Measuring Access to Care Through Changes in the Composite Health Care System (CHCS).

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Abstract:

The purpose of this study is to demonstrate how to improve the measurement of access through changes in the Department of Defenses medical information system, the Composite Health Care System CHCS. The research question is, what percent of our beneficiaries who make contact with an appointment specialist are unable to receive an appointment Specific attention is given to how many beneficiaries try to get an appointment through the appointment specialist, only to be told there are no appointments available. This study found that in the month of January 1998 eleven percent of the TRICARE Prime enrollee callers could not get an appointment at Military Treatment Facilities MTFs located in the Colorado Springs area, also known as the Pikes Peak Region. In that same month, nine percent of the TRICARE Prime enrollee callers could not get an appointment at Evans Army Community Hospital EACH. Medical Treatment Facilities currently have no method for measuring how many beneficiaries are turned-away other than through trial and error or through Military Health Service MHS Performance Report Card survey. This study recommends a method for measuring the number of beneficiaries denied appointments. Those recommendations come in the form of slight modifications to the existing information system, CHCS.

Author(s):
Strait, Tami H.
Author Organization(s):
ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATION
Descriptive Note:
Final rept. Jul 97-Jul 98
Pagination:
0059

Security Markings

DOCUMENT & CONTEXTUAL SUMMARY

Distribution:
Approved For Public Release

RECORD

Collection: TR
Identifying Numbers
Report Number(s):
HCA-13/98
Monitor Series:
HCA
 Subject Terms
Joint Capability Areas:
JCA_1.4_Force Support; JCA_1.4.1_Force Health Protection; JCA_6.4.1_Secure Information Exchange; JCA_4.6.1_General Engineering; JCA_4.6_Engineering; JCA_6_Net Centric; JCA_5_Command and Control; JCA_8_Building Partnerships; JCA_6.4_Information Assurance; JCA_8.1_Communicate; JCA_8.1.3_Influence Adversary and Competitor Audiences; JCA_5.3_Planning; JCA_1.4.2_Health Service Delivery; JCA_1_Force Support; JCA_5.5.1_Communicate Intent and Guidance; JCA_5.5_Direct; JCA_1.2_Force Preparation; JCA_5.3.3_Develop Strategy; JCA_6.1.3_Switching and Routing; JCA_6.1_Information Transport; JCA_5.4_Decide
Communities of Interest:
No COI(s) Identified
Descriptor(s):
*INFORMATION SYSTEMS, *MEDICAL SERVICES, *HOSPITALS, *HEALTH CARE FACILITIES, MILITARY FORCES(UNITED STATES), MEASUREMENT, MILITARY FACILITIES, DEFENSE SYSTEMS, ARMY FACILITIES, REPORTS, SURVEYS, ACCESS, CARDS
Field(s)/Group(s):
Medicine and Medical Research, Medical Facilities, Equipment and Supplies, Computer Programming and Software
Keyword(s):
CHCS(COMPOSITE HEALTH CARE SYSTEM)
Report Date:
1998 Jun 11
Creation Date:
2000 Jan 27