DAFORMFILLABLE.COM | DA FORM 5440-2 Fillable – Army Pubs 5440-2 PDF – DA FORM 5440-2 is a crucial document used in the medical field, specifically within the family practice domain. This article provides an informative and educational overview of the form, focusing on its purpose, content, and usage. Understanding DA FORM 5440-2 is essential for healthcare professionals and administrators working in military medical facilities.
DA FORM 5440-2 – Delineation Of Clinical Privileges-Family Practice
| Form Number | DA Form 5440-2 |
| Form Title | Delineation Of Clinical Privileges-Family Practice |
| Form Date | 02/01/2004 |
| Form Proponent | TSG |
What is DA FORM 5440-2?
DA FORM 5440-2, titled Delineation Of Clinical Privileges-Family Practice, is a formal document utilized by the United States Army to delineate the specific clinical privileges granted to family practice physicians. The form ensures that healthcare providers operate within their certified scope of practice, enhancing patient safety and care quality.
Key Details of DA FORM 5440-2
- Pub/Form Number: DA FORM 5440-2
- Pub/Form Date: 02/01/2004
- Pub/Form Title: Delineation Of Clinical Privileges-Family Practice
- Pub/Form Proponent: The Surgeon General (TSG)
- Pub/Form Status: Active
- Prescribed Forms/Prescribing Directive: AR 40-68
- Footnotes: Requires Privacy Act Statement (AR 340-21), Item Only Produced in Electronic Media
- Security Classification: Unclassified
- Distribution Restriction Code: Approved for Public Release; Distribution is Unlimited
Purpose and Importance
Ensuring Competency
The primary purpose of DA FORM 5440-2 is to outline the clinical privileges granted to family practice physicians. By clearly defining what medical procedures and treatments a physician is authorized to perform, the form helps ensure that only qualified and competent practitioners provide specific medical services.
Enhancing Patient Safety
By restricting clinical privileges to those within a physician’s proven expertise, DA FORM 5440-2 plays a critical role in enhancing patient safety. It minimizes the risk of medical errors by ensuring that only appropriately trained and experienced physicians perform certain procedures.
Components of DA FORM 5440-2
Clinical Privileges Section
The heart of DA FORM 5440-2 is the section where clinical privileges are delineated. This section lists various medical procedures and treatments, allowing the overseeing authority to specify which privileges are granted to the physician.
Approval and Review
The form requires approval from the appropriate medical authority, ensuring that the granted privileges are based on thorough evaluation of the physician’s qualifications. Regular reviews and updates ensure that the privileges remain aligned with the physician’s current competencies and any advancements in medical practice.
Privacy and Distribution
According to AR 340-21, DA FORM 5440-2 requires a Privacy Act Statement to protect personal information. Additionally, the form is produced exclusively in electronic media, ensuring ease of access and distribution while maintaining security and confidentiality.
Usage and Administration
Who Uses DA FORM 5440-2?
DA FORM 5440-2 is primarily used by medical administrators and credentialing committees within military medical facilities. These professionals are responsible for evaluating and approving the clinical privileges of family practice physicians.
How to Access and Complete the Form
The form is available electronically, making it accessible to authorized personnel. Completion of the form involves detailed documentation of the physician’s qualifications, followed by a thorough review process by the credentialing authority. The form must be updated periodically to reflect any changes in the physician’s capabilities or medical advancements.
Conclusion
DA FORM 5440-2 – Delineation Of Clinical Privileges-Family Practice is an essential tool in the military medical field, ensuring that family practice physicians operate within their scope of expertise. By clearly defining clinical privileges, the form enhances patient safety and supports the delivery of high-quality medical care. Understanding and correctly utilizing DA FORM 5440-2 is vital for medical administrators and healthcare providers in maintaining effective and safe medical practice standards.
DA FORM 5440-2 Fillable – Army Pubs 5440-2 PDF DOWNLOAD
