R 141100Z FEB 25 MARADMIN 066/25 MSGID/GENADMIN/CMC WASHINGTON DC// SUBJ/USE OF DEFENSE MEDICAL HUMAN RESOURCES SYSTEM INTERNET WHILE IN FIXED MILITARY MEDICAL AND DENTAL TREATMENT FACILITIES// REF/A/DOC/USD P&R/8AUG22//  REF/B/DOC/ASD(HA)/1JUL24//  REF/C/DOC/ASD(HA)/1JUL24// REF/D/DOC/DSD/6DEC23// REF/E/DHA-PM// NARR/REF A IS TRANSPARENCY OF MILITARY MEDICAL PERSONNEL AND  CLINICAL READINESS DATA.  REF B IS MILITARY HEALTH SYSTEM HUMAN  CAPITAL DISTRIBUTION PLAN BUSINESS RULES.  REF C IS MILITARY HEALTH  SYSTEM HUMAN STAFFING TRANSPARENCY AND RESOURCING IMPACT BUSINESS  RULES.  REF D IS STABILIZING AND IMPROVING THE MILITARY HEALTH  SYSTEM.  REF E IS DHA-PM 6010.13 VOLUMES 1 AND 2.// POC/ DECKER, LAWRENCE/CAPT/HQMC/HS/CHIEF MEDICAL OFFICER/TEL: 703-604-0217/EMAIL: [email protected]//GENTEXT/REMARKS/

1. Purpose.  To provide guidance to Budget Submitting Office-27  (BSO-27) Health Service Support personnel regarding the utilization  of the Defense Medical Human Resources System internet (DMHRSi) in  documenting all patient care labor at fixed Medical Treatment  Facilities (MTF) and Dental Treatment Facilities (DTF).
2.  Background.  Per reference (a), DHMRSi is the authoritative data system for military medical personnel labor allocation and must be used for documenting and reporting labor within a MTF or DTF.   DMHRSi is essential to provide a timely and complete picture of the support rendered by the Marine Corps to the Military Health System (MHS), as outlined in references (a) through (d). Secondarily, it provides data relevant to tracking readiness and predictability of clinical support to the MTF/DTF.
3.  Execution. 3.a.  Per reference (a), all BSO-27 health services support (HSS) personnel involved in direct clinical care or clinical support at an MTF/DTF shall have an active DMHRSi account.  Individuals, or their designees, shall use DMHRSi to report workload hours performed in  any fixed MTF or DTF, to include all care provided within Marine Centered Medical Home (MCMH) clinics.  3.a.1.  HSS personnel include all officers and enlisted personnel assigned to a BSO-27 unit as organic or temporarily assigned medical staff. 3.a.2.  Designated clinical facilities are fixed MTFs and DTFs to include the MCMH.  3.a.3.  This policy does not apply to care provided in the  operational setting, such as: battalion aid stations, damage control resuscitation, damage control surgery, and facilities afloat (e.g., hospital ships and sick bays aboard ships). 3.b.  Per reference (e), the Defense Health Agency (DHA) is  responsible for DMHRSi training, account creation,  timecard processing, and generation of workload data reports.   3.c.  Per reference (e), DHA is responsible for providing adequate numbers of workstation computers with DMHRSi access for BSO-27  personnel at all designated clinical facilities to complete required documentation. Additional computer access can be obtained by  coordination with the supported DHA command. 3.d.  HSS personnel will be responsible for entering workload data into DMHRSi weekly. Workload data required includes, but is not  limited to, time spent in: 3.d.1.  Direct patient care in both the inpatient and outpatient clinical settings. 3.d.2.  On-call hours supporting patient care, whether they are directly involved in care or not.  3.d.3.  Graduate Medical Education or Graduate Dental Education in direct support of military or non-military  medical students, interns, residents, and fellows working within designated military clinical facilities. This includes individual and group teaching, training, administrative functions, research, and supervision of clinical duties. 3.d.4.  Administrative and leadership duties within designated clinical facilities to include meeting attendance, administrative functions, professional consultation, personnel counseling, training required to maintain leadership positions, and other duties assigned by facility leadership. 3.d.5.  Administrative duties supporting designated clinical  facility operations including documentation of clinical notes,  personnel administrative requirements, individual professional development, and facility-required training. 3.e.  The workload in support of the following categories shall NOT be entered into DMHRSi: 3.e.1.  Direct patient care provided during operational and field training exercises. 3.e.2.  Workload in support of other BSO-27 training activities performed outside of a fixed MTF or DTF. This includes time spent working in military-civilian partnership institutions. 3.e.3.  Personal leave. 3.e.4.  Readiness activities such as physical training, operational unit training, and online training. 3.f.  There is no requirement for BSO-27 personnel to enter any data in DMHRSI when they are not working in a fixed MTF or DTF.  3.g.  Marine Forces/Marine Expeditinary Force/ Major Subordinate  command Surgeons and Medical Battalion/Dental Battalion COs shall: 3.g.1.  Support the local MTF and DTF directors by ensuring their assigned personnel activate and maintain a DMHRSi account, and  submit data in accordance with reference (e).  3.g.2.  Coordinate with local MTF and DTF facility leadership to ensure BSO-27 staff are provided with all required DMHRSi training, including annual training on the appropriate DMHRSi codes, and  timely timecard processing for BSO-27 personnel. 3.h.  The Navy Bureau of Medicine and Surgery aggregates  data received from MTFs and DTFs and transmits it to the office of The Medical Officer of the Marine Corps monthly or as  otherwise requested.    3.i.  Headquarters Marine Corps Health Services (HQMC HS) shall  provide a monthly report outlining the support provided by BSO-27 personnel to the MHS to the Navy Surgeon General, MEF and MARFOR  line and HSS leadership, and the Assistant Commandant of the Marine  Corps.
4.  Questions concerning implementation of the policy should be directed to HQMC HS office at 703-604-4600 or [email protected].
5.  Release authorized by Lieutenant General, Paul J. Rock Jr., Director, Marine Corps Staff.//