R 210007Z JUN 06
FM CMC WASHINGTON DC(UC)
TO AL MARADMIN(UC)
UNCLASSIFIED/
MARADMIN 283/06
MSGID/GENADMIN/CMC WASHINGTON DC HS//
SUBJ/NEW POST-DEPLOYMENT HEALTH REASSESSMENT (PDHRA) AND ELECTRONIC
/METHODS AND PROCEDURES FOR DEPLOYMENT HEALTH ASSESSMENTS
(CORRECTED COPY)//
REF/A/MSGID:DOC/ASD HA/10MAR2005/-//
REF/B/MSGID:DOC/ASN MRA/05JUL2005/-//
REF/C/MSGID:RMG/CMC WASHINGTON DC HS/031331ZNOV2004/-//
REF/D/MSGID:RMG /CMC WASHINGTON DC HS/110012ZNOV2002//
REF/E/MSGID:DOC/SECNAV/16MAR2006//
REF/F/MSGID:DOC/CMC WASHINGTON DC MI/05APR2006//
NARR/REF A IS ASD (HA) MEMO PROVIDING POLICY REQUIREMENTS FOR
IMPLEMENTATION OF THE PDHRA. REF B IS ASN (MRA) PDHRA
IMPLEMENTATION REQUIREMENTS. REF C IS CMC DEPLOYMENT HEALTH
ASSESSMENT QUALITY ASSURANCE PROGRAM GUIDANCE ESTABLISHING USMC
PROGRAM REQUIREMENTS. REF D IS CMC MSG ESTABLISHING THE REQUIREMENT
TO SUBMIT DEPLOYMENT HEALTH ASSESSMENTS USING AN ACCESS DATABASE
APPLICATION DEVELOPED BY THE NAVY ENVIRONMENTAL HEALTH CENTER
(NEHC). REF E IS SECNAVINST 1770.3D, GUIDANCE ON INCAPACITATION
BENEFITS FOR MEMBERS OF NAVY AND MARINE CORPS RESERVE COMPONENTS.
REF F IS MARINE CORPS TOTAL FORCE SYSTEM (MCTFS) SOFTWARE RELEASE
NOTICE FOR SOFTWARE RELEASE 2-05.//
POC/MCMILLAN/CDR/HQMC HS/-/TEL:703-614-4477
/EMAIL:DAVID.L.MCMILLAN@USMC.MIL//
GENTEXT/REMARKS/1. IN ACCORDANCE WITH REFS A AND B, THIS MESSAGE
EXPANDS CURRENT DEPLOYMENT HEALTH-RELATED SCREENINGS TO INCLUDE A
REQUIREMENT FOR A 3- TO 6-MONTH POST-DEPLOYMENT HEALTH REASSESSMENT
(PDHRA) USING DD FORM 2900 WITH SPECIFIC EMPHASIS ON THE MEMBERS'
MENTAL HEALTH. THIS MESSAGE FURTHER DESCRIBES NEW ELECTRONIC
PROCEDURES FOR COMPLETION AND SUBMISSION OF SCREENING FORMS AND
COMPLETION OF QUALITY ASSURANCE.
2. PDHRA POLICY. THIS PDHRA POLICY APPLIES TO ACTIVE DUTY AND
SELECTED RESERVE PERSONNEL WHO, ON OR AFTER 20 MARCH 2004, COMPLETED
A DEPLOYMENT REQUIRING THE COMPLETION OF A POST-DEPLOYMENT HEALTH
ASSESSMENT (PDHA) PER REF C. PDHRA POLICY FOR MARINES IN THE
INDIVIDUAL READY RESERVE AND THOSE WHO HAVE SEPARATED OR RETIRED
WILL BE ANNOUNCED SEPARATELY.
