Patient Administration - Army Publishing Directorate - U.S. Army
Patient Administration - Army Publishing Directorate - U.S. Army Patient Administration - Army Publishing Directorate - U.S. Army
determines that a patient is VSI, SI, SPECAT, changes from one category to the other, or subsequently recovers, dies, or is transferred to another MTF, he/she will prepare DA Form 2984 and forward it immediately to the patient administrator, administrative officer of the day, or other designated officer. The MTF commander establishes policy for notification of other persons. Information will be safeguarded against inappropriate disclosures (AR 360-5). All notifications are recorded on DA Form 2984. DA Form 2984 is available on the APD Web site (www.apd.army.mil). (2) Roster of VSI, SI, SPECAT Patients (locally produced). The patient administrator will prepare-on a daily basis-a roster of VSI, SI, and SPECAT patients. When automated systems are not available, a manually prepared report should contain the name, grade or status, SSN or other ID number, ward, date first placed on the roster, and present condition. The format of the roster, the method of preparation, and the distribution will be locally determined. c. Notification procedures in CONUS. Whenever the person to be notified is present at the MTF, the notification will be made immediately by the attending physician (AR 600-8-1). (1) Upon classification as VSI or SI, the MTF commander will immediately notify the NOK or other person to be notified. A follow-up (progress report) should be sent at least every 5 days and immediately upon a significant deterioration in the patient’s condition. A final notification will be sent when the patient is removed from VSI/SI. (2) When the person to be notified resides in CONUS, notification will be direct by telephonic means. When the person to be notified is not located in CONUS, or notification of NOK is not within the capability of the responsible hospital commander, the casualty information will be relayed immediately to the responsible CAC (AR 600-8-1). (3) When Army personnel are hospitalized in nonmilitary hospitals, the commander of the MTF administratively responsible for the patient will be responsible for obtaining casualty information and for initiating notification procedures. (4) A SPECAT patient will be counseled concerning his or her condition and will be encouraged to write personally when physically and mentally able to do so. When a patient is unable to act in his or her own best interests and cannot communicate with the Family, the commander will notify the NOK. d. OCONUS MTFs. In OCONUS MTFs when the persons to be notified are not locally present, the information will be relayed immediately to the CAC (AR 600-8-1). Notification to the NOK will be accomplished as stated in c above. ITOs may be issued under special circumstances (AR 600-8-1). The OCONUS CAC responsible for the area will be provided casualty information required by AR 600-8-1 and also provided progress reports every 5 days until the casualty is released, recovers, or dies. This information will be used by the CAC to notify the NOK located beyond the hospital (that is, NOK located in another CAC area of responsibility). e. Notifications pursuant to international agreements. (1) In addition to all other notification requirements, when personnel of Armed Forces of Allied Nations or foreign national students are patients in CONUS, the MTF commander will provide the CAC information relevant to preparing a casualty report according to AR 600-8-1 and AR 12-15. (2) The agreement implemented by this paragraph is NATO STANAG 2132. 6–3. Hospitalization of special interest patients and enabling care policy a. Policy. Notifications will be made for admissions; changes in condition (such as major improvement or deterioration of condition, including SI and/or VSI changes); and disposition from inpatient status including return to duty (RTD), discharge, retirement, and death for the following categories of patients: (1) Very important persons (VIPs) including— (a) The President of the United States and dependents. (b) The Vice President of the United States and dependents. (c) Former Presidents of the United States and dependents. (d) Cabinet members. (e) United States Congress members. (f) United States Supreme Court Justices. (g) Secretaries of Defense, U.S. Army, U.S. Navy, and U.S. Air Force (h) Any former service Secretary (authorized care as a retired service member). (i) Former Chairmen, Joint Chiefs of Staff and former Chiefs of Staff of Services. (j) Any unplanned admission of AD generals or flag officers and persons designated to be general or flag officers. Special reporting requirements of AD GOs are addressed in paragraph b(4), below. (k) USAMEDCOM subordinate commanders and command sergeants major. (l) Foreign heads of states. (m) Foreign dignitaries. (n) Nationally known figures or celebrities and their dependents who, in the opinion of the MTF commander, could be expected to be of particular interest to the USAMEDCOM Commanding General or the news media. (o) Any military member assigned to a USAMEDCOM activity upon notification of his/her death. (p) Sergeant Major of the Army. 48 AR 40–400 27 January 2010
