CLASSIFICATION: UNCLASSIFIED//
ROUTINE
R 222101Z FEB 23 MID200080752928U
FM SECNAV WASHINGTON DC
TO ALNAV
INFO SECNAV WASHINGTON DC
CNO WASHINGTON DC
CMC WASHINGTON DC
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ALNAV 015/23
MSGID/GENADMIN/SECNAV WASHINGTON DC/-/FEB//
SUBJ/INDIVIDUAL MEDICAL READINESS ELEMENTS, GOALS, AND METRICS POLICY
UPDATE//
REF/A/DOC/DOD/13JUL22//
REF/B/DOC/DOD/MAY17//
REF/C/DOC/BUMED/16JUL12//
NARR/REF A IS DODI 6025.19, INDIVIDUAL MEDICAL READINESS PROGRAM.
REF B IS DODI 6490.03, DEPLOYMENT HEALTH.
REF C IS BUMEDINST 6110.14, DOCUMENTING AND REPORTING INDIVIDUAL MEDICAL
READINESS DATA.
RMKS/1. Individual Medical Readiness (IMR) is an ongoing assessment of a
Sailor's or Marine's health and fitness level. This is an essential
component of force health protection, which represents an individual's
medical readiness for rapid deployment and unit support. IMR is a military
service, command, and individual Service Member responsibility. Service
Members in the Active Component (AC) and Reserve Component (RC), as a
condition of continued participation in military service, have a
responsibility to maintain their health and fitness, meet IMR requirements,
and report medical issues (including physical, dental, and mental/behavioral
health) that may affect their readiness to deploy, ability to perform their
assigned mission, or fitness for retention in military service to their chain
of command. IMR requirements are directed by reference (a). The 2019
Coronavirus disease pandemic hindered the ability to assess IMR across the
Department of the Navy (DON). This message sets new DON goals and metrics to
return IMR to pre-pandemic levels. The new DON goals are targets for unit
commanders to work towards as they continually assess their unit's medical
readiness for deployability.
2. The Health Assessments element of IMR is inclusive of the annual Periodic
Health Assessment (PHA), and any Deployment-Related Health Assessments (DRHA)
when required for a qualifying deployment. The PHA is DD Form 3024. To
support force distribution and tracking guidelines, DON Service Members will
complete their PHA during their birth month, unless operational requirements
preclude its completion. The PHA is due 365 days from the prior year's
record date in the Medical Readiness Reporting System (MRRS), and overdue if
not completed within 90 days of the due date. DRHA completion and timelines
are directed in reference (b). DRHAs include the Pre-Deployment Health
Assessment (Pre-DHA) DD Form 2795, the Post Deployment Health Assessment
(PDHA) DD Form 2796, the Post-Deployment Health Re-Assessment (PDHRA) DD Form
2900, and Deployment Mental Health Assessment DD Form 2978. Only overdue
PHAs and PDHRAs will impact IMR calculations. Pre-DHAs cannot become overdue
because the Service Member has already deployed. PDHAs cannot become overdue
because the PDHRA takes precedence.
3. Dental Readiness IMR element includes the annual assessment of dental
health. A type II dental examination is due 365 days from the prior year's
record date in MRRS, and overdue if not completed within 90 days of the due
date.
4. The DON has new IMR goals for commanders to strive toward in the
following areas: Total Force Medically Ready (TFMR), Partially Medically
Ready (PMR), Health Assessments IMR element, and Dental Readiness IMR
element. TFMR is defined by reference (a). The TFMR goal is greater than or
equal to 90 percent of the command's or unit's total force. PMR is defined
by reference (a). The AC PMR goal is less than or equal to 15 percent of the
command's or unit's total force. The RC PMR goal is less than or equal to 25
percent of the command's or unit's total force. The Health Assessment IMR
element goal is less than or equal to five percent of the command's or unit's
total force, including only overdue PHAs and overdue PDHRAs. The Dental
Readiness IMR element goal is to maintain a sum of Dental Readiness
Classification 3 and 4 at a rate of less than or equal to 5 percent of the
command's or unit's total force.
5. Bureau of Medicine and Surgery (BUMED) will publish, at least annually,
the Surgeon General's Medical Readiness Report. Commanders can pull command
deficiency reports at the individual level from MRRS. Additionally, BUMED
has created an IMR dashboard for command tracking at the unit level. The IMR
dashboard is available via a CAC-enabled website:
https://carepoint.health.mil/sites/BUMEDANLYT/SitePages/IMR.aspx. The IMR
dashboard can only be accessed via Google Chrome with a CAC-enabled device.
6. BUMED is required to provide clarifying medical department guidance to
support the implementation of these requirements and incorporate these
changes into reference (c). This ALNAV serves as interim guidance until
updates are published for reference (c).
7. The Chief of Naval Operations and Commandant of the Marine Corps are
required to implement the above requirements with Service-specific guidance
and incorporate procedures aligning with the BUMED updates to reference (c)
once published.
8. All entities are required to implement these updates within 6 months of
the release of this message.
9. BUMED representatives for Medical Readiness can be reached at
usn.ncr.bumedfchva.list.m34@health.mil.
10. This ALNAV remains in effect until replaced or cancelled.
11. Released by the Honorable Carlos Del Toro, Secretary of the Navy.//
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