Access, Cost, Quality, and Safety

Reporting Infection Prevention and Control Data to the Centers for Disease Control and Prevention using the National Healthcare Safety Network 12-005

The purpose of this memorandum is to update Health Affairs Policy 08-020, which implemented the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) within the Military Health System (MHS).

• Identification #: 12-005
• Date: 5/22/2012
• Type: Memorandums
• Topics: Access, Cost, Quality, and Safety | Patient Safety

Enrollment of Active Duty Service Members in Terminal Leave Status

This memorandum describes the enrollment policy for Active Duty Service members (ADSMs) in terminal leave status. It restates our policy and provides further guidance on how ADSMs can access health care services while on terminal leave.

• Identification #: Terminal Leave Memo
• Date: 5/14/2012
• Type: Memorandums
• Topics: Access, Cost, Quality, and Safety | TRICARE Health Program

Evaluation of the TRICARE Program

Fiscal Year 2012 Report to Congress

Air Force Instruction 44-119: Medical Quality Operations

This instruction outlines military treatment facility (MTF) roles and responsibilities in the area of clinical performance improvement (PI), explains patient safety and risk management (RM) programs, PI/accreditation/self-inspection requirements, credentials and privileging processes, and scope of practice in order to provide optimal healthcare delivery.

• Identification #: N/A
• Date: 8/16/2011
• 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)

Navy BUMED Instruction 6010.28: Healthcare Resolutions Program

This instruction establishes Navy Medicine strategic policy for the promotion of organizational transparency and full disclosure following unanticipated or adverse outcomes of care; to assist the enterprise in "doing the right thing" when there are unanticipated outcomes of care, treatment and services; to train and coach providers in disclosure techniques and to resolve complex healthcare issues at the earliest opportunity, outside a legal venue, with equitable resolutions for patients, providers, and the organization.

• Identification #: N/A
• Date: 5/23/2011
• Type: Instructions
• Topics: Access, Cost, Quality, and Safety | MHS Quality, Patient Safety, and Access Information (for Patients) | Patient Safety

Evaluation of the TRICARE Program Fiscal Year 2011 Report to Congress

Section 717 of the FY 1996 NDAA (PL 104-106)

Evaluation of the TRICARE Program Fiscal Year 2010 Report to Congress

The Evaluation of the TRICARE Program Fiscal Year 2010 Report to Congress is provided by: The TRICARE Management Activity (TMA), Health Program Analysis and Evaluation Directorate (TMA/ HPA&E), in the Office of the Assistant Secretary of Defense (Health Affairs) (OASD/HA). This report presents data for each of our four mission elements or strategic objectives: (1) maintaining casualty care and humanitarian assistance, (2) creating and sustaining a healthy, fit, and protected force, (3) promoting healthy and resilient individuals, families, and communities, and (4) improving education, training, and research. As in prior annual reports, where feasible and appropriate, data are trended over the most recent three fiscal years (usually FYs 2007–2009, in this year’s report), where programs are sufficiently mature. Where available and appropriate, we also continue the approach used in past years of comparing TRICARE with civiliansector benchmarks, such as in our beneficiary surveys of access and satisfaction.

Army Regulation 40-68: Clinical Quality Management

This consolidated regulation prescribes policies, procedures and responsibilities for the administration of the Clinical Quality Management Program. It includes DoD and statutory policies addressing medical services quality management requirements. In addition, it implements DoD 6025.13 – R, DoDD 6000.14 and other DoD guidance.

• Identification #: N/A
• Date: 5/22/2009
• Type: Federal Regulations
• Topics: Access, Cost, Quality, and Safety | MHS Quality, Patient Safety, and Access Information (for Patients) | MHS Quality, Patient Safety, and Access Information (for Patients)

Military Health System's Guide to Access Success

This document establishes roles, responsibilities, definitions and guidance for implementing, sustaining and managing military treatment facility (MTF) Access to Care (ATC) in the Military Health System (MHS).

Standardized "Do Not Use" Medical Abbreviations List

This memorandum established a list of standardized "do not use" medical abbreviations for all handwritten orders and medication-related documentation, including free-text computer entries and pre-printed forms.

• Identification #: N/A
• Date: 3/27/2007
• Type: Memorandums
• Topics: Access, Cost, Quality, and Safety | MHS Quality, Patient Safety, and Access Information (for Patients)

Mandatory Use of Full Patient Name and Date of Birth for Patient Identification

This memorandum requires military treatment facilities to use a patient's full name and date of birth for patient identification to standardize the patient identification process.

