Shared Flashcard Set

Details

4AO71
Notes
35
Medical
Not Applicable
03/15/2010

Additional Medical Flashcards

 


 

Cards

Term
What is the TRICARE access to care standard for Urgent Care?
Definition
24 hours
Term
What is the TRICARE access to care standard for Routine Appointment?
Definition
7 Days.
Term
What is the TRICARE access to care standard for Routine Specialty Care?
Definition
28 Days/4 Weeks
Term
What is the TRICARE access to care standard for Wellness, health promotion?
Definition
28 days/4 weeks
Term
What are the benefits of the Open Access (OA) Appointment Method?
Definition

Benefits include:

 

Reduced Triaging Time

Timely Access to Care

Enhanced Patient Trust

Decreased Patient No-Show or Cancellation Rates

Increased Flexibility of Provider Schedules

Term
What is DIGMA and what does it do for the MDG?
Definition

DIGMA is drop-in group medical appointment.

 

It allows MTF's to see more patients with similar medical issues without making the work day longer. It also improves education for the patient.

Term
What module in CHCS helps improve access to care for beneficiaries?
Definition
Managed Care Program (MCP)
Term

What is PIB?

 

What does it do?

Definition

Performance Improvement Board

 

Sets performance metrics to promote continuous improvement throughout the AFMS.

Term
What are some tools that help MTF's manage access to care (ATC)?
Definition
P2R2 access metric, P2R2 Virtual Analyst, CHCS ATC summary report, TRICARE Operations Center (TOC), MTF Template Analysis Tool (TAT), Access Improvement Module (AIM), and Military Health System (MHS) appointment type utilization report.
Term
What is P2R2 access metric?
Definition

A performance measurement tool that is used to record and manage monthly ATC performance in relation to established standards.

 

Pulled from CHCS

Term

Who is the P2R2 POC?

 

How often does this POC update the metrics?

Definition

MTF Group Practice Manager.

 

Monthly.

Term
What is routine access displayed on?
Definition
Balanced Scorecard.
Term
What is same day access displayed on?
Definition
Virtual Analyst.
Term
What are the scheduling supervisor menu reports that you can print from CHCS to manage ATC?
Definition

Appointment Utilization Report

Clerk Workload Report/Clerk Workload Recap Report

Clinic Workload Report

Command Facility Workload Recap Report

Facility Cancellation Statistical Report

Initial and Follow-Up Clinic Visit Report

Monthly Statistical Report

Next Available Appointment Report

No-Show Statistical Report

Patient Cancellation Statistical Report

Term
What does Appointment Utilization Report show and it's benefit?
Definition

It shows the planned access and availability of care.

 

Benefit: shows unbooked appointments.

Term
What does the Clerk Workload (Recap) Report provide?
Definition

It provides stats on the number of appts made by each clerk in each clinic in the facility.

 

(It is a good comparitive summary of unscheduled activity in  the clinic, department, and division.)

Term
What does the Clinic Workload Report allow you to do and how often is it ran?
Definition

It displays/prints clinic workload data & visit summary reports.

 

Monthly.

Term
What does the Command Facility Workload Recap Report tell?
Definition

It tells upper management the clinic level summary view of the:

Monthly Stat Report

No-Show Stat Report

Facility Cancellation Stat Report

Patient Cancellation Stat Report

Term
What does the Facility Cancellation Stat Report provide?
Definition

It provides the total number of facility appt cancellations by reason for each clinic and provider.

 

(can be ordered by clinich, division, or group)

Term
What does the Initial & Follow-Up Clinic Visit Report provide?
Definition

It provides the number of initial and follow-up clinic visits by inpatients and outpatient as defined by CATEGORY field in APPT TYPE ENTER/EDIT option.

 

(order by division or group)

Term
What does the Monthy Stat Report provide?
Definition
It provides monthly stats by clinic, division, and group. It list count/non-count workloads for in/outpatient visits based on MEPRS code of the clinic.
Term
What are the four parts of the Monthly Stat Report?
Definition

1: Lists # of in/outpatient visits & appts by clinic & provider in each clinic

2: Lists # of in/outpatient visits & appts by PATCAT

3: Lists # of in/outpatient visits & appts by MEPRS code and clinic

4: Lists total summary for each department, division, and group.

Term
What does the Next Available Appt Report provide?
Definition
It provides a preview of the availability of appts by appt type and by provided w/in a clinic on a given date and time.
Term
What does the No-Show Stat Report provide?
Definition
It provides a profile of no-shows by provider, clinic, division, and group. It lists patient's by name which failed to attend appt.
Term
What does the Patient Cancellation Stat Report do?
Definition

It shows the total number of appt cancellations by reason for each clinic and provider and shows total number of appts that were canceled by the patient but rescheduled.

 

(three parts)

Term
What are the three parts to the Patient Cancellation Stat Report?
Definition

1: Lists patient cancellation by clinic for both count and non-count workload

2: division level summary of clinic level stats for both count and non-count workload for a specified date range

3: facility level report of clinic count and non-count workload. (3 only printed when a report is generated for group)

Term
What is the ATC Summary Report designed to do?
Definition

Calculate the time between the appt request and when the patient is actually seen by the provider.

 

It measures how well MTF is meeting DOD ATC standards.

Term
What are some of the benefits of using and managing ATC Summary Reports?
Definition

MTFs can:

 

More accurately predict patient access to specific clinic services ahead of time

Assess access by type of beneficiary

(and MAJCOMs) plan more effectively

Identify problem areas in booking and take appropriate corrective action.

Term
What does the MHS Appt Type Utilization Report provide from the TOC?
Definition

It reflects appt types utilized by the MTF.

 

Updated daily, and database reflecting metrics is updated monthly.

Term
ATC Reports located at the TOC show what?
Definition

Summary Info, management info, canceled by clinic, canceled by the patient, no show, walk in, sick call, and detail usage, and archived reports.

 

You can also find current enrollment and eligible population data, PCM capacity and assignments, provider schedules, and appt cancellation by MTF.

Term
What is TAT and what does it do?
Definition

Template Analysis Tool

 

MTF level management tool to eval scheduling adequacy and sufficiency of an MTFs schedule and/or templates in support of TRICARE Prime access standards.

Term
What does AIM mean?
Definition
Access Improvement Module.
Term
Why was AIM developed?
Definition

to ease the burden of analyzing data from the many reports in CHCS.

 

Get access through GPM.

 

Bases on previous 28 Days.

Term
What does BDQAS stand for.
Definition
Biometric Date Quality Assurance Service
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