Access, Cost, Quality, and Safety

Army OTSG/MEDCOM Policy Memo 14-085: Prevention of Catheter Associated Urinary Tract Infections (CAUTI)

This policy memo provides standardized definitions, standardized guidelines for insertion and maintenance of urinary catheters, and standardized processes for data collection and reporting of CAUTIs.

• Identification #: N/A
• Date: 10/23/2014
• Type: Memorandums
• Topics: Access, Cost, Quality, and Safety | MHS Quality, Patient Safety, and Access Information (for Patients)

Army OTSG/MEDCOM Policy Memo 14-083: Prevention of Ventilator-Associated Pneumonia (VAP)

This policy memorandum directs Commanders to incorporate health care delivered to patients placed on ventilators at the patient's bedside whose measures that have been shown to prevent or reduce VAP as described in the current scientific literature.

• Identification #: N/A
• Date: 10/17/2014
• Type: Memorandums
• Topics: Access, Cost, Quality, and Safety | MHS Quality, Patient Safety, and Access Information (for Patients)

Dual Loyalties of Medical Providers

Briefing at the August 11, 2014 Defense Health Board meeting on Dual Loyalties of Medical Providers

Army MEDCOM Regulation 40-57: Trial of Labor for Patients Attempting Vaginal Birth After Previous Cesarean Delivery

This regulation provides standardized guidance to promote maximum effectiveness and safety to the maternal-fetal unit during trial of labor (TOL) for vaginal birth after cesarean (VBAC) section delivery and to provide an optimal environment and psychosocial support to the patient.

• Identification #: N/A
• Date: 6/16/2014
• Type: Directives
• Topics: Access, Cost, Quality, and Safety | MHS Quality, Patient Safety, and Access Information (for Patients)

Maximizing Value and Readiness in Delivering Joint Health Care at Camp Lejeune

Briefing about Maximizing Value and Readiness in Delivering Joint Health Care at Camp Lejeune

MHS IM-IT Submissions Form Instructions

Instructions for completing the MHS IM-IT Submissions Form. The form is used to submit an idea that fosters a change to an IM/IT capability, policy/process, or system.

Army MEDCOM Regulation 40-59: Standardization of Inpatient Falls Risk Assessment and Documentation Falls Prevention Program

This regulation directs standardized implementation of endorsed evidence-based falls risk assessment tools: the Johns Hopkins Hospital Fall Risk Assessment© (adult) and the Miami Children’s Hospital’s Humpty Dumpty Scale© (pediatric). In addition, this regulation requires incorporation of falls assessment documentation into the inpatient (Essentris) electronic medical record (EMR).

• Identification #: N/A
• Date: 3/10/2014
• Type: Directives
• Topics: Access, Cost, Quality, and Safety | MHS Quality, Patient Safety, and Access Information (for Patients) | Patient Safety

2013 MHS Innovation Report

2013 Military Health System Innovation Report. This report contains information about MHS innovations in clinical care, research and development, and healthcare management. It also provides an overview of the MHS Innovation Program and information on the future of MHS innovation.

Evaluation of the TRICARE Program Fiscal Year 2014 Report to Congress

The Evaluation of the TRICARE Program: Access, Cost, and Quality, Fiscal Year 2014 Report to Congress is provided by the TRICARE Management Activity (TMA)/Office of the Chief Financial Officer (OCFO)—Defense Health Cost Assessment and Program Evaluation (DHCAPE), in the Office of the Assistant Secretary of Defense (Health Affairs) (OASD/HA).This evaluation report presents results trended over at least the most recent three fiscal years, where programs are mature and data permit. MHS cost, quality, and access data are compared with corresponding comparable civilian benchmarks, such as comparing beneficiary-reported access and experience to results from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey sponsored by the Agency for Healthcare Research and Quality (AHRQ), comparing our quality measures to the national expectations and results of the Joint Commission, and comparing healthrisky behavior to Healthy People 2020 objectives.

Army MEDCOM Regulation 40-48: Fires Associated with the Performance of Surgical Procedures

The purpose of this regulation is to provide policy and recommendations that will help ensure minimal risk of fires associated with the performance of surgical procedures in any healthcare setting to include, but not limited to, the following: operating room (OR), office-based, ambulatory surgery, and intensive care unit type.

• Identification #: N/A
• Date: 1/31/2014
• Type: Federal Regulations
• Topics: Access, Cost, Quality, and Safety | MHS Quality, Patient Safety, and Access Information (for Patients) | Patient Safety

Army MEDCOM Regulation 40-41: Medical Service – The Patient Safety Program

This regulation outlines the activities of the Army Medical Department (AMEDD) Patient Safety Program (PSP) to identify and centrally report actual and potential events in medical/dental systems and processes and to improve patient safety and healthcare quality throughout the AMEDD.

• Identification #: N/A
• Date: 5/8/2013
• Type: Federal Regulations
• Topics: Access, Cost, Quality, and Safety | MHS Quality, Patient Safety, and Access Information (for Patients) | Patient Safety | MHS Quality, Patient Safety, and Access Information (for Patients)

Expansion of the Chiropractic Program 13-001

Chiropractic services may now be added at Military Treatment Facilities (MTFs) that do not offer the service, subject to Military Department approval procedures and available funding. This change recognizes several requests from MTFs to add chiropractic services and the incorporation of chiropractic care in various pain management programs. Each Military Department shall establish its own policy for their MTFs to request approval to add chiropractic services or to transfer chiropractic authorizations to other MTFs.

• Identification #: 13-001
• Date: 3/18/2013
• Type: Memorandums
• Topics: Access to Health Care | Access, Cost, Quality, and Safety

Evaluation of the TRICARE Program Fiscal Year 2013 Report to Congress

The Evaluation of the TRICARE Program: Access, Cost, and Quality, Fiscal Year 2013 Report to Congress is provided by the TRICARE Management Activity (TMA)/Office of the Chief Financial Officer (OCFO)—Defense Health Cost Assessment and Program Evaluation (DHCAPE), in the Office of the Assistant Secretary of Defense (Health Affairs) (OASD/HA).This evaluation report presents results trended over at least the most recent three fiscal years, where programs are mature and data permit. MHS cost, quality, and access data are compared with corresponding comparable civilian benchmarks, such as comparing beneficiary-reported access and experience to results from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey sponsored by the Agency for Healthcare Research and Quality (AHRQ), comparing our quality measures to the national expectations and results of the Joint Commission, and comparing healthrisky behavior to Healthy People 2020 objectives.

Guidelines for Suspension and Reinstatement of TRICARE Reserve Select Coverage 12-009

This memorandum clarifies the procedures under title 32 of the Code of Federal Regulations, section 199.24(d)(3) for suspending TRICARE Reserve Select (TRS) coverage for up to 12 months and, upon request from a TRS member/survivor request, lifting the suspension, which will reinstate coverage with no break.

• Identification #: 12-009
• Date: 9/24/2012
• Type: Memorandums
• Topics: Access, Cost, Quality, and Safety | Access to Health Care | TRICARE Health Program

Navy BUMED Instruction 6000.2E: Accreditation of Fixed Medical Treatment Facilities

This instruction establishes policy, publishes procedures, and assigns responsibility for the accreditation of Navy Medicine's (NAVMED) medical treatment facilities (MTFs). This instruction is a complete revision and must be read in its entirety.

• Identification #: N/A
• Date: 7/16/2012
• Type: Instructions
• Topics: Access, Cost, Quality, and Safety | MHS Quality, Patient Safety, and Access Information (for Patients) | MHS Quality, Patient Safety, and Access Information (for Patients)