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Reform, COVID-19 Have Been Catalysts for Change in Military Medicine

Image of Dr. Terry Adirim speaking to an audience at a conference. Dr. Terry Adirim, acting assistant secretary of defense for health affairs, speaks to the audience during a Views from the Top educational session at the Healthcare Information and Management Systems Society 2021 annual conference at the Venetian Resort in Las Vegas, August 10 (Jacob Moore, MHS Communications).

"We cannot forget that healthcare is about taking care of people, so no amount of change or innovation is ever sufficient if modernization does not lead to helping patients, delivering better outcomes, saving lives or helping healthcare providers deliver care," said Dr. Terry Adirim, acting assistant secretary of defense for health affairs, during a Views from the Top educational session at the Healthcare Information and Management Systems Society 2021 annual conference.

She spoke about the unique differences, as well as the similarities, between civilian and military medicine.

"I believe there are unique lessons from our experience within the Military Health System, regardless of what sector of healthcare you sit in," said Adirim. "From data systems driving greater efficiencies and better outcomes within our agencies, to efforts helping us realize the advancements in science and medicine."

These innovations, she said, are aligning federal healthcare providers with the best in private sector care, delivering the best results for service members and their families.

Adirim said the two largest factors currently leading to innovations, changes and advancements within the MHS are:

"We can't discuss innovation, modernization and responding to change without also talking about the pandemic. COVID-19 continues to prove to be the ultimate disruptor," she said. "It has tested the readiness and resilience of the entire enterprise and put our providers at risk and, ultimately, threatens our service members' ability to do their jobs."

Adirim explained how new approaches to medical care and public health such as virtual health and testing methodology have kept military health beneficiaries safe since the onset of the pandemic.

These, "seemingly small but significant wins," she said, have created real change.

She cited Keesler Medical Center in Biloxi, Mississippi's best practice of using the Centers for Disease Control and Prevention's recommended 15-minute waiting period following COVID-19 vaccination to ask patients about making appointments for routine care that may have been missed due to increased focus on the virus.

Adirim also used the opportunity to praise the military medical community.

"It is a privilege to lead and serve military medical providers who are fully committed to ensuring the health and readiness of our troops, which is so vital to our national security," she said. "They have been doing so through an especially challenging time of national and global disruption due to the COVID pandemic."

Defense Health Agency Director Army Lt. Gen. (Dr.) Ronald Place also spoke at HIMSS21 as part of the Views from the Top series the following day.

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Consolidated Department of Defense Coronavirus Disease 2019 Force Health Protection Guidance

Policy

Consolidates and updates the Department’s guidance regarding vaccination verification, vaccination status, COVID-19 testing, surveillance and screening testing, personnel protection on-site mask requirements, (e.g., DHA military medical treatment facilities, meetings, travel), and the protection of personally identifiable information.

  • Identification #: 22-006
  • Date: 8/18/2022
  • Type: Memorandums
  • Topics: COVID-19

DHA-IPM 20-004: Department of Defense (DOD) Coronavirus Disease 2019 (COVID-19) Vaccination Program Implementation

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Establishes the Defense Health Agency’s procedures to implement instructions, assign responsibilities, and prescribe procedures for the DHA’s implementation of the DOD’s COVID-19 Vaccination Program.

  • Identification #: DHA-IPM 20-004
  • Date: 6/16/2022
  • Type: DHA Interim Procedures Memorandum
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Continuing Implementation for Reform of the Military Health System

Policy

This memorandum directs the continued implementation of the Military Health System organizational reform required by law, extending the authority, direction and control of all military hospitals and clinics not currently under Defense Health Agency authority to the DHA, to include military hospitals and clinics in overseas areas.

Coronavirus Disease 2019 Vaccination Attestation, Screening Testing, and Vaccination Verification

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This memorandum provides guidance on the implementation of vaccination, attestation, and testing requirements in accordance with the References listed in Attachment 1 to reduce the transmission of the virus that causes COVID-19.

  • Identification #: 21-004
  • Date: 11/3/2021
  • Type: Memorandums
  • Topics: COVID-19

Medical Logistics Guidance for the DoD Coronavirus Disease 2019 (COVID-19) Vaccination Program

Policy

Establishes the DHA's procedures for ordering, receiving, and managing COVID-19 Vaccines inventory and ancillary kits for enduring COVID-19 support.

