Sec. 744. MILITARY HEALTH SYSTEM CLINICAL QUALITY MANAGEMENT PROGRAM
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## SEC. 744 MILITARY HEALTH SYSTEM CLINICAL QUALITY MANAGEMENT PROGRAM **[**[10 U.S.C. 1071 note](/us/usc/t10/s1071)**]** ###
(a)In General The Secretary of Defense, acting through the Director of the Defense Health Agency, shall implement a comprehensive program to be known as the “Military Health System Clinical Quality Management Program” (in this section referred to as the “Program”). ###
(b)Elements of Program The Program shall include, at a minimum, the following: ####
(1)The implementation of systematic procedures to eliminate, to the extent feasible, risk of harm to patients at military medical treatment facilities, including through identification, investigation, and analysis of events indicating a risk of patient harm and corrective action plans to mitigate such risks. ####
(2)With respect to a potential sentinel event (including those involving members of the Armed Forces) at a military medical treatment facility— #####
(A)an analysis of such event, which shall occur and be documented as soon as possible after the event; #####
(B)use of such analysis for clinical quality management; and #####
(C)reporting of such event to the National Practitioner Data Bank in accordance with guidelines of the Secretary of Health and Human Services under the Health Care Quality Improvement Act of 1986 (42 U.S.C. 11101 et seq.), giving special emphasis to the results of external peer reviews of the event. ####
(3)Validation of provider credentials and granting of clinical privileges by the Director of the Defense Health Agency for all health care providers at a military medical treatment facility. ####
(4)Accreditation of military medical treatment facilities by a recognized external accreditation body. ####
(5)Systematic measurement of indicators of health care quality, emphasizing clinical outcome measures, comparison of such indicators with benchmarks from leading health care quality improvement organizations, and transparency with the public of appropriate clinical measurements for military medical treatment facilities. ####
(6)Systematic activities emphasized by leadership at all organizational levels to use all elements of the Program to eliminate unwanted variance throughout the health care system of the Department of Defense and make constant improvements in clinical quality. ####
(7)A full range of procedures for productive communication between patients and health care providers regarding actual or perceived adverse clinical events at military medical treatment facilities, including procedures— #####
(A)for full disclosure of such events (respecting the confidentiality of peer review information under a medical quality assurance program under section 1102 of title 10, United States Code); #####
(B)providing an opportunity for the patient to be heard in relation to quality reviews; and #####
(C)to resolve patient concerns by independent, neutral health care resolution specialists. ###
(c)Additional Clinical Quality Management Activities ####
(1)In general In addition to the elements of the Program set forth in subsection (b), the Secretary shall establish and maintain clinical quality management activities in relation to functions of the health care system of the Department separate from delivery of health care services in military medical treatment facilities. ####
(2)Health care delivery outside military medical treatment facilities In carrying out paragraph (1), the Secretary shall maintain policies and procedures to promote clinical quality in health care delivery on ships and planes, in deployed settings, and in all other circumstances not covered by subsection (b), with the objective of implementing standards and procedures comparable, to the extent practicable, to those under such subsection. ####
(3)Purchased care system In carrying out paragraph (1), the Secretary shall maintain policies and procedures for health care services provided outside the Department but paid for by the Department, reflecting best practices by public and private health care reimbursement and management systems.
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