• Identification #: N/A
• Date: 3/27/2007
• Type: Memorandums
• Topics: MHS Quality, Patient Safety, and Access Information (for Patients) | Access, Cost, Quality, and Safety

Military Health System (MHS) Clinical Quality Assurance (CQA) Program Regulation

This Department of Defense (DoD) Regulation (6025.13-R) identifies the various components comprising the DoD's efforts to ensure that beneficiaries receive quality care.

• Identification #: N/A
• Date: 6/11/2004
• Type: Directives
• Topics: Access, Cost, Quality, and Safety | MHS Quality, Patient Safety, and Access Information (for Patients) | MHS Quality, Patient Safety, and Access Information (for Patients)

Navy BUMED Instruction 6010.18A: Participation in the National Practitioner Data Bank

This instruction requires all military and civilian practitioners who are assigned to, employed by or contracted to the Department of the Navy to participate in the National Practitioner Data Bank.

• Identification #: N/A
• Date: 2/14/2003
• Type: Instructions
• Topics: Access, Cost, Quality, and Safety | MHS Quality, Patient Safety, and Access Information (for Patients)

Navy BUMED Instruction 6010.23: Participation in the Military Health System Patient Safety Program

This instruction requires all shore-based commands providing medical and dental services, providing care, or participating in the health care delivery system to support the MHS Patient Safety Program.

• Identification #: N/A
• Date: 12/18/2002
• Type: Instructions
• Topics: Access, Cost, Quality, and Safety | MHS Quality, Patient Safety, and Access Information (for Patients) | Patient Safety

Navy BUMED Instruction 6010.21: Risk Management Program

This instruction establishes policy and assigns responsibility for organizational risk management activities. It defines minimal requirements for proactive and reactive responses in naval medical and dental treatment facilities.

• Identification #: Navy BUMED Instruction 6010.21
• Date: 10/29/1996
• Type: Instructions
• Topics: Access, Cost, Quality, and Safety | MHS Quality, Patient Safety, and Access Information (for Patients) | Patient Safety

Reporting Infection Prevention and Control Data to the Centers for Disease Control and Prevention using the National Healthcare Safety Network 12-005

The purpose of this memorandum is to update Health Affairs Policy 08-020, which implemented the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) within the Military Health System (MHS).

• Identification #: 12-005
• Date: 5/22/2012
• Type: Memorandums
• Topics: Access, Cost, Quality, and Safety | Patient Safety

Enrollment of Active Duty Service Members in Terminal Leave Status

This memorandum describes the enrollment policy for Active Duty Service members (ADSMs) in terminal leave status. It restates our policy and provides further guidance on how ADSMs can access health care services while on terminal leave.

• Identification #: Terminal Leave Memo
• Date: 5/14/2012
• Type: Memorandums
• Topics: Access, Cost, Quality, and Safety | TRICARE Health Program

Evaluation of the TRICARE Program

Fiscal Year 2012 Report to Congress

Air Force Instruction 44-119: Medical Quality Operations

This instruction outlines military treatment facility (MTF) roles and responsibilities in the area of clinical performance improvement (PI), explains patient safety and risk management (RM) programs, PI/accreditation/self-inspection requirements, credentials and privileging processes, and scope of practice in order to provide optimal healthcare delivery.

• Identification #: N/A
• Date: 8/16/2011
• 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)

Navy BUMED Instruction 6010.28: Healthcare Resolutions Program

This instruction establishes Navy Medicine strategic policy for the promotion of organizational transparency and full disclosure following unanticipated or adverse outcomes of care; to assist the enterprise in "doing the right thing" when there are unanticipated outcomes of care, treatment and services; to train and coach providers in disclosure techniques and to resolve complex healthcare issues at the earliest opportunity, outside a legal venue, with equitable resolutions for patients, providers, and the organization.

