Attachment 2 ARCCC Charter October 2021.pdf

CHARTER

ARMY RESERVE CENTRALIZED CREDENTIALING COMMITTEE

1. Name of Committee: Army Reserve Centralized Credentialing Committee (ARCCC)

2. Category and Type of Committee: Intra-Army.

3. Date Established: New Committee.

4. Authority: The ARCCC is directed in accordance with Army Regulation 40-68, Defense Health Agency (DHA) Procedures Manual 6025.13, and DoD Instruction

6025.13. The ARCCC functions as part of a medical quality assurance program protected by 10 U.S.C. § 1102. The Surgeon General of the Army (TSG) delegated privileging authority for Troop Program Unit (TPU) healthcare providers in the operational environment to the Commander, AMEDD Professional Management Command (APMC). These operational privileges are both portable (for use in any operational environment) and continuous (to be renewed before expiration regardless of deployment orders).

5. References:

a. Title 10, United States Code, section 1102.

b. DoD Instruction 6025.13, Medical Quality Assurance (MQA) and Clinical Quality Management in the Military Health System (MHS), Change 2, 1 Apr 20.

c. Defense Health Agency (DHA), Procedures Manual 6025.13, Clinical Quality

Management in the Military Health System, 29 Aug 19.

d. AR 40-68, Clinical Quality Management, RAR 22 May 09.

e. USA MEDCOM Operations Order 19-52, Privileging U.S. Army Reserve Providers for the Operational Environment, 24 Jun 19.

f. Memorandum, Office of The Surgeon General, DASG-ZA, 11 June 2020, subject:

Delegation of Privileging Authority to APMC Commander for Privileging USAR Troop Program Unit (TPU) Health Care Providers for Operational Environments.

6. Date to be Terminated: The need for the ARCCC function is on a continuing (indefinite) basis. However, it will terminate three (3) years from the date this charter is approved, unless extended. The charter will be reviewed annually, and immediately if TSG cancels, withdraws, or modifies the delegation of privileging authority to the Commander, APMC.

7. Mission or Purpose: The Army Reserve Centralized Credentialing Committee (ARCCC) is hereby chartered by the AMEDD Professional Management Command (APMC) Commander and comprised of select Office of The Surgeon General of the Army (OTSG), U.S. Army Reserve Command (USARC), and U.S. Army Medical Command (USA MEDCOM) members to form a Centralized Credentialing Committee with the purpose of reviewing credentials; making recommendations to the Privileging Authority concerning privileging/practice; and making recommendations to the Privileging Authority concerning clinical adverse actions for all U.S. Army Reserve Command Troop Program Unit (TPU) healthcare providers for the operational environment.

8. Direction and Control: The ARCCC provides recommendations to the Commander, APMC. The ARCCC receives its direction from APMC.

9. Committee Structure and Membership:

a. The ARCCC will be comprised of Permanent Members, Ad-Hoc Members, and a Chairperson. When ARCCC members are needed from the Active Component Army, they will be requested through USA MEDCOM Army Quality and Safety Center (AQSC).

b. The Commander, APMC (hereinafter called “The Privileging Authority”) will appoint Permanent members, which will be comprised of five or more members (at least 51% of the members must be physicians and one member must be a registered nurse).

The USARC Surgeon will be invited to serve as a permanent member.

c. The Privileging Authority will appoint Ad-Hoc Members with at least one (1) representative of each Area of Concentration (AOC) discussed for privileging/practice.

d. The Chairperson is a permanent member and will be appointed by the Commander, APMC. The Commander, APMC will consult with AQSC concerning selection of the Chairperson prior to appointment.

e. In accordance with Reference (c), when a privileged provider is under adverse privileging action review, the ARCCC must include a minimum of three privileged providers. At least one peer (a healthcare provider with similar privileges and clinical specialty, level of training, and experience) must be in attendance. When a non-privileged provider is under adverse practice action review, the ARCCC must include a minimum of three non-privileged providers. At least one of the three non-privileged providers in attendance must be a peer with similar practice.

f. Roles and responsibilities:

(1) The Privileging Authority will appoint all members in writing for a two (2) year term. Members may serve consecutive terms.

