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Download Army Regulation - AR 40-68 - CLINICAL QUALITY MANAGEMENT 2/26/2004
Army Regulation AR 40-68 CLINICAL QUALITY MANAGEMENT
Army Regulation - AR 40-68 - CLINICAL QUALITY MANAGEMENT
What's New in Version 2/26/2004 (See full changelog)
- AR 40–68 Clinical Quality Management This rapid action revision, dated 22 May 2009--
- o Establishes specific responsibilities for credentialing functions by Army Reserve Clinical Credentialing Affairs, Human Resources Command-St.Louis, and Active Army units (para 1-4h).
- o Replaces all content in chapter 2 with new guidance regarding the Executive Committee of the Medical Staff; medical staff bylaws; military treatment facility committees and functions; and departmental/service organization, structure, and leadership (chap 2).
- o Eliminates the requirement to submit the annual military treatment facility Quality Management Program Summary Report to the U.S. Army Medical Command (previously covered in chap 2).
- o Identifies the American Nurses Association Standards of Nursing Practice or other national professional organizations’ standards as the source of practice expectations (para 3-3b(7)).
- o Relocates information regarding confidentiality of quality assurance documents from paragraph 2-5 to chapter 3 (para 3-7).
- o Requires veterinarians to maintain a current, active, valid, and unrestricted license to practice independently within their defined scope of practice(para 4-4a(1)).
- o Specifies the educational preparation by an accredited institution for military and civilian registered nurses and licensed practical nurses and requires the National Council Licensure Examination- Registered Nurses/ Practical Nurses for the military Army Nurse Corps and 68WM6/M3 (para 4-6c).
- o Restates the requirement for an unrestricted license (all Corps) and explains the process for limited waiver/exception (paras 4-6g and 4-7).
- o Clarifies the licensure requirement for personal services versus non-personal services contract healthcare personnel (para 4-8a).
- o Specifies the use of DA Forms 7653 and 7654 for competency verification of Army Nurses Corps personnel with skill identifier 8A (Critical Care) and M5(Emergency Nursing) (para 5-1a(1)(b)).
- o Requires currency of emergency life support training at all times (para 5-1e).
- o Deletes the requirement for the advanced practice registered nurse, other than the non-personal services advanced practice registered nurse, to possess and maintain advanced practice licensure (para 7-4b(2)).
- o Restates the collaborative interaction required between the certified registered nurse anesthetist and anesthesiologist or operating surgeon (para7-4e(4)(a)-(c)).
- o Authorizes selected prescription writing by occupational therapists (para 7-13c(2)(a)(6)).
- o Updates professional credentials requirements for physician assistants (para7-16b).
- o Clarifies Category I and II privileges for physical therapists (para 7-17c).
- o Provides 10 USC 1102 protection to all documents in the provider credential file and the provider activity file (paras 8-3b(2)(c) and 8-9a).
- o Stipulates that the chairperson of the credentials committee will be a physician and that he/she will vote only in event of a tie (paras 8-5b and 8-5c(5).
- o Indicates that the responsibility for credentials verification for contracted personnel will be specified in the contract (para 8-6d).
- o Allows use of the American Board of Medical Specialties Web site to verify board certification (para 8-7d).
- o Exempts providers outside the continental United States from the requirement of a current Drug Enforcement Agency certificate (para 8-7k).
- o Directs that qualified healthcare providers obtain a National Provider Identifier (para 8-7r).
- o Provides detailed information related to telemedicine procedures (para 9-2c(7)(a)).
- o Directs the military treatment facility credentials office to maintain the provider credential file for any assigned provider not currently involved in clinical practice (para 9-6
- o Provides new instruction for U.S. Army Reserve/Army National Guard deployment privileging (para 9-8c(4)(d)).
- o Clarifies that peer review for an adverse privileging/practice action be performed by a panel (para 10-6e(2)(c)).
- o Requires that a physician chair the adverse actions hearing board (para 10-8a) and that he/she will vote only in the event of a tie (para 10-8g).
- o Eliminates the requirement for verbatim transcript of the adverse actions hearing board (para 10-8e(3)).
- o States that the voluntary modification of privileges/practice as a result of a medical or behavioral condition is not an adverse privileging/practice action (para 11-4c).
- o Revises the risk management content entirety and omits reference to the now disbanded Consultation Case Review Branch (paras 13-1 through 13-5).
- o Specifies that any death/disability of a military member as a result of medical care will be treated as a potentially compensable event (para 13-5b).
- o Revises the layout and contents of the competency assessment file (app C).
- o Make additional rapid action revision changes (chaps 6, 7, 8, 9, 10, 11,13,14, and apps E, F, G, H, I, J),
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