Delivering the TRICARE Promise at Fort Carson
ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATION
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Delivering the TRICARE Promise involves compliance with specific standards especially in the area of access. The TRICARE pamphlets that are given to beneficiaries state that they should get an acute appointment within 24 hours and for routine care an appointment within one week. Preventionwellness appointments are scheduled within a month. Patients should have to wait no longer than 30 minutes to see a provider during an appointment. The pamphlets also state that the beneficiary gets to choose their own individual primary care manager. At Fort Carson a conscious decision was made to enroll to teams or clinics not individual primary care managers based on medical need. Active duty patients on sick call are exempt from the standard of waiting no longer than 30 minutes to see a provider. The Surgeon Generals directive in July of 1999 for all beneficiaries to be assigned to an individual primary care manager was an opportunity to review the implementation of the TRICARE Promise at Fort Carson. This project evaluates the Promise beginning with inprocessing to the post through assignment of a primary care manager to what actions are taken when a beneficiary who is an active duty soldier, a family member, or a retiree requires medical care. This project led to a revision of the Welcome Center TRICARE briefing making it more focused towards care at Fort Carson versus a TRICARE overview.
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