Skip to main content

Military Health System

You also may be interested in...

Joint Medical Operations Program Nomination/Registration Request

Form/Template
11/7/2022

This form is used to provide the Defense Medical Readiness Training Institute (DMRTI) with information required to complete course registration in order to provide student and DMRTI full course attendance as well as the awarding of Continuing Education credit (CME/CNE).

Recommended Content:

Defense Medical Readiness Training Institute | DMRTI Course Information | Joint Medical Operations Course | Joint Medical Planning Tool Course | Joint Senior Medical Leaders Course (JSMLC) | Joint Humanitarian Operations Course

340b Verification Form

Form/Template
10/24/2022

340b Verification Form to be completed by the manufacturer and pharmacy for any 340b claim disputes.

TRICARE Dispute Resubmission Form

Form/Template
10/24/2022

TRICARE Dispute Resolution Form for manufacturers. For use on resubmitted rejected disputes.

TRICARE Retail Refund NDC Transfer Form

Form/Template
10/24/2022

Use this form to transfer or make changes to your current Appendix A

DHA Form 249: Pharmacy Data Warehouse Data Report Request Form

Form/Template
10/7/2022

Recommended Content:

DHA Pharmacy Operations Support Contract Data Management Team | CD-MART | D-MART | WTU P-MART

Web MEDCASE Requirements and Execution PIA

Form/Template
10/5/2022

The Web Medical Care Support Equipment (MEDCASE) Requirements and Execution (WebMRE) version 1.x system is a database and web application that is developed for the Defense Health Agency's (DHA's) Integrated Clinical Systems Program Management Office (ICS PMO). The WebMRE system is a Platform as a Service (PaaS) hosted on the DHA's Data Center Operations Branch (DCOPS) virtual environment. The WebMRE system is designed to provide detailed information, requirements data, and execution status to assist in the management and control of the MEDCASE/Super Capital Expense Equipment Program (SuperCEEP). WebMRE system will provide detailed information of Medical Device Equipment located in the Army's Medical Treatment Facilities (MTF’s) to assist with the requirements generation, life-cycle management and Planning, Programming, Budgeting and Execution (PPBE) process for Army Medical Equipment and general users. The system was a legacy application that was developed in Oracle 11g and was upgraded to Oracle 12c. The system was migrated from legacy application of Cold Fusion to ASP.NET MVC 5 Framework. The WebMRE System application is a database to manage the data captured via user interface. Front end of the application is developed using ASP.NET. The backend will use ORACLE 12c.

59th MDW Wilford Hall WHEN MEDCOI PIA

Form/Template
9/20/2022

The 59th MDW Wilford Hall (WHEN)_MEDCOI is also known as Wilford Hall Ambulatory Surgical Center (WHASC) Site and Wilford Hall Enterprise Network (WHEN) is an outpatient Medical Treatment Facility (MTF) supporting over 240,000 enrolled Tri-Service Beneficiaries and more than 6,000 military members, civilian personnel, residents, and students. The WHEN Enclave consists of End User Devices (EUDs), switches, appliances, and the data center. The WHEN provides all environmental controls such as light, power, Heating Ventilation Air Conditioning, and physical security for the data center. Co-located and Managed Co-located systems within the data center include systems and applications that contain Protected Health Information (PHI) and Personally Identifiable Information (PII) data. Data Network Connectivity (DNC), Enterprise Management System (EMS), and the Network Protection Suite are services controlled and managed by DHA and are not included in the authorization boundary.

DHA Form 116: Pediatric and Adult Influenza Screening and Immunization Documentation

Form/Template
9/14/2022

A form for screening both children and adults for contraindications to receiving influenza vaccine. (v3, September 2022)

Recommended Content:

Immunizations | Influenza, Northern Hemisphere | Influenza, Southern Hemisphere

DHA Form 207: COVID-19 Vaccine Screening and Immunization Document v22

Form/Template
9/9/2022

The purpose of this form is to determine if the COVID-19 vaccine can be administered to the patient. (v22, Sept. 2022)

Recommended Content:

Coronavirus and the COVID-19 Vaccine | Immunization Healthcare Division | COVID-19 Vaccine Efforts | COVID-19 Information for Military Treatment Facility Directors | Coronavirus

BUMED Manpower Information System II BUMIS II PIA

Form/Template
9/8/2022

BUMIS II provides an online inventory of personnel assigned to Navy Medicine. It includes demographics, education, health care specialty, additional qualifications, assignment and training skills. BUMIS II provides personnel planners at headquarters level with data about the medical personnel force that allows tracking and trends of gains, losses, and skill mix. The data is pivotal for the development of personnel strength plans, promotion plans, accession plans, and training plans and is also used for ad hoc queries responding to inquiries about Medical Department Officer force from both inside and outside the Navy Medical department.

Clinical Information System CIS Essentris Inpatient System PIA

Form/Template
9/8/2022

Clinical Information System (CIS)/Essentris® Inpatient System (hereinafter “CIS Essentris®”) the Military Health System (MHS) inpatient documentation solution is a comprehensive clinical documentation system for use in acute care hospitals. CIS/Essentris® enables continuous and automated clinical documentation and bedside point-of-care data capture. All inpatient clinical documentation is created and stored in CIS/Essentris®, the Composite Health Care System (CHCS), and bedside instruments. Clinical data may be aggregated, trended, and analyzed to manage care for a single patient or for an entire patient population. CIS/Essentris® also provides waveform documentation, graphical trending on patient parameters, a reference library, patient education materials, and various reporting capabilities such as change of shift reports, task lists, and administrative reports.

Workload Management System for Nursing Internet WMSNi PIA

Form/Template
9/8/2022

The purpose of the WMSNi system is to determine the nursing manpower requirements based upon patient care needs. The patient acuity data is collected to analyze nurse personnel requirements to meet the clinical needs of active service members, their families, retirees and other DOD personnel and dependents. WMSNi determines how many staff members are needed on a particular nursing unit to provide care during a 24-hour period. The resulting nursing manpower requirements are then documented in a table of distribution and allowances for use at the US Army Medical Command and its Medical Treatment Facilities (MTFs). Along with US Army MEDCOM and its MTFs, WMSNi is also being utilized at Walter Reed National Military Medical Center (WRNMMC), which is under the control of the Defense Health Agency (DHA).

DHA Form 177: Potentially Compromised (PC) Temperature Sensitive Medical Product (TSMP) Worksheet

Form/Template
9/1/2022

TSMP collectively refers to: vaccines, some pharmaceuticals, temperature sensitive laboratory supplies, and other temperature sensitive medical items.

Best Practices for Verification of Identity June 2022

Form/Template
8/31/2022

Best Practices for Verification of Identity Information Paper, updated June 2022

Best Practices for Safeguarding Laptops June 2022

Form/Template
8/31/2022

Information Paper on Best Practices for Safeguarding Laptops, updated June 2022

<< < 1 2 3 4 5  ... > >> 
Showing results 1 - 15 Page 1 of 23
Refine your search
Last Updated: July 20, 2022
Follow us on Instagram Follow us on LinkedIn Follow us on Facebook Follow us on Twitter Follow us on YouTube Sign up on GovDelivery