A. IDENTIFYING MEMBERS WHO MUST COMPLETE A PDHRA: NOT LATER THAN 1
AUG 2006 (01 SEP 2006 FOR RESERVE UNITS) AND MONTHLY THEREAFTER,
COMMANDERS WILL IDENTIFY MARINES AND SAILORS ASSIGNED TO SUPPORTED
UNITS WHO MEET PDHRA CRITERIA IN PARAGRAPH 2 ABOVE, ARE WITHIN OR
BEYOND THE WINDOW FOR RESCREENING, AND WHO HAVE NOT YET COMPLETED A
PDHRA. TO FACILITATE THIS PROCESS, HQMC (M&RA) HAS DEVELOPED
OPERATIONAL DATA STORE ENTERPRISE (ODSE) QUERIES LOCATED ON THE
MISSA WEBSITE AT HTTPS:WWW.MISSA.MANPOWER.USMC.MIL. UNITS WILL USE
THEIR ODSE ACCOUNTS TO PRODUCE THE QUERIES; UNITS WITHOUT AN ODSE
ACCOUNT MUST CONTACT THEIR LOCAL MISSO TO BE ISSUED AN ACCOUNT. FOR
TECHNICAL ASSISTANCE IMPLEMENTING THESE QUERIES, CONTACT YOUR LOCAL
MISSO. THE MEDICAL READINESS REPORTING SYSTEM (MRRS) MAY ALSO BE
EMPLOYED FOR THIS PURPOSE, WHERE AVAILABLE.
B. NOTIFICATION: COMMANDERS SHALL DIRECT IDENTIFIED SERVICE
MEMBERS TO COMPLETE PDHRA'S. INDIVIDUALS WHO HAVE RETURNED FROM
MORE THAN ONE QUALIFYING DEPLOYMENT SINCE 20 MAR 2004 SHALL ONLY
COMPLETE A SINGLE DD FORM 2900 AND ANSWER QUESTIONS AS THEY PERTAIN
TO THEIR MOST RECENT DEPLOYMENT, EXCEPT WHEN THEY HAVE QUESTIONS OR
MEDICAL CONCERNS ABOUT A PREVIOUS QUALIFYING DEPLOYMENT.
C. SLIDE PRESENTATIONS DESIGNED TO EDUCATE MARINES AND MEDICAL
PROVIDERS ON THE PDHRA ARE AVAILABLE ON THE NEHC WEBSITE AT
HTTP:WWW-NEHC.MED.NAVY.MIL/PDHA. ASSISTANCE WITH STRESS MANAGEMENT
AND MENTAL HEALTH ASPECTS OF DEPLOYMENT HEALTH SCREENINGS IS
AVAILABLE FROM M&RA (COSC), (POC DR. THOMAS GASKIN, TEL
703-432-9260/E-MAIL: THOMAS.GASKIN@USMC.MIL).
D. PDHRA'S MUST BE COMPLETED USING AN ELECTRONIC PROCESS PER REFS A
AND B. SEE PARAGRAPH 3A BELOW FOR DETAILS.
E. ONCE THE MEMBER PORTION OF THE SCREENING HAS BEEN COMPLETED, A
MEDICAL PROVIDER WILL REVIEW IT WITH THE MEMBER, DISCUSS ANY MEMBER
CONCERNS, AND COMPLETE THE PROVIDER SECTION. WITHIN THE RESERVE
COMPONENT (RC), PRIMARY CARE AND SPECIALTY MENTAL HEALTH PROVIDERS
ARE AVAILABLE FOR CONDUCTING PDHRA'S THROUGH A DOD(HA) CONTRACT THAT
EMPLOYS BOTH A PDHRA CALL CENTER AND PDHRA SITE VISITS (FOR 50
MEMBERS OR MORE). RC UNITS SHOULD COORDINATE THEIR REQUIREMENTS
DIRECTLY WITH THE CONTRACTOR POC, MR. JERRY FUSHIANES, AT
888-734-7299, EXT 546. RESERVE MSC'S SHOULD CONSOLIDATE
REQUIREMENTS TAKING INTO ACCOUNT GEOGRAPHIC CHALLENGES AND VET TOTAL
REQUIREMENTS THROUGH COMMARFORRES (POC CAPT GEORGE JACOBS, TEL
504-678-5604/DSN 678-5604/EMAIL: GEORGE.B.JACOBS@USMC.MIL).
