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Ex. AGY-DEFENSE-GUARD-027 Order Primary source read

Memorandum, Elective Surgical, Invasive, and Dental Procedures in Military Treatment Facilities (Mar. 24, 2020)

Elective Surgical, Invasive, and Dental Procedures in Military Treatment Facilities

Assistant Secretary of Defense for Health Affairs (Thomas McCaffery) · Department of Defense, Military Health System (all military medical and dental treatment facilities) (Federal)

The COVID Project

The record

Jurisdiction
Department of Defense, Military Health System (all military medical and dental treatment facilities)
Level
Federal
Authority
10 U.S.C. 1073; DoDD 5136.01
Issued
2020-03-24 Mar. 24, 2020
Effective
2020-03-31
End
60 days (to May 30, 2020); superseded by the May 21, 2020 resumption memorandum (Ex. 045) (read as 2020-05-30)
In force
Mar. 31, 2020 to May 30, 2020
Quarters
2020 Q2
Limitation types
Business closureHealth care orders
Addressees
  • MTF and DTF Commanders and Directors
  • Director, Defense Health Agency
  • Surgeons General
Functions reached
  • SX surgery and elective procedures
  • PR dental and aerosol-generating procedures
  • CB TRICARE network and purchased-care referrals (patients not treated in MTFs)
  • SC PPE conservation
Collection
Defense installations and the National Guard AGY-DEFENSE-GUARD

Operative words

Facility (DTF) Commanders and Directors to immediately postpone all elective surgeries, invasive procedures, and dental procedures performed on beneficiaries of the MTFs and DTFs with the exceptions outlined below. This includes aerosol-producing procedures, such as endoscopies, bronchoscopies, pulmonary function tests, and sleep continuous positive airway pressure (CPAP) titrations. This policy is effective March 31, 2020, and will remain in place for 60 days.

Enforcement

Directive to commanders; exceptions only for deployability and readiness of Service members or where the risk of delay outweighs safety and logistics

Notes

Reaches dental practices, ambulatory surgery centers, laboratories and device and supply vendors serving 9.6 million TRICARE beneficiaries through the direct-care system; the memorandum recites conservation of 'bed space, personal protective equipment, supplies, and medical personnel'.