59MDWI44-133 — Plan For The Provision Of Patient Care

59MDWI44-133 governs practices and procedures for providing patient and community health care throughout the 59th Medical Wing.

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  • Publication number: 59MDWI44-133
  • Title: PLAN FOR THE PROVISION OF PATIENT CARE
  • Date: 2021-02-05

View 59MDWI44-133 on armypubs.army.mil


It covers discharge and transfer, medication management, organization performance, the environment of care, and human resources. The instruction requires compliance with Department of Defense patient safety standards and sets requirements for care coordination, performance measurement, safety, staffing, and competency.

Applies to: This instruction applies to all personnel assigned, attached, or under contract to the 59 MDW with the exception of personnel assigned to the 959th Medical Group (MDG) at Brooke Army Medical Center (BAMC) and the 59th Training Group.

Topics covered

  • Discharge planning
  • Patient transfers
  • Medication management
  • Organization performance measurement
  • Environment of care
  • Human resources management

Questions and answers

When is discharge planning provided for same day surgery patients?

Discharge planning is provided on admission to same day surgery patients to ensure that the transition to outpatient care is smooth and that the appropriate services and equipment are utilized. (paragraph 4)

Who coordinates referrals to other clinics and services?

Coordinating referrals to other clinics and services internal or external to the organization is the responsibility of the referring clinic, and should be conducted as prescribed in the San Antonio Military Health System (SAMHS) Referral Guide located in the Air Force Applications folder on the desktop. (paragraph 4)

Where are patients with emergency conditions transported from the clinic?

Patients who present to the clinic with an emergency condition are transported via ambulance to the Family Emergency Center at WHASC or other nearest military or civilian medical facilities with emergency service capabilities. (paragraph 4)

What happens when a potential sentinel event meets sentinel event criteria?

If the event meets sentinel event criteria, a root cause analysis (RCA) is completed. (paragraph 6)

How are children controlled in the clinic?

To the fullest extent possible, all staff members will enforce control of children in the Clinic. (paragraph 9)

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