F. THE NUMBER OF COMPLETED DD FORMS 2900 WILL BE ADDED TO THE
DEPLOYMENT HEALTH QUALITY ASSURANCE PROGRAM DISCUSSED IN REF C AND
REPORTED QUARTERLY AS: NUMBER OF PDHRA'S REQUIRED, NUMBER OF
PDHRA'S COMPLETED. ELECTRONIC METHODS FOR CALCULATING THESE VALUES
ARE DESCRIBED IN PARAGRAPH 3B BELOW.
G. INITIAL ACTION ON PDHRA-GENERATED REFERRALS WILL BE TRACKED AND
REPORTED UNDER THE DEPLOYMENT HEALTH QUALITY ASSURANCE PROGRAM PER
REF C AS: NUMBER OF MEMBERS WITH PDHRA REFERRALS, NUMBER OF MEMBERS
COMPLETING REFERRALS.
H. RESERVE MEMBERS RECEIVING A PDHRA-RELATED REFERRAL WHO ARE NOT
ALREADY BEING TREATED BY A MILITARY FACILITY, VETERANS'
ADMINISTRATION FACILITY, OR TRICARE NETWORK PROVIDER MAY BE ELIGIBLE
FOR A LINE OF DUTY (LOD) AUTHORIZATION TO OBTAIN AN EVALUATION OF A
CONDITION NOT PREVIOUSLY IDENTIFIED OR DIAGNOSED. UPON COMPLETION
OF THE EVALUATION AND RECEIPT OF A DIAGNOSIS BY A PROVIDER, THE UNIT
MEDICAL DEPARTMENT REPRESENTATIVE (MDR) WILL SUBMIT DOCUMENTATION TO
HQMC (M4L-IS/RMED) USING THE MARINE CORPS MEDICAL ENTITLEMENTS
DATABASE SYSTEM (MCMEDS). HQMC (M4L-IS/RMED) WILL DETERMINE IF THE
CONDITION WARRANTS LOD BENEFITS. IF APPROVED, THIS LOD CARE SHALL
BE COORDINATED WITH THE I&I STAFF OR OPERATIONAL SUPPORT CENTER
(OSC) MDR IN ACCORDANCE WITH REF E. THE MDR SHALL INDICATE "PDHRA"
IN THE "INJURY" FIELD IN MRRS AND IN THE "DIAGNOSIS" FIELD OF THE
MILITARY MEDICAL SUPPORT OFFICE COVER SHEET. IF A DIAGNOSIS IS
DETERMINED UNRELATED TO MILITARY SERVICE, LOD BENEFITS WILL NOT BE
CONTINUED BUT THE MEMBER WILL BE ADVISED OF OTHER BENEFIT OPTIONS
RELATED TO HIS OR HER PREVIOUS ACTIVATION.
I. POC FOR PDHRA PROGRAM MANAGEMENT AND REFERRAL SUPPORT IS BUMED
M36, TEL 202-762-3059/DSN 762/E-MAIL: PDHRA@US.MED.NAVY.MIL.
3. NEW ELECTRONIC METHODS AND PROCEDURES FOR DEPLOYMENT HEALTH
ASSESSMENTS. THE FOLLOWING PARAGRAPHS DESCRIBE NEW ELECTRONIC
METHODS FOR COMPLETION AND SUBMISSION OF SCREENING FORMS AND FOR
COMPLETION OF QUALITY ASSURANCE. THIS PROCESS APPLIES TO THE
PRE-DEPLOYMENT HEALTH ASSESSMENT (DD FORM 2795), POST-DEPLOYMENT
HEALTH ASSESSMENT (DD FORM 2796), AND POST-DEPLOYMENT HEALTH
REASSESSMENT (PDHRA) (DD FORM 2900).
