DoD Military Injury Metrics
Working Group White Paper
DoD Military Injury Metrics Working Group White Paper, November 2002
DoD Military Injury Metrics Working Group White Paper
1. Background. The DoD Military Injury Metrics Working Group was tasked to identify appropriate
and standardized military injury metrics for the Department of Defense; to identify the best data sources
for the metrics; to identify data gaps and limitations and develop recommendations; and to propose
appropriate military injury metric reduction goals.
a. Military Injury Metrics. The Working Group recommends four injury metrics for immediate
implementation: Injury Case Rate, Lost Day Injury Case Rate, Limited Duty Injury Case Rate, and Lost
Days Rate. The Working Group also recommends Limited Days Rate as a future metric.
b. Target Database. The Working Group recommends targeting medical data to identify injury
cases and capture lost days. At present, the Defense Medical Surveillance System offers the best linkage
between medical and personnel data for the calculation of the metrics.
c. Data Gaps. Data gaps were identified in the ambulatory medical data, outsourced care, duty
limitation information, convalescent leave recording, cause coding, deployment injury data, shipboard
injury data, personnel data and safety data. These data gaps are discussed in detail and specific
recommendations are offered (pages 11-18). In addition, the Working Group recommends including cost
estimation information with the injury metrics (page 13).
d. Injury Reduction Target Metrics. The Working Group recommends all four of the
recommended military injury metrics for the reduction targets. Targeting all four metrics will provide a
more complete picture of military injuries and reduce the potential for error and misinterpretations.
Furthermore, due to significant data capture differences among the Services, the Working Group
recommends that the injury reduction targets be set