军事卫生专题Military Health Topics 原文

Military Health Topics

Here you can find information about Military Health Topics organized by subject. You can also find reference materials that apply to the subject on each topic page...

[Centers of Excellence](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence)

Military Health System Centers of Excellence were established to provide the Department of Defense with the ability to speed the advancement of our scientific knowledge and evidence-based practices for diagnosis and treatment of diseases and conditions that impact our military personnel and their families.

* [Consortium for Health and Military Performance](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/CHAMP)
* [Extremity Trauma and Amputation Center of Excellence](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/EACE)
* [Hearing Center of Excellence](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/HCE)
* [The National Intrepid Center of Excellence](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/NICOE)
* [Psychological Health Center of Excellence](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/Psychological-Health-Center-of-Excellence)
* [Traumatic Brain Injury Center of Excellence](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/Traumatic-Brain-Injury-Center-of-Excellence)
* [Vision Center of Excellence](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/VCE)

### Consortium for Health and Military Performance

![](/media/202412//1733371296.885695.png)

The Consortium for Health and Military Performance **(CHAMP)** is a Defense Center of Excellence at the Uniformed Services University of the Health Sciences. CHAMP conducts and translates total fitness research to improve Military Service Member performance in the field and facilitate return to duty. It is the go-to resource for evidence-based information on human performance optimization (HPO) to improve the performance and resilience of Military Service Members and their families.

The Human Performance Resources by CHAMP **(HPRC)** translates Human Performance Optimization (HPO) research about physical and mental performance, nutrition, and relationship fitness into practical information for Warfighters, their families, and those in the field of HPO who support them. Learn more at [hprc‐online.orgOpens to HPRC website](https://www.hprc-online.org/" \o "Opens to HPRC website" \t "_blank).

Operation Supplement Safety (**OPSS**) is the DOD resource for dietary supplement safety. OPSS is a DOD-wide effort, including partnerships with other government and professional organizations, to provide evidence-based, up-to-date information on dietary supplements. OPSS educates Military Service Members and retirees, their family members, leaders, healthcare providers, and DOD civilians about dietary supplements and gives them the tools to be informed supplement users—or non-users.

### Extremity Trauma and Amputation Center of Excellence

The EACE leads the advancement of extremity trauma related discovery and clinical practice to optimize outcomes of service members, veterans, and beneficiaries while meeting the needs of the Combatant Commands and the Military Health System. The EACE is committed to ensuring a better future for those with extremity trauma. Established by the 2009 National Defense Authorization Act, the EACE is established jointly between the Department of Defense and the Department of Veterans Affairs.

The EACE was originally established to operate with the U.S. Army as its lead component. In October 2022 the EACE aligned to the Defense Health Agency in the Research & Engineering Directorate with the other Congressionally established Centers of Excellence.

[Research and SurveillanceGo to Research and Surveillance](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/EACE/Research-and-Surveillance)[Clinical AffairsGo to Clinical Affairs](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/EACE/Clinical-Affairs)[Global Health EngagementGo to Global Health Engagement](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/EACE/Global-Health-Engagement-Division)[Clinical InformaticsGo to Clinical Informatics](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/EACE/Clinical-Informatics) [Knowledge Management](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/EACE/Knowledge-Management) [Knowledge Translation](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/EACE/Knowledge-Translation)

[EACE Data Request Form](https://www.health.mil/Reference-Center/Forms/2019/11/20/EACE-Data-Request-Form)

[Our Mission](javascript:void(0))

Serve as the joint DOD and VA lead element focused on the mitigation, treatment and rehabilitation of traumatic extremity injuries and amputations. Implement a comprehensive plan and strategy, to conduct clinically relevant research, foster collaboration and build partnerships across the multidisciplinary international, federal and academic networks to optimize the quality of life of Service Members and Veterans.

[Our Vision](javascript:void(0))

Serve as the nation’s premier center for promoting excellence in the identification, mitigation, treatment, rehabilitation and research for traumatic extremity injuries and amputations for our military Service Members and Veterans.

[Our History](javascript:void(0))

In 2001, ret. Lt. Gen. James Peake, M.D., then Army Surgeon General, directed the assessment of the Army Medical Department’s ability to care for large populations of combat amputees. That same year an amputee care center was established at Walter Reed Army Medical Center. In 2005, Brooke Army Medical Center began caring for amputees. In 2007, three DOD Advanced Rehabilitation Centers were established to rehabilitate military amputees. The VA established an Amputee System of Care across the United States with Regional Amputation Centers and Polytrauma Amputation Network Sites. Significant advances in the treatment and rehabilitation of extremity trauma and amputee patients resulted from the efforts at these sites.

In 2009, the EACE was legislated by Congress as a collaborative organization to enhance partnerships between the DOD and VA as well as institutions of higher education and other appropriate public and private entities.

Unique to the EACE, is a Congressional mandate under the Duncan Hunter National Defense Authorization Act to “conduct research to develop scientific information aimed at saving injured extremities, avoiding amputations, and preserving and restoring the function of injured extremities.” The EACE will optimize multi-disciplinary team management strategies, with a focus on conducting scientific research to improve the clinical outcomes of our patients as they return to the highest possible level of physical, psychological, and emotional function.

[Our Responsibilities](javascript:void(0))

The EACE has the following responsibilities based on public law:

1. To implement a comprehensive plan and strategy for the DOD and the VA for the mitigation, treatment, and rehabilitation of traumatic extremity injuries and amputations.
2. To conduct research to develop scientific information aimed at saving injured extremities, avoiding amputations, and preserving the function of injured extremities. Such research shall address military medical needs and include the full scale of scientific inquiry encompassing basic, translational, and clinical research.
3. To carry out such other activities to improve and enhance the efforts of the DOD and VA for the mitigation, treatment, and rehabilitation of traumatic extremity injuries and amputations as the Secretary of Defense and the Secretary of Veterans Affairs consider appropriate.

Legislation and Authority

The EACE was established through Public Law and developed as a Joint effort between the Department of Defense (DoD) and Department of Veterans Affairs (VA).

* [Public Law 110-417: Duncan Hunter National Defense Authorization Act for Fiscal Year 2009](https://www.health.mil/Reference-Center/Policies/2008/10/14/Public-Law-110-417)
* Deputy Secretary of Defense Memorandum: Delegated authority to the Under Secretary of Defense (Personnel and Readiness) to establish the EACE
* Under Secretary of Defense (Personnel and Readiness) Memorandum: Directs the Department of the Army as the Lead Component for the operation of the EACE
* Under Secretary for Health, Veterans Health Administration and Assistant Secretary of Defense (Health Affairs): Co-Signed a Memorandum of Understanding to establish the Traumatic Extremity Injuries and Amputations Center of Excellence
* Senior Military Medical Advisory Committee (SMMAC): Designated the Army and Army Medical Department (AMEDD) as the DoD lead component for the EACE
* DoD-VA Extremity Trauma and Amputation Center Concept of Operations: Approved in January 2012 by the Military Health System (MHS) Centers of Excellence Oversight Board

### Hearing Center of Excellence

The [Hearing Center of Excellence (HCE)goes to the HCE website](http://hearing.health.mil/) fosters and promotes the prevention, diagnosis, mitigation, treatment, rehabilitation, and research of hearing loss and auditory injury. The goal is to reduce the tangible and intangible costs of hearing loss and auditory injuries among U.S. military personnel and Veterans. HCE works with the Department of Veterans Affairs (VA) and leads the cooperative effort to meet its goal.

Mission

The mission of the Hearing Center of Excellence is to optimize operational performance, heighten medical readiness, and enhance quality of life through collaborative leadership and advocacy for hearing and balance health initiatives.

History

The Department of Defense (DOD) established the HCE to focus on the prevention, diagnosis, mitigation, treatment, and rehabilitation of hearing loss and auditory injury. HCE was legislated by Congress in the [National Defense Authorization Actgoes to the GPO site](http://www.gpo.gov/fdsys/pkg/PLAW-110publ417/html/PLAW-110publ417.htm) and directed to partner with the VA, institutions of higher education, and other mission-minded public and private organizations.

HCE’s primary responsibilities include:

* Developing a data registry to track hearing loss and auditory injuries across the Armed Forces, and sharing the registry data with the VA
* Encouraging and facilitating hearing health research
* Developing best practices and clinical education, and
* Ensuring the coordination and delivery of VA rehabilitation benefits and services to former Service members

Audio and Print Materials

The Hearing Center of Excellence, or HCE, has produced hearing-related print materials for hearing health providers, audiologists, audiology departments, and medical treatment facilities. The HCE print materials can be downloaded and printed. Or, if you prefer, many of them can be [ordered onlineOpens to pueblo.gpo.gov website](https://pueblo.gpo.gov/DOD/DODPubs.php) and shipped to you or your facility.

Audio CDs produced by the Auditory Research Laboratory are also available and can be [ordered onlineOpens to pueblo.gpo.gov website](https://pueblo.gpo.gov/DOD/DODPubs.php).

### The National Intrepid Center of Excellence

Welcome to the new **National Intrepid Center of Excellence** website, the headquarters of the [Defense Intrepid Network for Traumatic Brain Injury and Brain Health](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/NICOE/About/Defense-Intrepid-Network-for-TBI-and-Brain-Health) (Defense Intrepid Network).

The NICoE is dedicated to improving the lives of patients and families affected by traumatic brain injury through collaborative efforts with patients, families, referring providers, and researchers. Since opening on June 24, 2010, in Bethesda, Maryland, we have established a reputation for excellence in TBI and brain health [clinical care](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/NICOE/Clinical-Programs-and-Services), [research](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/NICOE/Research), and [education](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/NICOE/Education).

The NICoE and the Defense Intrepid Network are central to TBI care and innovation across the Military Health System, which ensures patients have:

* A point of entry to the care system
* A clear path through diagnosis, treatment, and reintegration
* Consistent access to high quality TBI treatment, research, and education

### Psychological Health Center of Excellence

The Psychological Health Center of Excellence is one of the Centers of Excellence within the Research and Engineering Directorate of the Defense Health Agency. PHCoE collaborates across the Department of Defense and with the Department of Veterans Affairs and other agencies to provide leadership and expertise to inform policy and drive improvements in psychological health outcomes.

*If you have an emergency or are in crisis, please contact the* [*Military Crisis LineLinks to the Military Crisis Line*](https://www.veteranscrisisline.net/ActiveDuty.aspx) *or the* [*Suicide & Crisis LifelineSuicide & Crisis Lifeline*](https://988lifeline.org/) *by dialing* [***988***](tel:988)*.*

PHCoE Mission

Improve the lives of our nation’s service members, veterans, and their families by advancing excellence in military psychological health care research.

PHCoE Vision

Be the trusted source and partner to facilitate evidence-based research and clinical practices across the continuum of care to enhance the psychological health of the military community.

PHCoE Purpose

* Enhance the readiness of the military community by providing psychological health research consultation and expertise to leaders, providers, service members, and their families
* Serve as the primary Defense Health Agency hub supporting, guiding, and managing empirical research to improve the quality, effectiveness, and efficiency of psychological health care and prevention of psychological health disorders in the military community
* Provide research to support the increase of access, reduction of barriers, and optimal use of psychological health resources across the Military Health System
* Create and manage empirically-based information and products to support optimal psychological health and readiness across the enterprise

History of PHCoE

First established in 1995 as the Gulf War Health Center at Walter Reed Army Medical Center, its mission was to care for Gulf War veterans with war-related physical and mental health challenges. In 1999 it became the Deployment Health Clinical Center – one of three DOD centers of excellence for deployment health. (The others being the Armed Forces Health Surveillance Center and the Naval Health Research Center.) The center was responsible for coordinating the evaluation of veterans seeking care for post-deployment health concerns.

In 2008, the National Defense Authorization Act provided a congressional mandate for the creation of centers of excellence for posttraumatic stress disorder and traumatic brain injury within the DOD. As a result, DHCC became a center under the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury. The NDAA charged the center with implementing plans and strategies for the prevention, diagnosis, mitigation, treatment, and rehabilitation of PTSD and other mental health conditions.

In 2016, DCoE and its centers, including DHCC, transitioned to DHA and in 2017 DHA completed the consolidation of DCoE and its centers and retired the DCoE brand. DHCC officially changed its name to the Psychological Health Center of Excellence to better align with its current mission.

PHCoE Brochures

Download these brochures to learn how PHCoE projects, resources, and services can help health care providers and service members:

* [Providers: How PHCoE Can Help You](https://www.health.mil/Reference-Center/Publications/2021/05/06/PHCoE_About-Providers_5521_508)
* [Service Members: How PHCoE Can Help You](https://www.health.mil/Reference-Center/Publications/2021/05/06/PHCoE_About-service-members_5521_508)
* [Psychological Health Analytics](https://www.health.mil/Reference-Center/Publications/2021/05/06/PHCoE_PA-Brochure_5521_508)
* [Psychological Health Promotion](https://www.health.mil/Reference-Center/Publications/2021/05/06/PHCoE_PHP-Brochure_5521_508)
* [Evidence-Based Practice](https://www.health.mil/Reference-Center/Publications/2021/05/06/PHCoE_EBP-Brochure_5521_508)
* [Practice-Based Implementation Network](https://www.health.mil/Reference-Center/Publications/2021/05/06/PHCoE_PBIN-Brochure_5521_508)
* [Evidence Synthesis and Research Gaps Analysis](https://www.health.mil/Reference-Center/Publications/2021/05/06/PHCoE_ESG-Brochure_5521_508)

### Traumatic Brain Injury Center of Excellence

**Welcome to the Traumatic Brain Injury Center of Excellence.** Here, you'll find TBI clinical tools, educational resources, and research information.

Vision

Principal organization to lead, translate, and advance brain health.

Mission

TBICoE unifies a system of TBI health care, reliably advancing the science for the warfighter and ready to meet future brain health challenges

[More About Our Mission](javascript:void(0))

To accomplish the mission, TBICoE supports, trains and monitors service members, veterans, family members and providers who have been, or care for those who are affected by traumatic brain injury.

TBICoE works at the macro-level, screening and briefing service members heading into theater, performing pre-deployment provider training at military hospitals and clinics, gathering data mandated by Congress and DOD, and overseeing [research](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/Traumatic-Brain-Injury-Center-of-Excellence/Research) programs. TBICoE develops educational materials for [military and civilian providers](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/Traumatic-Brain-Injury-Center-of-Excellence/Provider-Resources), and for [service members, veterans, and their families](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/Traumatic-Brain-Injury-Center-of-Excellence/Patient-and-Family-Resources).

The DOD has further solidified TBICoE's role by naming it the Office of Responsibility for these tasks:

* Creation and maintenance of a TBI surveillance database
* Creation and distribution of the [Family Caregiver Guide](https://www.health.mil/Reference-Center/Publications/2021/07/07/Traumatic-Brain-Injury-A-Guide-for-Caregivers-of-Service-Members-and-Veterans)
* Design and execution of a 15-year longitudinal study of the effects of TBI in Operations Enduring and Iraqi Freedom service members and their families

TBICoE Annual Report

The 2022 TBICoE Annual Report provides an overview of accomplishments and activities in calendar year 2022.

