Bumed Instruction 6220.12B

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MEDICAL SURVEILLANCE AND NOTIFIABLE EVENT REPORTING

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BUMED INSTRUCTION 6220.12B

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WHAT IS THE PURPOSE OF BUMEDINST 6220.12B?

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To provide policy concerning Navy medical surveillance practices and reporting requirements.

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What are the primary objectives of surveillance and reporting are:

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1. Timely health response to medical events that reduce to morbidity and mortality.

2. Estimation of trends and risks associated with medical events.

3. Development of policy for prevention and control of communicable diseases.

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Navy Medicine Regional Command 

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Ensures subordinate MTFs maintain an effective command medical surveillance program

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MTF (Medical Treatment Facilities)

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1) Implement medical event reporting

2) Ensure accuracy of patient data entered into AHLTA

3.Report medical events to COCs preventive medicine rep.

4. Perform medical event surveillance and response activities.

5. Submit MERs

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What is the definition of AHLTA?

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Armed forces Health Longitudinal Technology Application

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What are the responsibilities of Operational Units with Medical Representatives?

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1. Advise commanding officers of the req. of this instruction.

2. Ensure providers report medical events.

3. Submit MERS

4. Request consultative epidemiologic services from the regional NEPMU

5. Report medical events to local civilian public health authorities according to STATE AND LOCAL regulations.

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What are the responsibilities of NEPMU?

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1. Provide regional technical oversight for ESSENCE monitoring

2.Monitor MERs within their area of responsibility

3. Assess MER completness and data

4.Provide consultative services

5. Laison with NMCPHC to provide current disease surveillance information.

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NMCPHC's Responsibilities:

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1. Monitor ESSENCE daily

2. Monitoring of reportable medical events.

3. Perform Periodic MER analysis.

4.Develop methods to improve medical surveillance.

6. Report.

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What does MER stand for?

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Medical event Report

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Reporting Procedures:

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1. NDRSi is the PREFERRED METHOD for submitting MERs

2.Naval messages or correspondence (via email, or fax)

3.When timeliness is critical may report by telephone or email

4.If unit must send URGENT MER by message it should be sent UNCLASSIFIED.

5. Urgent- reported within 24 hours to NEPMU

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The following are required to be reported within 24 hours:

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Anthrax.  Botulism.  Cholera.  Dengue Fever.  Malaria.  Measles.  Meningococcal disease.  Smallpox.  Pertussis.  Plague.  Rabies.  Thyphoid fever.  Yellow fever.

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What is the definition of ESSENCE?

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Electronic Surveillance System for the Early Notification of Community-based Epidemics

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NDRSi

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Navy Disease Reporting System, internet

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NEPMU

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Navy Environmental and Preventive Medicine Unit