As defined in Section 704 of Public Law 117-263, a circumstance in which, under the criteria set forth in Paragraph 3.1.b. of DoDI 6490.08, the need to prevent serious harm to an individual or essential military function clearly outweighs the need for confidentiality of information obtained by a health care provider incident to mental health care services...

A patient safety event that did not reach the patient (also known as “close call” or “good catch”) unsafe or hazardous condition. A condition or a circumstance (other than a patient’s own disease process or condition) that increases the probability of an adverse event.

A determination by the Office of General Counsel, Staff Judge Advocate, or other servicing legal office providing legal services to a deciding official that a proposed action meets applicable legal requirements.

Includes clinical and administrative activities, processes, and policies to identify, monitor, assess, mitigate, and prevent risks to the health care organization, patients, and staff. By employing risk management, the health care organization proactively and systemically safeguards patient safety and the organization’s resources, accreditations, le...

A PS event is an incident or condition that could have resulted, or did result, in harm to a patient. A PS event can be, but is not necessarily the result of, a defective system or process design, a system or process breakdown, equipment failure or malfunction, or human error. PS events include adverse events, no-harm events, near-miss eve...

Clinical Measurement uses tools to help evaluate and track the quality of health care services provided to beneficiaries in the MHS. Analyzing CM data and acting on identified trends for improvement helps ensure the MHS delivers safe, timely, effective, efficient, equitable, and patient-centered care.

The ongoing process of meeting the legal, ethical, regulatory, and professional standards applicable to a particular health care organization or provider.

The privileging authority is a designated official who grants permission to individuals to provide specific care, treatment, or services within well-defined limits. The privileging authority also initiates and makes determinations on clinical adverse actions.

A SIP is one who actively delivered care (based on clinical record entries) in either primary or consultative roles during the episodes of care that gave rise to the allegation, regardless of standard of care determination. Additional defining characteristics include providers that have the:

• Authority to start, stop or alter a course of tr...

The official with the responsibility to report to the National Practitioner Data Bank, State(s) of licensure, and other applicable certifying or regulatory agencies following appropriate due process proceedings.

The report authority is the DHA Director with respect to matters arising from acts or omissions of health care providers practicing under or priv...

The integrated processes, both clinical and administrative, that provide the framework to objectively define, measure, assure, and improve the quality and safety of care received by beneficiaries. The CQM functional capability includes the following programs:

• Patient Safety
• Healthcare Risk Management
• Credentialing and Privileg...

Statistical information relating to medical quality assurance records under Section 1102 of Title 10, U.S.C., that are at a sufficient level of aggregation, under criteria established by the Director, DHA, as to avoid disclosure of particular patients, events, or circumstances relating to such records. 

Action invoked against a health care provider, privileged or not, with the result that the authority to practice clinically is adversely affected. Adversely affected privilege(s) or practice are the result of a due process professional review action based on evidence of misconduct, or incompetence, or any conduct that adversely affects, or could adversely...

The documents that constitute evidence of appropriate education, training, licensure, experience, and expertise of a health care provider.

DOD medical and dental programs, personnel, facilities, and other assets operating pursuant to Chapter 55 of Title 10, by which the DOD provides: Health care services and support to the military services during the range of military operations. Health care services and support to members of the military services, their family members, and others entitled ...