[Download the Report](javascript:void(0))

TBI and the Military

Traumatic brain injury is a significant health issue which affects service members and veterans during times of both peace and war. The high rate of TBI and blast-related concussion events resulting from current combat operations directly impacts the health and safety of individual service members and subsequently the level of unit readiness and troop retention. The impacts of TBI are felt within each branch of the service.

[TBI and Service Members](javascript:void(0))

Active duty and reserve service members are at increased risk for sustaining a TBI compared to their civilian peers. This is a result of several factors, including the specific demographics of the military; in general, young men between the ages of 18 to 24 are at greatest risk for TBI. Many operational and training activities, which are routine in the military, are physically demanding and even potentially dangerous. To get an idea of how many TBIs are sustained by each branch, each year since 2000 — check out the [TBI DoD Worldwide Numbers](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/Traumatic-Brain-Injury-Center-of-Excellence/DOD-TBI-Worldwide-Numbers) page.

If you or a service member you care for is looking for more information about TBI, check out the [Patient and Family Resources](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/Traumatic-Brain-Injury-Center-of-Excellence/Patient-and-Family-Resources) page — there you will find fact sheets, caregiver guides, and other patient resources. Review them with a medical provider as you work towards recovery or help the recovery process of a service member, veteran or family member.

Recent attention has been intensively focused on combat-related TBI, it should be noted that TBI is not uncommon even in garrison and can occur during usual daily activities. Service members enjoy exciting leisure activities: They ride motorcycles, climb mountains and parachute from planes for recreation. In addition, physical training is an integral part of the active duty service member's everyday life. These activities are expected for our service members and contribute to a positive quality of life; but these activities also can increase risk for TBI.

To learn more about how to protect yourself in non-combat daily life activities, check out our [A Head for the Future](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/Traumatic-Brain-Injury-Center-of-Excellence/A-Head-for-the-Future) initiative. You'll find TBI basics information, fact sheets to help guide you in protecting your head during sports and recreational activity, and read personal TBI recovery stories.

Sign up for [TBI Resources Update](https://public.govdelivery.com/accounts/USMHS/subscriber/new?topic_id=USMHS_124) email for the latest in TBI information and resources for service members, veterans, and their caregivers and families.

[TBI and Medical Providers](javascript:void(0))

Health care providers can make a significant difference in the life of someone with TBI by working to understand the strategies which are used to identify and treat a brain injury. Service members and veterans with TBI are a unique population because they may have experienced circumstances that further complicate their clinical picture. These circumstances include multiple deployments, prolonged periods of stress, chronic pain, and separation from family and friends.

Traumatic brain injury is a complex condition that can affect multiple aspects of physical, cognitive and behavioral functions. A wide range of medical specialties may be involved with the assessment, treatment, and rehabilitation of TBI patients, particularly in cases of severe TBI. These specialties can include, but are not limited to, audiology, ophthalmology, neurology, physical therapy, psychology, psychiatry, endocrinology, speech and language pathology and occupational therapy. Often, a multidisciplinary team is assembled to provide comprehensive care. In addition to specialty providers, primary care providers are integral in the identification and treatment of service members with TBI. Visit the [Provider Resources](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/Traumatic-Brain-Injury-Center-of-Excellence/Provider-Resources) and [Provider Education](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/Traumatic-Brain-Injury-Center-of-Excellence/Provider-Resources/Provider-Education) pages for clinical recommendations, clinical support tools and provider education materials.

Sign up for our [Providers' Brief](https://public.govdelivery.com/accounts/USMHS/subscriber/new?topic_id=USMHS_123) email to get information on new and revised TBI clinical recommendations, educational tools, research trends, and other resources that help medical providers evaluate and treat those who have sustained a TBI.

Frequently Asked Questions

Cognitive Rehabilitation Therapy

The complexity of the brain and brain injuries has led to questions about the nature of cognitive rehabilitation therapy and its availability to service members who have sustained TBIs.

View questions and answers about cognitive rehabilitation therapy.

Q1:

[Does DOD/TRICARE cover CRT?](javascript:void(0))

A:

On April 14, 2010, the Assistant Secretary of Defense (Health Affairs) directed the implementation of a broad-based DOD pilot program intended to conform to the proceedings, and resulting guidance document, of the Consensus Conference on Cognitive Rehabilitation for Mild Traumatic Brain Injury held in April 2009. This guidance document outlined a standardized and measurable process for the provision of CRT services. This policy mandated the implementation of the guidance at 13 military treatment facilities (MTF’s).

In 2010, DOD provided over 45,000 hours of care involving CRT to service members and over 32,000 hours to family members of active duty members and retirees. These treatments were delivered by a wide array of health professionals, including psychologists; occupational, speech and physical therapists; and physicians.

Q2:

[Who may benefit most from CRT?](javascript:void(0))

A:

Patients who have experienced moderate to severe TBI and who suffer from recurring symptoms such as attention and memory deficits, problems with executive functioning and social pragmatics deficits are most likely to benefit from CRT. In cases of mild TBI, nearly 90 percent recover with no residual problems and only those with persistent symptoms need to be evaluated and treated.

Q3:

[What is CBT?](javascript:void(0))

A:

Cognitive behavioral therapy is a common type of mental health counseling consisting of a range of therapies designed to treat conditions like anxiety or depression. CBT is meant to help patients become aware of inaccurate or negative thinking and to view challenging situations more clearly and respond to them in a more effective way. CBT can be an effective tool to help anyone learn how to better manage stressful situation.

Q4:

[What is the difference between CRT and CBT?](javascript:void(0))

A:

Cognitive Rehabilitation Therapy is a collection of treatment strategies designed to address problems with memory, attention, perception, learning, planning and judgment brought about by brain injury, neurological disorders and other illnesses. Cognitive Behavioral Therapy is a common type of mental health counseling to help a patient become aware of inaccurate or negative thinking.

Q5:

[Why is it difficult to determine how effective CRTs can be; there seems to be great disparity of opinion on the subject?](javascript:void(0))

A:

Limited data on the effectiveness of cognitive rehabilitation programs are available, and this is in part due to the heterogeneity of the subjects, interventions and outcomes studied. Lack of rigorous methodology (i.e., randomized controlled trials) in efficacy studies has also contributed to the disparity in opinion on the effectiveness of CRT.

Q6:

[Are CRTs effective or ever used for injuries that did not involve head injuries? For example, is CRT effective for psychological disorders?](javascript:void(0))

A:

The benefit of CRT is not limited to patients with head injuries. Patients with psychological disorders that have impairments in attention, memory, socialization, and reasoning and processing skills can also benefit from CRT.

Q7:

[Are there "specialists" in CRTs, or do most doctors understand their uses?](javascript:void(0))

A:

Neuropsychologists specialize in neuropsychological cognitive testing that is used to determine if a patient will benefit from cognitive rehabilitation. They are also the primary providers who develop the individualized cognitive rehabilitation plan for patients. However, cognitive rehabilitation may be performed by an occupational therapist, physical therapist, speech/language pathologist, neuropsychologist, or a physician.

General Questions about TBICoE

The Traumatic Brain Injury Center of Excellence FAQs provides answers to questions we are regularly asked about the organization and its mission.

Q1:

[What is the Traumatic Brain Injury Center of Excellence?](javascript:void(0))

A:

TBICoE is a congressionally mandated collaboration of the Departments of Defense and Veterans Affairs to promote state-of-the-science care from point-of-injury to reintegration for service members, veterans, and their families to prevent and mitigate consequences of mild to severe traumatic brain injury.

Q2:

[Why does DVBIC now prefer TBICoE?](javascript:void(0))

A:

The preferred name Traumatic Brain Injury Center of Excellence (TBICoE) aligns with the other centers of excellence within the Defense Health Agency’s Research and Development Directorate, under which the TBICoE operates. This name reflects the mission of the TBICoE, and will make for easy identification with internal and external stakeholders in identifying the organization and its mission.

Q3:

[Will this name change adjust the mission or functions of TBICoE?](javascript:void(0))

A:

No. TBICoE will continue to oversee and conduct TBI clinically relevant research addressing gaps in TBI knowledge for our service members and veterans who have sustained a TBI. Additionally, TBICoE continues to provide training and materials to military medical personnel for diagnosis, prevention and treatment of TBIs. TBICoE develops, provides and distributes educational materials for both military and civilian providers, families, service members and veterans. Gathering and analyzing data mandated by Congress and the Department of Defense for reports will also continue.

Q4:

[Where is TBICoE located?](javascript:void(0))

A:

Our headquarters is located in the Washington, D.C. metro area. [TBICoE](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/Traumatic-Brain-Injury-Center-of-Excellence) supports a multi-center network of military treatment facilities and Department of Veterans Affairs medical centers nationwide and in Germany. At these facilities, [regional education coordinators](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/Traumatic-Brain-Injury-Center-of-Excellence/TBI-Educators) have resources and conduct education for medical providers, service members, veterans and their families. TBICoE conducts and supports traumatic brain injury clinical investigations at these collaborator facilities as part of the [TBICoE research](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/Traumatic-Brain-Injury-Center-of-Excellence/Research) program.

Q5:

[How do I find TBICoE resources?](javascript:void(0))

A:

For providers, visit the [Provider Resources](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/Traumatic-Brain-Injury-Center-of-Excellence/Provider-Resources) section of the TBICoE webpages. There, medical personnel can find TBI clinical recommendations, support tools and education materials. Visit the [TBICoE Research](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/Traumatic-Brain-Injury-Center-of-Excellence/Research) page and download the latest TBI Hot Topics Bulletin for the latest trends in TBI research.

The [Patient and Family Resources](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/Traumatic-Brain-Injury-Center-of-Excellence/Patient-and-Family-Resources) section of TBICoE has fact sheets, patient guides for recovery, and family and caregiver guides.

TBICoE materials are available by download only. We will continue to develop and update TBI clinical and educational products, so bookmark the pages and check back often or sign up for the [TBI Providers BriefSign up for the TBI Providers Brief email](https://public.govdelivery.com/accounts/USMHS/subscriber/new?topic_id=USMHS_123) or [TBI Resources UpdatesSign up for TBI Resources email](https://public.govdelivery.com/accounts/USMHS/subscriber/new?topic_id=USMHS_124) email news to stay informed.

Q6:

[Will TBICoE continue to collaborate with the VA on TBI issues?](javascript:void(0))

A:

Yes, TBICoE will continue its 28-year historical relationship with the VA. In fact, TBICoE has ongoing clinical research or educational activities that are coordinated through the VA and TBICoE.

Q7:

[Does TBICoE or its network personnel provide medical care?](javascript:void(0))

A:

No, TBICoE does not provide medical care or referrals, but we do offer resources to help patients, their families and caregivers learn more about TBI together with their medical provider. Visit the [Patient and Family Resources](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/Traumatic-Brain-Injury-Center-of-Excellence/Patient-and-Family-Resources) page to find fact sheets and other TBI patient and caregiver guides. TBICoE's outreach initiative, [A Head for the Future](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/Traumatic-Brain-Injury-Center-of-Excellence/A-Head-for-the-Future) is a resource to learn how to prevent, recognize and recover from a brain injury, and hear stories from TBI Champions.

Q8:

[How do I contact TBICoE?](javascript:void(0))

A:

If you have a question or concern about TBICoE or any of the products, please [email usEmail TBICoE](mailto:dha.ncr.j-9.mbx.tbicoe-info@health.mil)!

Q9:

[What if I need immediate TBI medical help, advice, or information?](javascript:void(0))

A:

You can find support 24/7 through the websites and numbers listed below.

[National Resource DirectoryNational Resource Directory website](https://nrd.gov/)

The national resource directory connects wounded warriors, service members, veterans and their families with services and resources at the national, state and local levels to support recovery, rehabilitation and community reintegration.

[Military/Veterans Crisis LineVeterans Crisis Line website](https://www.veteranscrisisline.net/get-help/military-crisis-line)

Dial 988, and press 1 or Text 838255

Crisis Line, text-messaging service, and online chat provide free, confidential support for all service members, including members of the National Guard and Reserve, and all veterans, even if they are not registered with VA or enrolled in VA health care.

Military OneSource

800-342-9647

Help for active duty military and their dependents, including 12 free non-medical counseling appointments.

[VA's Polytrauma/TBI System of CareVA Polytrauma website](https://www.polytrauma.va.gov/)

VA's Polytrauma System of Care provides a full range of medical and rehabilitation services for all enrolled veterans and for service members covered by TRICARE authorization, who have sustained polytrauma, TBI or other acquired brain injury. [Click on this link for admissions and referrals.VA referrals and admissions page](https://www.polytrauma.va.gov/Admissions_and_Referrals.asp)

Department of Veterans Affairs Customer Service Hotlines

Health Care: 877-222-8387

Benefits: 800-827-1000

[White House VA HotlineWhitehouse VA hotline website](https://www.va.gov/ve/whvaHotline.asp)

Open 24-hours a day, 365 days a year

855-948-2311

VA's first non-clinical, non-emergency, around-the-clock call center. It provides Veterans a supplemental option to report issues if they are not being addressed through VA's normal customer service channels. Hotline agents answer inquiries, provide directory assistance, document concerns about VA care, benefits and services, and expedite the referral and resolution of those concerns.

[Vet CentersVet Centers webpage](https://www.vetcenter.va.gov/)

Vet Centers are community-based counseling centers that provide a wide range of social and psychological services, including professional readjustment counseling to eligible veterans, active duty service members, including National Guard and Reserve components, and their families. Readjustment counseling is free of charge and anonymous, and is offered to help make a successful transition from military to civilian life or after a traumatic event experienced in the military, including TBI. Does not require enrollment in VA health care.

### Vision Center of Excellence

The Vision Center of Excellence leads and advocates for programs and initiatives with the following three inter-related goals: to improve vision health, optimize readiness, and enhance quality of life for Service members and Veterans.

By working to improve vision health, optimizing readiness and enhancing quality of life for Service members and Veterans, VCE promotes collaboration, facilitates integration and serves as an advocate for vision across the Department of Defense and Department of Veterans Affairs health care systems. Further collaborative efforts with other federal health care organizations, academia and private sector organizations allow VCE to enhance development of VCE program priorities for research and quality care initiatives. [**Learn More About VCE**VCE About Us Page](https://vce.health.mil/About-VCE)

What We Do

VCE maximizes the potential for effective prevention, diagnosis, mitigation, treatment, and rehabilitation of injuries and disorders of the visual system through its collaborative efforts and helps facilitate the identification of research capabilities within and between DOD and VA.

For Providers

VCE provides information, resources and continuing education training on eye injury prevention and responses to concerns specifically tailored to health care professionals.

