Medical Management Guide, 2009, Version 3.0 - Tricare

Page 142Medical Management Tools Version 3.0Medical Management GuideIn 2005, the MHS introduced an automated formatfor Tri-Service business plans. This format is:• Focused on MTFs that are able to receive inputand validation from MSMOs and TROs.• Automated and standardized with easy, onscreenaccess guidance.• Mapped to HA and Service-level measures.• Comprised of measures that relate to criticalinitiatives approved by all Services (modes ofexecution may vary).Fig. 39 is a sample MTF enrollment template. Thetemplate is stratified by patient (i.e., beneficiary)categories, gender, and age. The demographics ofthe enrolled population can be an indicator of futuredemand.weighted products (RWPs) by major diagnosticcategories (MDC) and is stratified by treatmentlocations. Normative demand (third column)indicates the expected RWP workload based onthe MTF’s enrolled population. The data under theEnrollee columns show the MTF’s actual workloadfor care provided in house, in other MTFs, and in thenetwork.Fig. 41 is a sample MTF outpatient demand andworkload template, which forecasts total relativevalue units (RVUs) by Service and product lines,stratified by treatment locations.The final section of the business plan is themanpower template (Fig. 42).Fig. 40 is a sample MTF inpatient demand andworkload template, which forecasts total relativeThe manpower template displays historical full-timeequivalents (FTEs) by source (i.e., contract staff,Fig. 39 – Sample MTF Enrollment Template