Policies

DHA PI 6025.29: Provision of Human Immunodeficiency Virus (HIV) Pre-Exposure Prophylaxis (PrEP) for Persons at High Risk of Acquiring HIV Infection

This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (i): a. Establishes the Military Health System (MHS) instructions for the provision of HIV PrEP for persons at high risk of HIV acquisition. b. Describes the elements and resources required to implement an HIV PrEP program. c. Establishes the indications for HIV PrEP, laboratory (lab) testing and monitoring, and prescribing of HIV PrEP. d. Provides a link to an HIV PrEP toolkit for providers.

• Identification #: DHA PI 6025.29
• Date: 12/20/2019
• Type: DHA Procedural Instruction
• Topics: N/A

DHA PI 6490.03: Deployment Health Procedures

This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) through (d), updates procedures from References (e) through (k), incorporates References (j) through (l), and in accordance with Reference (c), establishes the Defense Health Agency’s (DHA) procedures to: a. Implement and monitor the execution of the DoD deployment health activities. b. Include procedures and guidance for deployment health activities in all phases of deployment. c. Incorporate and cancel the Defense Health Agency Director Memorandum, “Standardized Process Guidance for Completing, Approving, and Posting Periodic Occupational and Environmental Monitoring Summaries,” dated September 12, 2014 (Reference (l)).

• Identification #: DHA PI 6490.03
• Date: 12/17/2019
• Type: DHA Procedural Instruction
• Topics: N/A

DHA PI 6025.30: Guidance for Service Implementation of Code Purple for Obstetric Emergencies

This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (f), establishes the Defense Health Agency’s (DHA) procedures implementing Reference (d), which requires standardization of emergency code, Code Purple, for obstetric (OB) and/or neonatal emergencies, separate and apart from any other emergency codes, into all military medical treatment facilities (MTFs) under the governing authority, direction and control of the Director, DHA.

• Identification #: DHA PI 6025.30
• Date: 12/9/2019
• Type: DHA Procedural Instruction
• Topics: N/A

DODI 6200.03 Public Health Emergency Management within the Department of Defense

In accordance with DoD Directive (DoDD) 5124.02, this issuance: • Establishes policy, assigns responsibilities, and provides direction to ensure mission assurance and readiness for public health emergencies caused by all-hazards incidents. • Defines a public health emergency within the DoD to include the occurrence or imminent threat of an illness or health condition that poses a high probability of a significant number of deaths, serious or long-term disabilities, widespread exposure to an infectious or toxic agent, overwhelmed health care resources, or severe degradation of mission capabilities. • Provides DoD policy for management of public health emergencies, in accordance with DoD Instruction (DoDI) 6055.17, through integration with the DoD Emergency Management (EM) Program. • Outlines the public health emergency health powers, roles, and responsibilities of the military installation commander, including the authority for restriction of movement. • Details procedures for internal and external notifications of DoD-declared public health emergencies. • Clarifies the PHEM roles and responsibilities of the medical treatment facility (MTF) commander or director, the public health emergency officer (PHEO), and the medical emergency manager (MEM).

• Identification #: N/A
• Date: 11/25/2019
• Type: Instructions
• Topics: N/A

Warrior Care Month Recognition

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

Continuing Implementation of the Reform of the Military Health System

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.

• Identification #: N/A
• Date: 10/25/2019
• Type: Memorandums
• Topics: Military Hospitals and Clinics | MHS Transformation

DODI 6205.02 DOD Immunization Program

Establishes policy, assigns responsibilities, and provides procedures to establish a uniform DoD immunization program, in accordance with the authority in DoDD 6200.04 and DoD Instruction (DoDI) 1010.10.

• Identification #: 6205.02
• Date: 10/23/2019
• Type: Instructions
• Topics: N/A

DHA PI 6025.27: Integration of Primary Care Behavioral Health (PCBH) Services into Patient-Centered Medical Home (PCMH) and Other Primary Care Service Settings within the Military Health System (MHS)

This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) and (d), establishes Defense Health Agency’s (DHA) procedures to assign responsibilities, and prescribes procedures and standards for Military Medical Treatment Facilities (MTFs) developing, initiating, and maintaining health behavior, behavioral medicine, and behavioral health services in adult and pediatric/adolescent primary care settings. It will: a. Implement PCBH staffing requirements and PCBH models of service delivery in primary care. b. Define, develop and implement PCBH personnel competency-based training requirements and PCBH personnel core competency standards required for the delivery of these services in primary care. c. Define and establish Service and DHA-level structures for planning, training, sustaining, and evaluating PCBH services. d. Define and establish the range of services appropriate for PCBH personnel.

