Sec. 726. Program to eliminate variability in health outcomes and improve quality of health care services delivered in military medical treatment facilities
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Beginning not later than January 1, 2018, the Secretary of Defense shall implement a program— to establish best practices for the delivery of health care services for certain diseases or conditions at military medical treatment facilities, as selected by the Secretary; to incorporate such best practices into the daily operations of military medical treatment facilities selected by the Secretary for purposes of the program, with priority in selection given to facilities that provide specialty care; and to eliminate variability in health outcomes and to improve the quality of health care services delivered at military medical treatment facilities selected by the Secretary for purposes of the program.
In carrying out the program under subsection (a), the Secretary shall develop, implement, monitor, and update clinical practice guidelines reflecting the best practices established under paragraph
(1)of such subsection. In developing the clinical practice guidelines under subsection (b), the Secretary shall ensure that such development includes a baseline assessment of health care delivery and outcomes at military medical treatment facilities to evaluate and determine evidence-based best practices, within the direct care component of the military health system and the private sector, for treating the diseases or conditions selected by the Secretary under subsection (a)(1). The Secretary shall implement the clinical practice guidelines under subsection
(b)in military medical treatment facilities selected by the Secretary under subsection (a)(2) using means determined appropriate by the Secretary, including by communicating with the relevant health care providers of the evidence upon which the guidelines are based and by providing education and training on the most appropriate implementation of the guidelines. The Secretary shall monitor the implementation of the clinical practice guidelines under subsection
(b)using appropriate means, including by monitoring the results in clinical outcomes based on specific metrics included as part of the guidelines. The Secretary shall periodically update the clinical practice guidelines under subsection
(b)based on the results of monitoring conducted under subsection
(e)and by continuously assessing evidence-based best practices within the direct care component of the military health system and the private sector. The Secretary shall establish a continuous cycle of carrying out subsections
(c)through
(f)with respect to the clinical practice guidelines established under subsection (a).