Joel Schofer's Career Planning Blog

Individual Medical Readiness Elements, Goals, and Metrics Policy Update

Posted on March 7, 2023 Updated on March 2, 2023

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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