DAFORMFILLABLE.COM | DA FORM 5440-42 Fillable – Army Pubs 5440-42 PDF – DA FORM 5440-42, officially titled “Delineation Of Clinical Privileges – Cardiology,” is a crucial document used within the medical field, particularly in military healthcare settings. This form, identified by the pub/form number DA FORM 5440-42, was published on February 1, 2004, and remains active under the authority of the TSG. Its purpose is to define and grant specific clinical privileges to cardiologists, ensuring they are authorized to perform particular procedures and practices within their specialty.
DA FORM 5440-42 – Delineation Of Clinical Privileges – Cardiology
| Form Number | DA Form 5440-42 |
| Form Title | Delineation Of Clinical Privileges – Cardiology |
| Form Date | 02/01/2004 |
| Form Proponent | TSG |
Overview of DA FORM 5440-42
Purpose and Use
The DA FORM 5440-42 is designed to delineate clinical privileges for cardiologists within military healthcare facilities. This form ensures that medical professionals are properly credentialed and authorized to perform specific cardiology-related procedures. By delineating these privileges, the form helps maintain high standards of care and patient safety.
Key Details
- Pub/Form Number: DA FORM 5440-42
- Pub/Form Date: 02/01/2004
- Pub/Form Title: Delineation Of Clinical Privileges – Cardiology
- Proponent: The Surgeon General (TSG)
- Status: Active
- Prescribed Forms/Prescribing Directive: AR 40-68
- Security Classification: Unclassified
- Distribution Restriction Code: A (Approved for public release; distribution is unlimited)
- Pub/Form IDN: 990001
- Pub/Form PIN: 081314
Privacy and Accessibility
According to the footnotes, the DA FORM 5440-42 requires a Privacy Act Statement as outlined in AR 340-21. This ensures that all personal and sensitive information is handled in compliance with privacy regulations. Additionally, the form is only produced in electronic media, making it easily accessible and distributable within the military’s healthcare system.
Importance of Clinical Privileges in Cardiology
Ensuring Qualified Care
Clinical privileges are critical in maintaining a high standard of care within the field of cardiology. By clearly outlining what procedures and practices a cardiologist is authorized to perform, DA FORM 5440-42 helps ensure that only qualified and credentialed professionals provide cardiac care. This is essential for patient safety and the effective treatment of cardiovascular diseases.
Streamlining Credentialing Processes
The use of DA FORM 5440-42 streamlines the credentialing process for cardiologists. It provides a standardized method for documenting and verifying the qualifications and competencies of healthcare providers. This form is a key component in the broader framework of medical credentialing within the military, as prescribed by AR 40-68.
Completing DA FORM 5440-42
Steps for Completion
- Personal Information: The form begins with the cardiologist’s personal information, including name, rank, and contact details.
- Educational Background: Details of the cardiologist’s educational background and training in cardiology are required.
- Clinical Privileges: A comprehensive list of specific clinical privileges that the cardiologist is applying for. Each privilege must be justified based on training and experience.
- Approval and Verification: Signatures from the credentialing authority and the cardiologist, verifying the accuracy of the information and the granting of privileges.
Submission and Approval
Once completed, the DA FORM 5440-42 must be submitted to the appropriate medical command or credentialing office. The form is then reviewed, and the specified clinical privileges are either approved or denied based on the provided information and credentials.
Significance in Military Healthcare
Enhancing Patient Safety
By clearly delineating clinical privileges, DA FORM 5440-42 plays a vital role in enhancing patient safety within military healthcare facilities. It ensures that only qualified cardiologists are allowed to perform specific procedures, thereby reducing the risk of medical errors and improving overall patient outcomes.
Supporting Professional Development
The form also supports the professional development of cardiologists by providing a clear framework for obtaining and expanding clinical privileges. This encourages continuous learning and professional growth within the specialty of cardiology.
Conclusion
DA FORM 5440-42 – Delineation Of Clinical Privileges – Cardiology is an essential tool in the military healthcare system. By clearly outlining and verifying the clinical privileges of cardiologists, this form ensures high standards of care and patient safety. Its role in the credentialing process is crucial for maintaining a qualified and competent medical workforce dedicated to the effective treatment of cardiovascular conditions.
DA FORM 5440-42 Fillable – Army Pubs 5440-42 PDF DOWNLOAD
