Patient Administration - Army Publishing Directorate - U.S. Army

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15–3. Data system studies The MTF will identify and generate information requirements necessary for studies and reporting. Information requirements that exceed the capacity of the local MTF will be referred to PASBA. 15–4. Abortion Statistics Report (RCS MED-363) The DOD has mandated the reporting of all abortions (whether spontaneous or therapeutic (endangered life of mother)) that occur at an Army MTF. a. MTFs will forward copies of all abortion inpatient treatment record cover sheets (ITRCSs) (except spontaneous/ code 634) to the Commander, USAMEDCOM, ATTN: MCHS-ISD, 1216 Stanley Road, Suite 25, Fort Sam Houston, TX 78234-6025. MTFs will implement local SOPs that ensure that these cases are tracked and transmitted. It is recommended that MTFs forward abortion ITRCSs with regularly scheduled transmittals as stated in paragraph 15–2b or as soon as the abortion record is coded. Due to the ongoing special emphasis on diagnostic and procedure coding of abortion records, PASBA will perform a quality review of ITRCSs for coding accuracy. b. MTFs will forward ITRCSs with the following abortion codes: (1) 630 to 633—Missed abortion, ectopic, and molar pregnancy. (2) 635—Legally induced (therapeutic, elective). (3) 636—Illegally induced. (4) 638—Failed attempted abortion. (5) 639—Complications following abortion and ectopic and molar pregnancies. (6) Other abortion codes as provided from PASBA. 15–5. Diagnostic and operative indices Specific information referencing these two indices can be found in AR 40-66. 15–6. Workload report Primary Care for the Uniformed Services clinics and other MTFs, as defined in AR 40-4 (except dental facilities) will prepare initial, monthly, and final workload report according to the Worldwide Workload Reporting (WWR) Users’ Manual. 15–7. Patient Accounting and Reporting Realtime Tracking System/Joint Patient Tracking Application a. The JPTA is the data reporting tool used to report special interest personnel for tracking patients during a training exercise and during a contingency operation. b. JPTA is a secured Web-based software application for logging and tracking medical information on U.S. Armed Forces and Government employees that require medical treatment as a result of a military operation or unplanned incident. Designed as a tracking system for special category and special interest patients such as VIPs, enabling care, or MASCAL patients, JPTA facilitates the distribution of pertinent medical and administrative information to senior USAMEDCOM leadership. The application consists of a data management module and a reports module. c. Patient administrators are responsible for reporting information into JPTA as stated per system business rules provided by the USAMEDCOM. JPTA business rules are available in the JPTA Users’ Manual located on the PASBA Web site within the “Product Documents” link at www.pasba.amedd.army.mil. d. Contact the Commander, USAMEDCOM, MCHO-CL-P, 2050 Worth Road, Fort Sam Houston, TX 78234-6010 (FAX: 210-221-6613; e-mail: pad.USAMEDCOM@cen.amedd.army.mil) for additional information on special interest personnel. 15–8. Patient administration contingency operations Patient administrators will establish training programs for administrative personnel assigned to the TOE units. Training should encompass but not be limited to rotations in fixed clinic/MEDDAC/MEDCEN PAD sections including the AAD office, inpatient records, and patient affairs. The goal is to improve Soldier skills that will be used in support of deployed unit operations. a. Training should also increase proficiency/familiarization in the use of applicable automation systems such as CHCS, JPTA, the PASBA PAD Tool, and the TRANSCOM Regulating and Command & Control System. b. Upon alert for deployment, the patient administrator of deploying TOE units will notify the Commander, USAMEDCOM, ATTN: MCHS-IS, 1216 Stanley Road, Suite 25, Fort Sam Houston, TX 78234-6025. The Chief, Data Management Branch, PASBA, will forward the deploying units a deployment package including applicable ARs, users’ manuals, and required reports/tools. Any training requirements for the deployment unit will be discussed at that time. c. Activated TOE units are responsible for submitting daily SIDR, JPTA, and Patient Status Reports via the PASBA PAD Tool electronically to PASBA or by using the WWR function in the TOE automated patient tracking systems. If electronic communication is unavailable, manual reports will be forwarded directly to the Commander, USAMED- COM, ATTN: MCHS-IS, 1216 Stanley Road, Suite 25, Fort Sam Houston, TX 78234-6025 (via certified post office mail). 90 AR 40–400 27 January 2010
d. Patient administrators of deployed TOE units will ensure input of diagnostic and procedure codes on inpatient treatment episodes of care into the PASBA PAD tool electronically via nonsecure/secure internet protocol router net, the TOE automated patient tracking system, or CHCS for electronic transfer to the commander, USAMEDCOM, ATTN: MCHS-IS, 1216 Stanley Road, Suite 25, Fort Sam Houston, TX 78234-6025 (via certified post office mail or secure fax (210) 221-9016, DSN 471). 15–9. The Army Central Registry The Army Central Registry is a database of identified instances of child/spouse abuse. Access to either case information or statistical data must be according to AR 608-18. Program inquiries may be directed to Commander, USAMED- COM, ATTN: MCHD-CL-H, 2050 Worth Road, Fort Sam Houston, TX 78234. AR 40–400 27 January 2010 91
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Army Regulation 40-400 Medical Serv
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Headquarters Department of the Army
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Contents—Continued Department of
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Contents—Continued Autopsy author
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Contents—Continued Chapter 13 Inj
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Chapter 1 Introduction 1-1. Purpose
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nonemergent specialty care. The Pri
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(1) If not prohibited under the law
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Table 2-3 Supplemental care payment
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a. Treatment during and after duty.
