DAFORMFILLABLE.COM | DA FORM 5441-8 Fillable – Army Pubs 5441-8 PDF – DA FORM 5441-8, officially titled Evaluation Of Clinical Privileges-Pediatrics, is a critical document used in the medical field, particularly within military healthcare settings. This form plays a vital role in assessing the clinical privileges of pediatric professionals, ensuring they meet the required standards to provide quality care.
DA FORM 5441-8 – Evaluation Of Clinical Privileges-Pediatrics
| Form Number | DA Form 5441-8 |
| Form Title | Evaluation Of Clinical Privileges-Pediatrics |
| Form Date | 02/01/2004 |
| Form Proponent | TSG |
Purpose and Importance
What is DA FORM 5441-8?
DA FORM 5441-8 is an evaluation tool designed to assess the competencies of pediatric healthcare providers. The form helps to determine whether these professionals are qualified to perform specific clinical duties and procedures. This evaluation is essential for maintaining high standards of care in pediatric healthcare services.
Why is it Important?
The importance of DA FORM 5441-8 lies in its role in safeguarding patient safety and ensuring that only competent and qualified pediatricians are granted clinical privileges. By using this form, healthcare institutions can systematically review and document the skills and performance of their pediatric staff.
Key Components of DA FORM 5441-8
Publication and Authority
- Pub/Form Number: DA FORM 5441-8
- Pub/Form Date: 02/01/2004
- Pub/Form Proponent: The Surgeon General (TSG)
- Pub/Form Status: ACTIVE
The form is governed by AR 40-68, which outlines the policies for medical, dental, and veterinary treatment facilities. It requires adherence to the Privacy Act Statement (AR 340-21) due to the sensitive nature of the information collected.
Security and Distribution
- Security Classification: UNCLASSIFIED
- Dist Restriction Code: A (Approved for public release; distribution is unlimited)
- Pub/Form IDN: 990001
- Pub/Form PIN: 066539
The unclassified status of DA FORM 5441-8 means it can be widely distributed without security restrictions, facilitating its use across various military healthcare facilities.
Using DA FORM 5441-8
Who Uses This Form?
DA FORM 5441-8 is primarily used by healthcare administrators, credentialing officers, and supervisors within military medical facilities. These individuals are responsible for evaluating the clinical competencies of pediatric healthcare providers.
Evaluation Process
The evaluation process involves a detailed review of the pediatrician’s qualifications, clinical performance, and ability to perform specific medical procedures. The form includes sections for documenting:
- Professional credentials
- Clinical skills
- Performance feedback
- Recommendations for privileges
Submission and Review
Once completed, the form is submitted to the appropriate medical credentialing authority. The evaluation is then reviewed, and a decision is made regarding the granting or renewal of clinical privileges.
Benefits of DA FORM 5441-8
Ensuring Quality Care
By using DA FORM 5441-8, healthcare institutions can ensure that their pediatric providers meet the highest standards of care. This quality assurance is crucial for maintaining patient safety and trust in the healthcare system.
Comprehensive Documentation
The form provides a comprehensive documentation of the evaluation process, which is essential for legal and administrative purposes. It serves as an official record of the provider’s competencies and the institution’s due diligence in credentialing.
Facilitating Continuous Improvement
Regular evaluations using DA FORM 5441-8 encourage healthcare providers to engage in continuous professional development. Feedback from these evaluations can highlight areas for improvement and guide further training and education.
Conclusion
DA FORM 5441-8 – Evaluation Of Clinical Privileges-Pediatrics is a pivotal document in the credentialing process for pediatric healthcare providers within military medical facilities. Its structured evaluation framework ensures that only competent and qualified professionals are granted clinical privileges, thereby upholding high standards of patient care and safety.
By adhering to AR 40-68 and incorporating thorough evaluations, military healthcare institutions can maintain an efficient and effective pediatric service, ultimately contributing to the well-being of the children they serve.
DA FORM 5441-8 Fillable – Army Pubs 5441-8 PDF DOWNLOAD