[**Learn More about Treatment Options**VCE Providers Page](https://vce.health.mil/Providers)

For Service Members

There are many resources available to service members. VCE offers an organized and comprehensive list of resources including DOD, VA, state and other national resources.

[**Find a Vision Resource**VCE Service Members page](https://vce.health.mil/Service-Members)

For Families & Beneficiaries

VCE can help family members find answers to your questions about eye injury prevention and response. Through partnerships with the DOD, VA, and a national network of military and civilian agencies, community leaders, advocacy groups, clinical experts, and academic institutions, VCE provides resources to help you with your concerns.

[**Get Answers Now**VCE Family Member Page](https://vce.health.mil/Family-and-Beneficiaries)

Vision Research

VCE continually strives to improve the recognition and management of ocular injuries and vision-threatening conditions across military and veteran populations. Such efforts supporting improved care and coordination of care are essential for maintaining the visual performance of U.S. Service Members and Veterans.

[Doing Business with the Defense Health Agency](https://www.health.mil/Military-Health-Topics/Acquisition-Procurement-and-Small-Business)

Interested in doing business with the Defense Health Agency? In this topic, you can find information about the Component Acquisition Executive office, the Office of Small Business Programs, and the Office of Procurement in this topic. Highlights include contact information, upcoming events for vendors, and a forecasts of business opportunities.

* [Component Acquisition Executive](https://www.health.mil/Military-Health-Topics/Acquisition-Procurement-and-Small-Business/Component-Acquisition-Executive)
* [Procurement](https://www.health.mil/Military-Health-Topics/Acquisition-Procurement-and-Small-Business/Procurement-and-Contracting)
* [Small Business Programs](https://www.health.mil/Military-Health-Topics/Acquisition-Procurement-and-Small-Business/Small-Business-Programs)
* [Vendor Information Form](https://www.health.mil/Military-Health-Topics/Acquisition-Procurement-and-Small-Business/Vendor-Information-Form)

[Education & Training](https://www.health.mil/Military-Health-Topics/Education-and-Training)

Education and training resources for personnel across the Military Health System.

* [Defense Medical Readiness Training Institute](https://www.health.mil/Military-Health-Topics/Education-and-Training/DMRTI)
* [Leadership, Education, Analysis, Development, Sustainment](https://www.health.mil/Military-Health-Topics/Education-and-Training/LEADS)
* [Medical Education and Training Campus](https://www.health.mil/Military-Health-Topics/Education-and-Training/METC)
* [Medical Modernization and Simulation Division](https://www.health.mil/Military-Health-Topics/Education-and-Training/MMSD)
* [Enterprise Professional Development](https://www.health.mil/Military-Health-Topics/Education-and-Training/EPD)

[Health Care Administration & Operations](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety)

Learn about getting care in the Military Health System. See how the Defense Health Agency is increasing high reliability across the MHS and compare the quality and safety of health care across military hospitals and clinics. Information for health care providers is also found in this topic.

* [Disability Evaluation System](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/DES)
* [Health Care Program Evaluation](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Health-Care-Program-Evaluation)
* [Information for Providers](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Information-for-Providers)
* [Military Hospitals and Clinics](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Military-Hospitals-and-Clinics)
* [TRICARE Health Plan](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/TRICARE-Health-Plan)
* [TRICARE Pharmacy Operations](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Pharmacy-Operations)
* [Quality, Patient Safety & Access Information (for Patients)](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Patient-Portal-for-MHS-Quality-Patient-Safety-and-Access-Information)
* [Quality & Safety of Health Care (for Health Care Professionals)](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Quality-And-Safety-of-Healthcare)
* [Uniform Business Office](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Uniform-Business-Office)
* [VA/DOD Clinical Practice Guidelines](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/VADOD-CPGs)
* [Veterans Health Care Services](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Veterans)
* [Warrior Care](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Warrior-Care)

### Disability Evaluation System

Service members can incur a wound, illness and/or injury at any time, whether serving in combat operations, during training evolutions, or at any other time on the job or even after hours. With the aid of medical care and adequate time to heal, many Service members can recover and return to full and unrestricted duty. Unfortunately, some Service members may suffer a long-lasting or permanent disability from a wound, illness, or injury that may affect their ability to return to full military duties. In this case, their treating physician will refer them into the [Disability Evaluation SystemGoes to the Warrior Care page](https://warriorcare.dodlive.mil/Benefits/Disability-Evaluation/). The DES is the Department of Defense’s mechanism for determining whether a Service member will return to duty, medically separate, or medically retire due to disability.

* [Integrated Evaluation System](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/DES/Integrated-Evaluation-System)
* [Medical Evaluation](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/DES/Medical-Evaluation)
* [Physical Evaluation](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/DES/Physical-Evaluation)
* [Physical Disability Board of Review](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/DES/Physical-Disability-Board-of-Review)
* [Separation Health Assessment](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/DES/Separation-Health-Assessment)

#### Integrated Disability Evaluation System

The Departments of Defense and Veterans Affairs worked together to make [disability evaluationDisability Evaluation on Warrior Care](https://warriorcare.dodlive.mil/Benefits/Disability-Evaluation/) seamless, simple, fast and fair with the Integrated Disability Evaluation System.

DOD uses the IDES to determine a Service member’s fitness for duty. If the Service member is found medically unfit for duty, the IDES gives them a proposed VA disability rating before they leave the service. The proposed rating informs the Service member of the approximate amount of compensation and benefits they will receive from the VA. Through the IDES process, Physical Evaluation Board Liaison Officers guide Service members through the entire IDES process to ensure they are aware of their options and the many decisions they, or their families, need to make. VA Military Service Coordinators help Service members file their VA benefits claim before they leave the service so they can get their benefits as soon as possible after they separate from service.

To make the system fast and fair, there are options available and appeal processes which a Service member can choose, to get decisions reviewed along the way. PEBLOs and MCSs guide Service members through the entire IDES process to ensure they are counseled on their options. The Services will also provide legal counsel at no cost to the Service member.

Proven Solution

In designing the IDES, DOD and the VA examined the recommendations of several commissions and task forces established to improve the delivery of benefits to wounded, ill and injured Service members and Veterans.

A Pilot program of the IDES was launched Nov. 26, 2007, at three military treatment facilities. The pilot simplified the disability evaluation process by eliminating duplicate disability examinations and ratings, and placing VA counselors in MTFs to ensure a smooth transition to Veteran status. Continuous improvement processes were also built into the system. Quarterly assessments of the Pilot and regular surveys of Service members in the system helped identify areas for improvement.

The Pilot was expanded to 27 locations as a thorough test. In thousands of surveys, participants of the pilot and their families consistently reported higher average satisfaction with fairness, customer service, and the overall DES experience, than did participants in the non-integrated legacy system. They also completed the Pilot faster than the legacy systems, and separated with VA claims in place, so their wait time for receipt of benefits was shorter than before.

Based on the success of the pilot, the integrated process expanded to all remaining worldwide locations, renamed as the Integrated Disability Evaluation System, and is available to all Service members.

Expedited Disability Evaluation System

The DOD published guidance for an Expedited Disability Evaluation System in January 2009 as a special benefit to those Service members who sustain catastrophic injuries or illnesses from combat or combat-related operations. This voluntary process moves the service member quickly to permanent disability retirement to obtain benefits from the VA and other federal and state agencies.

Physical Disability Board of Review (PDBR)

The DOD established the Physical Disability Board of Review to reassess the accuracy and fairness of disability ratings of Service members who were medically separated, with a combined disability rating of 20 percent or less, between Sept. 11, 2001, and Dec. 31, 2009. The board examines each applicant’s medical separation and ratings, and makes a recommendation to the Secretary of the Service from which the Veteran was discharged. The board cannot lower a disability rating and any change to the rating is effective on the date of final decision by the Service Secretary.

#### Medical Evaluation Board

The Medical Evaluation Board is a process designed to determine whether a Service member’s long-term medical condition enables him/her to continue to meet medical retention standards, in accordance with military service regulations. It also provides an opportunity for military physicians to clearly document all care and treatments received prior to MEB referral and any duty limitations their condition may cause.

The MEB is considered an informal board because, by itself, it does not drive any personnel actions. The findings of the MEB are referred to the Physical Evaluation Board, which formally determines fitness for continued service and eligibility for disability compensation. The MEB is convened once the medical retention decision point is reached or when the Service member’s physician thinks the Service member will not be able to return to duty for medical reasons. The board evaluates a Service member’s medical history and condition, documents the extent of the injury or illness, and decides whether the Service member’s medical condition is severe enough to impede his/her ability to continue serving in a full duty capacity.

Entering into the MEB process does not mean the Service member will be automatically discharged from military service. The MEB will refer a Service member to the PEB when the findings and recommendations stipulate that either:

1. the Service member does not meet retention standards, or
2. the Service member should return to duty in a different military occupation specialty/military occupational classification.

MEB decisions can affect the Service member and family, so it is necessary for all to understand the entire board process. Having all the documents and necessary medical information completed before the board meets is vital to achieving the best outcome.

#### Physical Evaluation Board

If the Medical Evaluation Board (MEB) determines the Service member does not meet retention standards for his/her military occupational specialty/military occupational classification, then the Service member will be referred to a Physical Evaluation Board. The Service PEBs are administrative boards which determine whether a Service member’s injury prevents his/her continued performance in the military service.

The Service member will have the opportunity to review and comment on the medical and non-medical information referred to the PEB. The Service member is responsible for providing accurate, comprehensive information about existing medical conditions, especially if they have been treated by non-military or civilian care providers, and also any administrative actions.

The PEB determines:

* Fitness or unfitness to continue military service
* Eligibility for disability compensation
* Disability codes and percentage rating
* Disposition of the Service member’s case
* Whether or not the injury or illness is combat-related

#### Physical Disability Board of Review

If you were medically-separated from the U.S. military between Sept. 11, 2001 and Dec. 31, 2009, you now have the opportunity to have your disability rating reviewed by the Physical Disability Board of Review to ensure fairness and accuracy.

What is the Physical Disability Board of Review?

The Physical Disability Board of Review, or PDBR, was legislated by Congress and implemented by the Department of Defense to ensure the accuracy and fairness of combined disability ratings of 20% or less assigned to service members who were discharged between Sept. 11, 2001 and Dec. 31, 2009.

* The PDBR uses medical information provided by the Department of Veterans Affairs and the military department.
* Once a review is complete, the PDBR forwards a recommendation to the secretary of the respective branch of the armed services.
* It is up to the individual service branch to make the final determination on whether to change the original disability determination.

#### Separation Health Assessment

The Separation Health Assessment is a medical evaluation used by the Department of Defense and Department of Veterans Affairs.

* In the DOD, we call it “Separation History and Physical Examination”
* In the VA, they call it the “Disability Exam”

Are you a Service member who is separating, retiring, or deactivating?

* You need only one exam.
* You may be complete it at a [military hospital or clinicgoes to the MTF Locator](http://www.tricare.mil/MTF) or at a [VA facilityOpens to VA website](https://www.va.gov/directory/guide/division.asp?dnum=1&isFlash=0).
* DOD and VA share results of the exam with each other.

The Separation Health Assessment documents and assesses your:

* Medical history
* Medical concerns identified during your military career
* Current health status

How It Works

* Schedule your exam at a military hospital or clinic or VA facility well in advance of your scheduled separation date.
	+ If you’re filing a VA claim, schedule it no later than 90 days before your separation date.
	+ If you’re taking extended terminal leave, it’s best that you schedule at an military hospital or clinic.
	+ If overseas or finishing a deployment, follow your Services’ guidance for scheduling the exam.
* Before the exam, complete the [DD Form 2807-1, “Report of Medical History”View and download the PDF](https://www.esd.whs.mil/Portals/54/Documents/DD/forms/dd/dd2807-1.pdf).
* At your exam, the examiner reviews your answers and ensures claimed contentions are addressed in the exam report. This becomes part of your record.
* The examiner reviews your current health status and your complete medical history, including the DD Form 2807-1. This is to see if you need further treatment or evaluations for any medical concerns.
* The assessment results are then accessible by both the DOD and VA. You won’t need another exam if you decide to file a VA claim.

Frequently Asked Questions

Questions and answers about the Separation Health Assessment

Q1:

[Why are all service members required to get the SHPE before leaving active duty?](javascript:void(0))

A:

The DOD requires a separation history and physical examination (SHPE) to capture the complete medical history of service members and evaluate members filing a disability claim.

Results are accessible by both the DOD and VA so even if you’re not filing a VA claim now, the results are available if you decide to file a disability claim later.

Q2:

[How do I schedule the exam?](javascript:void(0))

A:

You can schedule the exam at any military hospital or clinic or VA facility. Find one near you:

* [Find a military hospital or clinicgoes to the MTF Locator](http://www.tricare.mil/MTF)
* [Find a VA Facilitygoes to the VA website](http://www.va.gov/directory/guide/division.asp?dnum=3)

Q3:

[If there’s any information missing from my record, how do I get it added?](javascript:void(0))

A:

You can view your health record on the [TOL Patient PortalGoes to TOL](http://www.tricareonline.com/) or the [MHS GENESIS Patient PortalGoes to the MHS GENESIS Patient Portal](https://my.mhsgenesis.health.mil/), depending on what's being used where you get care.. If something’s missing, contact the provider that conducted the exam or ordered the lab work to ensure it gets added. All your health records are shared with the VA.

Q4:

[How do I file a VA disability claim?](javascript:void(0))

A:

You can file a VA disability claim through [eBenefitsgoes to the eBenefits website](https://www.ebenefits.va.gov/ebenefits/homepage" \o "goes to the eBenefits website" \t "_blank), in person with a Veterans Service Organization, or with a VA representative at a military installation. Submit a copy of your Service Treatment Record (STR) from your current period of military service and any copies of private treatment records not associated with TRICARE referrals. For more information on VA disability benefits, call 1-800-827-1000 or visit the [VA’s websiteGoes to the VA website](http://www.benefits.va.gov/).

### Health Care Program Evaluation

The mission of the Decision Support Division is to generate timely, useable and objective research to help improve the Military Health System (MHS) and to advance the health of TRICARE beneficiaries. We use a multidisciplinary approach to investigate complex issues in measuring, evaluating and analyzing the performance of healthcare delivery systems and develop innovative methods for financing high-quality health care. The staff develop and promote science based tools and methods for analyzing/benchmarking MHS health care, examine results to ensure accurate presentation and completeness and provide the ability to see the "big picture" by rapidly acquiring the background and knowledge needed to assist leadership in decision making.

* [2020 DOD Women's Reproductive Health Survey](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Health-Care-Program-Evaluation/2020-DoD-Womens-Reproductive-Health-Survey)
* [Annual Evaluation of the TRICARE Program](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Health-Care-Program-Evaluation/Annual-Evaluation-of-the-TRICARE-Program)
* [Military Health System Patient Satisfaction Surveys](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Health-Care-Program-Evaluation/MHS-Patient-Satisfaction-Surveys)
* [Survey of Health-Related Behaviors](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Health-Care-Program-Evaluation/Survey-of-Health-Related-Behaviors)

Frequently Asked Questions

Questions and answers about conducting Health Care Surveys in the Department of Defense.

