Medical Management Guide, 2009, Version 3.0 - Tricare

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Page 188Appendix D - ResourcesVersion 3.0Medical Management GuideJournal of Healthcare Management — American College of Healthcare Executives (ACHP), HealthAdministration Press: http://www.ache.org/Managed Care Magazine: http://www.managedcaremag.com/Managed Care Interface — Medicom International/Managed Care Online: http://www.mcol.com/Managed Healthcare Executive: http://managedhealthcareexecutive.modernmedicine.com/Case ManagementAmerican Journal of Medical Quality — SAGE JOURNALS Online: http://ajm.sagepub.com/Care Management Journals (Journal of Case Management/Journal of Long Term Home Health Care) — SpringerPublishing Company: http://www.springerpub.com/International Journal for Human Caring (IJHC): http://www.humancaring.org/journal/Case Management Advisor — AHC Media, LLC: http://www.ahcpub.com/Collaborative Case Management — American Case Management Association: http://www.acmaweb.org/The Health Care Manager — Wolters Kluwer/Lippincott, Williams & Wilkins: http://journals.lww.com/Home Healthcare Nurse — Home Healthcare Nurses Association: http://www.homehealthcarenurseonline.com/Medical Disability AdvisorProfessional Case Management — Wolters Kluwer/Lippincott, Williams & Wilkins: http://journals.lww.com/.Official journal of:• Case Management Society of America: http://www.cmsa.org/• National Case Management Network of Canada: http://www.ncmn.ca/Social Work in Healthcare — Routledge, Taylor and Francis Group: http://www.routledge.com/The Case Manager: http://www.thecsmgr.com/Disease ManagementDisease Management — Mary Ann Liebert, Inc. Publishers: http://www.liebertpub.com/ — Official journal ofthe Disease Management Association of America: The Care Continuum Alliance (DMAA): http://www.dmaa.org/Disease Management and Clinical Outcomes — Elsevier Science: http://www.elsevier.com/Disease Management and Health Outcomes — ADIS Data Information/Wolters Kluwer: http://pharma.wkhealth.com/International Journal of Evidence-Based Healthcare — Joanna Briggs Institute: http://www.joannabriggs.edu.au/about/home.php — Wiley: http://www.wiley.com/Evidence-Based Medicine: http://ebm.bmj.com/MHS Clinical Quality Management (CQM)The MHS portal offering information and educational resources for MHS staff in the areas of clinical quality,patient safety, and quality assurance.Resources: https://www.mhs-cqm.info/
Medical Management Guide Version 3.0 Appendix D - ResourcesPage 189Military OneSourceMilitary OneSource is a Tri-Service, 24/7 information and referral program for participating Service families. Itoffers resources to help families address a wide range of everyday issues, including parenting and child care,older adults, education, and financial and legal matters. Assistance may be obtained via phone or online. EachService has its own home page and log-on tool.Resources: http://www.militaryonesource.comArmy: http://www.armyonesource.com/Air Force: http://www.airforceonesource.com/Navy: http://www.navyonesource.com/Military Medical Support Office (MMSO)A TRICARE office that provides a variety of functions, as follows:• Acts as a liaison between MCSCs, Services, Commanders, and MTFs for ADSMs not enrolled to MTFs onmilitary-unique issues.• Provides customer service for Commanders, HBA, MTF and TPR ADSMs.• Identifies ADSMs with serious medical conditions for the Services.• Assists MCSC/MTF on care management coordination, as needed.• Authorizes care for National Guard/Reserve members not eligible in DEERS (i.e., line-of-duty injuries/illnesses).• Provides claims payment determinations for MCSCs unable to pay.• Coordinates appeals for denied claims and debt collection cases.Resources: http://www.tricare.mil/tma/MMSO/index.aspxMulti-Service Market Office (MSMO)A TRICARE office that serves areas with more than one Service with an MTF and in which the markets overlap.A Senior Market Manager — a designated MTF Commander — is appointed to each MSMO. This role isresponsible for developing a single, consolidated, integrated business plan for the DCS and PCS for otherServices located in the MSMO. There are 12 MSMOs, located in the following geographic areas: NationalCapital Area (NCA), Tidewater, Ft. Bragg/Pope, Charleston, Ft. Jackson/Shaw, Gulf Coast, San Antonio,Colorado Springs, San Diego, Puget Sound, Hawaii, and Alaska. All other MTFs are considered single marketmanagers.Resources: http://www.tricare.osd.mil/National Committee on Quality Assurance (NCQA)A private, non-profit organization that is dedicated to improving healthcare quality. NCQA also providesaccreditation for organizational health plans that report performance on quality of care, access, service, andmember satisfaction.Resources: http://www.ncqa.org/
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