A. COMPLETION AND SUBMISSION OF SCREENING FORMS. THERE ARE TWO NEW
METHODS FOR INDIVIDUAL MEMBERS AND APPROPRIATE MEDICAL PROVIDERS TO
ELECTRONICALLY CAPTURE AND SUBMIT THEIR RESPECTIVE PORTIONS OF
DEPLOYMENT HEALTH ASSESSMENTS: ONLINE AND, FOR THE DD FORM 2900
ONLY, A SPECIALLY DESIGNED NEHC SCANNABLE FORM. ONLINE IS THE
PREFERRED METHOD. EACH BATTALION/SQUADRON-SIZED UNIT SHALL IDENTIFY
ONE LOCAL ADMINISTRATOR AND AN ALTERNATE AND PROVIDE THEIR NAMES TO
NEHC (POC AZAD AL-KOSHNAW 757-953-0938/DSN 377-0938/EMAIL:
EDHA@NEHC.MAR.MED.NAVY.MIL) FOR THE ESTABLISHMENT OF APPROPRIATE
PRIVILEGES. LOCAL ADMINISTRATORS SHALL ASSIST IN THE ESTABLISHMENT
AND MAINTENANCE OF PROVIDER AND SERVICE MEMBER EDHA ACCOUNTS WITH
NEHC. GUIDANCE IN THE USE OF THESE TOOLS IS AVAILABLE AT
HTTP:WWW-NEHC.MED.NAVY.MIL/PDHA/EDHAGUIDE.HTM. ALL THREE DEPLOYMENT
HEALTH ASSESSMENTS, THE PRE- AND POST-DEPLOYMENT HEALTH ASSESSMENTS
AND THE POST-DEPLOYMENT HEALTH REASSESSMENT, CAN BE COMPLETED BY ANY
OF THE FOLLOWING METHODS:
(1) ONLINE AT HTTPS:WWW-NEHC.MED.NAVY.MIL/EDHA.
(2) ON LOCAL HARD DRIVES OR LOCAL AREA NETWORKS USING MICROSOFT
ACCESS FORMS PER REF D.
(3) FOR THE DD FORM 2900 (PDHRA) ONLY, USING A SPECIALLY DESIGNED
NEHC SCANNABLE VERSION OF THE FORM. NO OTHER PAPER FORMS ARE
ACCEPTABLE. UNITS WISHING TO USE THIS OPTION MUST CONTACT MR.
AL-KOSHNAW AT NEHC TO OBTAIN PRE-PRINTED FORMS AND DISCUSS/DETERMINE
THE BEST METHOD FOR SUBMITTING THE DATA.
B. COMPLETION OF QUALITY ASSURANCE: FOLLOWING COMPLETION OF EACH
TYPE DEPLOYMENT HEALTH ASSESSMENT, COMMANDERS WILL ENSURE THAT FORM
COMPLETION IS RECORDED IN MCTFS USING THE TTC 483 000 TRAINING EVENT
BC ED YYYYMMDD FOR EACH DEPLOYMENT PER REF F. PER REF C AND
PARAGRAPH 2E ABOVE, QUARTERLY REPORTS ARE REQUIRED FOR ALL THREE
TYPES OF DEPLOYMENT HEALTH ASSESSMENT, REPORTED AS: NUMBER OF FORMS
REQUIRED, NUMBER OF FORMS COMPLETED. THE MISSA WEBSITE DESCRIBED IN
PARAGRAPH 2A CONTAINS ADDITIONAL ODSE QUERIES THAT WILL GENERATE
THESE VALUES BASED UPON MCTFS COMPLETION ENTRIES. COMPLIANCE RATES
CAN ALSO BE CALCULATED USING MRRS, WHERE AVAILABLE.
4. AN MCO COVERING THE ENTIRE DEPLOYMENT HEALTH ASSESSMENT PROCESS
IS FORTHCOMING.
5. COMMANDERS ARE TO ENSURE COMPLIANCE WITH THE REFERENCES AND THIS
MESSAGE.//