Q1:

[What is an Information Collection?](javascript:void(0))

A:

Information Collections are written verbal reports, applications (forms), schedules, surveys (focus groups), questionnaires, reporting or record keeping requirements in any format and collected through any media. They may be internal to DOD, External (from members of the public), or Interagency (between Federal Agencies).

Q2:

[Why do I need to license an Information Collection?](javascript:void(0))

A:

You must license the information collection to comply with the requirements outlined in the following:

* [Paperwork Reduction Act (PRA) of 1980opens in a new window](http://www.gpo.gov/fdsys/pkg/PLAW-104publ13/html/PLAW-104publ13.htm)
* [DOD Instruction 1100.13: Surveys of DOD Beneficiaries](https://www.health.mil/Reference-Center/Policies/2015/01/15/Surveys-of-DoD-Beneficiaries)
* [DOD Instruction 8910.1-M: Procedures for Management of Information Requirements](https://www.health.mil/Reference-Center/Policies/2014/05/19/Information-Collection-and-Reporting)
* [DOD Instruction 7750.7 DoD Forms Management Program](https://www.health.mil/Reference-Center/Policies/2014/10/10/DoD-Forms-Management-Program)

Q3:

[How long does the clearance process take?](javascript:void(0))

A:

Standard Processes:

* OMB Clearance – 120 Days
* DMDC Review – 30 Days
* RCS – 30 Days
* Privacy Statement Review – 7 Days
* HA/TMA IRB Review and Approval - 1-2 weeks
* Forms Review & Development – 2-3 weeks

Q4:

[How will I know which process or processes to use?](javascript:void(0))

A:

If you think you have an information collection that may need to be licensed, the first thing you must do is contact the [Information Control Officer (IMCO)](mailto:dha.ncr.dec-support.list.dha-decision-support@mail.mil). He/she will assist you in making the determination and identifying the correct processes and procedures. The IMCO will assist you throughout the process.

Q5:

[Who is responsible for reviewing, approving or denying my request to conduct a survey?](javascript:void(0))

A:

Officials from the Defense Health Agency (DHA), Washington Headquarters Services (WHS), Defense Manpower Data Center (DMDC), OMB and or the General Services Administration (GSA).

Q6:

[What happens if I do not comply?](javascript:void(0))

A:

Depending on the licensing authority, your information collection can be terminated. Also, the sponsoring activity can be reported through DOD to OMB for failure to comply with the PRA.

### Information for Providers

The Military Health System is comprised of providers at [military hospitals and clinicsOpens to the TRICARE website](https://www.tricare.mil/Military-Hospitals-and-Clinics) augmented by civilian [TRICARE-authorized providers](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Information-for-Providers/TRICARE-Authorized-Providers). As the health care delivery arm of the MHS, the Defense Health Agency is crucial to supporting the Department of Defense’s integrated system of readiness and health. DHA manages a global health care network of military and civilian medical professionals and more than 400 military hospitals and clinics around the world.

### Military Hospitals and Clinics

Military hospitals and clinics are the core of the Military Health System. They are located on military installations around the world. Military hospitals and clinics are also referred to as **Direct Care**Direct care refers to military hospitals and clinics, also known as “military treatment facilities” and “MTFs.”direct care, military treatment facilities or MTFs. The Defense Health Agency has established a [market-based structure](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Military-Hospitals-and-Clinics/Market-Structure) to manage the hospitals and clinics. Each health care market will:

* Provide shared administrative services to the hospitals and clinics in their region.
* Be responsible for generating medical readiness of active duty members and families in their regions
* Ensure the readiness of their medical personnel.

Looking for a Military Hospital or Clinic?

Or, search by state or overseas area, below:

[Alabama](javascript:void(0))

* [Fox Army Health Center](https://redstone.tricare.mil/)
* [Lyster Army Health Clinic](https://lyster.tricare.mil/)
* [42d Medical Group – Maxwell Air Force Base](https://maxwell.tricare.mil/)

[Alaska](javascript:void(0))

* [354th Medical Group - Eielson Air Force Base](https://eielson.tricare.mil/)
* [673d Medical Group - Joint Base Elmendorf-Richardson](https://elmendorfrichardson.tricare.mil/)
* [Bassett Army Community Hospital](https://bassett-wainwright.tricare.mil/)

[Arizona](javascript:void(0))

* [355th Medical Group - Davis-Monthan Air Force Base](https://davismonthan.tricare.mil/)
* [56th Medical Group - Luke Air Force Base](https://luke.tricare.mil/)
* [Raymond W. Bliss Army Health Center](https://raymond-bliss.tricare.mil/)

[Arkansas](javascript:void(0))

* [19th Medical Group - Little Rock Air Force Base](https://littlerock.tricare.mil/)

[California](javascript:void(0))

* [California Medical Detachment](https://calmed.tricare.mil/)
* [9th Medical Group - Beale Air Force Base](https://beale.tricare.mil/)
* [412th Medical Group - Edwards Air Force Base](https://edwards.tricare.mil/)
* [61st Medical Squadron - Los Angeles Air Force Base](https://losangeles.tricare.mil/)
* [30th Medical Group - Vandenberg Space Force Base](https://travis.tricare.mil/)
* [Naval Hospital Camp Pendleton](https://camp-pendleton.tricare.mil/)
* [Naval Hospital Twentynine Palms](https://twentynine-palms.tricare.mil/)
* [Naval Medical Center San Diego](https://sandiego.tricare.mil/)
* [Naval Health Clinic Lemoore](https://lemoore.tricare.mil/)
* [Army Community Hospital Weed-Irwin](https://weed-irwin.tricare.mil/)

[Colorado](javascript:void(0))

* [10th Medical Group - Air Force Academy](https://airforceacademy.tricare.mil/)
* [460th Medical Group - Buckley Space Force Base](https://buckley.tricare.mil/)
* [21st Medical Group - Space Base Delta 1](https://peterson.tricare.mil/)
* [Evans Army Community Hospital](https://evans.tricare.mil/)

[Deleware](javascript:void(0))

* [436th Medical Group - Dover Air Force Base](https://dover.tricare.mil/)

[District of Columbia](javascript:void(0))

* [316th Medical Squadron - Joint Base Anacostia-Bolling](https://anacostiabolling.tricare.mil/)

[Florida](javascript:void(0))

* [Army Health Clinic SOUTHCOM](https://southcomclinic.tricare.mil/)
* [96th Medical Group - Eglin Air Force Base](https://eglin.tricare.mil/)
* [1st Special Operations Medical Group - Hurlburt Field](https://hurlburt.tricare.mil/)
* [6th Medical Group - MacDill Air Force Base](https://macdill.tricare.mil/)
* [45th Medical Group - Patrick Air Force Base](https://patrick.tricare.mil/)
* [325th Medical Group - Tyndall Air Force Base](https://tyndall.tricare.mil/)
* [Naval Hospital Jacksonville](https://jacksonville.tricare.mil/)
* [Naval Hospital Pensacola](https://pensacola.tricare.mil/)

[Georgia](javascript:void(0))

* [Eisenhower Army Medical Center](https://eisenhower.tricare.mil/)
* [Martin Army Community Hospital](https://martin.tricare.mil/)
* [Winn Army Community Hospital](https://winn.tricare.mil/)
* [23d Medical Group - Moody Air Force Base](https://moody.tricare.mil/)
* [78th Medical Group - Robins Air Force Base](https://robins.tricare.mil/)

[Hawaii](javascript:void(0))

* [Naval Health Clinic Hawaii](https://nhchawaii.tricare.mil/)
* [15th Medical Group - Joint Base Pearl Harbor-Hickam](https://pearlharborhickam.tricare.mil/)
* [Tripler Army Medical Center](https://tripler.tricare.mil/)
* [Desmond Doss Health Clinic](https://desmond-doss.tricare.mil/)

[Idaho](javascript:void(0))

* [366th Medical Clinic – Mountain Home Air Force Base](https://mountainhome.tricare.mil/)

[Illinois](javascript:void(0))

* [375th Medical Group - Scott Air Force Base](https://scott.tricare.mil/)
* [Captain James A. Lovell Federal Health Care Center](https://www.lovell.fhcc.va.gov/)

[Kansas](javascript:void(0))

* [22d Medical Group - McConnell Air Force Base](https://mcconnell.tricare.mil/)
* [Irwin Army Community Hospital](https://irwin.tricare.mil/)
* [AHC Munson-Fort Leavenworth](https://munson.tricare.mil/)

[Kentucky](javascript:void(0))

* [Blanchfield Army Community Hospital](https://blanchfield.tricare.mil/)
* [Ireland Army Health Clinic](https://ireland.tricare.mil/)

[Louisiana](javascript:void(0))

* [2d Medical Group - Barksdale Air Force Base](https://barksdale.tricare.mil/)
* [Bayne-Jones Army Community Hospital](https://bayne-jones.tricare.mil/)

[Maryland](javascript:void(0))

* [Kimbrough Ambulatory Care Center](https://kimbrough.tricare.mil/)r
* [316th Medical Group - Joint Base Andrews (Malcolm Grow Medical Clinics and Surgery Center)](https://andrews.tricare.mil/)
* [Walter Reed National Military Medical Center](https://walterreed.tricare.mil/)
* [Naval Health Clinic Annapolis](https://annapolis.tricare.mil/)
* [Naval Health Clinic Patuxent River](https://paxriver.tricare.mil/)
* [Barquist Army Health Clinic](https://barquist.tricare.mil/)
* [Kirk U.S. Army Medical Health Clinic](https://kirk.tricare.mil/)

[Massachusetts](javascript:void(0))

* [66th Medical Squadron - Hanscom Air Force Base](https://hanscom.tricare.mil/)

[Mississippi](javascript:void(0))

* [14th Medical Group - Columbus Air Force Base](https://columbus.tricare.mil/)
* [81st Medical Group - Keesler Air Force Base](https://keesler.tricare.mil/)

[Missouri](javascript:void(0))

* [509th Medical Group - Whiteman Air Force Base](https://whiteman.tricare.mil/)
* [General Leonard Wood Army Community Hospital](https://leonard-wood.tricare.mil/)

[Montana](javascript:void(0))

* [341st Medical Group - Malmstrom Air Force Base](https://malmstrom.tricare.mil/)

[Nebraska](javascript:void(0))

* [55th Medical Group - Offutt Air Force Base](https://offutt.tricare.mil/)

[Nevada](javascript:void(0))

* [Mike O'Callaghan Military Medical Center - Nellis Air Force Base](https://nellis.tricare.mil/)

[New Jersey](javascript:void(0))

* [87th Medical Group - Joint Base McGuire-Dix-Lakehurst](https://mcguiredixlakehurst.tricare.mil/)

[New Mexico](javascript:void(0))

* [27th Special Operations Medical Group - Cannon Air Force Base](https://cannon.tricare.mil/)
* [49th Medical Group - Holloman Air Force Base](https://holloman.tricare.mil/)
* [377th Medical Group - Kirtland Air Force Base](https://kirtland.tricare.mil/)

[New York](javascript:void(0))

* [Keller Army Community Hospital](https://keller.tricare.mil/)
* [Guthrie Ambulatory Care Center](https://guthrie.tricare.mil/)

[North Carolina](javascript:void(0))

* [43d Medical Squadron - Pope Field](https://pope.tricare.mil/)
* [4th Medical Group - Seymour Johnson Air Force Base](https://seymourjohnson.tricare.mil/)
* [Womack Army Medical Center](https://womack.tricare.mil/)
* [Naval Medical Center Camp Lejeune](https://camp-lejeune.tricare.mil/)
* [Naval Health Clinic Cherry Point](https://cherrypoint.tricare.mil/)

[North Dakota](javascript:void(0))

* [319th Medical Group - Grand Forks Air Force Base](https://grandforks.tricare.mil/)
* [5th Medical Group - Minot Air Force Base](https://minot.tricare.mil/)

[Ohio](javascript:void(0))

* [88th Medical Group - Wright-Patterson Air Force Base](https://wrightpatterson.tricare.mil/)

[Oklahoma](javascript:void(0))

* [97th Medical Group - Altus Air Force Base](https://altus.tricare.mil/)
* [72d Medical Group - Tinker Air Force Base](https://tinker.tricare.mil/)
* [71st Medical Group - Vance Air Force Base](https://vance.tricare.mil/)
* [Reynolds Army Health Clinic](http://reynolds.tricare.mil/)

[Pennsylvania](javascript:void(0))

* [Dunham U.S. Army Health Clinic](https://dunham.tricare.mil/)

[Rhode Island](javascript:void(0))

* [Naval Health Clinic New England](https://newengland.tricare.mil/)

[South Carolina](javascript:void(0))

* [Moncrief Army Health Clinic](https://moncrief.tricare.mil/)
* [628th Medical Group - Joint Base Charleston](https://charleston.tricare.mil/)
* [20th Medical Group - Shaw Air Force Base](https://shaw.tricare.mil/)
* [Naval Hospital Beaufort](https://beaufort.tricare.mil/)
* [Naval Health Clinic Charleston](https://nhc-charleston.tricare.mil/)

[South Dakota](javascript:void(0))

* [28th Medical Group - Ellsworth Air Force Base](https://ellsworth.tricare.mil/)

[Texas](javascript:void(0))

* [7th Medical Group - Dyess Air Force Base](https://dyess.tricare.mil/)
* [17th Medical Group - Goodfellow Air Force Base](https://goodfellow.tricare.mil/)
* [47th Medical Group - Laughlin Air Force Base](https://laughlin.tricare.mil/)
* [82d Medical Group - Sheppard Air Force Base](https://sheppard.tricare.mil/)
* [59th Medical Wing - JBSA - Wilford Hall Ambulatory Surgical Center](https://wilfordhall.tricare.mil/)
* [Naval Health Clinic Corpus Christi](https://corpuschristi.tricare.mil/)
* [Army Medical Center Darnall-Hood](https://darnall.tricare.mil/)
* [Brooke Army Medical Center](https://bamc.tricare.mil/)
* [William Beaumont Army Medical Center - Fort Bliss](https://william-beaumont.tricare.mil/)

[Utah](javascript:void(0))

* [75th Medical Group - Hill Air Force Base](https://hill.tricare.mil/)

[Virginia](javascript:void(0))

* [McDonald Army Health Center](https://mcdonald.tricare.mil/)
* [Kenner Army Health Clinic](https://kenner.tricare.mil/)
* [633d Medical Group - Joint Base Langley-Eustis](https://langleyeustis.tricare.mil/)
* [Alexander T. Augusta Military Medical Center (Formerly Fort Belvoir Community Hospital)](https://belvoirhospital.tricare.mil/)
* [Naval Health Clinic Quantico](https://quantico.tricare.mil/)
* [Naval Medical Center Portsmouth](https://portsmouth.tricare.mil/)
* [Andrew Rader U.S. Army Health Clinic](https://rader.tricare.mil/)

