DAFORMFILLABLE.COM | DA FORM 5440-48 Fillable – Army Pubs 5440-48 PDF – DA FORM 5440-48 is a crucial document used in the military medical field, specifically designed to delineate the clinical privileges for professionals in Oral and Maxillofacial Surgery. This form ensures that only qualified individuals are authorized to perform certain procedures, thereby maintaining high standards of care and patient safety.
DA FORM 5440-48 – Delineation Of Clinical Privileges – Oral & Maxillofacial Surgery
| Form Number | DA Form 5440-48 |
| Form Title | Delineation Of Clinical Privileges – Oral & Maxillofacial Surgery |
| Form Date | 02/01/2004 |
| Form Proponent | TSG |
Purpose and Importance
Ensuring Competence and Safety
The primary purpose of DA FORM 5440-48 is to establish and verify the qualifications of oral and maxillofacial surgeons. This process helps in ensuring competence and safety in the delivery of healthcare services. By clearly delineating clinical privileges, the form helps prevent unauthorized practices, thus safeguarding patient well-being.
Compliance with Regulations
Another critical aspect of DA FORM 5440-48 is its role in regulatory compliance. According to AR 40-68, which prescribes this form, all healthcare providers must have their clinical privileges appropriately documented and reviewed. This compliance ensures that the healthcare system operates within the established legal and ethical framework.
Structure and Content of DA FORM 5440-48
Sections of the Form
DA FORM 5440-48 consists of several sections designed to capture comprehensive information about the surgeon’s qualifications, scope of practice, and any restrictions or limitations. Key sections include:
- Personal Information: Details of the healthcare provider, including name, rank, and contact information.
- Qualifications: Documentation of education, training, certifications, and relevant experience.
- Clinical Privileges: A detailed list of specific procedures and treatments the surgeon is authorized to perform.
- Signatures and Approvals: Sections for signatures from the applicant, reviewing authority, and approving officials.
Privacy and Security
Given the sensitive nature of the information captured, DA FORM 5440-48 requires a Privacy Act Statement as per AR 340-21. This ensures that all personal data is handled in accordance with privacy regulations, safeguarding the rights of the healthcare providers.
Utilizing DA FORM 5440-48 in Practice
Application Process
The process of applying for clinical privileges using DA FORM 5440-48 involves several steps:
- Submission: The healthcare provider submits the completed form along with supporting documentation of their qualifications.
- Review: A designated review committee assesses the application to ensure all criteria are met.
- Approval: Once reviewed, the form is signed off by the relevant authorities, granting the specified privileges.
Regular Updates and Renewals
To maintain accuracy and relevance, DA FORM 5440-48 must be regularly updated. Healthcare providers are required to resubmit their credentials periodically or whenever there are significant changes in their qualifications or scope of practice. This ongoing process ensures that the privileges granted are always up-to-date and reflective of the provider’s current capabilities.
Conclusion
DA FORM 5440-48 – Delineation Of Clinical Privileges – Oral & Maxillofacial Surgery plays a vital role in the military healthcare system. By clearly defining the clinical privileges of oral and maxillofacial surgeons, it ensures high standards of care, compliance with regulations, and the safety of patients. Understanding and correctly utilizing this form is essential for both healthcare providers and administrative personnel involved in the credentialing process.
By adhering to the guidelines and best practices associated with DA FORM 5440-48, the military healthcare system can continue to deliver exceptional care while maintaining the integrity and trust of its operations.
DA FORM 5440-48 Fillable – Army Pubs 5440-48 PDF DOWNLOAD