(2) Enabling care (EC). AD patients who are admitted with a potentially disabling injury or illness in one of the medical specialties listed below: (a) Burns. (b) Amputations. (c) Spinal cord injuries. (d) Traumatic head injuries. (e) Eye injuries. (f) Post traumatic stress disorder. (3) MASCAL. Any number of casualties produced in a relatively short period of time that challenge medical and logistical support capabilities of the facility. (4) Stability Operations and Support Operations. Patients generated from Stability Operations and Support Operations, such as deployment to hostile or potentially hostile locations and who are hospitalized within an area of operations and subsequently transferred/evacuated into supporting MTFs (both field and/or fixed facilities), are reportable at each MTF. (5) Others. Other special interest patients at the request of higher headquarters. b. Procedures. MTF personnel who have been designated to report an admission, change in status, or disposition of a person in a special category will notify the USAMEDCOM within 2 hours after such occurrence or as soon thereafter as practicable. (1) VIP admissions, changes in status, and dispositions. (a) Notification procedures— 1. MTF personnel will notify the USAMEDCOM Patient Administration Division (PAD) electronically at https:// pad.amedd.army.mil during duty hours (0730-1630, Central Time (CT)). After duty hours, the USAMEDCOM staff duty officer (SDO) will be notified at DSN 471-8445. Commercial area code and prefix is (210) 221-8445. 2. After duty hours, the USAMEDCOM SDO will contact the OTSG/OPSCENTER 21 Desk Officer (DSN) 761- 8052/5095 for extremely time sensitive information regarding VIPs that would warrant placement in TSG/USAMED- COM commanding general’s morning briefing or immediate notification of TSG. Other less sensitive information received after duty hours will be provided to the USAMEDCOM PAD at https://medcompad1@amedd.army.mil for appropriate notifications the following duty day. (b) Active duty VIP reporting. The data below will be provided in an executive summary when reporting VIP patient information for active duty. This is Health Insurance Portability and Accountability Act-protected information and will be reported strictly on a need-to-know basis. USAMEDCOM PAD will prepare and disseminate executive summaries on VIPs as required. 1. Patient’s full name, sex, and social security number. 2. Grade/position/status. 3. Unit. 4. Admitting MTF, date/time admitted, complete MTF mailing address, ward, and ward telephone number. 5. Brief medical diagnosis in nontechnical language; brief description of injury or illness, date and location; overall condition, and changes. 6. Prognosis, anticipated length of hospitalization, and changes. 7. Name and telephone number of person giving report and date reported. (c) Changes in status. Notification of VIP patient changes in status will include— 1. Information in paragraph b(1)(b)1–7, above. 2. Date/time. 3. Specific change(s) in the patient’s condition, to include changes to SI/VSI and removal from SI/VSI. (d) Patient disposition. Notification of VIP patient disposition will include— 1. Information in paragraph b(1)(b)1–7, above. 2. Final diagnosis and condition upon completion of hospitalization. 3. Nature of disposition (that is, duty, discharge, death, or transfer to (name and address of MTF)). (e) Non-active duty VIP reporting. The information reported in the executive summary for non-active duty VIP patients will be limited to the following: 1. Full name. 2. Patient location. 3 . M e d i c a l c o n d i t i o n i n g e n e r a l t e r m s ( t h a t i s , s t a b l e , g o o d , f a i r , s e r i o u s , c r i t i c a l , c o n s c i o u s , s e m i c o n s c i o u s , unconscious). (2) EC patient admissions, changes in status, and dispositions. (a) Notification procedures. MTF personnel will also furnish the information in (b), below, (to the Patient Administration Systems and Biostatistics Activity (PASBA) within 24 hours of patient admission, change in status, or disposition. For information on methods of reporting, contact the PASBA at 210-221-1102. AR 40–400 27 January 2010 49
- Page 7 and 8: Contents—Continued Autopsy author
- Page 9 and 10: Contents—Continued Chapter 13 Inj
- Page 11 and 12: Chapter 1 Introduction 1-1. Purpose
- Page 13 and 14: nonemergent specialty care. The Pri
- Page 15 and 16: (1) If not prohibited under the law
- Page 17 and 18: Table 2-3 Supplemental care payment
- Page 19 and 20: a. Treatment during and after duty.
- Page 21 and 22: the camp commander or the MTF comma
- Page 23 and 24: e provided an employee paid from ap
- Page 25 and 26: (2) The Health Insurance Portabilit
- Page 27 and 28: (n) Section 13. Signature of the MT
- Page 29 and 30: discharged or transferred. When an
- Page 31 and 32: encompasses the geographic area whe
- Page 33 and 34: (3) Peace Corps applicants. (a) Exc
- Page 35 and 36: the emergency. The patient or respo
- Page 37 and 38: physicians, dentists, nurses (pract
- Page 39 and 40: . Each Uniformed Service secretary
- Page 41 and 42: 3-61. Treatment of former military
- Page 43 and 44: Figure 3-2. Sample format memorandu
- Page 45 and 46: 4-3. Comfort items for patients a.
- Page 47 and 48: 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: authorities, to the sponsor or NOK.
