UNCLASSIFIED//
ROUTINE
R 131549Z MAR 19
FM SECNAV WASHINGTON DC
TO ALNAV
INFO SECNAV WASHINGTON DC
CNO WASHINGTON DC
BT
UNCLAS

ALNAV 021/19

MSGID/GENADMIN/SECNAV WASHINGTON DC/-/MAR//

SUBJ/GUIDANCE ON COMPLETING THE NEW DEPARTMENT OF DEFENSE PERIODIC HEALTH 
ASSESSMENT//

REF/A/DOC/DOD/8SEP16//
REF/B/DOC/DOD/9MAY17//
REF/C/MSG/CNO WASHINGTON DC/051357ZOCT17//
NARR/REF A IS DODI 6200.06, PERIODIC HEALTH ASSESSMENT (PHA) PROGRAM.
REF B IS DHA-PI 6200.06, PERIODIC HEALTH ASSESSMENT (PHA) PROGRAM.
REF C IS NAVADMIN 247/17 UPDATES TO PERIODIC HEALTH ASSESSMENTS IN SUPPORT OF 
PERSONAL RESPONSIBILITY FOR INDIVIDUAL READINESS.//

RMKS/1.  On 8 September 2016, the Office of the Secretary of Defense directed 
a new uniform, Tri-Service Periodic Health Assessment (PHA) with reference 
(a).  Reference (b) was published to then provide additional implementation 
details for the new Department of Defense (DoD) PHA.  The DoD PHA is designed 
for electronic completion only.  This ALNAV provides instructions for Service 
Members and medical personnel to complete the new PHA.

2.  All Department of the Navy personnel must complete the new DoD PHA, DD 
Form 3024, electronically.  DD Form 3024 includes the required annual mental 
health assessment (MHA) and requires a person-to-person review of the MHA 
with a provider per the 2015 National Defense Authorization Act (NDAA).  
Maintaining medical readiness is every Service Members responsibility; the 
PHA is intended to ensure our Service Members are fit for full duty and 
medically ready for both deployment and overseas assignment.  For this 
reason, it is vital that any duty or deployment limiting conditions are noted 
and addressed appropriately, as discussed in reference (c).

3.  The new electronic DoD PHA (ePHA) is located at the ePHA website 
https://data.nmcphc.med.navy.mil/pha/Index.aspx.  This site can be accessed 
from a home or government-owned computer.  A common access card (CAC) is 
recommended but not required to access the system.  To create an account 
using a username and password rather than a CAC, Service Members are required 
to supply both their DoD Identification and social security numbers.

4.  The new DoD PHA is a Four-Step Process:
    a.  Step One:  The Service Member completes the self-assessment online at 
the website listed in paragraph 3.
    b.  Step Two:  A medical representative will conduct a record review.
    c.  Step Three:  An approved, privileged provider or Independent Duty 
Corpsman (IDC) will discuss the MHA section of the DoD PHA with the Service 
Member, either in person, by telephone, or by video teleconference.
    d.  Step Four:  An approved, privileged provider, or IDC will conduct a 
final review of the Service Members PHA.

