Medical Management Guide, 2009, Version 3.0 - Tricare

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Page 150Appendix A - ReferencesVersion 3.0Medical Management GuideTRICARE Operations Manual 6010.51-M, 2002: http://manuals.tricare.osd.mil:• Chapter 8, Section 5 — Referrals/Preauthorizations/Authorizations• Chapter 12, Section 9 — Grievance and Grievance Processing• Chapter 13 — Appeals and Hearings, 2002DoD Instruction 6000.14, Patient Bill of Rights and Responsibilities in the Military Health System (MHS), 2007;http://www.dtic.mil/whs/directivesUnited States Code (U.S.C.) Title 10: http://www.gpoaccess.gov/cfr/index.html:• Section 47 — Uniformed Code of Military Justice• Section 55 — Medical and Dental Care:• 1074: Medical and dental care for members and certain former members• 1077: Medical care for dependents: authorized care in facilities of uniformed services• 1079: Contracts for medical care for spouses and children: plans• 1102: Confidentiality of medical quality assurance records: qualified immunity for participantsSection III – Case ManagementAmerican Health Consultants. Consider a New CM Model to Help Your Staff Work More Efficiently. HospitalCase Management, September 2005.Beauchamp, Tom L., Childress, James F. Principles of Biomedical Ethics. Oxford University Press, 1994, 2008 (6thed.).Cesta, Toni G., Hussein, Tahan, A. Case Manager’s Survival Guide Winning Strategies for Clinical Practice, 2nded., 2003.Cohen, E. L., Cesta, T. G. Nursing Case Management: From Essentials to Advanced Practice Applications. Mosby,2001.Dignified Treatment of Wounded Warriors Act, H.R. 1538. U.S. House of Representatives, July 25, 2007:http://www.govtrack.us/congress/billtext.xpd?bill=h110-1538.Hendricks, A. G. How prepared are you? Ethical and legal challenges facing case managers today. The CaseManager, May/June 2003, 56-62.Joint Publication 4-02.2 — Joint Tactics, Techniques, and Procedures for Patient Movement in Joint Operations,Dec. 30, 1996: http://www.dtic.mil/doctrine/jel/new_pubs/jp4_02_2.pdf.Kongstvedt, P.R. Essentials of Managed Health Care, 5th ed. Aspen, 2007.
Medical Management Guide Version 3.0 Appendix A - ReferencesPage 151Marcum, Cheryl Y., Emmerichs, Robert M.; Sloan, Jennifer S.; Thie, Harry J. Methods and Actions for ImprovingPerformance of the Department of Defense Disability Evaluation System. Rand, 2002.Meek, J. A. Predictive Modeling and Proactive Care Management: Part 1. Lippincott’s Case Management, July/August 2003, 8(4), 170-174.Mullahy, C. M. The Case Manager’s Handbook, 3rd ed. Aspen, 2004.Powell, S.K.; Ignatavicius, D. (Eds.) Case Management Society of America’s Core Curriculum for CaseManagement. Lippincott, Williams & Wilkins, 2001.Powell, S.K., Tahan, H.A. CMSA Core Curriculum for Case Management, 2nd ed., 294-300. Lippincott, Williams& Wilkins, 2008.Public Law 194-262 (H.R. 3118), Veterans’ Health Care Eligibility Reform Act of 1996. U.S. House ofRepresentatives, Oct. 9, 1996: http://www.tavausa.org/PL%20104-262.pdf.Steifel, F.E. Operationalizing integrated care on a clinical level: the INTERMED project, 713-758. The MedicalClinics of North America, 2006.Under Secretary of Defense, Directive-Type Memorandum (DTM) 08-049 – Recovery Coordination Program:Improvements to the Care, Management, and Transition of Recovering Service Members (RSMs), Jan. 19, 2009:http://www.dtic.mil/whs/directives/corres/pdf/DTM-08-049.pdf.Section IV – Disease ManagementAdvancing the Population Health Improvement Model. DMAA: The Care Continuum Alliance, 2009: http://www.dmaa.org/phi_definition.asp.Agency for Healthcare Research and Quality (AHRQ): http://www.ahrq.gov.Almanac of Chronic Disease: Statistics and Commentary on Chronic Disease and Prevention, 2008 ed. 34, 39-44. Partnership to Fight Chronic Disease: http://www.fightchronicdisease.org/pdfs/PFCD_FINAL_PRINT.pdf.U.S. Army Medical Command (MEDCOM) Quality Management Office (QMO): http://www.qmo.amedd.army.mil.DeVol, R., Bedroussian, A. An Unhealthy America: The Economic Burden of Chronic Disease: Charting a NewCourse to Save Lives and Increase Productivity and Economic Growth, 1-2, 39-40, 45-50. Milken Institute,October 2007: http://www.milkeninstitute.org/pdf/chronic_disease_report.pdf.DMAA Definition of Disease Management. DMAA: The Care Continuum Alliance, 2009: http://www.dmaa.org/dm_definition.asp.
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