MCO 6320.4A - Health Care Quality Assurance Policies for Operating Forces

Scope

MCO 6320.4A, issued jointly with OPNAVINST 6320.7B on 2022-12-16, updates and reissues policy, prescribes procedures, and assigns responsibilities for the quality assurance of health care provided to the operating forces. The revision cancels MCO 6320.4 and OPNAVINST 6320.7A, deletes the professional qualifications and privileging enclosures in favor of BUMEDINST 6010.30, adds four provider types to the definitions, and adds twelve screening requirements across the medical and dental occurrence screening lists. The Secretary of the Navy holds policy oversight of the Clinical Quality Management Program within the Department of the Navy. BUMED-M3B62 is the program office of record.

Audience

• Commanders of operating forces overseeing the quality of health care delivered to their Marines and Sailors.
• Medical and dental department staff executing quality assurance procedures.
• Appeal authorities and review authorities named in the order's enclosures.
• BUMED-M3B62 staff administering the program of record.

Enclosure map

• Enclosure 1. Definitions.
• Enclosure 2. Operational Forces Medical Occurrence Screening List.
• Enclosure 3. Operational Forces Dental Occurrence Screening List.

Operative content

• The order is the portal's citation of record for clinical quality assurance. The MCO P6320.13 clarification entry directs authors to cite MCO 6320.4 for clinical quality assurance topics.
• Occurrence screens for operational forces medical and dentistry carry their own enclosure.
• The commander oversight matrix lists the order among its command-program references.

Connection to higher policy

• Secretary of the Navy. Policy oversight of the Clinical Quality Management Program.
• OPNAVINST 6320.7B. Joint issuance partner from the Chief of Naval Operations.
• DoDI 6025.13 of 2011-02-17 and DHA-PM 6025.13 Volume 3 of 2019-08-29. Referenced by the order.
• OPNAVINST 6400.1D. Referenced by the order.

Connection to Marine Corps doctrine and lower policy

• MCWP 4-11.1, Health Service Support Operations. Companion doctrine for Marine Corps HSS.
• BUMEDINST 6010.30, BUMEDINST 6010.13, and BUMEDINST 6550.10B. Referenced Navy medicine instructions. Professional qualifications and privileging procedures live in BUMEDINST 6010.30.
• MCO P6320.13. A placeholder entry on the portal routing clinical quality assurance citations to this order.

Status

MCO 6320.4A published 2022-12-16 jointly with OPNAVINST 6320.7B, signed from the Office of the Chief of Naval Operations and Headquarters Marine Corps, N093/CMC-MED. It cancels the 2007 base order MCO 6320.4 and OPNAVINST 6320.7A. MCPEL lists the A revision as Current. Verified against the signed instruction on 2026-07-15. The external link opens the MCPEL landing page for the A revision.