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[Federal Register Volume 79, Number 144 (Monday, July 28, 2014)]
[Notices]
[Pages 43727-43729]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-17626]

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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID DoD-2014-OS-0114]

Privacy Act of 1974; system of records

AGENCY: Defense Health Agency, DoD.

ACTION: Notice to alter a system of records.

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SUMMARY: The Defense Health Agency is proposing to alter an existing 
system of records, EDHA 08, entitled ``Health Affairs Survey and Study 
Data Base'', in its inventory of record systems subject to the Privacy 
Act of 1974, as amended. This system will be used to collect, assemble, 
interpret, analyze, report and publish survey and study findings and 
results for the purpose of improving the quality of DoD health care and 
the health status, welfare, and well-being of the DoD beneficiary 
population. Uses of identifiable data include primary analysis; 
secondary analysis; non-response analysis; and cross-mapping analysis. 
Results will only be reported in the aggregate.

DATES: Comments will be accepted on or before August 27, 2014. This 
proposed action will be effective the date following the end of the 
comment period unless comments are received which result in a contrary 
determination.

ADDRESSES: You may submit comments, identified by docket number and 
title, by any of the following methods:
     Federal Rulemaking Portal: http://www.regulations.gov. 
Follow the instructions for submitting comments.
     Mail: Federal Docket Management System Office, 4800 Mark 
Center Drive, East Tower, 2nd Floor, Suite 02G09, Alexandria, VA 22350-
3100.
    Instructions: All submissions received must include the agency name 
and docket number for this Federal Register document. The general 
policy for comments and other submissions from members of the public is 
to make these submissions available for public viewing on the Internet 
at http://www.regulations.gov as they are received without change, 
including any personal identifiers or contact information.

FOR FURTHER INFORMATION CONTACT: Ms. Linda S. Thomas, Chief, Defense 
Health Agency Privacy and Civil Liberties Office, Defense Health 
Agency, 7700 Arlington Boulevard, Suite 5101, Falls Church, VA 22042-
5101, or by phone at (703) 681-7500.

SUPPLEMENTARY INFORMATION: The Defense Health Agency notices for 
systems of records subject to the Privacy Act of 1974 (5 U.S.C. 552a), 
as amended, have been published in the Federal Register and are 
available from the address in FOR FURTHER INFORMATION CONTACT or at the 
Defense Privacy and Civil Liberties Office Web site at http://dpclo.defense.gov/.
    The proposed system report, as required by 5 U.S.C. 552a(r) of the 
Privacy Act of 1974, as amended, was submitted on July 1, 2014, to the 
House Committee on Oversight and Government Reform, the Senate 
Committee on Governmental Affairs, and the Office of Management and 
Budget (OMB) pursuant to paragraph 4c of Appendix I to OMB Circular No. 
A-130, ``Federal Agency Responsibilities for Maintaining Records About 
Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427).

    Dated: July 22, 2014.
Aaron Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
EDHA 08

System name:
    Health Affairs Survey and Study Data Base (November 18, 2013, 78 FR 
69076).

Changes:
* * * * *

System name:
    Delete entry and replace with ``Defense Health Agency Survey and 
Study Data Base.''

System location:
    Delete entry and replace with ``Defense Health Cost Assessment and 
Program Evaluation Division, Defense Health Agency, 7700 Arlington 
Boulevard, Suite 5101, Falls Church, VA 22042-5101.''

Categories of individuals covered by the system:
    Delete entry and replace with ``Uniformed services beneficiaries 
enrolled in the Defense Eligibility Enrollment Reporting System (DEERS) 
who are eligible for medical and dental health care; veterans and their

[[Page 43728]]

dependents; individuals who submit Medicare and/or Medicaid claims and 
are linked to DoD health care; DoD civilian employees and contractor 
personnel.''

Categories of records in the system:
    Delete entry and replace with ``Records in the system include name, 
address, sponsor and dependents' Social Security Number (SSN) and/or 
DoD Identification (DoD ID) number, family member prefix, demographics 
categories that include age, sex, date of birth, telephone number, 
email address, and military rank/civilian grade level, rank group 
(officer, enlisted, or civilian), patient identifier, and beneficiary 
category.
    Personal health information and clinical encounter data regarding 
interactions with health care systems, such as diagnoses, procedures, 
treatments, services, and benefits; self-reported health and health 
related response datasets such as surveys and focus groups; health care 
administrative data, such as inpatient, dental, outpatient, and 
pharmacy utilization rates; budgetary and managerial cost accounting 
data, such as claims processing, direct and purchased care workload, 
and costs; contingency tracking system data such as deployment status; 
and health plan eligibility and enrollment data.''

Authority for maintenance of the system:
    Delete entry and replace with ``10 U.S.C. 136, Under Secretary of 
Defense for Personnel and Readiness; 10 U.S.C. 1071 Notes, Annual 
Beneficiary Survey; 10 U.S.C. Chapter 55, Medical and Dental Care; 42 
U.S.C. Chapter 117, Encouraging Good Faith Professional Review 
Activities; DoDI 6025.13, Medical Quality Assurance (MQA) in the 
Military Health System (MHS); and E.O. 9397 (SSN), as amended.''

Purpose(s):
    Delete entry and replace with ``To collect, assemble, interpret, 
analyze, report and publish survey and study findings and results for 
the purpose of improving the quality of DoD health care and the health 
status, welfare, and well-being of the DoD beneficiary population. Uses 
of identifiable data include primary analysis; secondary analysis; non-
response analysis; and cross-mapping analysis. Results will only be 
reported in the aggregate.''