• Identification #: DHA PI 6025.27
• Date: 10/18/2019
• Type: DHA Procedural Instruction
• Topics: N/A

DHA PI 6025.26: Standard Processes for the Military Health System (MHS) Nurse Advice Line (NAL)

This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) through (c) and in accordance with the guidance of References (d) through (v), establishes the Defense Health Agency’s (DHA) procedures for incorporating the NAL into the MHS Patient Centered Medical Home (PCMH).

• Identification #: DHA PI 6025.26
• Date: 10/18/2019
• Type: DHA Procedural Instruction
• Topics: N/A

DHA AI 109: Decision-Making Architecture (DMA)

This Defense Health Agency-Administrative Instruction (DHA-AI) based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (h), establishes the Defense Health Agency’s (DHA) procedures to: a. Establish a standardized process for the DHA DMA that enables effective and efficient decision-making across the DHA. b. Push down decision-making authorities to the greatest extent possible to the appropriate leaders across the DHA to include the Deputy Director, DHA; Assistant Directors (ADs); Deputy Assistant Directors (DADs); Small and Stand-Alone Organization (SSO) Director/Deputy Director; Defense Health Region (DHR) Directors; Market Directors; Military Medical Treatment Facility (MTF) Directors; and other leaders as appropriate. c. Support development of appropriate management models to maximize the effectiveness of decision-making within the DHA. d. Identify staff roles, responsibilities, and contributions to decision-making processes.

• Identification #: DHA AI 109
• Date: 10/15/2019
• Type: Administrative Instructions
• Topics: N/A

FY20 Direct Care ASA Rates Memorandum

• Identification #: N/A
• Date: 9/24/2019
• Type: Memorandums
• Topics: N/A

DHA PI 3200.02: Clinical Investigation Program (CIP) in Military Medical Treatment Facilities (MTFs)

This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (x), assigns responsibilities and establishes procedures for the funding and administration of the CIP within DoD MTFs.

• Identification #: DHA PI 3200.02
• Date: 9/24/2019
• Type: DHA Procedural Instruction
• Topics: N/A

DHA IPM 18-010: Medical Community of Interest Circuits

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 (f), establishes the Defense Health Agency’s (DHA) procedures to procure and to establish contact and support for the deployment and monitoring of the installation of the Med-COI circuits. Another DHA-Procedural Instruction, “Circuit Management,” will cover all other circuits and services of the Medical Circuit Management Office (MCMO).

• Identification #: 18-010
• Date: 9/20/2019
• Type: DHA Interim Procedures Memorandum
• Topics: N/A

DHA IPM 18-011: Video Network Center (VNC) Endpoint Standards

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) through (g): - Provides guidance for video network endpoint standards required for sites to connect to the Defense Health Agency (DHA) VNC network. These standards will help ensure security compliance, efficiency, and best practices are maintained across the DHA network. Meeting certification requirements brings many benefits, including: increased assurances of a successful video teleconference (VTC) experience, full access to bridge and point-to-point calls, and access to peer video networks, including the Department of Veterans Affairs, academia, and industry partners. Compliance with stated standards does not preclude users connecting to other DoD approved networks. - This DHA-IPM is effective immediately; it will be converted into a DHA-Procedural Instruction. This DHA-IPM will expire effective 12 months from the date of issue.

• Identification #: 18-011
• Date: 9/20/2019
• Type: DHA Interim Procedures Memorandum
• Topics: Technology

DHA IPM 18-013: Risk Management Framework (RMF)

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) through (ac): • Incorporates cybersecurity strategy, policy, awareness/training, assessment, continuous monitoring, authorization, implementation, and remediation. • Aligns with the Deputy Assistant Director, Information Operations (DAD IO) J-6/Chief Information Officer’s (CIO) key concept of increasing cybersecurity of Defense Health Agency’s (DHA) Information Technology (IT); therefore, robust risk assessment and management is required. • Encompasses lifecycle risk management to determine and manage the residual cybersecurity risk. • This DHA-IPM is effective immediately; it will be converted into a DHA-Procedural Instruction. This DHA-IPM will expire effective 12 months from the date of issue.

• Identification #: 18-013
• Date: 9/20/2019
• Type: DHA Interim Procedures Memorandum
• Topics: Technology