Use of Defense Medical Human Resources System Internet While in Fixed Military Medical and Dental Treatment Facilities

1. Purpose.  To provide guidance to Budget Submitting Office-27 
(BSO-27) Health Service Support personnel regarding the utilization 
of the Defense Medical Human Resources System internet (DMHRSi) in 
documenting all patient care labor at fixed Medical Treatment 
Facilities (MTF) and Dental Treatment Facilities (DTF).
2.  Background.  Per reference (a), DHMRSi is the authoritative data
system for military medical personnel labor allocation and must be
used for documenting and reporting labor within a MTF or DTF.  
DMHRSi is essential to provide a timely and complete picture of the
support rendered by the Marine Corps to the Military Health System
(MHS), as outlined in references (a) through (d). Secondarily, it
provides data relevant to tracking readiness and predictability of
clinical support to the MTF/DTF.
3.  Execution.
3.a.  Per reference (a), all BSO-27 health services support (HSS)
personnel involved in direct clinical care or clinical support at an
MTF/DTF shall have an active DMHRSi account.  Individuals, or their
designees, shall use DMHRSi to report workload hours performed in 
any fixed MTF or DTF, to include all care provided within Marine
Centered Medical Home (MCMH) clinics. 
3.a.1.  HSS personnel include all officers and enlisted personnel
assigned to a BSO-27 unit as organic or temporarily assigned medical
staff.
3.a.2.  Designated clinical facilities are fixed MTFs and DTFs to
include the MCMH. 
3.a.3.  This policy does not apply to care provided in the 
operational setting, such as: battalion aid stations, damage control
resuscitation, damage control surgery, and facilities afloat (e.g.,
hospital ships and sick bays aboard ships).
3.b.  Per reference (e), the Defense Health Agency (DHA) is 
responsible for DMHRSi training, account creation, 
timecard processing, and generation of workload data reports.  
3.c.  Per reference (e), DHA is responsible for providing adequate
numbers of workstation computers with DMHRSi access for BSO-27 
personnel at all designated clinical facilities to complete required
documentation. Additional computer access can be obtained by 
coordination with the supported DHA command.
3.d.  HSS personnel will be responsible for entering workload data
into DMHRSi weekly. Workload data required includes, but is not 
limited to, time spent in:
3.d.1.  Direct patient care in both the inpatient and outpatient
clinical settings.
3.d.2.  On-call hours supporting patient care, whether they are
directly involved in care or not. 
3.d.3.  Graduate Medical Education or Graduate Dental
Education in direct support of military or non-military 
medical students, interns, residents, and fellows working within
designated military clinical facilities. This includes individual
and group teaching, training, administrative functions, research,
and supervision of clinical duties.
3.d.4.  Administrative and leadership duties within designated
clinical facilities to include meeting attendance, administrative
functions, professional consultation, personnel counseling, training
required to maintain leadership positions, and other duties assigned
by facility leadership.
3.d.5.  Administrative duties supporting designated clinical 
facility operations including documentation of clinical notes, 
personnel administrative requirements, individual professional
development, and facility-required training.
3.e.  The workload in support of the following categories shall NOT
be entered into DMHRSi:
3.e.1.  Direct patient care provided during operational and field
training exercises.
3.e.2.  Workload in support of other BSO-27 training activities
performed outside of a fixed MTF or DTF. This includes time spent
working in military-civilian partnership institutions.
3.e.3.  Personal leave.
3.e.4.  Readiness activities such as physical training, operational
unit training, and online training.
3.f.  There is no requirement for BSO-27 personnel to enter any data
in DMHRSI when they are not working in a fixed MTF or DTF. 
3.g.  Marine Forces/Marine Expeditinary Force/ Major Subordinate 
command Surgeons and Medical Battalion/Dental Battalion COs shall:
3.g.1.  Support the local MTF and DTF directors by ensuring their
assigned personnel activate and maintain a DMHRSi account, and 
submit data in accordance with reference (e). 
3.g.2.  Coordinate with local MTF and DTF facility leadership to
ensure BSO-27 staff are provided with all required DMHRSi training,
including annual training on the appropriate DMHRSi codes, and 
timely timecard processing for BSO-27 personnel.
3.h.  The Navy Bureau of Medicine and Surgery aggregates 
data received from MTFs and DTFs and transmits it to the office of
The Medical Officer of the Marine Corps monthly or as 
otherwise requested.   
3.i.  Headquarters Marine Corps Health Services (HQMC HS) shall 
provide a monthly report outlining the support provided by BSO-27
personnel to the MHS to the Navy Surgeon General, MEF and MARFOR 
line and HSS leadership, and the Assistant Commandant of the Marine 
Corps.
4.  Questions concerning implementation of the policy should be
directed to HQMC HS office at 703-604-4600 or hqmc_medical@usmc.mil.
5.  Release authorized by Lieutenant General, Paul J. Rock Jr.,
Director, Marine Corps Staff.