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Army National Guard (ARNG) Periodic Health Assessment (PHA)

What is it?
With units regularly mobilizing and deploying, there is an increased need to monitor and track Soldiers’ medical readiness with a special emphasis on preventive measures. In order to improve individual medical readiness (IMR) rates, the Army has implemented the Periodic Health Assessment (PHA) program, which requires an annual physical exam that replaces the requirement for the five-year retention physical.

The PHA consists of two parts. Part one is a self-assessment completed by the Soldier; part two is the provider assessment, which is transferred to the automated Army Medical Protection System as the Soldier’s updated physical capacity/stamina, upper extremities, lower extremities, hearing/ear, eyes, psychiatric (PULHES) medical profile.

The PHA is considered current if it has been less than 15 months since the last PHA ('Green' for less than 12 months, 'Amber' for less than 15 months). The PHA results consist of the health assessment, height, weight, PULHES, and potential for deployability within six months. These items will be entered into the Medical Operational Data System PHA (MODS PHA) Module.

What has the ARNG done?
The ARNG created PHA sets to distribute to each of the 50 states and four territories. A single set consists of 14 laptop computers and one printer (with all required accessories). Small states received one set; medium states received two or three sets; and large states received up to four sets. States are currently using these sets both for providers during the health assessment and to give Soldiers the opportunity to complete their self-assessment.

Additionally, the ARNG offers training to medical managers and healthcare providers to ensure they are fully trained and knowledgeable about the PHA process. This will include training at conferences, site visits, and topical training at the professional education centers.

What continued efforts does the ARNG have planned for the future?
The ARNG will continue to improve the PHA program and assist states in any way possible. The ARNG is currently discussing and evaluating new systems and initiatives that will assist the states in completing PHA requirements. The ARNG is committed to the PHA program and improving IMR across the National Guard.

Why is this important to the Army?
The five-year retention physical has served the military well in previous years; however, the overwhelming increase in mobilizations and deployments requires closer tracking of Soldiers’ individual medical readiness to ensure they are available for deployment at any time. The PHA will ensure that all Soldiers, including members of the ARNG, regularly see a provider to evaluate their health, and identify any preventive healthcare measures that need to be taken. An individual Soldier’s medical readiness is critical to ensuring that units are prepared for deployment when called upon.

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