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the camp commander or the MTF comma
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e provided an employee paid from ap
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(2) The Health Insurance Portabilit
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(n) Section 13. Signature of the MT
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discharged or transferred. When an
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encompasses the geographic area whe
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(3) Peace Corps applicants. (a) Exc
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the emergency. The patient or respo
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physicians, dentists, nurses (pract
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. Each Uniformed Service secretary
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3-61. Treatment of former military
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Figure 3-2. Sample format memorandu
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4-3. Comfort items for patients a.
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Kingdom, and the United States The
Page 49 and 50: f. The MTF commander who starts act
Page 51 and 52: (1) Attempt to arrange transfer to
Page 53 and 54: (3) Patients who are being or have
Page 55 and 56: personal decisions will be assisted
Page 57 and 58: authorities, to the sponsor or NOK.
Page 59 and 60: (2) Enabling care (EC). AD patients
Page 61 and 62: patients in absent sick status, cha
Page 63 and 64: date the packet is mailed to the PE
Page 65 and 66: (4) A complete, current report of m
Page 67 and 68: Table 7-1 Distribution of medical b
Page 69 and 70: d. Instructions for the preparation
Page 71 and 72: . After approval by the Service rev
Page 73 and 74: . Soldiers who are in initial entry
Page 75 and 76: a. The following information will b
Page 77 and 78: c. Civilians interned by the Army.
Page 79 and 80: a. Members of the Army, RC, and app
Page 81 and 82: medical documents by submitting DD
Page 83 and 84: 11-10. Audit and review The MSA is
Page 85 and 86: lost. The MSA must have the interna
Page 87 and 88: Figure 11-2. Sample memorandum form
Page 89 and 90: Chapter 12 Patients’ Trust Fund 1
Page 91 and 92: (2) Deposits and requests for check
Page 93 and 94: whom administrative responsibility
Page 95 and 96: 13-7. Concurrent medical affirmativ
Page 97 and 98: (4) Establish a process whereby all
Page 99: (1) Receive and open mail including
Page 103 and 104: AR 215-1 (not cited) Military Moral
Page 105 and 106: AR 36-2 Audit Services in the Depar
Page 107 and 108: VASRD Veteran’s Administration Sc
Page 109 and 110: DA Form 5009 Medical Record-Release
Page 111 and 112: Appendix B Persons authorized care
Page 113 and 114: Table B-1 Persons authorized care a
Page 127 and 128: (3) Is there a procedure in place t
Page 129 and 130: Glossary Section I Abbreviations AA
Page 131 and 132: EIN employee identification number
Page 133 and 134: MPRJ military personnel records jac
Page 135 and 136: REP 63 Reserve Enlistment Program o
Page 137 and 138: VA Veterans Affairs VARO Veterans A
Page 139 and 140: Disability separation Temporary or
Page 141 and 142: Maximum hospital benefit That point
Page 143 and 144: standard CHAMPUS cost shares apply.
Page 145 and 146: Convalescent leave, 5-1 Cosmetic su
Page 147 and 148: Civilian participants in Army-spons
Page 149 and 150: For assignment to WTU, 8-3 Outside
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Special consideration of USFHP bene
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Social Security, table 2-1, 3-21, 3
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Patient Administration - Army Publishing Directorate - U.S. Army

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