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The Accession Medical Standards Analysis and Research Activity (AMSARA) has provided the Department of Defense with evidence-based evaluations of accession standards since 1996. As part of this ongoing research activity, data are collected from each service s Disability Evaluation System (DES). Disability evaluation is administered at the service level, with each branch of service responsible for the evaluation of disability in its members. Variability in the type of data available in existing AMSARA databases for each service is present as the result of service level collection of data on disability evaluations and the lack of accession information on many individuals evaluated for disability. AMSARA s mission was expanded in FY 2009 to include audits and studies of existing disability evaluation system by the request of the Office of Assistant Secretary of Defense, Health Affairs. This report describes analyses conducted in fiscal year 2012 of existing DES data collected for accessions and disability research through the end of fiscal year 2011.

Discussion/Background: Accession Medical Standards Analysis and Research Activity (AMSARA's) mission is to support the development of evidence based medical accession standards for the Department of Defense (DoD) by guiding improvement of medical and administrative databases and conducting epidemiologic and special studies. AMSARA's mission has recently expanded to include analysis and studies of existing disability tri-service evaluation system by the request of the Office of Assistant Secretary of Defense, Health Affairs. The DES Annual Report (AR) includes executive summary, methods, history of medical disqualification, pre-existing conditions, accession medical waiver, and hospitalization among service members evaluated for disability, service disability evaluation databases limitations from FY 05 to FY 10, data quality and standardization recommendations, future research, and publications and presentations., The original document contains color images.

Accession Medical Standards Analysis and Research Activity (AMSARA's) mission is to support the development of evidence based medical accession standards for the Department of Defense (DoD) by guiding improvement of medical and administrative databases and conducting epidemiologic and special studies. AMSARA's mission has recently expanded to include analysis and studies of existing disability tri-service evaluation system by the request of the Office of Assistant Secretary of Defense, Health Affairs. The DES Annual Report (AR) includes executive summary, methods, service descriptive analysis by service of DES databases from FY 01 to FY 09, DES database limitations, DES database recommendations, special studies and future research. The special studies presented in this AR included analyses of risk factors for Disability Retirement among the US Army and US Marines enlisted service members. DES database provide a basis for future studies of risk factors for disability processing, separations, and retirement., The original document contains color images. Task no. 4