Medical Management Guide, 2009, Version 3.0 - Tricare

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Page 154Appendix A - ReferencesVersion 3.0Medical Management GuideSection II – Utilization ManagementDoD Administrative Instruction No. 81, Privacy Program, 2000. DoD Issuances: http://www.dtic.mil/whs/directives.DoD Directive 5400.11, DoD Privacy Program, 2007. DoD Issuances: http://www.dtic.mil/whs/directives.DoD Instruction 6025.20, Medical Management (MM) Programs in the Direct Care System (DCS) and RemoteAreas, 2006: http://www.dtic.mil/whs/directives/.Public Law 104-191, Health Insurance Portability and Accountability Act of 1996, Sections 261-264. Aug. 21,1996: http://aspe.hhs.gov/admnsimp/pL104191.htm.McKesson ® InterQual ® evidence-based clinical decision support criteria: http://www.mckesson.com.Milliman Ambulatory Care Guidelines ® . Milliman, USA: www.careguidelines.com.Section III – Case ManagementDisease Management, Version 2.0, Program Guide. URAC: www.urac.org.DoDD 1010.10, Health Promotion and Disease/Injury Prevention, Aug. 22, 2003: DoD Issuances: http://www.dtic.mil/whs/directives.DoDD 6025.18-R, DoD Health Information Privacy Regulation, January 2003: DoD Issuances: http://www.dtic.mil/whs/directives.Dorland Healthcare Information, Case Management Resource Guide. Dorland Healthcare Information, 2003:http://www.cmrg.com/Kuhn, A. A necessary discipline: Maximizing case management ROI. Nursing Watch. The Advisory BoardCompany, 2000.Meek, Julie A., DNS. Increasing Return on Investment Potential in Care Management — Predictive Modelingand Proactive Care Management: Part II. Lippincott’s Case Management, September/October 2003, 8 (5):198-202.National Library of Medicine, Medline Plus: http://www.nlm.nih.gov/, http://www.nlm.nih.gov/medlineplus/.Powell, S. K. Advanced Case Management: Outcomes and Beyond. Lippincott, Williams & Wilkins, 2000.Quinn, J., Kellogg, F.R. (Eds.). Case management return on investment: Summary report on the state of the art.Care Management Journal, December 2003.
Medical Management Guide Version 3.0 Appendix A - ReferencesPage 155The Joint Commission (TJC) 2009 National Patient Safety Goals (NPSGs): http://www.jointcommission.org/patientsafety/nationalpatientsafetygoals/.TRICARE Benefits: http://www.tricare.osd.mil/.TRICARE Fact Sheets: http://www.tricare.osd.mil/Factsheets/viewfactsheet.cfm?id=127.TRICARE Handbook: http://tricare.osd.mil/tricarehandbook/results.cfm?tn=30&cn=8.TRICARE Policy Manual, 6010.54, Chapter 9, Section 1.1: http://manuals.tricare.osd.mil/.Section IV – Disease ManagementHEALTHeFORCES: Walter Reed Army Medical Center's health outcomes management program.Centers for Medicare and Medicaid Services (CMS): http://www.cms.hhs.gov/.CD-ROM RESOURCESAppendixA-Ref1TMA Medical Management Guide References‘
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