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2017 Year in Review: Places where Military Health System leaders, experts gathered

Navy Vice Adm. Raquel Bono, director, Defense Health Agency, speaks at the Defense Health Information Technology Symposium, July 25, in Orlando, Florida. Conferences like this one help MHS and other health care personnel to exchange ideas and information to help improve care to beneficiaries. (Courtesy photo) Navy Vice Adm. Raquel Bono, director, Defense Health Agency, speaks at the Defense Health Information Technology Symposium, July 25, in Orlando, Florida. Conferences like this one help MHS and other health care personnel to exchange ideas and information to help improve care to beneficiaries. (Courtesy photo)

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Innovation | Military Health System Electronic Health Record | MHS GENESIS | Extremity Trauma and Amputation Center of Excellence | Warrior Care

FALLS CHURCH, Va. — Leaders, industry experts, and clinicians from across the Military Health System gathered to share accomplishments, news, and research happening at home and abroad. Here’s a look at the highlights:

HIMSS. Approximately 40,000 health care IT professionals, clinicians, executives, and vendors from around the world attended the Healthcare Information and Management Systems Society (HIMSS) 2017 conference in February in Orlando, Florida, to discuss health care and technology, with topics ranging from cybersecurity to innovation, to interoperability.

The conference provided an opportunity for healthcare professionals to discuss the rollout of MHS GENESIS, which began this year. Navy Vice Adm. Raquel Bono, director of the Defense Health Agency, outlined several initiatives the MHS is taking to improve delivery of care to its 9.4 million beneficiaries.

FAAST. In July, the Federal Advanced Amputation Skills Training brought together health and wellness experts from the Departments of Defense and Veterans Affairs to share best practices in caring for those who have lost limbs because of combat, injury, or disease.

Experts shared findings related to identifying and lessening secondary health complications; laser hair removal and other procedures to make wearing prosthetic sockets more comfortable; acupuncture and other pain-management techniques that don’t involve medications; therapeutic recreation programs such as yoga, swimming, and horseback riding; rehabilitation programs to optimize agility; and sex and intimacy after limb loss.

DHITS. “One Team, One Mission - Creating Our Future Together” was the theme of the Defense Health Information Technology Symposium in Orlando, Florida. The three-day event brought together more than 2,000 information technology professionals, health care providers, and administrators who make use of IT solutions to better serve patients. “Health IT is one of the foundational enterprise support activities,” said Bono, who spoke on July 25. “There is not another support function that touches everything we do.”

MHSRS. The annual Military Health System Research Symposium which took place in August in Kissimmee, Florida, attracted military medical providers, academic researchers, clinical administrators, and more, to discuss the treatment of warfighters, retirees, and their families.

“This is the only large, broad-based research conference focusing on the unique medical needs of the military,” said Dr. Kelley Brix, a physician and division chief with the Defense Health Agency’s Research and Development directorate. “It crosses many different research areas and medical conditions.”

The information shared at the symposium serves more than just the military community. “Many of the breakthroughs made in the military in improving the care of traumatic injuries have been widely adopted in civilian health care,” said Brix. Experts discussed surgical care on the battlefield, life after amputation, regrowing limbs in the future, magnets to relieve depression symptoms, and studying PTSD through biomarkers.

AMSUS. The 126th Annual Continuing Education Meeting of the Society of Federal Health Professionals, also known as AMSUS, took place at the Gaylord National Resort and Convention Center in Oxon Hill, Maryland, at the end of November. Leaders from the Defense Health Agency and the services came together to discuss health readiness. Acting Assistant Secretary of Defense for Health Affairs Thomas McCaffery and Bono spoke during the plenary session.

“Their views on today’s issues will offer a unique opportunity for everyone to hear about the current state and future plans for the Defense Health Agency,” said retired Navy Vice Adm. Michael Cowan, executive director of AMSUS. Topics at the conference ranged from global health engagement to the modernization of military health care, including the many advantages designed into MHS GENESIS to ensure that it provides seamless health care for beneficiaries in the system.

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Warrior Care Month Recognition

Policy

This memorandum from Mr. Thomas McCaffery, the Assistant Secretary of Defense for Health Affairs, officially recognizes November as Warrior Care Month, an important Department of Defense (DoD)-wide effort to increase awareness of programs and resources available to wounded, ill, and injured Service members, as well as their families, caregivers, and others who support them.

  • Identification #: N/A
  • Date: 10/25/2019
  • Type: Memorandums
  • Topics: Warrior Care

DHA IPM 18-021: Guidance for Immediate Completion and Closure of Open Encounters and Records in Legacy Systems

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) and (e): • Establishes the Defense Health Agency’s (DHA) procedures to complete and close open encounters within the legacy systems in preparation for the implementation of Military Health System (MHS) GENESIS. • Identifies and delineates responsibilities associated with completing and closing open encounters within the legacy systems in preparation for the implementation of MHS GENESIS. • Should be used by DoD military treatment facilities (MTFs) to update procedures and workflows that pertain to the DoD Health Record Management, Patient Administration, and other MTF functions impacted by these decisions. • Is effective immediately; it must be incorporated into a DHA-Procedural Instruction. This DHA-IPM will expire effective 12 months from the date of issue.

