AR 40-68 — Clinical Quality Management
AR 40-68 governs policies, procedures, and responsibilities for the Army Medical Department Clinical Quality Management Program.
- Publication number: AR 40-68
- Title: CLINICAL QUALITY MANAGEMENT
- Date: 02/26/2004
- Proponent: TSG
- Status: ACTIVE
View AR 40-68 on armypubs.army.mil
Related publications
AR 40-68 addresses medical staff organization, clinical quality and performance improvement, credentialing, privileging, peer review, patient safety, and risk management. It requires credentials authentication, competency assessment, quality oversight, and procedures for adverse actions and reporting.
Topics covered
- Medical staff bylaws
- Clinical Quality Management Program
- Professional licensure and certification
- Competency assessment and delegation
- Peer review process
- Clinical privileging
- Patient safety
- Risk management
Questions and answers
What does the organized medical staff oversee?
The Joint Commission requires an organized, self-governing medical staff to provide direction and oversight of the quality of care, treatment, and services delivered by privileged providers. (paragraph 2-1)
What must medical treatment facility medical staff bylaws include?
The MTF medical staff bylaws must meet current requirements of TJC. (paragraph 2-2)
What license must contract employees maintain?
All contract employees must maintain a current, active, valid, and unrestricted license or authorizing document in accordance with paragraphs 43, 44, 47, and a and b, below. (paragraph 2-3)
When is a formal peer review required?
A formal peer review is required whenever an SOC determination must be made, or when the staff members performance is such that an adverse practice action (for example, limitation of duty or removal from the clinical setting) is considered. (paragraph 4-9)
When must the inter-facility credentials transfer brief be available?
The ICTB with appropriate supporting documents will be made available to the facility (training site) by the USAR/ARNG credentials manager at least 45 days before the scheduled arrival of the USAR/ARNG provider. (paragraph 6-6)