DEPARTMENT OF THE NAVY
OFFICE OF THE CHIEF OF NAVAL OPERATIONS
2000
NAVY PENTAGON
W
ASHINGTON DC 20350-2000
AND
HEADQUARTERS
UNITED STATES MARINE CORPS
3000
MARINE CORPS PENTAGON
WASHINGTON
DC 20350-3000
OPNAVINST 6320.7B
MCO 6320.4A
N093/CMC-MED
16 Dec 2022
OPNAV INSTRUCTION 6320.7B
MARINE CORPS ORDER 6320.4A
From: Chief of Naval Operations
Commandant of the Marine Corps
Subj: HEALTH CARE QUALITY ASSURANCE POLICIES FOR OPERATING FORCES
Ref: (a) BUMEDINST 6010.30
(b) DoD Instruction 6025.13 of 17 February 2011
(c) ASN (M&RA) memo of 6 Jan 06 (NOTAL)
(d) BUMEDINST 6010.13
(e) OPNAVINST 6400.1D
(f) DHA-PM 6025.13 Vol 3 of 29 August 2019
(g) BUMEDINST 6550.10B
Encl: (1) Definitions
(2) Operational Forces Medical Occurrence Screening List
(3) Operational Forces Dental Occurrence Screening List
1. Purpose. To update policy, reissue policy, prescribe procedures and assign responsibilities
regarding the quality assurance (QA) of health care provided to the operating forces. This
instruction is a complete revision and should be reviewed in its entirety. The changes in
subparagraphs 1a through 1d have been implemented.
a. Deleted previous enclosures and paragraphs detailing professional qualifications and
privileging procedures as they are covered in reference (a).
b. Revised subparagraph 8f to clarify ongoing monitoring of event outcomes.
c. Added four new provider types to enclosure (1).
d. Added nine new screening requirements to enclosure (2) and three new screening
requirements to enclosure (3).
2. Cancellation. OPNAVINST 6320.7A and MCO 6320.4.