  • Identification #: 6025.01
  • Date: 5/10/2021
  • Type: DHA Procedural Instruction
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TAB A MEO COVID19 Medical Coding Policy

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Memorandum for DHA Staff - Military Medical Treatment Facilities to Implement Updated DHA COVID-19 Medical Coding Policy

  • Identification #: N/A
  • Date: 3/25/2021
  • Type: Memorandums
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DHA COVID19 Medical Coding PolicyV5 1v

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Establishes the DHA procedures to standardize the coding for Coronavirus 2019 (COVID-19) within military medical treatment facilities (MTFs). This memorandum replaces DHA-Policy Memorandum 20-003 of July 1, 2020. Attachment 1 was updated to include the 2021 procedure and diagnosis codes for COVID-19, including the new vaccination and treatment codes.

  • Identification #: 20-003
  • Date: 3/25/2021
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Supplemental Guidance for Providing DOD Coronavirus Disease 2019 Vaccines to DOD Contractor Employees and Select Foreign Nationals

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This memorandum provides supplemental guidance on the provision of coronavirus disease 2019 (COVID-19) vaccines, in accordance with reference (a). The Defense Health Agency (DHA) is the lead coordinating DOD Component for executing this guidance, in coordination with the Military Departments and other DOD Components as appropriate.

  • Identification #: N/A
  • Date: 12/31/2020
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HA Guidance for Coronavirus Disease 2019 (COVID-19) Laboratory Pre-Testing Questionnaire

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This memorandum provides guidance for a COVID-19 laboratory pre-testing questionnaire that will be mandatory for all Active Duty Service members and encouraged for all other DOD beneficiaries treated at military medical treatment facilities.

  • Identification #: N/A
  • Date: 12/17/2020
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Executive Order on Ensuring Access to United States Government COVID-19 Vaccines

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This EO outlines who should receive priority access to COVID-19 vaccines developed in the United States or procured by the United States Government (“United States Government COVID-19 Vaccines”).

  • Identification #: N/A
  • Date: 12/8/2020
  • Type: Directives
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Coronavirus Disease 2019 Vaccine Guidance

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This memorandum provides guidance on the provision of coronavirus disease 2019 (COVID-19) vaccines. The Defense Health Agency (DHA) is the lead coordinating DOD Component for executing this guidance, in coordination with the Military Departments and other DOD Components.

  • Identification #: N/A
  • Date: 12/7/2020
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Return to the Workplace Staffing Plan in the Coronavirus Disease 2019 Environment

Policy

Establishes the DHA's plan to return to full operations and support the whole-of-government response, during the Coronavirus Disease 2019 (COVID-19) pandemic

  • Identification #: 3020.01
  • Date: 11/3/2020
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Military Medical Treatment Facilities to Implement Updated DHA COVID-19 Medical Coding Policy

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The Defense Health Agency (DHA) Memorandum, based on the authority of References (a) and (b), and in accordance with the guidance of References (c) and (d), establishes the DHA’s procedures to standardize the coding for Coronavirus 2019 (COVID-19) Military Medical Treatment Facilities (MTFs). This memorandum cancels and replaces DHA- Policy Memorandum 20-003 of (13 April 2020). A change was issued since the cancelled Memorandum 20-003 of (13 April 2020), the Attachment titles were updated to reflect that Attachments 1, 2, and 4 are considered Policies as opposed to Guidance.

  • Identification #: 20-003
  • Date: 5/13/2020
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Continuing Implementation of the Reform of the Military Health System

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This memorandum directs the continued implementation of the Military Health System (MHS) organizational reform required by 10 U.S.C. § 1073c, and sections 71 land 712 of the John S. McCain National Defense Authorization Act (NDAA) for Fiscal Year (FY) 2019. The DoD policy for this reform is guided by the goals of improved readiness, better health, better care, and lower cost. The Department will advance these objectives through specific organizational reforms directed by Congress and the continued direction of the Secretary of Defense·anct the National Defense Strategy.

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Last Updated: January 25, 2023
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