DAFORMFILLABLE.COM | DA FORM 5440-9 Fillable – Army Pubs 5440-9 PDF – DA FORM 5440-9, titled Delineation of Clinical Privileges – Podiatry, is an essential document for podiatrists in the military medical system. This form, published on February 1, 2004, outlines the clinical privileges granted to podiatrists, ensuring they can provide specific medical services within their scope of practice. This article will provide a detailed overview of DA FORM 5440-9, its purpose, and how it is utilized within the military healthcare framework.
DA FORM 5440-9 – Delineation Of Clinical Privileges-Podiatry
| Form Number | DA Form 5440-9 |
| Form Title | Delineation Of Clinical Privileges-Podiatry |
| Form Date | 02/01/2004 |
| Form Proponent | TSG |
Purpose and Importance of DA FORM 5440-9
Defining Clinical Privileges
Clinical privileges refer to the authorization granted to healthcare providers to perform specific procedures and services within a healthcare institution. DA FORM 5440-9 specifically delineates these privileges for podiatrists, detailing the scope and limitations of their practice.
Ensuring Quality and Compliance
The DA FORM 5440-9 is critical for maintaining high standards of care within military healthcare facilities. By clearly defining what podiatrists are permitted to do, the form helps ensure that only qualified practitioners perform specific medical procedures, thereby safeguarding patient safety and quality of care.
Integration with Regulatory Directives
This form is prescribed under AR 40-68, which governs the credentialing and privileging of healthcare professionals within the Army. Compliance with this regulation is mandatory, and DA FORM 5440-9 plays a key role in meeting these requirements.
Key Components of DA FORM 5440-9
Pub/Form Information
- Pub/Form Number: DA FORM 5440-9
- Pub/Form Date: 02/01/2004
- Pub/Form Title: Delineation of Clinical Privileges – Podiatry
- Pub/Form Proponent: TSG (The Surgeon General)
- Pub/Form Status: Active
Form Details
The form includes various sections where specific privileges are listed. Podiatrists must meet certain qualifications and demonstrate competencies to be granted these privileges. The form also includes areas for approval and verification by medical oversight authorities.
Privacy and Distribution
- Footnotes:
- 14: Requires Privacy Act Statement (AR 340-21)
- 42: Item only produced in electronic media
- Security Classification: Unclassified
- Dist Restriction Code: A – Approved for public release; distribution is unlimited
- Pub/Form IDN: 990001
- Pub/Form PIN: 066522
How to Use DA FORM 5440-9
Application Process
To apply for clinical privileges, podiatrists must complete DA FORM 5440-9 and submit it to the appropriate credentialing authority. The form must be filled out accurately, detailing the specific privileges requested and providing evidence of qualifications and competencies.
Review and Approval
Once submitted, the form undergoes a thorough review process. Medical oversight authorities evaluate the podiatrist’s credentials and experience to determine whether the requested privileges are appropriate. Approved privileges are then documented, and the form is kept on file for reference.
Updating Privileges
Podiatrists must periodically update their privileges to reflect new skills, competencies, or changes in their scope of practice. This involves submitting a new or revised DA FORM 5440-9 with supporting documentation.
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Conclusion
DA FORM 5440-9 is a vital document in the military healthcare system, ensuring that podiatrists are properly credentialed and authorized to perform specific medical procedures. By delineating clinical privileges, the form helps maintain high standards of care and compliance with regulatory requirements. Understanding and correctly utilizing this form is essential for podiatrists seeking to provide comprehensive and qualified care within the military.
DA FORM 5440-9 Fillable – Army Pubs 5440-9 PDF DOWNLOAD