(2) The Privileging Authority will be responsible for final approval of the ARCCC minutes, appointing members of the committee, and making final privileging/practice decisions based on the recommendations from the ARCCC.

(3) The ARCCC Chairperson will be responsible for leading the Credentialing

Committee discussion and may participate in making privileging/practice recommendations to the Privileging Authority. Per Reference (c), the Chairperson will coordinate with OTSG through AQSC to conduct clinical adverse action due process as applicable when a deployed reserve component individual is returned to the reserve component unit from the theater of operations.

g. Other Matters:

(1) Each AOC matched peer will review assigned provider file materials in the Centralized Credentials Quality Assurance System (CCQAS), request any additional information if needed, and make a recommendation for the ARCCC panel to review at least 48 hours prior to the upcoming ARCCC meeting.

(2) Members will attend ARCCC meetings (virtually or in person) or recommend an alternate eligible provider to act in their absence. The Privileging Authority will approve all alternate providers. Permanent members will attend all meetings and Ad- Hoc members will attend meetings as needed.

(3) In accordance with enclosure 3 of volume 3 of Reference (c), ARCCC members who are disqualified from participation in a clinical adverse action must be recused from the ARCCC. For example, a member who served as the investigating officer in a quality assurance investigation may not serve later on the credentials committee, and a member who served on the credentials committee may not later serve on the peer review hearing panel.

(4) Issues that may affect privileges will be elevated to the ARCCC Chairperson prior to the next scheduled committee meeting.

(5) Any impaired provider issues identified by APMC though the credentialing process will be elevated to this committee through the Chairperson for further recommendation to the Privileging Authority and action as needed.

(6) Any non-privileged provider practice issues identified by APMC though the credentialing process will be elevated to this committee through the Chairperson for further recommendation to the Privileging Authority and action as needed.

(7) Nothing in paragraphs 4-6 above prohibit the Privileging Authority from immediately invoking summary suspension in the event of significant risk of harm to patient, staff, or other individuals per Reference (c).

(8) APMC will be the custodian of any records related to this committee. All quality assurance documents will bear the proper 10 USC 1102 markings described in Appendix B-9 of Reference (d). TSG remains the approval authority for release of quality assurance information outside the Army Medical Department and outside the Department of Defense in accordance with Appendix B-8 of Reference (d).

10. Estimated Number of Meetings: The committee will meet at a minimum quarterly (virtually or in person).

11. Estimated Annual Operating Costs and Staff Years:

a. Each command/organization is responsible for all costs of its own personnel, including pay and benefits, support, and travel. Each command/organization is responsible for supervision and management of its own personnel.

b. There will be no incurred costs for space or travel as the board will utilized existing meeting space and occur virtually.

c. This Charter does not provide for the exchange of funds or manpower between commands/organizations. In the event a requirement necessitating the obligation of funds between commands/organizations should arise, such obligation of funds will be accomplished using an Intragovernmental Agreement using FS Form 7600A/B.

12. Administrative Support: APMC will provide staff support and services to the ARCCC, including the administrative, logistical, and other support services necessary to carry out its functions.

13. Other Data: Per Reference (d), TSG is the sole reporting authority to the National Practitioner Data Bank, State regulatory authorities, the Federation of State Medical Boards, and/or other appropriate central clearinghouses. TSG is responsible for reporting malpractice history information and adverse privileging/practice actions, unprofessional conduct or behavior, and any legal charges for which the provider/professional is found guilty, pleads guilty, pleads nolo contendere, or requests discharge from the military in lieu of courts-martial.

14. Correspondence:

AQSC POC: COL Mercedes Murillo / mercedes.murillo.mil@mail.mil / (210) 808-7072 APMC POC: LTC Willie M. Feagin / willie.m.feagin2.mil@army.mil / (469) 681-0988

Brian P. Friedland COL, Commander AMEDD Professional Management Command (APMC) mailto:mercedes.murillo.mil@mail.mil mailto:willie.m.feagin2.mil@army.mil