- 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 and 100: (1) Receive and open mail including
- Page 101 and 102: d. Patient administrators of deploy
- 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
determines that a patient is VSI, SI, SPECAT, changes from one category to the other, or subsequently recovers, dies,<br />
or is transferred to another MTF, he/she will prepare DA Form 2984 and forward it immediately to the patient<br />
administrator, administrative officer of the day, or other designated officer. The MTF commander establishes policy for<br />
notification of other persons. Information will be safeguarded against inappropriate disclosures (AR 360-5). All<br />
notifications are recorded on DA Form 2984. DA Form 2984 is available on the APD Web site (www.apd.army.mil).<br />
(2) Roster of VSI, SI, SPECAT <strong>Patient</strong>s (locally produced). The patient administrator will prepare-on a daily basis-a<br />
roster of VSI, SI, and SPECAT patients. When automated systems are not available, a manually prepared report should<br />
contain the name, grade or status, SSN or other ID number, ward, date first placed on the roster, and present condition.<br />
The format of the roster, the method of preparation, and the distribution will be locally determined.<br />
c. Notification procedures in CONUS. Whenever the person to be notified is present at the MTF, the notification<br />
will be made immediately by the attending physician (AR 600-8-1).<br />
(1) Upon classification as VSI or SI, the MTF commander will immediately notify the NOK or other person to be<br />
notified. A follow-up (progress report) should be sent at least every 5 days and immediately upon a significant<br />
deterioration in the patient’s condition. A final notification will be sent when the patient is removed from VSI/SI.<br />
(2) When the person to be notified resides in CONUS, notification will be direct by telephonic means. When the<br />
person to be notified is not located in CONUS, or notification of NOK is not within the capability of the responsible<br />
hospital commander, the casualty information will be relayed immediately to the responsible CAC (AR 600-8-1).<br />
(3) When <strong>Army</strong> personnel are hospitalized in nonmilitary hospitals, the commander of the MTF administratively<br />
responsible for the patient will be responsible for obtaining casualty information and for initiating notification<br />
procedures.<br />
(4) A SPECAT patient will be counseled concerning his or her condition and will be encouraged to write personally<br />
when physically and mentally able to do so. When a patient is unable to act in his or her own best interests and cannot<br />
communicate with the Family, the commander will notify the NOK.<br />
d. OCONUS MTFs. In OCONUS MTFs when the persons to be notified are not locally present, the information will<br />
be relayed immediately to the CAC (AR 600-8-1). Notification to the NOK will be accomplished as stated in c above.<br />
ITOs may be issued under special circumstances (AR 600-8-1). The OCONUS CAC responsible for the area will be<br />
provided casualty information required by AR 600-8-1 and also provided progress reports every 5 days until the<br />
casualty is released, recovers, or dies. This information will be used by the CAC to notify the NOK located beyond the<br />
hospital (that is, NOK located in another CAC area of responsibility).<br />
e. Notifications pursuant to international agreements.<br />
(1) In addition to all other notification requirements, when personnel of Armed Forces of Allied Nations or foreign<br />
national students are patients in CONUS, the MTF commander will provide the CAC information relevant to preparing<br />
a casualty report according to AR 600-8-1 and AR 12-15.<br />
(2) The agreement implemented by this paragraph is NATO STANAG 2132.<br />
6–3. Hospitalization of special interest patients and enabling care policy<br />
a. Policy. Notifications will be made for admissions; changes in condition (such as major improvement or deterioration<br />
of condition, including SI and/or VSI changes); and disposition from inpatient status including return to duty<br />
(RTD), discharge, retirement, and death for the following categories of patients:<br />
(1) Very important persons (VIPs) including—<br />
(a) The President of the United States and dependents.<br />
(b) The Vice President of the United States and dependents.<br />
(c) Former Presidents of the United States and dependents.<br />
(d) Cabinet members.<br />
(e) United States Congress members.<br />
(f) United States Supreme Court Justices.<br />
(g) Secretaries of Defense, U.S. <strong>Army</strong>, U.S. Navy, and U.S. Air Force<br />
(h) Any former service Secretary (authorized care as a retired service member).<br />
(i) Former Chairmen, Joint Chiefs of Staff and former Chiefs of Staff of Services.<br />
(j) Any unplanned admission of AD generals or flag officers and persons designated to be general or flag officers.<br />
Special reporting requirements of AD GOs are addressed in paragraph b(4), below.<br />
(k) USAMEDCOM subordinate commanders and command sergeants major.<br />
(l) Foreign heads of states.<br />
(m) Foreign dignitaries.<br />
(n) Nationally known figures or celebrities and their dependents who, in the opinion of the MTF commander, could<br />
be expected to be of particular interest to the USAMEDCOM Commanding General or the news media.<br />
(o) Any military member assigned to a USAMEDCOM activity upon notification of his/her death.<br />
(p) Sergeant Major of the <strong>Army</strong>.<br />
48 AR 40–400 27 January 2010