Deployment Health Assessments (continued)

References:
* DoDI 6490.03 Deployment Health of 11Aug06
* DoDI 6025.19 Individual Medical Readiness of 22Apr96
*DoDI 6490.12 Mental Health Assessment of 26 Feb 2013
* ASD(HA) Policy Memorandum – Implementation of the Post-Deployment Health Clinical Practice Guideline of 29Apr02
-OPNAV 6100.3-Deployment Health Assessment (DHA) Process of 12 Jan 09
* NAVMED Policy 07-009 Deployment Medical Readiness of 6Apr07
* NAVMED Policy 06-004 Implementation of the PDHRA Policy in Navy Medicine Facilities of 4Apr06
* NAVADMIN 207/08
* NAVADMIN 299/06
-BUMEDNOTE 6100-Mental Health Assessment (MHA) for Members of the Armed Forces Deployed in Support of Contingency Operations- 5 Apr 12 (note not released yet, but will eventually become BUMED Instruction 6100 sometime during this fiscal year)
DISCLAIMER: This list of references is not all inclusive and the most recent updates may not be reflected. Commands are responsible for all instructions and guidance related to a particular program. / Command/BHC/Detachment:
Date:
Command POC:

Echelon

Reference / Standard / Yes / No / 1 / 2 / 3 / 4 / 5 / Comments
DODI 6490.03
Pg 23
E4 A1.1 thru 1.1.1.1 / Pre-Deployment
Do command members deploying with a platform or as an Individual Augment (IA) OCONUS for greater than 30 days with non-fixed military treatment facilities complete a Pre-Deployment Health Assessment (DD Form 2795) within 60 days of their expected deployment date? Describe the process.
Reference / Standard / Yes / No / 1 / 2 / 3 / 4 / 5 / Comments
DODI 6490.03
Pg 23
E4 A1.1.1.3 / Is the original of the completed DD Form 2795 placed in the deploying individual’s permanent medical record, with a copy included in the individual’s deployment health record?
E4 A1.3
page 25 / Does the deployment health record (DD Form 2766) contain the individual’s blood type/Rh factor; prescribed medications and/or allergies; corrective lens prescription; all immunizations in the Services’ electronic immunization tracking database and the patient deployment health record (must include type of immunization, date administered, dose and the vaccine administrator identifying information such as their initials; completed DD Form 2795, when required; and medical summary sheet identifying past and current medical conditions and screening tests)?
Reference / Standard / Yes / No / 1 / 2 / 3 / 4 / 5 / Comments
DODI 6490.03
Pg 6
5.5.7
OPNAV 6100.3
Pg 3 4b(1)-(2) / Are completed DD Form 2795s submitted to the Defense Medical Surveillance System (DMSS) via the Navy and Marine Corps Public Health Center (NMCPHC) (formerly NEHC)? Describe the process.
DODI 6490.03
E4 A1.1.1.2
Pg 23 / Following the completion of the DD Form 2795, is it immediately reviewed by a health care provider (at least a nurse, medical technician or hospital corpsman)? If there are positive responses to questions 2,3,4,7 or 8, is a referral made to a trained health care provider (physician, physician assistant, nurse practitioner, advanced practice nurse or independent duty corpsman)? Describe the process.
Reference / Standard / Yes / No / 1 / 2 / 3 / 4 / 5 / Comments
DODI 6490.03
E4.A1.2
Pg 23-26
E4 A1.1.2
E4A1.1.3
E4A1.1.4
E4A1.1.5
E4A1.1.6 / Pre-Deployment Health Assessment
Are/Is:
  • Individual medical readiness (IMR) deficiencies and deployment-specific health readiness deficiencies corrected and documented in the Service’s electronic tracking system for IMR requirements?
  • Deployment specific or occupational-related immunizations, prophylaxis, and any medical countermeasures or protective measures, as indicated, administered?
  • Force Health Protection Prescription Products (FHPPPs) prescribed, as indicated?
  • Pre-deployment tuberculosis screening performed?
  • Occupational personal protective equipment (e.g., hearing or industrial respiratory protection) and monitoring devices (e.g., thermo luminescent dosimeter (TLD badge)) as required by occupational specialty or personnel issued?
  • Pre-deployment serum specimens drawn?

