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ASSURING QUALITY IN THE MILITARY HEALTH SYSTEM In 2014, the U.S. Secretary of Defense identified access, safety, and quality in the Military Health System (MHS) as key priorities. Accreditation formally recognizes the MHS’s commitment to quality and demonstrates that MHS activities and staff meet nationally recognized requirements for quality and standardization. Currently, accreditation and certification programs exist in the MHS for health care services, such as primary care, laboratory and blood banks, radiology and nuclear medicine, medical and surgical subspecialties, and advanced medical and dental education. However, there is no accreditation or certification for military public health. In 2014, U.S. Army Medical Command (MEDCOM) and one of its installation preventive medicine (PM)/public health (PH) departments recognized that pursuing third-party public health accreditation at the installation level may be desirable and feasible and also followed the trend set by many state, county, and city health departments. In July 2018, after a multi-year exploratory process and pilot project, MEDCOM published an operation order (OPORD) directing 28 Army PM departments at the installation level to initially apply for public health accreditation by the end of Fiscal Year (FY) 2025 with the goal of having all accredited by the end of FY2027. This paper provides an overview of public health accreditation and its potential applicability to Army and other military PM/PH departments, highlights the Army public health accreditation demonstration project at Fort Riley, Kansas, outlines the Army Public Health Performance Improvement/ Accreditation (PI/A) Initiative, and posits that public health accreditation of Army installation PM/PH departments, and perhaps those of other military services (Navy and Air Force), is a meaningful strategy that directly supports the Department of Defense (DOD) and MHS priorities of access, safety, and quality and Army Medicine’s goal to become a highreliability organization (HRO). Further, the authors discuss that public health accreditation may be a useful and objective framework by which the Defense Health Agency (DHA) can determine consensus for Tri-Service (Air Force, Army and Navy) public health as required under the National Defense Authorization Act (NDAA) for Fiscal Year 2019.

Public Health Accreditation of Army Preventive Medicine Departments: Improving Military Medical Treatment Facility Practice to Impact Force Readiness