Routine uses of records maintained in the system, including categories 
of users and the purposes of such uses:
    Delete entry and replace with ``In addition to those disclosures 
generally permitted under 5 U.S.C. 552a(b) of the Privacy Act of 1974, 
as amended, these records may specifically be disclosed outside the DoD 
as a routine use pursuant to 5 U.S.C. 552a(b)(3) as follows:
    To the Department of Health and Human Services and/or the 
Department of Veterans Affairs consistent with their statutory 
administrative responsibilities.
    To the Office of Personnel Management for purposes related to DoD 
Federal employees and/or their health care benefits through DoD.
    To local and state governments and agencies for compliance with 
local laws and regulations governing control of communicable diseases, 
preventive medicine and safety; child abuse; and other public health 
and welfare programs.
    To academic, nonprofit, and commercial entities for surveys or 
authorized health research in the interest of the Federal Government 
and the public, where such releases are consistent with the mission of 
the Military Health System. When not essential for longitudinal 
studies, patient identification data shall be deleted from records used 
for research studies.

The DoD Blanket Routine Uses may apply to this system with the 
following noted exceptions:

    Note 1:  This system of records contains individually 
identifiable health information. The DoD Health Information Privacy 
Regulation (DoD 6025.18-R) or any successor DoD issuances 
implementing the Health Insurance Portability and Accountability Act 
of 1996 (HIPAA), and 45 CFR Parts 160 and 164, Health and Human 
Services, General Administrative Requirements and Security & 
Privacy, respectively, applies to most such health information. DoD 
6025.18-R or a successor issuance may place additional procedural 
requirements on the uses and disclosures of such information beyond 
those found in the Privacy Act of 1974, as amended, or mentioned in 
this system of records notice.

    Note 2:  Except as provided under 42 U.S.C. 290dd-2, records of 
identity, diagnosis, prognosis or treatment information of any 
patient maintained in connection with the performance of any program 
or activity relating to substance abuse education, prevention, 
training, treatment, rehabilitation, or research which is conducted, 
regulated, requested, or directly or indirectly assisted by a 
department or agency of the United States will be treated as 
confidential and disclosed only for the purposes and under the 
circumstances expressly authorized in 42 U.S.C. 290dd-2.''

* * * * *

Retrievability:
    Delete entry and replace with ``Records may be retrieved by name, 
DoD ID number or patient identifier, address, beneficiary category, 
sponsor and dependents SSN, family member prefix, demographic 
categories, such as age, sex, email address, military rank/civilian 
grade level, and rank group (officer, enlisted, or civilian).''

Safeguards:
    Delete entry and replace with ``Media, data and/or records are 
maintained in a controlled area. The computer system is accessible only 
to authorized personnel. Entry into these areas is restricted to those 
personnel with a valid requirement and authorization to enter. Physical 
entry is restricted by the use of locks, passwords which are changed 
periodically, and administrative procedures. The system provides two-
factor authentication including Common Access Cards or other means such 
as user ID/passwords. Access to personal information is restricted to 
those who require the data in the performance of their official duties, 
and have received proper training relative to the Privacy Act of 1974, 
as amended, the HIPAA Privacy and Security Rules, and Information 
Assurance.''

Retention and disposal:
    Delete entry and replace with ``Hard copy surveys are destroyed 
after the information contained in survey responses is entered into a 
computer system.
    Annual Beneficiary Survey, Destroy when 5 years old.
    Inpatient, Outpatient and other Beneficiary Satisfaction Surveys, 
Destroy when 5 years old.''

System manager(s) and address:
    Delete entry and replace with ``Director, Defense Health Cost 
Assessment and Program Evaluation Division, Defense Health Agency, 7700 
Arlington Boulevard, Suite 5101, Falls Church, VA 22042-5101.''

Notification procedure:
    Delete entry and replace with ``Individuals seeking to determine 
whether this system contains information about themselves should 
address written inquiries to the Director, Defense Health Cost 
Assessment and Program Evaluation Division, Defense Health Agency, 7700 
Arlington Boulevard, Suite 5101, Falls Church, VA 22042-5101.
    Requests should contain the name and number of this system of 
records notice, the individual's full name, current address, telephone 
number, and signature.
    If requesting information about a minor or legally incompetent 
person,

[[Page 43729]]

the request must be made by the custodial parent, legal guardian, or 
party acting in loco parentis of such individual. Written proof of that 
status may be required before the existence of any information will be 
confirmed.''

Record access procedures:
    Delete entry and replace with ``Individuals seeking access to 
information about themselves contained in this system should address 
written inquiries to the Chief, Freedom of Information Act Service 
Center, Defense Health Agency Privacy and Civil Liberties Office, 7700 
Arlington Boulevard, Suite 5101, Falls Church, VA 22042-5101.
    Requests should contain the name and number of this system of 
records notice, the individual's full name, current address, telephone 
number, and signature.
    If requesting records about a minor or legally incompetent person, 
the request must be made by the custodial parent, legal guardian, or 
party acting in loco parentis of such individual. Written proof of that 
status may be required before any records will be provided.''

Contesting record procedures:
    Delete entry and replace with ``The Office of the Secretary of 
Defense (OSD) rules for accessing records, for contesting contents, and 
appealing initial agency determinations are published in OSD 
Administrative Instruction 81; 32 CFR Part 311; or may be obtained from 
the system manager.''

Record source categories:
    Delete entry and replace with ``Individuals, DEERS, the Uniformed 
Services medical and dental treatment facilities, and facilities 
contracted by DoD to perform medical care for military members, former 
members, and dependents.''
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[FR Doc. 2014-17626 Filed 7-25-14; 8:45 am]
BILLING CODE 5001-06-P
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