[Washington](javascript:void(0))

* [Madigan Army Medical Center](https://madigan.tricare.mil/)
* [Naval Health Clinic Oak Harbor](https://oakharbor.tricare.mil/)
* [92d Medical Group - Fairchild Air Force Base](https://fairchild.tricare.mil/)
* [62nd Medical Squadron - Joint Base Lewis-McChord](https://lewismcchord.tricare.mil/)
* [Naval Hospital Bremerton](https://bremerton.tricare.mil/)

[Wyoming](javascript:void(0))

* [90th Medical Group - F.E. Warren Air Force Base](https://fewarren.tricare.mil/)

[Overseas](javascript:void(0))

* [Rodriguez Army Health Clinic](https://rodriguez.tricare.mil/)
* [36th Medical Group - Andersen Air Force Base](https://andersen.tricare.mil/)
* [31st Medical Group - Aviano Air Base](https://aviano.tricare.mil/)
* [39th Medical Group - Incirlik Air Base](https://incirlik.tricare.mil/)
* [18th Medical Group - Kadena Air Base](https://kadena.tricare.mil/)
* [8th Medical Group - Kunsan Air Base](https://kunsan.tricare.mil/)
* [35th Medical Group - Misawa Air Base](https://misawa.tricare.mil/)
* [423d Medical Squadron - RAF Alconbury](https://rafalconbury.tricare.mil/)
* [422d Medical Squadron - RAF Croughton](https://rafcroughton.tricare.mil/)
* [48th Medical Group - RAF Lakenheath](https://raflakenheath.tricare.mil/)
* [86th Medical Group - Ramstein Air Base](https://ramstein.tricare.mil/)
* [52nd Medical Group - Spangdahlem Air Base](https://spangdahlem.tricare.mil/)
* [374th Medical Group - Yokota Air Base](https://yokota.tricare.mil/)
* [51st Medical Group - Osan Air Base](https://osan.tricare.mil/)
* [Naval Hospital Guam](https://guam.tricare.mil/)
* [Naval Hospital Guantanamo Bay](https://guantanamo.tricare.mil/)
* [Naval Hospital Naples](https://naples.tricare.mil/)
* [Naval Hospital Okinawa-Japan](https://okinawa.tricare.mil/)
* [Naval Hospital Rota](https://rota.tricare.mil/)
* [Naval Hospital Sigonella, Italy](https://sigonella.tricare.mil/)
* [Army Health Clinic BG Crawford Sams-Camp Zama](https://bg-crawford.tricare.mil/)
* [Brian D. Allgood Army Community Hospital - Pyeoungtaek](https://briandallgood.tricare.mil/)
* [Military Health System Europe](https://mhs-europe.tricare.mil/)

### TRICARE Health Plan

The TRICARE Health Plan (THP) manages and oversees an integrated health care delivery system in the East and West U.S. TRICARE regions. The THP Director reports to and operates under the authority, direction, and control of the Director, Defense Health Agency (DHA). The THP Director has visibility of both the contract and **Direct Care**Direct care refers to military hospitals and clinics, also known as “military treatment facilities” and “MTFs.”direct care assets, and coordinates with the Services to develop an integrated health plan. THP includes:

* [TRICARE Policy and Benefits打开 Manuals.health.mil](https://manuals.health.mil/)
* [TRICARE Dental Care打开 health.mil](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/TRICARE-Health-Plan/Dental)
* [Medical Benefits and Reimbursement打开 health.mil](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/TRICARE-Health-Plan/Rates-and-Reimbursement)
* [Reserve and Service Member Support打开 health.mil](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/TRICARE-Health-Plan/MMSO)
* [TRICARE Overseas Area Offices打开 health.mil](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/TRICARE-Health-Plan/TRICARE-Area-Offices)

Objectives

* Deliver more comprehensive primary care and integrated health services using advanced patient-centered medical home
* Coordinate care over time and across treatment settings to improve outcomes in the management of chronic illness, particularly for patients with complex medical and social problems.
* Match personnel, infrastructure and funding to current missions, future missions and population demand
* Establish more inter-Service standards / metrics, and standardize processes to promote learning and continuous improvement.
* Create enhanced value in military medical markets using an integrated approach specified in five-year business performance plans.
* Align incentives with health and readiness outcomes to reward value creation

TRICARE Health Plan Functions

We deliver health care to 9.6 million TRICARE beneficiaries through an integrated network comprised of military hospitals and clinics and civilian providers, and ensure consistency of care in accordance with statute via policy and regulations, benefit determination, and benefit design.

[Manage the TRICARE Contracts](javascript:void(0))

[Support the MTF Commanders](javascript:void(0))

[Develop Business Plans Supporting Beneficiary Care](javascript:void(0))

Customer Service

If you’re looking for details about your TRICARE plan, visit the [TRICARE website访问 TRICARE 网站](http://www.tricare.mil/). There, you can:

* [Find a Doctor访问 TRICARE 网站](https://www.tricare.mil/FindDoctor)
* [See What’s Covered访问 TRICARE 网站](https://tricare.mil/isitcovered)
* [Find Toll-Free Numbers访问 TRICARE 网站](https://tricare.mil/callus)
* [Find Your Link to Log in for Secure Services访问 TRICARE 网站](https://tricare.mil/login)
* …and much more

In most cases, you'll call your regional contractor first:

**TRICARE East**

**TRICARE West**

[Humana Military打开 Humana 网站](https://www.humanamilitary.com/)

1-800-444-5445

[Health Net向健康网开放](https://www.tricare-west.com/)

1-844-866-9378

But there are times when you may need to call the DHA THP: **1-844-204-9351**

* Approval for the [TRICARE Prime Travel BenefitTRICARE.mil 上的 Prime 旅行福利信息](https://www.tricare.mil/FormsClaims/Forms/PrimeTravel)
* If your issue is unresolved by the regional contractor

Forms & Downloads

**File**

**Description**

[Guard/Reserve Briefing Request Form](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/TRICARE-Health-Plan/TRICARE-Briefings)

Guard/Reserve units can submit this form to request a briefing from their regional contractor each year.

[Supplemental Health Care Program Worksheet](https://www.health.mil/Reference-Center/Forms/2010/04/16/Supplemental-Health-Care-Program-Worksheet)

Use this worksheet when referring a service member under the Supplemental Health Care Program.

[TRICARE Prime Remote Determination of Enrollment Eligibility](https://www.health.mil/Reference-Center/Forms/2018/01/02/TRICARE-Prime-Remote-Determination-of-Enrollment-Eligibility)

Submit this form if you believe that one or more of the exceptions to the eligibility criteria for TRICARE Prime Remote enrollment are met. Only service members or unit commanders can submit this form.

### TRICARE Pharmacy Operations

The Department of Defense (DOD) Pharmacy Operations Division (POD) provides a unified, preferred and Ready Pharmacy benefit.

Our Mission

To direct the DOD pharmacy benefit in support of the Military Health System (MHS) mission through effective planning, programming, budgeting, and execution of DOD pharmacy operations.

Goals

* Optimize MHS Pharmacy Operations in support of readiness, health care delivery, and health reliability
* Enhance MHS Pharmacy Operations to Improve Outcomes
* Provide a standardized customer-focused, patient-centric experience in each MHS pharmacy point-of-service
* Ensure the MHS Pharmacy Enterprise is the preferred choice for both patients and staff

What We Do

* Operate the TRICARE pharmacy program, providing beneficiaries with access to their prescription medications through retail network pharmacies, home delivery, and military pharmacies.
* Develop, establish, and support implementation of policies and procedures governing the delivery of pharmaceutical services at all pharmacies under DHA authority.
* Provide oversight and direction to military pharmacies regarding professional standards and compliance evaluation.
* Implement pharmacy consulting, advisory services, and SME assistance to OASH (HA), DHA Director, and military pharmacy leadership.
* Monitor drug usage and cost trends and perform pharmacoeconomic analyses to support DOD formulary management, national pharmaceutical contracts, and the development clinical practice guidelines.
* Provide administrative and technical support for the DOD Pharmacy & Therapeutics Committee, which manages outpatient medications on the TRICARE Uniform Formulary.
* Manage the Pharmacy Data Transaction Service, a centralized prescription data repository that provides a single, comprehensive patient drug profile for DOD beneficiaries across the MHS.
* Help in the development and management of information systems that support the provision of drug therapy and evaluation of the pharmacy benefit.
* Work with the Defense Logistics Agency & the VA Pharmacy Benefits Management Strategic Health Group and National Acquisition Center to establish national pharmaceutical contracts.
* Facilitate the collection of congressionally mandated quarterly refunds from pharmaceutical manufacturers based on utilization in TRICARE retail network pharmacies.

### Quality, Patient Safety & Access Information (for Patients)

See How We're Doing ... and Compare!

We're committed to making it easy for you to find information on how the Military Health System is performing. Here, you'll find data showing how our facilities score on industry standard measures for patient safety, health care outcomes, quality of care, and patient satisfaction and access to care. Search for your military treatment facility below to see how we're doing and how we measure our performance.

### Quality & Safety of Health Care (for Health Care Professionals)

The Health Systems Performance Branch (HSPB) within the Defense Health Agency integrates the [Clinical Quality Program](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Quality-And-Safety-of-Healthcare/Clinical-Quality-Management) and the [Patient Safety Program](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Quality-And-Safety-of-Healthcare/Patient-Safety). Our goal is to promote improved quality and patient safety by engaging, educating and equipping patient care teams to ensure the deployment of and adherence to evidence-based safe practices and the use of relevant clinical performance indicators to eliminate preventable harm throughout the Military Health System (MHS).

We support the military mission by integrating a systems approach to promoting a culture of transparency, collaboration and accountability across the MHS. These practices will increase the likelihood of desired patient outcomes, increase confidence in the MHS healthcare delivery and build organizational commitment to protect the health of the patients entrusted to our care.

* [Patient Portal for MHS Quality, Patient Safety and Access Information](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Patient-Portal-for-MHS-Quality-Patient-Safety-and-Access-Information)
* [Clinical Quality Management](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Quality-And-Safety-of-Healthcare/Clinical-Quality-Management)
* [Patient Safety](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Quality-And-Safety-of-Healthcare/Patient-Safety)
* [Program Integrity](https://www.health.mil/Error?item=web%3a%7bCB90170A-79F6-44AE-A02C-7520F0D06CD3%7d%40en)
* [Ready Reliable Care](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Quality-And-Safety-of-Healthcare/Ready-Reliable-Care)

### Uniform Business Office

The Army, Navy, Air Force, and Defense Health Agency establish and operate UBO offices at Defense Health Program fixed military treatment facilities throughout the world that administer Third Party Collections, Medical Services Account, and Medical Affirmative Claim Programs:

* MSA activities involve the first-payer billing of individuals and other Government Agencies for services rendered in MTFs to include, but not limited to, the U.S. Coast Guard, the National Oceanic and Atmospheric Administration, and the U.S. Public Health Service. 
* TPC activities involve billing third-party payers on behalf of non-active duty family members and dependents for treatment provided in MTFs. 
* MAC activities involve billing all areas of liability insurance, such as automobile, products, premises and general casualty, homeowner's and renter's insurance, medical malpractice (by civilian providers), and workers' compensation (other than Federal employees).

These efforts are coordinated by the [Chartered UBO Advisory Working Group](https://www.health.mil/Reference-Center/Publications/2019/02/14/DHA-UBO-AWG-Charter), composed of the DHA, Army, Navy, and Air Force Program Managers who meet quarterly to review and recommend effective processes to identify, review, validate, and prioritize functional changes and business process improvements to support MTF revenue cycle management activities.

UBO offices focus on ensuring that billable services are identified; payer information is available; accurate and complete claims are generated; and appropriate collections are received. Together, the three cost recovery programs provide the business processes for cost recovery including collections control, accounts receivable, and deposits.

The UBO Mission

Our mission is to optimize allowable health care cost recovery within compliance guidelines in support of the operational and readiness mission of the MHS.

The UBO supports the TRICARE managed care programs by providing tools and policies to enhance and improve the effectiveness of the financial and collection operations. Additionally, the UBO supports managing and expediting collections from patients and third party insurers; supports consistent and uniform reporting of expense, manpower and workload data, and enhancing third party reimbursements.

### VA/DOD Clinical Practice Guidelines

DOD, in collaboration with the Department of Veterans Affairs and other leading professional organizations, has been developing clinical practice guidelines since the early 1990s. In 2010 the Institute of Medicine identified VA/DOD as leaders in clinical practice guideline development.

Choose a Clinical Practice Guideline:

These Clinical Practice Guidelines are intended for use only as a tool to assist a clinician/health care professional and should not be used to replace clinical judgment.

[Amputation - Lower Limb](javascript:void(0))

The guideline describes the critical decision points in the Rehabilitation of Lower Limb Amputation and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with lower limb amputations.

[Clinical Practice Guideline: Rehabilitation of Lower Limb Amputation (2017)](https://www.healthquality.va.gov/guidelines/Rehab/amp/)

**CPG Clinical Support Tools**

* [Next Step](https://www.health.mil/Error?item=web%3a%7bF39730C9-0805-4AE6-90E3-54B48E69D3BC%7d%40en)
* [Rack Card](https://www.health.mil/Reference-Center/Fact-Sheets/2023/04/03/Rack-Card)

**Helpful Links**

* [Extremity Trauma and Amputation Center of Excellence](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/EACE)
* [Other Resources](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/EACE/Resources)

[Amputation - Upper Limb](javascript:void(0))

The ULA CPG is designed to address the key principles of rehabilitation and clinical care for patients with upper limb amputation. The overall goal of amputation rehabilitation is to optimize the patient’s health status, function, independence, and quality of life. Ongoing medical assessments and therapy interventions to address psychosocial, physical and functional limitations are necessary to achieve these desired end states.

[The Management of Upper Limb Amputation Rehabilitation (2022)](https://www.healthquality.va.gov/guidelines/rehab/ula/)

**CPG Clinical Support Tools**

* [Pregnancy Childcare Parenting](https://www.health.mil/Reference-Center/Fact-Sheets/2023/02/17/Pregnancy-Childcare-Parenting)
* [Within Reach](https://www.health.mil/Reference-Center/Fact-Sheets/2023/02/17/Within-Reach)

**Helpful Links**

* [Extremity Trauma and Amputation Center of Excellence](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/EACE)
* [Other Resources](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/EACE/Resources)

[Asthma](javascript:void(0))

The guideline describes the critical decision points in the Management of Asthma and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with Asthma.

