R 031530Z APR 12
UNCLASSIFIED//
MARADMIN 184/12
MSGID/GENADMIN,USMTF,2007/CMC WASHINGTON DC PPO POR(UC)/F002//
SUBJ/REVISION TO MEDICAL READINESS REPORTING SYSTEM (MRRS) NEUROCOGNITIVE ASSESSMENT TOOL (NCAT) TRAUMATIC BRAIN INJURY (TBI) TRACKING MODULE POLICY AND PROCEDURES FOR MARINE CORPS UNITS AND INSTALLATIONS//
REF/A/MSGID:DOC/DOD HA DTM 09-033/YMD:20100621//
REF/B/MSGID:DOC/MARADMIN 346-06/YMD:20060726//
REF/C/MSGID:MSG/CMC WASHINGTON DC PPO/YMD:20110225//
REF/D/MSGID:DOC/DOD DTM 5400.11/YMD:20070508//
REF/E/MSGID:DOC/DOD DTM 6025.15-R/YMD:20060124//
REF/F/MSGID:DOC/SECNAV INST 5239.3A/YMD:20051128//
REF/G/MSGID:DOC/ MARADMIN 713/11//
POC/L. S. SAUCEDA/HM1/UNIT:HQMC PPO PO POR/NAME:HQMC PENTAGON/TEL:703-571-1048
/EMAIL:LEE.SAUCEDA@USMC.MIL //
NARR/REF A: DOD DIRECTIVE-TYPE MEMORANDUM, POLICY GUIDANCE FOR MANAGEMENT OF CONCUSSION/MILD TRAUMATIC BRAIN INJURY IN THE DEPLOYED SETTING. REF B: MARADMIN 390/07 ESTABLISHING MRRS IMPLEMENTATION RESPONSIBILITIES FOR MARINE CORPS ORGANIZATIONS, UNITS, AND INSTALLATIONS. REF C: ANNOUNCEMENT OF THE NEUROCOGNITIVE ASSESSMENT TOOL (NCAT) TRAUMATIC BRAIN INJURY (TBI) MEDICAL READINESS REPORTING SYSTEM TRACKING MODULE. REF D: DOD 5400.11 DIRECTIVE ON DOD PRIVACY PROGRAM. REF E: DOD HEALTH INFORMATION PRIVACY REGULATION. REF F: SECNAVINST 5239.3A FOR DEPARTMENT OF THE NAVY INFORMATION ASSURANCE POLICY. REF G: MEDICAL READINESS REPORTING SYSTEM (MRRS) NEUROCOGNITIVE ASSESSMENT TOOL (NCAT) TRAUMATIC BRAIN INJURY (TBI) TRACKING MODULE POLICY AND PROCEDURES FOR MARINE CORPS UNITS AND INSTALLATIONS//
GENTEXT/REMARKS/1.  PURPOSE. PROVIDE REVISED EXECUTION GUIDANCE FOR THE NEUROCOGNITIVE ASSESSMENT TOOL (NCAT)/TRAUMATIC BRAIN INJURY (TBI) TRACKING MODULE WITHIN THE MEDICAL READINESS REPORTING SYSTEM (MRRS).
2.  CANCELLED. REF G, MEDICAL READINESS REPORTING SYSTEM (MRRS) NEUROCOGNITIVE ASSESSMENT TOOL (NCAT) TRAUMATIC BRAIN INJURY (TBI) TRACKING MODULE POLICY AND PROCEDURES FOR MARINE CORPS UNITS AND INSTALLATIONS.
3.  SITUATION. THE MARINE CORPS HAS NOT HAD A CENTRAL SYSTEM TO DOCUMENT, TRACK AND CONDUCT TREND ANALYSIS FOR CONCUSSIONS OR TBI INCIDENTS.
4.  MISSION. ALL COMMANDERS WILL USE THE MRRS NCAT/TBI TRACKING MODULE TO RECORD AND TRACK INDIVIDUALS WHO HAVE EXPERIENCED A POTENTIALLY CONCUSSIVE EVENT AND THOSE WHO HAVE BEEN DIAGNOSED WITH CONCUSSION OR TBI AS OF 1 JAN 12.
5.  EXECUTION.
5.A.  COMMANDER'S INTENT: TO KEEP FAITH WITH OUR MARINES, SAILORS AND THEIR FAMILIES BY PROVIDING OUR COMMANDERS AND MEDICAL PERSONNEL BETTER DIAGNOSTIC AND TREATMENT OPTIONS FOR CONCUSSION OR TBI.  THIS POLICY ESTABLISHES MRRS REPORTING PROCEDURE STANDARDS TO IDENTIFY MARINES AND SAILORS WHO HAVE BEEN EXPOSED TO A POTENTIALLY CONCUSSIVE EVENT OR DIAGNOSED WITH A CONCUSSION OR TBI.
5.B.  CONCEPT OF OPERATIONS. MRRS NCAT/TBI MODULE WILL BE USED TO TRACK MARINES AND SAILORS THAT HAVE BEEN EXPOSED TO POTENTIALLY CONCUSSIVE EVENTS UNTIL THEY LEAVE THE SERVICE. COMMANDERS WILL HAVE VISIBILITY OF INDIVIDUAL MARINES/SAILORS IN THEIR COMMAND WHO HAVE BEEN EXPOSED TO POTENTIALLY CONCUSSIVE EVENTS AND THOSE WHO HAVE BEEN DIAGNOSED WITH A CONCUSSION OR TBI.
5.C.  TASKS.
