Department of the Army Regulation 40-68

Medical Services

Clinical Quality Management

26 February 2004

Effective date: 26 March 2004

Rapid Action Revision (RAR) issue date: 22 May 2009


PIN: 066994000

Click here to view entire publication.


History: This publication is a rapid action revision (RAR). This RAR is effective 29 June 2009. The portions affected by this RAR are listed in the summary of change.

Summary: This consolidated regulation prescribes policies, procedures, and responsibilities for the administration of the Clinical Quality Management Program. It includes DOD and statutory policies addressing medical services quality management requirements. In addition, it implements DOD 6025.13-R , DODD 6000.14 , and other DOD guidance.

Applicability: This regulation applies to the Active Army, the Army National Guard of the United States, including periods when operating in an Army National Guard capacity, and U.S. Army Reserve. This document applies in both the table of distribution and allowances and table of organization and equipment environments. It applies to all personnel (Active Army, Army National Guard of the United States, the U.S. Army Reserve, civilian employees, contract personnel, and foreign national local hires) who work within medical department activities, medical centers, dental activities, and organizations for which the Army Medical Department is the responsible official. This publication is applicable during mobilization.

Proponent and Exception Authority: The proponent of this regulation is The Surgeon General. The proponent has the authority to approve exceptions or waivers to this regulation that are consistent with controlling law and regulations. The proponent may delegate this approval authority, in writing, to a division chief within the proponent agency or a direct reporting unit or field operating agency, in the grade of colonel or the civilian equivalent. Activities may request a waiver to this regulation by providing justification that includes a full analysis of the expected benefits and must include formal review by the activity's senior legal officer. All waiver requests will be endorsed by the commander or senior leader of the requesting activity and forwarded through their higher headquarters to the policy proponent. Refer to AR 25-30 for specific guidance.

Army Management Control Process: This regulation contains management control provisions and identifies key management controls that must be evaluated. (See appendix J .)

Supplementation: Supplementation of this regulation and establishment of command and local forms are prohibited without prior approval from The Surgeon General (DASG-HSZ), 5109 Leesburg Pike, Falls Church, VA 22041-3258.

Suggested Improvements: Users are invited to send comments and suggested improvements on DA Form 2028 (Recommended Changes to Publications and Blank Forms) directly to Office of The Surgeon General (DASG-HSZ), 5109 Leesburg Pike, Falls Church, VA 22041-3258.

Distribution: This publication is available in electronic media only and is intended for command levels B, C, D, and E for the Active Army; C, D, and E for the Army National Guard of the United States; and B, C, D, and E for the U. S. Army Reserve.

This regulation supersedes AR 40-68, dated 26 February 2004. This regulation supersedes Army Regulation 40-68, dated 20 December 1989, and Army Regulation 40-48, dated 7 November 2000. It rescinds DA Forms 5440-17-R, 5440-27-R, and 5441-27-R, dated June 1991; and DA Forms 5440-26-1-R, 5440-26-2-R 5441-17-R, 5441-26-1-R, 5441-26-2-R, and 5753-R, dated July 1989. (DA Forms 5440-26-3-R and 5441-26-3-R were rescinded in June 1995.) This edition publishes a rapid action revision.

Click here to view entire publication.