[The Primary Care Management of Asthma (2019)](https://www.healthquality.va.gov/guidelines/CD/asthma/)

**CPG Clinical Support Tools**

* [Asthma Diary](https://www.health.mil/Reference-Center/Fact-Sheets/2023/05/25/Asthma-Diary) — Patient form for tracking symptoms, triggers, medication responses, and more.
* [Asthma Self Management Book](https://www.health.mil/Reference-Center/Fact-Sheets/2023/06/15/Asthma-Self-Management-Book) — This 44 page information booklet supports patients in managing asthma.

[Chronic Kidney Disease](javascript:void(0))

The guideline describes the critical decision points in the Management of Chronic Kidney Disease and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with chronic kidney disease.

[Management of Chronic Kidney Disease (2019)](https://www.healthquality.va.gov/guidelines/CD/ckd/)

**CPG Clinical Support Tools**

* [Chronic Kidney Disease Algorithms and Medication Management Card for providers](https://www.health.mil/Reference-Center/Fact-Sheets/2023/05/25/Chronic-Kidney-Disease-Algorithms-and-Medication-Management-Card-for-providers)
* [Management of Chronic Kidney Disease Recommendations Card for Providers](https://www.health.mil/Reference-Center/Fact-Sheets/2023/05/25/Management-of-Chronic-Kidney-Disease-Recommendations-Card-for-Providers)
* [Take Care of Your Kidneys](https://www.health.mil/Reference-Center/Fact-Sheets/2023/05/25/Take-Care-of-Your-Kidneys)

[Chronic Multisymptom Illness](javascript:void(0))

The guideline describes the critical decision points in the management of Chronic Multisymptom Illness and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with CMI.

[The Management of Chronic Multisymptom Illness (2021)](https://www.healthquality.va.gov/guidelines/MR/cmi/)

[Chronic Obstructive Pulmonary Disease](javascript:void(0))

The guideline describes the critical decision points in the Management of Chronic Obstructive Pulmonary Disease and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with COPD.

[Management of Chronic Obstructive Pulmonary Disease (2021)](https://www.healthquality.va.gov/guidelines/cd/copd/index.asp)

**CPG Tools**

* [Tri-Fold Chronic Obstructive Pulmonary Disease (COPD)](https://www.health.mil/Reference-Center/Fact-Sheets/2023/06/07/TriFold-Chronic-Obstructive-Pulmonary-Disease-COPD)

[Use of Opioids in Management of Chronic Pain](javascript:void(0))

The guideline describes the critical decision points in the Use of Opioids in the Management of Chronic Pain and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The workgroup consensus statements are provided to minimize harm and increase patient safety in patients requiring opioid therapy.

[Use of Opioids in the Management of Chronic Pain](https://www.healthquality.va.gov/guidelines/Pain/cot/)(2022)

**CPG Clinical Support Tools**

* [Reducing the Risk of Unsafe Opioid Use](https://www.health.mil/Reference-Center/Publications/2023/02/28/Reducing-the-Risk-of-Unsafe-Opioid-Use) (2023)

Fact sheet for providers detailing risk associated with opioid use along with other behavioral health conditions

* [Dose, Duration, and Tapering of Opioids](https://www.health.mil/Reference-Center/Fact-Sheets/2023/04/12/Fact-Sheet-Dose-Duration-and-Tapering-of-Opioids)(2023)

Fact sheet for providers with strategies to safely plan dosage, duration, and tapering in opioid therapy

* [Talking About Your Opioid Use](https://www.health.mil/Reference-Center/Publications/2023/02/28/Talking-About-Your-Opioid-Use)

Fact sheet for patients describing opioid use disorder, including facts, risks, diagnoses, and treatment

* [Provider Considerations for Chronic Pain](https://health.mil/-/media/Files/MHS/Publication-Files/RethinkingOpioids_CST.ashx)

Fact sheet for providers with considerations on whether long-term opioid therapy is appropriate in specific situations

* [Chronic Pain Manage Patient Guide](https://www.health.mil/Reference-Center/Publications/2023/03/10/ChronicPainManage_PatientGuide_CST_03102023) (2023)  
Fact sheet for patients highlighting different treatment options available as well as ways to self-manage chronic pain

[Depression](javascript:void(0))

The guideline describes the critical decision points in the management of Major Depressive Disorder and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with MDD.

[Management of Major Depressive Disorder (2022)](https://www.healthquality.va.gov/guidelines/MH/mdd/)

**CPG Tools**

* [Research Evidence for Alternative Treatments for Depression](https://www.health.mil/Reference-Center/Publications/2022/08/11/Research-Evidence-for-Alternative-Treatments-for-Depression) (2022)

Fact sheet describing and summarizing research evidence for alternative depression treatments that may not be recommended in the clinical practice guideline.

* [Effective Psychotherapies for the Treatment of Major Depressive Disorder](https://www.health.mil/Reference-Center/Publications/2022/10/28/Effective-Psychotherapies-for-the-Treatment-of-Major-Depressive-Disorder) (2022)

Fact sheet describing and summarizing evidence-based psychotherapies for treating Major Depressive Disorder cited in the clinical practice guideline.

* [Effective Pharmacotherapies for the Treatment of Major Depressive Disorder](https://www.health.mil/Reference-Center/Publications/2022/10/28/Effective-Pharmacotherapies-for-the-Treatment-of-Major-Depressive-Disorder) (2022)

Fact sheet describing effective pharmacotherapies for the treatment of major depressive disorder referenced in the clinical practice guideline.

* [Understanding Depression A Resource for Providers and Patients](https://www.health.mil/Reference-Center/Publications/2021/05/12/Understanding-Depression-A-Resource-for-Providers-and-Patients) (2022)

Booklet with information on treatment, medications, tips on talking to family and friends about MDD and patient worksheets on how to improve sleep and manage symptoms

* [Patient Self Management for Depression](https://www.health.mil/Reference-Center/Publications/2022/07/14/Patient-Self-Management-for-Depression) (2022)

Worksheet for patients with several things they can do several things to help themselves feel better, even when they’re not at their best.

* [Talking To Your Family and Friends About Depression](https://www.health.mil/Reference-Center/Publications/2022/09/06/Talking-To-Your-Family-and-Friends-About-Depression) (2022)

Worksheet to help patients plan a discussion about their depression symptoms with family and friends.

* [Depression Facts for Families](https://www.health.mil/Reference-Center/Publications/2021/05/12/Depression-Facts-for-Families) (2022)

Brochure with facts on depression symptoms, causes and effective treatments.

[Diabetes](javascript:void(0))

The guideline describes the critical decision points in the Management of Diabetes Mellitus and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with diabetes mellitus.

[Management of Diabetes Mellitus in Primary Care (2023)](https://www.healthquality.va.gov/guidelines/CD/diabetes/)

**CPG Clinical Support Tools**

* A Patient Guide for Monitoring Diabetes – Patient focused tool using red/green/yellow methodology for monitoring diabetes A1C control. Includes steps for maintenance and improvement.
* SelfCare Skills for the Person with Diabetes – This 46-page patient book provides specific information diabetes.
* [Don't lose sight of Diabetic Eye Disease](https://www.health.mil/Reference-Center/Fact-Sheets/2023/06/20/Dont-lose-sight-of-Diabetic-Eye-Disease) – Patient brochure with information on eye disease, in particular Diabetic Retinopathy.

[Dyslipidemia](javascript:void(0))

The guideline describes the critical decision points in the Management of Dyslipidemia and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with dyslipidemia.

[The Management of Dyslipidemia for Cardiovascular Risk Reduction (Lipids) (2020)](https://www.healthquality.va.gov/guidelines/CD/lipids/)

**CPG Tools**

* [Primary Prevention Cholesterol Infographic](https://www.health.mil/Error?item=web%3a%7b18DACA91-536E-4600-A007-4EE639F820B2%7d%40en)  
Information on risk – what to do to reduce risk.

* [Secondary Prevention Infographic](https://www.health.mil/Error?item=web%3a%7b0E89656C-ED18-425A-AF4F-96BF5BBB61ED%7d%40en)   
Treatment options after stroke or heart attack.

[Headache](javascript:void(0))

The guideline describes the critical decision points in the Management of Headache and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients who are suffering headaches.

[Primary Care Management of Headache](https://www.healthquality.va.gov/guidelines/Pain/headache/index.asp)

**CPG Tools**

* [Patient Guide for Headaches](https://www.health.mil/Reference-Center/Publications/2023/04/24/Patient-Guide-for-Headaches)

Double sided one page patient handout tool to gather info to share with your provider to accurately diagnose & treat your headache(s).

[Hypertension](javascript:void(0))

The guideline describes the critical decision points in the Diagnosis and Management of Hypertension in Primary Care and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with hypertension.

[Diagnosis and Management of Hypertension in Primary Care (2020)](https://www.healthquality.va.gov/guidelines/CD/htn/)

[Insomnia - Obstructive Sleep Apnea](javascript:void(0))

The guideline describes the critical decision points in the Management of Chronic Insomnia Disorder and Obstructive Sleep Apnea and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with Insomnia/OSA.

[Management of Chronic Insomnia Disorder and Obstructive Sleep Apnea (2019)](https://www.healthquality.va.gov/guidelines/CD/insomnia/index.asp)

**CPG Tools**

* [PHCoE Treating Insomnia Providers Guide](https://www.health.mil/Reference-Center/Publications/2021/05/21/PHCoE_Treating_Insomnia_ProvidersGuide_5_20_21_508) (2020)

Factsheet for providers with tips for considering which behaviorally-based treatment for chronic insomnia disorder is right for a patient, what to tell patients about treatment options, and provider resources

* [PHCoE Insomnia Meds Providers](https://www.health.mil/Reference-Center/Publications/2021/05/21/PHCoE_Insomnia_Meds_Providers_Rec_5_20_21_508) (2020)

Brochure for providers with information about short-term pharmacotherapy and complementary and integrative health treatments for chronic insomnia disorder and tips for patient-centered care

* [PHCoE Patient Summary Brochure](https://www.health.mil/Reference-Center/Publications/2021/05/21/PHCoE_Patient_Summary_Brochure_5_20_21_508) (2020)

Brochure for patients which summarizes information in the clinical practice guideline relating to diagnosis and treatment of chronic insomnia disorder and obstructive sleep apnea

* [PHCoE Insomnia Meds Patients And Families](https://www.health.mil/Reference-Center/Publications/2021/05/21/PHCoE_Insomnia_Meds_PatientsAndFamilies_5_20_21_508) (2020)

Factsheet for patients and families with information about medications for chronic insomnia disorder including medication-related precautions, questions to ask your doctor, and what to know about herbal supplements

* [PHCoE Treating Insomnia Patients Guide](https://www.health.mil/Reference-Center/Publications/2021/05/21/PHCoE_Treating_Insomnia_PatientsGuide_5_20_21_508) (2020)

Factsheet for patients with information and resources about behaviorally-based treatments and techniques for chronic insomnia disorder

* [Obstructive Sleep Apnea CPAP Therapy Booklet](https://www.health.mil/Reference-Center/Publications/2023/04/17/Obstructive-Sleep-Apnea-CPAP-Therapy-Booklet)

[Low Back Pain](javascript:void(0))

The guideline describes the critical decision points in the diagnosis and Management of Low Back Pain and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with low back pain.

[Diagnosis and Treatment of Low Back Pain (2022)](https://www.healthquality.va.gov/guidelines/pain/lbp/index.asp)

[mild Traumatic Brain Injury](javascript:void(0))

The guideline describes the critical decision points in the Management and Rehabilitation of Post-Acute Mild Traumatic Brain Injury and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with Post-Acute Mild Traumatic Brain Injury.

[Management of Post-Acute Mild Traumatic Brain Injury (2021)](https://www.healthquality.va.gov/guidelines/rehab/mtbi/index.asp)

[Overweight & Obesity](javascript:void(0))

The guideline describes the critical decision points in the Management of Adult Overweight and Obesity and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients who are obese or overweight.

[Management of Adult Overweight and Obesity (2020)](https://www.healthquality.va.gov/guidelines/cd/obesity/index.asp)

[Osteoarthritis](javascript:void(0))

The OA CPG recommends a framework that includes a structured evaluation and diagnosis of veterans and service members who may be suffering from hip and knee OA. Additionally, the CPG provides treatment options, including pharmacological, non-pharmacological, complementary, and alternative medicine, as well as options for referral for surgical consultation.

[The Non-Surgical Management of Hip & Knee Osteoarthritis (2020)](https://www.healthquality.va.gov/guidelines/cd/oa/index.asp)

**CPG Tools**

* [Taking Control of Your Osteoarthritis](https://www.health.mil/Reference-Center/Fact-Sheets/2023/04/03/Taking-Control-of-Your-Osteoarthritis)

[Pregnancy](javascript:void(0))

The guideline describes the critical decision points in the Management of Pregnancy and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients who are pregnant.

[Management of Pregnancy (2018)](https://www.healthquality.va.gov/guidelines/WH/up/index.asp)

[Psychosis and Schizophrenia](javascript:void(0))

The guideline describes the critical decision points in the Management of First-Episode Psychosis and Schizophrenia and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with SCZ.

[Management of First-Episode Psychosis and Schizophrenia (2023)](https://www.healthquality.va.gov/guidelines/MH/scz/index.asp)

[Posttraumatic Stress Disorder](javascript:void(0))

The guideline describes the critical decision points in the Management of Posttraumatic Stress Disorder and Acute Stress Reaction and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with one of these diagnoses.

[Management of Posttraumatic Stress Disorder and Acute Stress Reaction (2017)](https://www.healthquality.va.gov/guidelines/mh/ptsd/index.asp)

**CPG Tools**

* [Posttraumatic Stress Disorder and Acute Stress Disorder Pocket Guide](https://www.health.mil/Reference-Center/Publications/2021/05/13/Posttraumatic-Stress-Disorder-and-Acute-Stress-Disorder-Pocket-Guide) (2018)  
Tabbed pocket guide to help providers assess, diagnose, and treat PTSD and ASD and co-occurring conditions

* [Health Care Providers Guide to Trauma informed Care](https://www.health.mil/Reference-Center/Publications/2021/05/13/Health-Care-Providers-Guide-to-Trauma-informed-Care) (2018)  
Fact sheet to help health care providers recognize, understand and respond to the pervasive impact of trauma

* [Research Evidence for Alternative Treatments for Posttraumatic Stress Disorder](https://www.health.mil/Reference-Center/Publications/2021/05/12/Research-Evidence-for-Alternative-Treatments-for-Posttraumatic-Stress-Disorder) (2021)  
Fact sheet describing and summarizing research evidence for alternative PTSD treatments that may not be recommended in the clinical practice guideline

* [A Patients Guide Understanding Posttraumatic Stress Disorder and Acute Stress Disorder](https://www.health.mil/Reference-Center/Publications/2021/05/12/A-Patients-Guide-Understanding-Posttraumatic-Stress-Disorder-and-Acute-Stress-Disorder) (2017)  
Booklet that describes symptoms and treatment options and provides a recovery worksheet and additional resources

* [Recommended Medications for the Treatment of Post traumatic Stress Disorder](https://www.health.mil/Reference-Center/Publications/2021/05/12/Recommended-Medications-for-the-Treatment-of-Post-traumatic-Stress-Disorder) (2020)  
Quick reference fact sheet for patients explaining which medications are most effective for treating PTSD

* [A Family's Guide to Posttraumatic Stress Disorder](https://www.health.mil/Reference-Center/Publications/2021/05/12/A-Familys-Guide-to-Posttraumatic-Stress-Disorder) (2017)  
Brochure that describes symptoms, treatment options, healthy coping strategies, and resources for family members of those diagnosed with PTSD or ASD

[Stroke Rehabilitation](javascript:void(0))

The guideline describes the critical decision points in the Management of Stroke Rehabilitation and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients who have sufferred a stroke.

