Milirary and Civilian Deployment Health Screening Flashcards
any troop movement resulting from a Joint Chief of Staff (JCS) or unified command deployment order for 30 continuous days or greater to a land –based location outside the United States that does not have a permanent US military medical treatment facility which is funded by the Defense Health Program
Military Deployment
all DoD/GS Civilian personnel entering theater for more than 30 days to OCONUS locations with non-fixed Medical Treatment Facilities (MTFs) must be medically cleared to deploy
Civilian deployment
use to locate medical clearance reporting instructions for specified location where personnel are deploying
AF Reporting Instruction Tool (AFRIT)
Combatant Command Reporting Instructions
DAFI 48-122, Deployment Health
DoDI 6490.03, Deployment Health
Pre-Deployment Health Clearances:
Deployment Tools
AFRIT
DAFI 48-122, Deployment Health
DoDI 6490.03, Deployment Health
Knowledge Exchange
ASIMS
Pre-Deployment Health Clearances:
Requirements for Military and Civilian Personnel
Periodic Health Assessment (PHA)
Dental
Labs
Profile
Medical Equipment
ANAM
Immunizations
must be current before estimated departure date
Periodic Health Assessment (PHA)
class 1 or 2, must be current before departure date
Dental
should be checked to ensure that the member is current on all required labs and that they are current throughout the duration of their deployment
Labs
he/she cannot take Primaquine medication upon return from a malaria prevalent area
G6PD deficient
which lab tests should be on file
Sickle Cell
DNA
which lab test should be every two years unless deploying
HIV
should be documented and specified on dog tags
Blood-type
Duty restriction, Mobility restriction, Fitness restriction
Profile
corrective lens prescription; current script for spectacles, ballistic eyewear, and protective (gas) mask inserts
Medical Equipment
collect baseline information on performance that can be used if a Service Member has an injury affecting attention, memory or thinking ability
ANAM Testing
what does ANAM stand for?
Automated Neuropsychological Assessment & Management
Deploying members will complete the ANAM testing
within 12 months of deployment
who conducts ANAM testing
Mental Health
Immunizations are based on?
Current Area of Responsibilities (AOR) Reporting Instructions
what type of immunization requirements must be current prior to deployment?
DoD Standard Requirements
what type of immunization requirements have additional immunizations that may be given due to the threat in the deployment area?
Deployment Specific Requirements
what type of immunization requirements require further vaccines depending on the mission of other sister services or occupational requirements?
Service-Specific Requirements
who initiates MTF Notification of DoD Civilian Deployment and Request for Deployment Medical Clearance Memorandum for Record (MFR)
Unit Deployment Manager (UDM)
MFR must be signed by
CC
provides deployers with medical clearance checklist and documents
PH
Civilian cannot be seen by PH or have any medical services rendered at the MTF until registered with this office
TRICARE Operations and Patient Administration (TOPA)
Forms required for civilian deployments
a. OF-178, Part B
b. DD Form 2807-1, Report of Medical History
c. DD Form 2813, DoD Active Duty/Reserve Forces Dental Examination
d. DD Form 771, Eyewear Prescription
must be completed by civilian deployer’s CC
if not completed, medical clearance will not be initiated
OF-178, Part B
civilian completes blocks 1-29, answers honestly about medical history, and discloses any pre-existing medical conditions that might limit ability to deploy
DD Form 2807-1, Report of Medical History
completed and signed by their private physician and the completed form must be given to PH
DD Form 2807-1, Report of Medical History
civilian must complete blocks 1-5 prior to reporting to PH. Blocks 6-11 will be completed by a MTF provider
DD Form 2813, DoD Active Duty/Reserve Forces Dental Examination
Completed by MTF optometrist
DD Form 771, Eyewear Prescription
Additional Requirements for Military and Civilian Personnel
I. Country specific requirements are based on deployment location
II. Medication
III. Red dog tags
IV. Special Duty Qualifications
V. Pre-Deployment Health Assessment Form
VI. DD Form 2766
VII. Service Specific Requirements
some chronic illnesses, G6PD deficiencies, and allergies need to be documented on
Red dog tags
clearance for duties for operation not typically in the scope of the individual’s duties
Special Duty Qualifications
required for ALL individuals who meet the 30+ continuous days
Pre-Deployment Health Assessment Form
used to give in-country clinicians a history of medical events in the member’s life
DD Form 2766 - hardcopy or electronic
Area of Responsibilities (AOR) Waiver Process
Member sent to Physical Evaluation Board Liaison Officer (PEBLO).
I. PEBLO initiates waiver package and sends to approving authority.
II. Approving authority reviews waiver package and discusses condition with gaining MTF on care capabilities.
III. Approving authority will send approving or disapproving results to PEBLO via email.
IV. PH must document approval/disapproval on DD Form 2766.
Post-Deployment Clearances
A. Serum
B. TB Skin Tests
C. Malaria Prophylaxis
D. IMR Requirements
when to collect any required serum samples
NLT 30 days after arrival to home station
the decision to screen for TB is based on
the individual risk of exposure to TB
what is the timeframe for TB skin testing?
between 3 and 6 months
DD Form 2795
Pre-Deployment Health Assessment
must be completed if the person is deploying for 30 continuous days or more to a location outside the United States where there is not a fixed US military MTF
Pre-Deployment Health Assessment
Completed in ASIMS within 120 days of deployment
Pre-Deployment Health Assessment
a. All members will have a face-to-face appointment with a DRHA credentialed provider.
b. DRHA provider will refer any issues to respective clinic.
c. Copy of completed form needs to be placed in electronic health record. (EHR)
DD Form 2795:
Dispositions and Referrals
DD Form 2796
Post-Deployment Health Assessment
Completed during in-theater medical out-processing or within 30 days after returning to home station or processing station
DD Form 2796
The individual must complete this form and have a face-to-face encounter with a provider per DoDI 6490.03, Deployment Health
DD Form 2796
The original form is filed in the member’s medical record
This is included in the members DD Form 2766 while deployed and will be added to their permanent medical record upon return to home station
The form will be electronically sent to DMSS via ASIMS
DD Form 2796
is completed 90-180 days after return
requires a face to face appointment with DRHA credentialed provider
DRHA #3, DD Form 2900, Post Deployment Health Reassessment
is completed between 181 days and 1 year after return
DRHA #4, DD Form 2978, Mental Health Assessment (MHA)
is completed between 18-30 months after return
DRHA #5, DD Form 2978, Deployment MHA
may be accomplished with the member’s annual PHA
DRHA #4 and #5
all DRHAs will have
a face-to-face appointment with a credentialed provider
which DRHAs are not required for civilian deployers
DRHA #4 and #5
annually provide training on deployment medical clearance process and DRHA metrics
Leadership
semiannually (every 6 months) provide training for DMC, medical clearance process and DRHA metrics
UDMs
Reporting Metrics
forums
documentation
