DAFORMFILLABLE.COM | DA FORM 5441-23 Fillable – Army Pubs 5441-23 PDF – DA FORM 5441-23, titled Evaluation Of Clinical Privileges – Emergency Medicine, is an essential document used by the U.S. Army to assess the qualifications and privileges of medical personnel in emergency medicine. This form ensures that only qualified individuals are granted the necessary privileges to provide emergency medical care, maintaining high standards of medical practice within the Army.
DA FORM 5441-23 – Evaluation Of Clinical Privileges – Emergency Medicine
| Form Number | DA Form 5441-23 |
| Form Title | Evaluation Of Clinical Privileges – Emergency Medicine |
| Form Date | 02/01/2004 |
| Form Proponent | TSG |
Pub/Form Number and Date
The Pub/Form Number for this document is DA FORM 5441-23. It was officially published on February 1, 2004. This form is part of the Army’s ongoing efforts to ensure that all medical personnel are properly evaluated and credentialed.
Pub/Form Title and Purpose
The official title of this form is Evaluation Of Clinical Privileges – Emergency Medicine. Its primary purpose is to evaluate the clinical competencies of medical personnel specializing in emergency medicine. This evaluation is crucial for maintaining the quality and safety of medical care provided to Army personnel.
Pub/Form Proponent
The Pub/Form Proponent for DA FORM 5441-23 is TSG (The Surgeon General). The Surgeon General’s office is responsible for overseeing medical practices within the Army and ensuring that all personnel meet the required standards.
Pub/Form Status
The current status of DA FORM 5441-23 is ACTIVE, indicating that it is in use and required for the evaluation of clinical privileges in emergency medicine.
Prescribed Forms and Directives
Prescribing Directive
DA FORM 5441-23 is prescribed by AR 40-68, which outlines the standards for credentialing and privileging of healthcare providers within the Army. This regulation ensures that all medical personnel are properly evaluated and granted the necessary privileges based on their qualifications and competencies.
Footnotes and Privacy Requirements
The form includes several important footnotes:
- Footnote 14: This form requires a Privacy Act Statement in accordance with AR 340-21. This ensures that the personal information of the evaluated personnel is protected and used appropriately.
- Footnote 42: DA FORM 5441-23 is only produced in electronic media, streamlining the process of evaluation and record-keeping.
Security and Distribution
Security Classification
DA FORM 5441-23 is classified as UNCLASSIFIED, meaning it does not contain sensitive information that requires restricted access.
Distribution Restriction Code
The distribution restriction code for this form is A: Approved for public release; distribution is unlimited. This indicates that the form and its content are accessible to the public without any restrictions.
Importance and Usage
Evaluation Process
The Evaluation Of Clinical Privileges – Emergency Medicine is a comprehensive process that involves assessing the medical personnel’s education, training, experience, and performance in emergency medicine. This ensures that only those who meet the stringent criteria are granted the necessary clinical privileges.
Maintaining High Standards
By utilizing DA FORM 5441-23, the Army maintains high standards of medical care. This form plays a crucial role in ensuring that all emergency medicine personnel are qualified to perform their duties effectively and safely.
Compliance with Regulations
Compliance with AR 40-68 is mandatory for all Army medical facilities. DA FORM 5441-23 helps facilities adhere to these regulations by providing a standardized method for evaluating and credentialing medical personnel.
Conclusion
DA FORM 5441-23 – Evaluation Of Clinical Privileges – Emergency Medicine is a vital document for the U.S. Army. It ensures that emergency medical personnel are thoroughly evaluated and granted the appropriate privileges based on their qualifications and performance. By maintaining high standards and adhering to regulatory requirements, this form helps ensure the quality and safety of emergency medical care provided to Army personnel.
Understanding and correctly utilizing DA FORM 5441-23 is essential for all medical personnel and administrators involved in the credentialing and privileging process within the Army. This ensures that only the most qualified individuals are authorized to provide emergency medical care, ultimately enhancing the overall effectiveness and safety of Army medical operations.
DA FORM 5441-23 Fillable – Army Pubs 5441-23 PDF DOWNLOAD