[Management of Stroke Rehabilitation](https://www.healthquality.va.gov/guidelines/rehab/stroke/index.asp)

[Substance Use Disorder](javascript:void(0))

The guideline describes the critical decision points in the Management of Substance Use Disorder and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with substance use disorder.

[Management of Substance Use Disorder (2021)](https://www.healthquality.va.gov/guidelines/mh/sud/index.asp)

**CPG Tools**

* [Medications for the Treatment of Alcohol Use Disorder](https://www.health.mil/Reference-Center/Publications/2022/03/16/PHCoE_AUD_Medications_5_20_21_508) (2022)

Guide for service members, veterans and their families regarding medication used in the management of SUD

* [Alcohol Misuse: Facts About Risky Drinking](https://www.health.mil/Reference-Center/Publications/2022/03/16/PHCoE_AlcoholMisuse_121719_508v1) (2022)

Factsheet with information on preventing risky drinking, indicators and impacts of risky drinking, and where to seek help

* [Standard Drink Calculator](https://www.health.mil/Reference-Center/Publications/2021/05/20/PHCOE_DrinkCalculatorTracker_5_13_2021_508) (2021)

Guide with a calculator for the number of standard drinks per each common drink container and mixed drink type and a daily drink tracker to record drinking consumption and see trends in drinking over time

* [My Plan for Change Worksheet](https://www.health.mil/Reference-Center/Publications/2021/05/20/PHCoE_MyPlanforChange_Worksheet_093020_508v1) (2020)

Worksheet with a plan for how to handle specific situations that may challenge drinking goals

* [Preparing for Change Worksheet](https://www.health.mil/Reference-Center/Publications/2021/05/20/PHCOE_PreparingforChange_Worksheet_093020_508v1) (2020)

Worksheet to help consider both the advantages of and drawbacks to drinking and reasons to change drinking habits

* [Is Your Body Ready for Pregnancy Pregnancy and Substance Abuse Its Not Worth the Risk](https://www.health.mil/Reference-Center/Publications/2022/03/16/Is-Your-Body-Ready-for-Pregnancy-Pregnancy-and-Substance-Abuse-Its-Not-Worth-the-Risk) (2022)

Brochure for patients with information on how women and babies are impacted by alcohol, tobacco and drug use when trying to conceive and during pregnancy

* [Substance Use Disorder Affects Families](https://www.health.mil/Reference-Center/Publications/2022/03/16/PHCoE_SUD_family_brochure_web_508) (2022)

Brochure for families about substance misuse and/or dependence and its impact on families

* [Substance Use Disorder: What Line Leaders Need to Know](https://www.health.mil/Reference-Center/Publications/2022/03/16/PHCoE_SUD_Line_Leaders_5_20_21_508) (2022)

Guide to help leaders identify the signs of substance misuse and/or dependence, educate their service members about treatment options and policy, and address substance misuse early to support mission success, unit readiness, and service and family member fitness

[Suicide](javascript:void(0))

The guideline describes the critical decision points in the management of Suicidal Risk Behavior for suicidal self-directed violent behavior and provides clear and comprehensive evidence-based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with SRB.

[Assessment and Management of Patients at Risk for Suicide (2019)](https://www.healthquality.va.gov/guidelines/mh/srb/index.asp)

**CPG Tools**

* [Safety Plan Worksheet Brief Instructions for Providers](https://www.health.mil/Reference-Center/Publications/2021/05/25/Safety-Plan-Worksheet-Brief-Instructions-for-Providers) (2020)

Provider factsheet with information on how to counsel patients at risk for suicide on reducing their access to lethal means, as well as helpful firearm means safety recommendations and provider resources

* [Lethal Means Counseling Recommendations for Providers](https://www.health.mil/Reference-Center/Publications/2021/05/25/Lethal-Means-Counseling-Recommendations-for-Providers) (2020)

Printable worksheet, designed to enable health care provider and patient to collaboratively identify a patient’s stressful triggers, warning signs, sources of support, coping strategies and ways to access health care and crisis assistance

* [Safety Plan Worksheet](https://www.health.mil/Reference-Center/Publications/2021/05/25/Safety-Plan-Worksheet) (2020)

Digital version of the Safety Plan Worksheet, designed to be saved electronically, enabling patients and providers to access it via their digital devices and update as needed

* [Safety Plan Worksheet digital version](https://www.health.mil/Reference-Center/Publications/2021/05/25/Safety-Plan-Worksheet-digital-version) (2020)

Printable, collaborative safety planning tool for trained providers and their patients to create a dynamic plan to reduce patient risk for suicidal behavior

* [Crisis Response Plan](https://www.health.mil/Reference-Center/Publications/2021/05/25/Crisis-Response-Plan) (2020)

Brochure that describes suicide warning signs, risk factors, and what family members and caregivers can do to help a loved one in crisis

* [Suicide Prevention Risk Factors and Warning Signs for Family Members and Caregivers](https://www.health.mil/Reference-Center/Publications/2021/05/25/Suicide-Prevention-Risk-Factors-and-Warning-Signs-for-Family-Members-and-Caregivers) (2020)

Factsheet with information to help commanders manage service members’ suicide risk with best practices for reducing access to lethal means

* [Reducing Access to Firearms A Suicide Prevention Guide for Military Leaders](https://www.health.mil/Reference-Center/Publications/2021/05/25/Reducing-Access-to-Firearms-A-Suicide-Prevention-Guide-for-Military-Leaders) (2020)

### Veterans Health Care Services

When you were on active duty, you used TRICARE. You may have received care at military hospitals and clinics or from TRICARE-authorized civilian providers. Now that you're [separated from active dutyopens in a new window](http://www.tricare.mil/LifeEvents/Separating.aspx) you may only be eligible for health care from Veteran's Affairs (VA).

* While the DOD and VA do have some joint programs and facilities, the VA is a separate health care program. 
* If you're [retired from active dutyopens in a new window](https://tricare.mil/retire), you may qualify for benefits from TRICARE and the VA together.

[Goes to the eBenefits Webpage](https://www.ebenefits.va.gov/ebenefits/homepage)

Visit [eBenefitsgoes to eBenefits](https://www.ebenefits.va.gov/ebenefits/homepage" \o "goes to eBenefits" \t "_blank), a secure environment where you can safely access your personal information and perform self-service tasks.

Transitioning from TRICARE to the VA

* [TRICARE-VA Benefit Comparisonopens in a new window](http://www.tricare.mil/LifeEvents/InjuredonAD/TransitionVA/BenefitComparison.aspx)
* [Transitioning from TRICARE to the VAopens in a new window](https://www.tricare.mil/LifeEvents/InjuredonAD/TransitionVA)
* [Separation Health Assessment](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/DES/Separation-Health-Assessment)
* [InTransition Program](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/Psychological-Health-Center-of-Excellence/inTransition)

The VA has benefit counselors and liaisons at the following military hospitals who can help you transition to the VA:

* [Brooke Army Medical Center, Ft. Sam Houston, San Antonio, TXOpens to the main BAMC web page](https://bamc.tricare.mil/)
* [Carl R. Darnall Army Medical Center, Ft. Hood, TXopens in a new window](https://darnall.tricare.mil/)
* [Eisenhower Army Medical Center, Ft. Gordon, Augusta, GAopens in a new window](https://eisenhower.tricare.mil/)
* [Evans Army Community Hospital, Ft. Carson, COopens in a new window](https://evans.tricare.mil/)
* [Madigan Army Medical Center, Ft. Lewis, Tacoma, WAopens in a new window](https://madigan.tricare.mil/)
* [Naval Hospital, Camp Pendleton, Oceanside, CAopens in a new window](https://camp-pendleton.tricare.mil/)
* [Naval Medical Center, San Diego, CAopens in a new window](https://sandiego.tricare.mil/) 
* [Womack Army Medical Center, Ft. Bragg, NCopens in a new window](https://womack.tricare.mil/)
* [Walter Reed National Military Medical Center at Bethesda, MDopens in a new window](https://walterreed.tricare.mil/)

Veterans Affairs Links & Resources

* [VA WebsiteVeterans Affairs (VA)](http://www.va.gov/)
* [VA Medical RecordsGoes to VA website](https://www.va.gov/health-care/get-medical-records/)
* [Find a Veterans Affairs (VA) FacilityGoes to the VA website](https://www.va.gov/directory/guide/division.asp?dnum=1&isFlash=0)
* [Find a Vet CenterFind a Vet Center](http://www.vetcenter.va.gov/)
* [VA Toll-Free NumbersVA Toll-Free Numbers](https://www.va.gov/contact-us/#call-us)
* [VA Benefits for the Guard/ReserveVA Benefits for the Guard/Reserve](http://www.benefits.va.gov/GUARDRESERVE/)
* [VA Transition ServicesVA Transition Services](http://www.oefoif.va.gov/)

Appealing your Service Medical Disability Rating or Eligibility for Medical Retirement

Your separation, retirement and military disability rating is a personnel decision rather than a medical decision. While Military Health System (MHS) providers do the medical exams used by the Services, the MHS does not make the decision on your eligibility. To find out more about changing a Service’s discharge decision, visit these sites:

* **Army:** [Army Review Boards Agencyopens in a new window](http://arba.army.pentagon.mil/)
* **Navy/Marine Corps:** [Naval Discharge Review Boardopens in a new window](https://www.secnav.navy.mil/mra/CORB/Pages/NDRB/ha.aspx) or the [Board for Correction of Naval Recordsopens in a new window](https://www.secnav.navy.mil/mra/bcnr/Pages/default.aspx)
* **Air Force:** [Air Force Review Boards Agency Information Website and Application PortalOpens to Air Force website](https://afrba-portal.cce.af.mil/) or the [Air Force Board for Correction of Military Recordsopens in a new window](https://www.afpc.af.mil/Career-Management/Military-Personnel-Records/)
* **All Service Members medically separated between Sept. 11, 2001, and Dec. 31, 2009:** [Physical Disability Board of Review](https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/DES/Physical-Disability-Board-of-Review)

### Warrior Care

The mission of the [Warrior Care前往 Warrior Care 网站](http://warriorcare.dodlive.mil/) is to proactively support wounded, ill, and injured Service members in their recovery and reintegration or transition to civilian life. [Learn More前往战士关怀网站](https://warriorcare.dodlive.mil/About/)

Benefits

* [Compensation and Benefits前往战士关怀网站](http://warriorcare.dodlive.mil/Benefits/Compensation-Benefits/)
* [Special Compensation for Assistance with Activities of Daily Living前往战士关怀网站](http://warriorcare.dodlive.mil/benefits/scaadl/)
* [Veterans Affairs Vocational Rehabilitation & Employment前往战士关怀网站](http://warriorcare.dodlive.mil/Benefits/Veterans-Affairs-Vocational-Rehabilitation-and-Employment-VR-E-/)
* [Disability Evaluation System打开 Warriorcare.DODLIVE.mil](https://warriorcare.dodlive.mil/Benefits/Disability-Evaluation/)

Care Coordination

* [Education and Employment Initiative前往战士关怀网站](http://warriorcare.dodlive.mil/carecoordination/e2i/)
* [Operation Warfighter前往战士关怀网站](http://warriorcare.dodlive.mil/carecoordination/operation-warfighter/)
* [Military Adaptive Sports Program转到 MASP 页面](https://nrd.gov/MASP)
* [Recovery Coordination Program前往 Warrior Care 网站](http://warriorcare.dodlive.mil/carecoordination/recovery-coordination/)
* [National Resource Directory前往 Warrior Care 网站](https://www.nrd.gov/)
* [Emergency Communication Services前往 Warrior Care 网站](http://warriorcare.dodlive.mil/Care-Coordination/Emergency-Communication-Services/)

Caregiver Resources

* [Military Caregiver Support前往战士关怀网站](http://warriorcare.dodlive.mil/Caregiver-Resources/Military-Caregiver-Support/)
* [Military Caregiver Virtual PEER Forum前往 Warrior Care 网站](http://warriorcare.dodlive.mil/Caregiver-Resources/Military-Caregiver-Virtual-PEER-Forums/)
* [Caregiver Resource Directory前往战士关怀网站](http://warriorcare.dodlive.mil/caregiver-resources/)

Service Wounded Warrior Programs

* [U.S. Air Force Wounded Warrior Program打开美国空军受伤战士网站](http://www.woundedwarrior.af.mil/)
* [U.S. Army Recovery Care Program美国陆军康复护理计划](http://www.arcp.army.mil/)
* [U.S. Marine Corps Wounded Warrior Regiment打开美国海军陆战队受伤战士团网站](http://www.woundedwarrior.marines.mil/)
* [U.S. Navy Wounded Warrior打开美国海军受伤战士网站](http://www.navywoundedwarrior.com/)
* [U.S. Special Operations Command Warrior Care Program (Care Coalition)打开 SOCOM 的战士关怀计划网站](http://www.socom.mil/care-coalition)

Other Programs and Resources

* [Blast Injury Research Program Coordinating Office访问爆炸伤害计划网站](https://blastinjuryresearch.health.mil/)
* [Computer/Electronic Accommodations Program (CAP)前往 CAP 网站](https://www.cap.mil/)
* [Military OneSource在新窗口中打开](http://www.militaryonesource.mil/) 
* [Operation Enduring Freedom/Operation Iraqi Freedom Benefit Website在新窗口中打开](http://www.oefoif.va.gov/) 
* [Social Security Disability Benefits for Wounded Warriors在新窗口中打开](http://www.socialsecurity.gov/woundedwarriors/)
* [Traumatic Brain Injury Center of Excellence](https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/Traumatic-Brain-Injury-Center-of-Excellence)
* [TRICARE Benefits for Injured Service Members在新窗口中打开](https://www.tricare.mil/injuredonAD)
* [Veterans Affairs (VA) Resources在新窗口中打开](http://www.va.gov/)
* [Wounded, Ill and Injured Compensation and Benefits Handbook在新窗口中打开](http://warriorcare.dodlive.mil/benefits/compensation-and-benefits/)
* [Wounded Warrior Resource Center](http://www.militaryonesource.mil/wounded-warrior)

[Health Care Technology](https://www.health.mil/Military-Health-Topics/Technology)

Health care technology is any technology, including medical devices, IT systems, algorithms, artificial intelligence, and more designed to support health care organizations.