DHA IPM 18-018: Physical Custody and Control of the DoD Health Record

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): • Establishes the Defense Health Agency’s (DHA) procedures for the physical custody and control of DoD Health Records at all DoD Military Treatment Facilities (MTFs) and the management, monitoring, review, and evaluation of DoD Health Record availability at MTFs. • This DHA-IPM is effective immediately and will expire effective 12 months from the date of issue. It must be incorporated into the forthcoming DHA-Procedural Instruction, “Health Records Management”.

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.

Warrior Care Month Recognition

Policy

In this memorandum, Secretary of Defense, Ash Carter recognizes November as Warrior Care Month, an important DoD-wide effort to increase awareness of programs and resources available to wounded, ill, and injured Service members, as well as their families, caregivers and others to support them.

  • Identification #: N/A
  • Date: 11/14/2016
  • Type: Memorandums
  • Topics: Warrior Care

DoDM 1332.18, Volume 3: Disability Evaluation System (DES) Manual: Quality Assurance Program (QAP)

Policy

This manual is composed of several volumes, each containing its own purpose. This volume assigns responsibilities and procedures for the DES QAP pursuant to section 524 of Public Law 112-239 (Reference (c)).

  • Identification #: DoDM 1332.18, Volume 3
  • Date: 11/21/2014
  • Type: Manual
  • Topics: Warrior Care

DoDM 1332.18, Volume 1: Disability Evaluation System (DES) Manual: General Information and Legacy Disability Evaluation System (LDES) Time Standards

Policy

This manual is composed of several volumes, each containing its own purpose. The purpose of the overall manual, in accordance with the authority in DoD Directive 5124.02 (Reference (a)), is to implement policy, assign responsibilities, and provide procedures for the DES pursuant to DoD Instruction (DoDI) 1332.18 (Reference (b)).

  • Identification #: DoDM 1332.18, Volume 1
  • Date: 8/5/2014
  • Type: Manual
  • Topics: Warrior Care

DoDI 1332.18: Disability Evaluation System (DES)

Policy

This instruction establishes policy, assigns responsibilities, and provides procedures for referral, evaluation, return to duty, separation, or retirement of Service members for disability

  • Identification #: DoDI 1332.18
  • Date: 8/5/2014
  • Type: Instructions
  • Topics: Warrior Care

DoDM 1332.18, Volume 2: Disability Evaluation System (DES) Manual: Integrated Disability Evaluation System (IDES)

Policy

This manual is composed of several volumes, each containing its own purpose. The purpose of the overall manual, in accordance with the authority in DoD Directive 5136.01 (Reference (a)), is to implement policy, assign responsibilities, and provide procedures for the DES pursuant to DoD Instruction (DoDI) 1332.18 (Reference (b)).

  • Identification #: DoDM 1332.18, Volume 2
  • Date: 8/5/2014
  • Type: Manual
  • Topics: Warrior Care

DoD Instruction 6025.20: Medical Management (MM) Programs in the Direct Care System (DCS) and Remote Areas

Policy

Establishes policy, assigns responsibilities, and prescribes uniform guidelines, procedures, and standards for the implementation of clinical case management (CM) in the Military Health System (MHS), for TRICARE beneficiaries including care of the wounded, ill, and injured (WII) in accordance with the authority in Reference (b) and DoDI 1300.24 (Reference (f)).

  • Identification #: DoD Instruction 6025.20
  • Date: 10/2/2013
  • Type: Instructions
  • Topics: Warrior Care

Waiver of Restrictive Licensure and Privileging Procedures to Facilitate the Expansion of Telemedicine Services in the Military Health System 12-010

Policy

In order to facilitate the expansion of telemedicine services in the Military Health System, this memorandum waives selective provisions of Department of Defense 602S.13-R, "Clinical Quality Assurance in the Military Health System," June 11 , 2004. This waiver is conditioned on the specific provisions of this memorandum, and shall remain in effect, unless modified or revoked, until the cancellation and reissuance of DoD 602S.13-R, or the issuance of a Department of Defense Instruction for or including telemedicine.

Planning for the Reform of the Governance of the Military Health System

Policy
  • Identification #: N/A
  • Date: 3/2/2012
  • Type: Guidelines
  • Topics: Innovation

DoD Instruction 1300.24: Recovery Coordination Program (RCP)

Policy

This instruction establishes policy, assigns responsibilities, and prescribes uniform guidelines, procedures, and standards for improvements to the care, management, and transition of recovering Service members (RSMs) across the Military Departments.

  • Identification #: DoD Instruction 1300.24
  • Date: 12/1/2009
  • Type: Instructions
  • Topics: Warrior Care
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