• Identification #: N/A
• Date: 5/23/2011
• Type: Instructions
• Topics: Access, Cost, Quality, and Safety | MHS Quality, Patient Safety, and Access Information (for Patients) | Patient Safety

Evaluation of the TRICARE Program Fiscal Year 2011 Report to Congress

Section 717 of the FY 1996 NDAA (PL 104-106)

Evaluation of the TRICARE Program Fiscal Year 2010 Report to Congress

The Evaluation of the TRICARE Program Fiscal Year 2010 Report to Congress is provided by: The TRICARE Management Activity (TMA), Health Program Analysis and Evaluation Directorate (TMA/ HPA&E), in the Office of the Assistant Secretary of Defense (Health Affairs) (OASD/HA). This report presents data for each of our four mission elements or strategic objectives: (1) maintaining casualty care and humanitarian assistance, (2) creating and sustaining a healthy, fit, and protected force, (3) promoting healthy and resilient individuals, families, and communities, and (4) improving education, training, and research. As in prior annual reports, where feasible and appropriate, data are trended over the most recent three fiscal years (usually FYs 2007–2009, in this year’s report), where programs are sufficiently mature. Where available and appropriate, we also continue the approach used in past years of comparing TRICARE with civiliansector benchmarks, such as in our beneficiary surveys of access and satisfaction.

Army Regulation 40-68: Clinical Quality Management

This consolidated regulation prescribes policies, procedures and responsibilities for the administration of the Clinical Quality Management Program. It includes DoD and statutory policies addressing medical services quality management requirements. In addition, it implements DoD 6025.13 – R, DoDD 6000.14 and other DoD guidance.

• Identification #: N/A
• Date: 5/22/2009
• Type: Federal Regulations
• Topics: Access, Cost, Quality, and Safety | MHS Quality, Patient Safety, and Access Information (for Patients) | MHS Quality, Patient Safety, and Access Information (for Patients)

Military Health System's Guide to Access Success

This document establishes roles, responsibilities, definitions and guidance for implementing, sustaining and managing military treatment facility (MTF) Access to Care (ATC) in the Military Health System (MHS).

Standardized "Do Not Use" Medical Abbreviations List

This memorandum established a list of standardized "do not use" medical abbreviations for all handwritten orders and medication-related documentation, including free-text computer entries and pre-printed forms.

• Identification #: N/A
• Date: 3/27/2007
• Type: Memorandums
• Topics: Access, Cost, Quality, and Safety | MHS Quality, Patient Safety, and Access Information (for Patients)

Mandatory Use of Full Patient Name and Date of Birth for Patient Identification

This memorandum requires military treatment facilities to use a patient's full name and date of birth for patient identification to standardize the patient identification process.

• Identification #: N/A
• Date: 3/27/2007
• Type: Memorandums
• Topics: MHS Quality, Patient Safety, and Access Information (for Patients) | Access, Cost, Quality, and Safety

Military Health System (MHS) Clinical Quality Assurance (CQA) Program Regulation

This Department of Defense (DoD) Regulation (6025.13-R) identifies the various components comprising the DoD's efforts to ensure that beneficiaries receive quality care.

• Identification #: N/A
• Date: 6/11/2004
• Type: Directives
• Topics: Access, Cost, Quality, and Safety | MHS Quality, Patient Safety, and Access Information (for Patients) | MHS Quality, Patient Safety, and Access Information (for Patients)

Navy BUMED Instruction 6010.18A: Participation in the National Practitioner Data Bank

This instruction requires all military and civilian practitioners who are assigned to, employed by or contracted to the Department of the Navy to participate in the National Practitioner Data Bank.

• Identification #: N/A
• Date: 2/14/2003
• Type: Instructions
• Topics: Access, Cost, Quality, and Safety | MHS Quality, Patient Safety, and Access Information (for Patients)

Navy BUMED Instruction 6010.23: Participation in the Military Health System Patient Safety Program

This instruction requires all shore-based commands providing medical and dental services, providing care, or participating in the health care delivery system to support the MHS Patient Safety Program.

• Identification #: N/A
• Date: 12/18/2002
• Type: Instructions
• Topics: Access, Cost, Quality, and Safety | MHS Quality, Patient Safety, and Access Information (for Patients) | Patient Safety

Navy BUMED Instruction 6010.21: Risk Management Program

This instruction establishes policy and assigns responsibility for organizational risk management activities. It defines minimal requirements for proactive and reactive responses in naval medical and dental treatment facilities.

• Identification #: Navy BUMED Instruction 6010.21
• Date: 10/29/1996
• Type: Instructions
• Topics: Access, Cost, Quality, and Safety | MHS Quality, Patient Safety, and Access Information (for Patients) | Patient Safety