i. Quality Assurance. Quality assurance is a facility function under the Deputy
Commander for Clinical Services. However, the Army Quality Assurance Program (QAP)
evaluates medical care. It provides for a continuing assessment of the appropriateness of
patient care. The overall objective of the medical care evaluation plan is the maintenance
of high quality patient care and the effective utilization of hospital services and resources.
Assessment and evaluation are an ongoing process. Standards of patient care are
established by the Joint Commission on Accreditation of Hospital Organizations (JCAH0).
These standards provide the basis against which medical care evaluation is made.
Medical care evaluation is concerned with two dimensions:
(1) Quality of care which includes medical audit and credentialing.
(2) Utilization review which relates to the ongoing evaluation of health resources
j. Regulations, Procedures, and Forms. Information and instruction regarding
regulations, procedures, and forms used for these administrative actions is presented in
ELIGIBILITY FOR HEALTH CARE
a. Primary Mission. In support of the Army Medical Department's mission, an
Army medical treatment facility (MTF) must provide medical treatment to members of the
uniformed services on active duty or active duty for training, including foreign
military members entitled to health care in United States military facilities. This primary
mission extends to retired members on the Temporary Disability Retired List (TDRL) who
are required to undergo periodic examinations and who may need hospitalization in
connection with such examinations.
b. Space Availability. For other categories, hospital admission and medical
treatment depend upon availability of space, and facilities, and the capabilities of the
professional staff to provide care based on the following considerations: primary mission,
adequacy of professional care available, the number of patients who may be treated
without sacrificing high professional standards, and optimum use of facilities.
c. Persons Authorized Care in an Army MTF. With some exceptions, the
following are authorized care in order of sequence.
(1) Members of the uniformed services (Army, Navy, Marine Corps, Air Force,
Coast Guard) on active duty.
(2) Members of the Reserve component on active duty for training.