmacologic treatment of post-traumatic headache (PTH).

Recommended Content:

Traumatic Brain Injury Center of Excellence | Provider Resources | TBI Educators | Traumatic Brain Injury

Management of Sleep Disturbances Following Concussion/mTBI Clinical Recommendation

Publication
7/31/2020

This TBICoE clinical recommendation outlines how to identify and assess sleep disturbances following a concussion; primary care manager initial treatment options; and recommended conditions for referral to sleep medicine.

Recommended Content:

Traumatic Brain Injury Center of Excellence | Provider Resources | Traumatic Brain Injury | TBI Symptoms | TBI Resources

Management of Headache Following Concussion/mTBI Clinical Support Tool

Publication
7/31/2020

This clinical support tool uses an algorithmic approach for health care providers to help assess and manage headache in service members and veterans who sustain a mild TBI and experience post-traumatic headache (PTH). The tool offers providers a step-by-step process to determine the type of headache following mild TBI and indications for emergency or specialty referral.

Recommended Content:

Traumatic Brain Injury Center of Excellence | Provider Resources | TBI Educators | Traumatic Brain Injury

Indications and Conditions for In-Theater Post-Injury Neurocognitive Assessment Tool (NCAT) Testing

Publication
7/31/2020

This clinical recommendation provides background of pre-deployment neurocognitive testing and the use of automated neuropsychological assessment metrics (ANAM).

Recommended Content:

Traumatic Brain Injury Center of Excellence | Provider Resources | Traumatic Brain Injury | TBI Screening | TBI Resources

Cognitive Rehabilitation for Following Mild to Moderate TBI Clinical Recommendation - Full

Publication
7/30/2020

This TBI clinical recommendation is broken down into three primary categories: Modifications for Service Members and Veterans; Interventions and Strategies to Address Cognitive Dysfunction; and, Delivery of Rehabilitation for Patients with Cognitive Challenges. Each category contains clinical recommendations, the background and rationale behind them, evidence review references, and clinical resources.

Recommended Content:

Traumatic Brain Injury Center of Excellence | Provider Resources | TBI Educators | Cognitive Rehabilitation Therapy | Traumatic Brain Injury

Cognitive Rehabilitation Following Mild to Moderate TBI Clinical Recommendation Appendices

Publication
7/30/2020

The appendices to the Cognitive Rehabilitation Following Mild to Moderate TBI Clinical Recommendation include a glossary of terms, outcome measures, evidence tables, and other useful resources.

Recommended Content:

Traumatic Brain Injury Center of Excellence | Provider Resources | TBICoE Research

Cognitive Rehabilitation Following Mild to Moderate TBI - Referring Provider Resource

Publication
7/30/2020

This resource answers common questions that referring providers may have, such as how to determine if a patient is having cognitive difficulties or whether the patient is a good candidate for cognitive rehabilitation following a mild to moderate traumatic brain injury.

Recommended Content:

Traumatic Brain Injury Center of Excellence | Provider Resources | TBI Educators | TBICoE Research | Cognitive Rehabilitation Therapy | Traumatic Brain Injury | TBI Resources

Military Acute Concussion Evaluation 2 (MACE 2)

Publication
7/30/2020

The 2018 Military Acute Concussion Evaluation 2 (MACE 2) is an acute assessment tool for all medically trained personnel who treat service members involved in a potentially concussive event. The MACE 2 incorporates current state-of-the-science traumatic brain injury information, including vestibular-ocular-motor screening. The MACE 2 is an update to and replaces the original MACE.

Recommended Content:

Traumatic Brain Injury Center of Excellence | Traumatic Brain Injury | Provider Resources | TBI Educators | TBI Screening

Recurrent Concussion Evaluation

Publication
7/30/2020

The TBICoE Recurrent Concussion Evaluation card is designed to guide providers in the management of patients with a history of three or more documented concussions within a 12-month span.

Recommended Content:

Traumatic Brain Injury Center of Excellence | Provider Resources | TBI Screening | TBI Resources

Ways to Improve Your Memory Following Concussion/mTBI Fact Sheet

Fact Sheet
7/30/2020

This TBICoE fact sheet can be used by health care providers to educate patients with concussion, or mild traumatic brain injury, on how to manage memory problems related to their injury.

Recommended Content:

Traumatic Brain Injury Center of Excellence | Patient and Family Resources | TBI Educators | Traumatic Brain Injury | Provider Resources
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