E4A1.1.7
E4A1.1.8
E4A1.1.9
SECNAV 6120.3
5a-e / Is/Are:
  • Human Immunodeficiency Virus (HIV) testing (or as required for HIV threat or country requirements conducted?
  • Bio-monitoring baselines as required for potentially at-risk personnel conducted?
  • A minimum 90-day supply of prescription medications other than FHPPPs prescribed?
  • Medical records and deployment health records (DD Form 2766) updated?
Describe the process.
Reference / Standard / Yes / No / 1 / 2 / 3 / 4 / 5 / Comments
DODI 6490.03
Pg 13
6.5.1
Pg 29
E4A3.2.1 / Post-Deployment Health Assessment
Do command members redeploying from a platform or as an Individual Augment (IA) OCONUS for greater than 30 days with non-fixed military treatment facilities complete a Post-Deployment Health Assessment (DD Form 2796) as close to redeployment as possible, but not earlier than 30 days prior to the expected redeployment date and not later than 30 days after redeployment. Describe the process.
Is this tracked by the facility for their staff returning from deployment? Describe the process.
Reference / Standard / Yes / No / 1 / 2 / 3 / 4 / 5 / Comments
DODI 6490.03
E4A2.6 / Are inpatient and outpatient medical and dental deployment encounter documentation (including medical and dental treatment records on DoD personnel from allies and coalition partners) combined with the individual’s permanent medical and dental records within 30 days of redeployment? Describe the process.
OPNAV 6100.3
4b / Are completed DD Form 2796 placed in the deployed individual’s permanent record and submitted to the Defense Medical Surveillance System (DMSS) via the NMCPHC? Describe the process.
DODI 6490.03
E4.A3.2.1.1
E4.A3.2.4
Table E4.T3 / Are medical referrals and follow-up medical visits for deployment-related medical concerns and issues accomplished? Describe process.
Reference / Standard / Yes / No / 1 / 2 / 3 / 4 / 5 / Comments
DODI 6490.03
E4.A3.2.3
E4.A3.2.4
E4.A3.2.5 / Are the visits for deployment-related medical concerns documented using the Post Deployment Health Clinical Practice Guideline diagnostic International Classification of Diseases code V70.5_6 in the patient’s medical record?
Reference / Standard / Yes / No / 1 / 2 / 3 / 4 / 5 / Comments
DODI 6490.03
E4.A3.2.6
E4.A3.2.7
E4.A3.2.8
E4.A3.2.9
E4.A3.2.10
E4.A3.2.11 / Is/Are:
  • All medical encounter documentation integrated into the medical record?
  • Post-deployment tuberculosis screening accomplished, if required?
  • Post-deployment serum samples drawn (if pre-deployment serum samples were required)?
  • Bio-monitoring performed, when indicated?
  • Post-deployment health debriefings and risk communications conducted?
  • Medical surveillance in place to identify post-deployment health problems?
Describe the process.
Reference / Standard / Yes / No / 1 / 2 / 3 / 4 / 5 / Comments
DODI 6490.03
E4.A3.2.12 / Post-Deployment Health Reassessment
Are Post-Deployment Health Reassessments (DD Form 2900) completed 90 to 180 days after return to home station from deployment completed, if required? Service members must complete the demographic portion (page 1) of the form. Completion of the medical portion (pages 2 and 3) is voluntary, but highly encouraged to ensure that any deployment-related health concerns are addressed in a timely manner. Describe the process.
DODI 6490.03
5.5.21
Pg 7 / Are DD Form 2900s completed electronically by the service member? This is a requirement.
Reference / Standard / Yes / No / 1 / 2 / 3 / 4 / 5 / Comments
DODI 6490.03
E4.A3.2.12 / After the DD Form 2900 is completed, does a trained health care provider complete page 4 of the form, discuss concerns indicated on the form and determine if referrals are required? When reviewing the service member’s answers and completing page 4, the health care provider should be in face to face or telephonic contact with the service member.
DODI 6490.03
E4.A3.2.12 / Are completed DD Form 2900 submitted to the Defense Medical Surveillance System (DMSS) via the NMCPHC? Describe the process.
OPNAV 6100.3
6d
Pg 8 / Does the commanding officer track the compliance of their eligible members with this program?
Reference / Standard / Yes / No / 1 / 2 / 3 / 4 / 5 / Comments
Tracer question / How many staff members require a PDHRA?
Tracer question / When new staff members report, do you have a process to determine if they have previously deployed and are in need of a PDHRA? Describe the process.
BUMED NOTE 6100
4b; 5b(1) / Is the first person-to-person mental health
assessment complete in conjunction with the completion ofDD Form
2795—within 120 days prior to deployment? .
BUMED NOTE 6100
4b; 5b(2) / Is the second person-to-personMHA done with DD Form 2900 within 90-180 days after returning from deployment?
BUMED NOTE 6100
4b; 5b(3)-(4) / Is the third and fourth person-to-person mental health assessments completed in conjunction with the ensuing two PHAs between 7-12 months and 18-30 months following deployment, respectively?
BUMED NOTE 6100
4c / Are the MHAs conducted by a medical provider, i.e., physician,
physician assistant, nurse practitioner, or independent duty corpsmen, or by a mental healthprovider (psychiatrist, psychologist, social worker, psychiatric nurse practitioner)?
BUMED NOTE 6100
4c / If no to above, do non-mental
health providers have a certificate documenting completion of the “Training
to Administer DoD Deployment Mental Health Assessments” Web-based training developed bythe Office of the Assistant Secretary of Defense for Health Affairs and available at
BUMED NOTE 6100
4c / Did the mental health assessment include a review of the health record?
BUMED NOTE 6100
4d / Are the MHAs completed electronically?
Additional Comments
Are compliance and outstanding referrals part of Check-in/out process? This is a suggestion.

FOR COMMANDS USE

HOW TO CORRECT PDHRA FALSE POSITIVES

To correct those identified as due/overdue for PDHRA but do not meet the criteria in NAVADMIN 207/08, paragraph 2, medical units must:

(a) After MRRS login, click "medical entry".

(b) Drop down to "comprehensive medical entry".

(c) Enter the identifiable information for the person you are correcting and click "apply".

(d) Click on the name in the right hand column.

(e) Open "deploy" tab.

(f) Select "edit" (to the right of the Deployment History).

(g) Select PDHRA Status "Location" from dropdown list.

(h) Select either "<30 days" or "Shipboard" to exempt the member from a PDHRA.

(i) Click "save" (upper right of screen).

For a list of frequently asked deployment health assessment MRRS’ questions, visit

September 2013