5.C.1. ALL MARINE CORPS UNITS AND INSTALLATIONS WILL USE THE NCAT/TBI MODULE TO DOCUMENT POTENTIALLY CONCUSSIVE EVENTS, INCLUDING EVENTS THAT INVOLVE SISTER SERVICE MEMBERS WHO ARE IN THE AREA OF THE INCIDENT.
5.C.2. ACTIVE DUTY MEMBERS ARE RESPONSIBLE FOR MAKING AND KEEPING APPOINTMENTS RELATED TO THIS POLICY.
5.C.3. UNIT COMMANDERS ARE RESPONSIBLE FOR COMPLIANCE WITH THIS MARADMIN AND ENSURING ALL MEMBERS OF THEIR COMMAND ARE AFFORDED THE OPPORTUNITY TO SEEK MEDICAL ATTENTION OR TREATMENT.
5.C.4. UNIT MEDICAL OFFICERS AND MEDICAL STAFFS ARE RESPONSIBLE FOR DATA INPUTS INTO THE MRRS NCAT/TBI MODULE AND PROVIDING COMMANDERS WITH STATUS UPDATES OF THEIR PERSONNEL. ADDITIONALLY, UNIT MEDICAL OFFICERS ARE RESPONSIBLE FOR PROVIDING EVENT DATA ON SISTER SERVICE MEMBERS TO THAT SERVICE MEMBER'S PARENT COMMAND.
5.C.5. MARINES/SAILORS EXPOSED TO A POTENTIALLY CONCUSSIVE EVENT WILL REPORT TO THE NEAREST MEDICAL FACILITY (E.G. BAS, RAS, ETC.) AS SOON AS POSSIBLE FOR EVALUATION.
5.C.6 THE MEDICAL FACILITY PROVIDING THE EVALUATION WILL MAKE THE APPROPRIATE ENTRY INTO THE MRRS NCAT/TBI MODULE. FOR EACH POTENTIALLY CONCUSSIVE EVENT OR TBI DIAGNOSIS THE FOLLOWING FIELDS ARE MANDATORY:
5.C.6.A. EVENT DATE.
5.C.6.B. TYPE OF INJURY.
5.C.6.C. LOCATION OF EVENT.
5.C.6.D. DEPLOYMENT STATUS.
5.C.6.E. LOCATION DESCRIPTION.
5.C.6.F. MECHANISM OF INJURY.
5.C.6.G. IF A BLAST CAUSED THE EVENT, PROVIDE INFORMATION ON EXTERIOR OR INTERIOR LOCATION AND VEHICLE/BUILDING INVOLVEMENT.
5.C.6.H. DISPOSITION (FIT/NOT FIT FOR DUTY): TO BE CONSIDERED FIT FOR DUTY THE SERVICE MEMBER SHOULD BE FREE OF LIMITING CONDITIONS ASSOCIATED TO POTENTIALLY CONCUSSIVE EVENT.
5.C.6.I DIAGNOSIS.
5.D.  COORDINATING INSTRUCTIONS.
5.D.1. WHEN A MARINE OR SAILOR TRANSFERS TO ANOTHER UNIT, THE INDIVIDUAL'S INFORMATION WILL REMAIN IN MRRS AND BE VISIBLE BY THE MEMBER'S NEW COMMANDER AND UNIT MEDICAL PERSONNEL.
5.D.2. INITIAL NCAT/TBI MODULE FAMILIARIZATION WAS ALREADY CONDUCTED FOR DEPLOYMENT HEALTH CLINICS AT I MEF, II MEF AND MARFORAC.  FOLLOW-ON, ON-SITE TRAINING WILL BE CONDUCTED BY A MOBILE TRAINING TEAM FROM HQMC. THE TRAINING SCHEDULE WILL BE PUBLISHED VIA SEPCOR.
6.  ADMINISTRATION AND LOGISTICS.
6.A.  INFORMATION CONTAINED IN MRRS IS CONSIDERED PROTECTED. REFERENCES D, E AND F DEFINE APPROPRIATE SAFEGUARDS WHEN ACCESSING THE MRRS APPLICATION.
6.B.  PERSONNEL DESIGNATED TO ACCESS THE NCAT/TBI MODULE MUST COMPLETE THE ANNUAL DOD INFORMATION ASSURANCE AWARENESS (IA) AND PERSONALLY IDENTIFIABLE INFORMATION (PII) TRAINING. WEB-BASED TRAINING THROUGH APPROVED DOD SOURCES IS RECOMMENDED. IA AND PII TRAINING MAY BE ACCESSED AT HTTP:(SLASH SLASH)IASE.DISA.MIL/ETA/ OR HTTPS:(SLASH SLASH)WWW.MARINENET.USMC.MIL/.
7.  COMMAND AND SIGNAL.
7.A.  DC,PPO (POR) IS THE HQMC LEAD FOR THE MRRS NCAT/TBI MODULE.  POINT OF CONTACT FOR NCAT/TBI MODULE ACCESS OR MRRS ACCOUNT CREATION IS: HM1 L. S. SAUCEDA, HQMC, PPO, READINESS BRANCH, LEE.SAUCEDA@USMC.MIL (703) 571-1048.
7.B.  THIS POLICY IS APPLICABLE TO THE MARINE CORPS RESERVE. THIS POLICY WILL REMAIN IN EFFECT UNTIL CANCELLED BY HQMC PPO.
8.  RELEASE AUTHORIZED BY BGEN H. S. CLARDY, DIRECTOR OF OPERATIONS, PLANS, POLICIES AND OPERATIONS, HEADQUARTERS MARINE CORPS.//