DOD INSTRUCTION 6025.13
M
EDICAL QUALITY ASSURANCE AND CLINICAL QUALITY
MANAGEMENT IN THE MILITARY HEALTH SYSTEM
Originating Component: Office of the Under Secretary of Defense for Personnel and Readiness
Effective: July 26, 2023
Change 1 Effective: May 23, 2025
Releasability: Cleared for public release. Available on the Directives Division Website
at https://www.esd.whs.mil/DD/.
Reissues and Cancels: DoD Instruction 6025.13, “Medical Quality Assurance and Clinical
Quality Management in the Military Health System,” February 17, 2011,
as amended
Cancels: See Paragraph 1.3.
Approved by: Gilbert R. Cisneros, Jr., Under Secretary of Defense for Personnel and
Readiness
Change 1 Approved by: Jules W. Hurst III, Performing the Duties of the Under Secretary of
Defense for Personnel and Readiness
Purpose: In accordance with the authority of DoD Directive 5124.02, this issuance:
• Establishes policy, assigns responsibilities, and provides procedures for medical quality assurance
and clinical quality management (CQM), consistent with the requirements of section 744 of the William
M. (Mac) Thornberry National Defense Authorization Act for Fiscal Year 2021.
• Authorizes the Defense Health Agency (DHA) to issue further guidance involving medical quality
assurance, CQM programs, activities for all military medical treatment facilities (MTFs), and all
operational clinical services to the extent practicable, in the Military Health System (MHS).
• Supersedes the February 13, 2012 Assistant Secretary of Defense for Health Affairs Memorandum
but only with respect to the reporting of sentinel events.
