BUMEDINST 5040.2D, COMMAND INSPECTION PROGRAM Flashcards
From: Chief, Bureau of Medicine and Surgery
COMMAND INSPECTION PROGRAM
Ref: (a) SECNAVINST 5040.3A
(b) SECNAVINST 5430.57G
Scope. This instruction applies to all Navy Medicine commands.
Purpose. To publish objectives, policies, and procedures of Chief, Bureau of Medicine and
Surgery (BUMED) Command Inspection Program. This instruction is a complete revision and
should be read in its entirety.
Authority. The Medical Inspector General (MEDIG) conducts command inspections on behalf of Chief, BUMED. References (a) and (b) set forth echelon 1 and 2 inspection policies and procedures.
Background. The MEDIG conducts professional and technical organizational inspections of Navy Medicine commands to assess effectiveness and efficiency of Navy Medicine’s mission;
reports organizational issues to Chief, BUMED, echelon 3 commanders, Navy Medicine commanding officers, and officers in charge;
Program Objectives. To evaluate command effectiveness, efficiency, climate, and program
compliance through inspection and reporting. The MEDIG will take every opportunity to enhance mission effectiveness through teaching and training.
the command inspection
program will:
Provide inspection results to leadership to achieve program compliance and mission readiness within the organization.
the command inspection
program will:
Identify systemic issues that impede delivery of health care or readiness and report issues to Chief, BUMED for consideration for further action and/or resolution.
Inspected programs without significant deficiencies are categorized as fully compliant in
the inspection report.
A recommendation of an Opportunity for Improvement is made if the MEDIG determines there are other options that may enhance a program’s effectiveness. An Opportunity for Improvement is not considered a negative finding.
Programs with deficiencies may receive a Requirement for Improvement (RFI) or a Supplemental Finding.
A RFI identifies a nonexistent program; or a program deficient in major elements, not
fulfilling the intent of policy.
A RFI requires the command to respond with an Implementation Status Report (ISR) outlining the command’s actions to correct the deficiencies.
The MEDIG will determine if an RFI can be closed or
remain open, depending on the command’s progress in correcting the deficiencies.
OPNAV 5040/2
Implementation Status Report.
The ISR and any supporting documentation will be forwarded through the chain of command and is due to the MEDIG 90 days from the last day of the inspection.
Follow-up ISRs are due to the MEDIG every 90 days thereafter until it is deemed closed by the MEDIG.
All RFIs must be closed within 1 year
A Supplemental Finding requires the command to correct the noted
deficiencies, but is not required to report the corrections to the MEDIG.
However, when a
Supplemental Finding is not corrected and is then identified as a repeat finding during the next
MEDIG inspection, it will be elevated to an RFI, requiring an ISR to report corrective actions.
The MEDIG will:
Conduct command inspections on a 1 to 4 year cycle
The MEDIG will:
Electronically forward the final inspection report to the command, with a copy to the
echelon 3 commander.
The MEDIG will:
Collaborate with the contracted civilian accreditation body for information sharing
and inspection/survey coordination.