5.  PHA Implementation and Completion Alternatives.  Bureau of Medicine and 
Surgery (BUMED) and the Navy and Marine Corps Public Health Center (NMCPHC) 
are aware some units (e.g. operational units) were not able to meet the DoD-
mandated implementation deadline of 31 December 2017 due to information 
technology (IT) challenges.  Until the non-internet-based solution developed 
by NMCPHC is fully distributed, those units that continue to have IT 
challenges may continue to conduct the paper PHA using the NAVMED
6120/4 (Rev. 03/2008) and must complete a MHA, DD Form 2978 (can be conducted 
in the Electronic Deployment Health Assessment (EDHA) module at 
https://data.nmcphc.med.navy.mil/EDHA/ in order to comply with the
2015 NDAA-mandated annual MHA.
    a.  For ships and units unable to access either the ePHA or EDHA 
websites, the store and forward version of the stand-alone MHA, DD Form 2978, 
produced by NMCPHC for use without internet access, is recommended to comply 
with the annual MHA requirement and will not require printing of the MHA.  
This version of the MHA, along with instructions on loading and using the 
program, can be obtained by contacting the NMCPHC at usn.hampton-
roads.navmcpubhlthcenpors.list.nmcphc-edhahelpdesk@mail.mil.
    b.  If the ePHA and EDHA websites, or the DoD PHA and EDHA store and 
forward versions are not currently available, a paper copy of the MHA, DD 
Form 2978, must be completed manually.  The completed MHA form can be scanned 
and sent in a secure manner to the NMCPHC helpdesk via e-mail
at:  usn.hampton-roads.navmcpubhlthcenpors.list.nmcphc-edhahelpdesk@mail.mil.  
Alternatively, a hard copy can be mailed to:  Navy and Marine Corps Public 
Health Center, ATTN:  PHA Helpdesk, Mr. Azad Alkoshnaw, 620 John Paul Jones 
Circle, Suite 1100, Portsmouth, VA 23708.  A hard copy of the MHA should then 
be placed in the Service Members service treatment record or scanned and 
placed in Theater Medical Information Program-Maritime (TMIP-M), Armed Forces 
Health Longitudinal Technology Application-Theater (AHLTA-T), or AHLTA.
    c.  All MHAs completed outside the DoD PHA process still require a 
person-to-person review.
    d.  Once the non-internet-based solution for the DoD PHA is fully 
distributed, available for use, and functional for all units that have not 
been able to comply with the new DoD PHA requirement due to IT and internet 
connection challenges, use of the NAVMED 6120/4 to complete the PHA will no 
longer be authorized.  BUMED will track progress of distribution of this 
solution and submit further guidance when NAVMED 6120/4 is no longer 
authorized.

6.  Readiness Reporting
    a.  For Navy, Marine Corps, and Coast Guard personnel, a Service Members 
Individual Medical Readiness status will be automatically updated in Medical 
Readiness Reporting System (MRRS) for all PHAs completed on the ePHA website.
    b.  For PHAs completed with the NAVMED 6120/4 and DD Form 2978, MRRS must 
be manually updated once both components are complete and reviewed by an 
authorized provider.
    c.  Shipboard units completing the PHA with the NAVMED 6120/4 and DD Form 
2978 will enter completion data into TMIP-M to be automatically uploaded to 
MRRS when available.
    d.  MRRS is automatically updated for Navy and Marine Corps personnel 
completing the PHA process at an Air Force or Army medical treatment facility 
when the Service Member uses the ePHA website to initiate and complete the 
self-assessment (Step One) of the DoD PHA.  The PHA will not be considered 
complete until all steps have been completed and signed by a PHA provider.

7.  Additional information for completing the DoD PHA is on the Navy ePHA 
website:  https://data.nmcphc.med.navy.mil/pha/Index.aspx.  Information 
posted on the website contains the most up-to-date guidance for completing 
the DoD PHA.  Topics will be updated as necessary and initially
contains:
    a.  Guidance for all Service Members completing the DoD PHA.
    b.  Guidance for Service Members completing the DoD PHA at non -Navy 
MTFs.
    c.  Guidance for Service Members stationed remotely completing the DoD 
PHA.
    d.  Guidance for healthcare personnel reviewing PHAs.
    e.  Guidance for documenting and coding PHAs.

8.  The primary point of contact for this message is Director, Medical 
Readiness (BUMED M34), who can be reached via email at 
usn.ncr.bumedfchva.mbx.bumed-bumed-medical-readiness@mail.mil.
Senders are requested to put DoD PHA in the subject line.

9.  This ALNAV remains in effect until superseded or cancelled, whichever 
comes first.

10.  Released by the Honorable Richard V. Spencer, Secretary of the Navy.

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