Quality Assurance Program (QAP)
An evaluation program designed to assess whether an organization performs work in accordance with established policy and procedures.
This website has recently undergone changes. As a result, the website is experiencing intermittent interruptions. We're aware of this issue and we're working to resolve these issues. Users finding unexpected concerns may care to clear their browser's cache to ensure a seamless experience.
Military Health System Health Care Glossary serves as the official repository and consolidated reference (as a secondary source) for terms and definitions used within the MHS. Some terms may have multiple and varying definitions based on the context and primary source of authority. Note that certain definitions may be approved only for limited use in a single primary reference document, while others may have broad applicability in multiple contexts and issuances. To determine the most appropriate definition in a particular context, consult all relevant source documents. Any disparities between this Glossary and primary sources are unintentional, and the primary source shall control.
We found 1226 items
An evaluation program designed to assess whether an organization performs work in accordance with established policy and procedures.
Targeted reviews of specific issues, conditions, or high-level interest items using constructed cases. A review board, external to the Military Departments, will construct the cases and evaluate physical evaluation board (PEB) performance on the targeted policy issues within the constructed cases.
Assignment of disability ratings are based on the Department of Veterans Affairs Schedule for Rating Disabilities as implemented by Part 4 of Title 38, Code of Federal Regulations (also known as the “Department of Veterans
Affairs Schedule for Rating Disabilities (VASRD)”) and DOD Manual 1332.18, Volume 1, “Disability Evaluation System (D...
The number of casualties per 1,000 population at risk. This term and its definition are proposed for inclusion in the next edition of Joint Publication 1-02 (Reference (h)).
Formulas used by the Military Services for operational and force structure planning. For example, the Army assigns one forward surgical team to every committed brigade combat team, and the Air Force deploys one behavioral health team for every 2,000 deployed Air Force personnel.
PCOF data are probabilities that a certain diagnosis will occur. In a planning tool, casualty rates determine the number of casualties. PCOF data determines the diagnosis that will be applied to each of the casualties.
The Army, Navy, Air Force, Marine Corps, Coast Guard, National Oceanic and Atmospheric Administration, and Public Health Services.
The DOD’s managed health care program for active duty service members (ADSMs), military families, military retirees and their families, survivors, and other TRICARE-eligible beneficiaries. TRICARE is a blend of the military’s system of hospitals and clinics and civilian providers.
The mechanism by which the Secretary of Defense exercises authority to provide care in DoD MTFs in the United States for foreign materiel program (FMP) and their dependents on a non-reimbursable basis if comparable care is made available to at least a comparable number of United States military personnel and their dependents in that foreign country. RHCAs...
The central coordinating agency for allegations of fraud and abuse within the TRICARE Program.
The geographic area where TRICARE Prime benefits are offered. At a minimum, this includes areas around MTFs and BRAC sites.
Privately held companies contracted by the U.S. Government (USG) to handle all TRICARE claims for any given region. The government directs fiscal intermediaries through federal regulations and guidelines. At times a fiscal intermediary may subcontract claims processors to adjudicate claims.
A prior authorization is a review of the requested health care service to determine if it is medically necessary at the requested level of care.
A program of practical bilateral cooperation between individual Euro-Atlantic partner countries and NATO. It allows partners to build up an individual relationship with NATO, choosing their own priorities for cooperation.
Designed to provide health care services to Active Duty Service Member (ADSMs) assigned to remote locations in the United States, usually more than 50 miles or a 1-hour drive, from a military hospital or clinic.
The appearance of hyperlinks does not constitute endorsement by the Department of Defense of non-U.S. Government sites or the information, products, or services contained therein. Although the Defense Health Agency may or may not use these sites as additional distribution channels for Department of Defense information, it does not exercise editorial control over all of the information that you may find at these locations. Such links are provided consistent with the stated purpose of this website.
You are leaving Health.mil View the external links disclaimer.