* [Cybersecurity Awareness](https://www.health.mil/Military-Health-Topics/Technology/Cybersecurity-Awareness)
* [Ektropy](https://www.health.mil/Military-Health-Topics/Technology/Ektropy)
* Digital Health
	+ [MHS Video Connect](https://www.health.mil/Military-Health-Topics/Technology/Digital-Health/MHS-Video-Connect)
	+ [Telehealth Program](https://www.health.mil/Military-Health-Topics/Technology/Digital-Health/Telehealth-Program)
* [Joint Health Information Exchange](https://www.health.mil/Military-Health-Topics/Technology/Joint-HIE)
* [MHS GENESIS: The Electronic Health Record](https://www.health.mil/Military-Health-Topics/Technology/MHS-GENESIS)
* [Program Executive Office, Defense Healthcare Management Systems](https://www.health.mil/Military-Health-Topics/Technology/PEO-DHMS)
* [Risk Management Framework](https://www.health.mil/Military-Health-Topics/Technology/Risk-Management-Framework)
* [Secure Patient Portals](https://www.health.mil/Military-Health-Topics/Technology/Secure-Patient-Portals)
* [Solution Delivery Division](https://www.health.mil/Military-Health-Topics/Technology/Solution-Delivery-Division)
* Support Areas
	+ [Information Assurance](https://www.health.mil/Military-Health-Topics/Technology/Support-Areas/Information-Assurance)
	+ [Managers' Internal Control Program](https://www.health.mil/Military-Health-Topics/Technology/Support-Areas/Managers-Internal-Control-Program)
	+ [MDR, M2, ICDs Functional Support](https://www.health.mil/Military-Health-Topics/Technology/Support-Areas/MDR-M2-ICD-Functional-References-and-Specification-Documents)
	+ [Open Source Technologies](https://www.health.mil/Military-Health-Topics/Technology/Support-Areas/Open-Source-Technologies)
	+ [Requirements Submissions](https://www.health.mil/Military-Health-Topics/Technology/Support-Areas/Requirements-Submissions)
* [WISDOM Training](https://www.health.mil/Military-Health-Topics/Technology/WISDOM-Training)
* [Usability Lab](https://www.health.mil/Military-Health-Topics/Technology/Usability-Lab)

[Health Readiness & Combat Support](https://www.health.mil/Military-Health-Topics/Health-Readiness)

The Defense Health Agency provides support for operating forces engaged in planning for, or conducting, military operations, including support during conflict or in the conduct of other military activities related to countering threats to U.S. national security. Among DHA’s most important combat support responsibilities is its work to increase readiness of U.S. forces to carry out their deployed missions.

* [Armed Forces Health Surveillance Division](https://www.health.mil/Military-Health-Topics/Health-Readiness/AFHSD)
* [Armed Forces Medical Examiner System](https://www.health.mil/Military-Health-Topics/Health-Readiness/AFMES)
* [Armed Services Blood Program](https://www.health.mil/Military-Health-Topics/Health-Readiness/ASBP)
* [Civil Military Medicine](https://www.health.mil/Military-Health-Topics/Health-Readiness/Civil-Military-Medicine)
* [Environmental Exposures](https://www.health.mil/Military-Health-Topics/Health-Readiness/Environmental-Exposures)
* [Global Health Engagement](https://www.health.mil/Military-Health-Topics/Health-Readiness/Global-Health-Engagement)
* [Immunization Healthcare Division](https://www.health.mil/Military-Health-Topics/Health-Readiness/Immunization-Healthcare)
* [Medical Logistics](https://www.health.mil/Military-Health-Topics/Health-Readiness/Medical-Logistics)
* [Public Health](https://www.health.mil/Military-Health-Topics/Health-Readiness/Public-Health)
* [Reserve Health Readiness Program](https://www.health.mil/Military-Health-Topics/Health-Readiness/Reserve-Health-Readiness-Program)

[MHS Toolkits & Branding Guidance](https://www.health.mil/Military-Health-Topics/MHS-Toolkits)

We're providing this branding guidance and Communications Toolkits to give communicators in the field customizable, ready-to-use material to promote consistent messaging on key topics and issues.

* [Brand Resources for Communicators](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Brand-Resources-for-Communicators)
* [Media Resources](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Media-Resources)
* [Social Media Directory](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Social-Media)
* Toolkits
	+ [Autism Care Demonstration](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Toolkits/Autism-Care-Demonstration)
	+ [Beneficiary Web Enrollment Overseas](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Toolkits/Beneficiary-Web-Enrollment-Overseas)
	+ [Defense Enrollment Eligibility Reporting System](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Toolkits/DEERS)
	+ [Disaster Preparation](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Toolkits/Disaster-Prep)
	+ [Global Health Engagement](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Toolkits/Global-Health-Engagement)
	+ [HIV Pre-exposure Prophylaxis](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Toolkits/HIV-PrEP-Toolkit)
	+ [Immunization Awareness](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Toolkits/Immunization-Awareness-2023)
	+ [Mental Health](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Toolkits/Mental-Health)
	+ [MHS GENESIS Pre-Deployment Awareness](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Toolkits/MHS-GENESIS)
	+ [MHS Video Connect](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Toolkits/MHS-Video-Connect)
	+ [Mpox Awareness](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Toolkits/Mpox-Awareness)
	+ [National Capital Region Market Digital Patient Guidebook](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Toolkits/NCR-Market)
	+ [Pain Management](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Toolkits/Pain-Management)
	+ [Pharmacy Beneficiary Knowledge Gap Campaign](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Toolkits/Pharmacy-Knowledge-Gap)
	+ [Preventive Health](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Toolkits/Preventive-Health)
	+ [Qualifying Life Events](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Toolkits/QLE)
	+ [Ready Reliable Care Communications](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Toolkits/Ready-Reliable-Care-Communications)
	+ [Reproductive Health](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Toolkits/Reproductive-Health)
	+ [Sexual Assault Awareness and Prevention](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Toolkits/Sexual-Assault-Awareness-and-Prevention)
	+ [Summer Safety](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Toolkits/Summer-Safety)
	+ [TRICARE Low Back Pain and Physical Therapy Demonstration](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Toolkits/TRICARE-Low-Back-Pain-and-Physical-Therapy-Demonstration)
	+ [Warrior Care](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Toolkits/Warrior-Care)
	+ [Winter Safety](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Toolkits/Winter-Safety)
* Holidays and Observances
	+ [January Observances](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Holidays-and-Observances/January)
	+ [February Observances](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Holidays-and-Observances/February)
	+ [March Observances](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Holidays-and-Observances/March)
	+ [April Observances](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Holidays-and-Observances/April)
	+ [May Observances](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Holidays-and-Observances/May)
	+ [June Observances](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Holidays-and-Observances/June)
	+ [July Observances](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Holidays-and-Observances/July)
	+ [August Observances](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Holidays-and-Observances/August)
	+ [September Observances](https://www.health.mil/Military-Health-Topics/MHS-Toolkits/Holidays-and-Observances/September)

[Privacy & Civil Liberties](https://www.health.mil/Military-Health-Topics/Privacy-and-Civil-Liberties)

Protecting personally identifiable and protected health information of our patients, research subjects and our workforce.

* [Breach Prevention and Response](https://www.health.mil/Military-Health-Topics/Privacy-and-Civil-Liberties/Breaches-of-PII-and-PHI)
* [Civil Liberties Compliance](https://www.health.mil/Military-Health-Topics/Privacy-and-Civil-Liberties/Civil-Liberties-Compliance)
* [Data Sharing Agreements](https://www.health.mil/Military-Health-Topics/Privacy-and-Civil-Liberties/Data-Sharing-Agreements)
* [HIPAA and Privacy Act Training](https://www.health.mil/Military-Health-Topics/Privacy-and-Civil-Liberties/HIPAA-and-Privacy-Act-Training)
* [HIPAA Compliance within the MHS](https://www.health.mil/Military-Health-Topics/Privacy-and-Civil-Liberties/HIPAA-Compliance-within-the-MHS)
* [Privacy Act at DHA](https://www.health.mil/Military-Health-Topics/Privacy-and-Civil-Liberties/Privacy-Act-at-DHA)
* [Privacy Board](https://www.health.mil/Military-Health-Topics/Privacy-and-Civil-Liberties/Privacy-Board)
* [Privacy Contract Language](https://www.health.mil/Military-Health-Topics/Privacy-and-Civil-Liberties/Privacy-Contract-Language)
* [Privacy Impact Assessments](https://www.health.mil/Military-Health-Topics/Privacy-and-Civil-Liberties/Privacy-Impact-Assessments)
* [Research Streamlining Initiative](https://www.health.mil/Military-Health-Topics/Privacy-and-Civil-Liberties/Research-Streamlining-Initiative)
* [Risk Assessment](https://www.health.mil/Military-Health-Topics/Privacy-and-Civil-Liberties/Risk-Assessment)

[Research & Innovation](https://www.health.mil/Military-Health-Topics/Research-and-Innovation)

Defense Department’s overall investment for medical research and development (R&D) with Research, Development, Testing, and Development (RDT&E) dollars.

* [DHA Research and Engineering](https://www.health.mil/Military-Health-Topics/Research-and-Innovation/DHA-Research-and-Engineering)
* [Omnibus IV](https://www.health.mil/Military-Health-Topics/Research-and-Innovation/Omnibus-IV)
* [Medical Research and Development](https://www.health.mil/Military-Health-Topics/Research-and-Innovation/Medical-Research-and-Development)
* [Privacy, Information Collection and Human Research Tool](https://www.health.mil/Military-Health-Topics/Research-and-Innovation/PICHR)

[Total Force Fitness](https://www.health.mil/Military-Health-Topics/Total-Force-Fitness)

Readiness is measured in more than just physical fitness and medical status. Through Total Force Fitness, we’re going to talk about other areas in your life – like social, spiritual, environmental, and financial – to make sure you and your community are ready for you to do your job.

* [Physical Fitness](https://www.health.mil/Military-Health-Topics/Total-Force-Fitness/Physical-Fitness)
* [Environmental Fitness](https://www.health.mil/Military-Health-Topics/Total-Force-Fitness/Environmental-Fitness)
* [Medical and Dental Preventive Care Fitness](https://www.health.mil/Military-Health-Topics/Total-Force-Fitness/Preventive-Health)
* [Nutritional Fitness](https://www.health.mil/Military-Health-Topics/Total-Force-Fitness/Nutritional-Fitness)
* [Spiritual Fitness](https://www.health.mil/Military-Health-Topics/Total-Force-Fitness/Ideological-and-Spiritual-Fitness)
* [Psychological Fitness](https://www.health.mil/Military-Health-Topics/Total-Force-Fitness/Psychological-Fitness)
* [Social Fitness](https://www.health.mil/Military-Health-Topics/Total-Force-Fitness/Social-Fitness)
* [Financial Fitness](https://www.health.mil/Military-Health-Topics/Total-Force-Fitness/Financial-Fitness)

[Welcome to the MHS Medical Library](https://www.health.mil/Military-Health-Topics/MHS-Medical-Library)

The MHS Medical Library provides access to high-quality, evidence-based medical, nursing, and allied health information resources for MHS personnel. The MML ensures that all personnel have access to core, essential resources regardless of duty station.

* Recommended Resources
	+ [Point-of-Care Clinical Reference](https://www.health.mil/Military-Health-Topics/MHS-Medical-Library/Recommended-Resources/Point-of-Care-Clinical-Reference)
	+ [Journal Article Databases](https://www.health.mil/Military-Health-Topics/MHS-Medical-Library/Recommended-Resources/Journal-Article-Databases)
	+ [Evidence-Based Practice Resources](https://www.health.mil/Military-Health-Topics/MHS-Medical-Library/Recommended-Resources/Evidence-Based-Practice-Resources)
* [Clinical Skills](https://www.health.mil/Military-Health-Topics/MHS-Medical-Library/Clinical-Skills)
* [Databases](https://www.health.mil/Military-Health-Topics/MHS-Medical-Library/Databases)
* [Mobile Apps](https://www.health.mil/Military-Health-Topics/MHS-Medical-Library/Mobile-Apps)
* Specialty Guides
	+ [Behavioral Health](https://www.health.mil/Military-Health-Topics/MHS-Medical-Library/Specialty-Guides/Behavioral-Health)
	+ [Dentistry](https://www.health.mil/Military-Health-Topics/MHS-Medical-Library/Specialty-Guides/Dentistry)
	+ [Nursing](https://www.health.mil/Military-Health-Topics/MHS-Medical-Library/Specialty-Guides/Nursing)
	+ [Pediatrics](https://www.health.mil/Military-Health-Topics/MHS-Medical-Library/Specialty-Guides/Pediatrics)
	+ [Primary Care](https://www.health.mil/Military-Health-Topics/MHS-Medical-Library/Specialty-Guides/Primary-Care)
* [Continuing Education Instructions](https://www.health.mil/Military-Health-Topics/MHS-Medical-Library/CE-Instructions)
* [Offline Resources](https://www.health.mil/Military-Health-Topics/MHS-Medical-Library/Offline-Resources)
* [Facility Libraries](https://www.health.mil/Military-Health-Topics/MHS-Medical-Library/Facility-Libraries)
* [Military Department Libraries](https://www.health.mil/Military-Health-Topics/MHS-Medical-Library/Military-Department-Libraries)

[Women's Health](https://www.health.mil/Military-Health-Topics/Womens-Health)

The Military Health System provides comprehensive women’s health care, including reproductive health care and gender-specific care associated with cardiovascular health, mental health, and musculoskeletal injuries.

* [News & Updates](https://www.health.mil/Military-Health-Topics/Womens-Health/News-Updates)
* Health Topics
	+ [Cancers of the Female Reproductive System](https://www.health.mil/Military-Health-Topics/Womens-Health/Health-Topics/CotFRP)
	+ [Contraception and Deployment](https://www.health.mil/Military-Health-Topics/Womens-Health/Health-Topics/Contraception-and-Deployment)
	+ [Endometriosis](https://www.health.mil/Military-Health-Topics/Womens-Health/Health-Topics/Endometriosis)
	+ [Menopause](https://www.health.mil/Military-Health-Topics/Womens-Health/Health-Topics/Menopause)
	+ [Postpartum Hemorrhage](https://www.health.mil/Military-Health-Topics/Womens-Health/Health-Topics/Postpartum-Hemorrhage)
* Questions & Answers
	+ [Contraceptive Care](https://www.health.mil/Military-Health-Topics/Womens-Health/Questions-Answers/Contraceptive-Care-QnA)
	+ [Access to Reproductive Health](https://www.health.mil/Military-Health-Topics/Womens-Health/Questions-Answers/Reproductive-Health-QA)
* [Resources](https://www.health.mil/Military-Health-Topics/Womens-Health/Resources)