Medical Management Guide, 2009, Version 3.0 - Tricare

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Page 190Appendix D - ResourcesVersion 3.0Medical Management GuideNational Guideline Clearinghouse (NGC)A public resource for evidence-based clinical practice guidelines. NGC is sponsored by the AHRQ andprovides an easily accessible mechanism for obtaining objective, detailed information on CPGs and furtheringtheir dissemination, implementation, and use.Resources: http://www.guideline.gov/National Quality Forum (NQF)Promotes change through development and implementation of a national strategy for healthcare qualitymeasurement and reporting.Resources: http://www.qualityforum.org/National Quality Measures Clearinghouse (NQMC)A public archive for evidence-based quality measures and measure sets sponsored by the AHRQ. It wasdeveloped to promote widespread access to quality measures by the healthcare community.Resources: http://www.qualitymeasures.ahrq.gov/National Transition of Care Coalition (NTOCC)A coalition formed in 2006 that brings together thought leaders, patient advocates, and healthcare providersfrom various care settings who are dedicated to improving the quality of care coordination and communicationwhen patients are transferred from one level of care to another.Resources: http://www.ntocc.orgNavy Safe HarborThe Navy facilitates enhanced assistance for seamen/women and their families through Navy Safe Harbor. ANavy wounded warrior is any seaman/woman with a combat or hostile-related injury or illness requiring longtermcare that will require a Medical Evaluation Board (MEB) or Physical Evaluation Board (PEB) to determinefitness for duty. A combat or hostile-related injury results from hazardous service or performance of duty underconditions simulating war or through an instrumentality of war.Resources: http://www.npc.navy.mil/CommandSupport/SafeHarbor/VA: http://www.veteransforamerica.org/woundedwarrior/ DoD/MHS: http://mhs.osd.mil/WoundedWarrior.aspxPopulation Health and Medical Management Division (PHMMD)(formerly MHS Optimization and Population Health Support Center [OPHSC])The PHMMD is the division within the TRICARE Office of the Chief Medical Officer (OCMO) that provides asingle point of access for reference materials, tools, Service links, MHS innovations, discussion forums, andaccredited Web-based learning modules that support and promote essential transformation, cultural change,and knowledge transfer.Resources: http://www.tricare.mil/ocmo/OCMO_PHMM.cfm
Medical Management Guide Version 3.0 Appendix D - ResourcesPage 191Social Security Administration (SSA)/Social Security OnlineA federal program to assist with the economic security of U.S. citizens. Social Security assists with retirementbenefits for the primary worker, as well as survivor benefits and benefits for the retiree’s spouse and children.Social security also provides for disability benefits through Medicare (see Centers for Medicare & MedicaidServices).Resources: http://www.ssa.gov/The Joint Commission (TJC)An independent, non-profit organization that is the predominant standard-setting and accrediting body inU.S. health care. TJC develops state-of-the-art, professionally based standards and evaluates the compliance ofhealthcare organizations against these criteria. TJC’s mission is to continuously improve the safety and quality ofcare provided to the public through the provision of healthcare accreditation and related services that supportperformance improvement in healthcare organizations.Resources: http://www.jointcommission.org/TRICAREThe DoD’s worldwide healthcare program for Active Duty and retired Uniformed Services members and theirfamilies. Consists of:• TRICARE Prime (managed care option)• TRICARE Extra (preferred provider option)• TRICARE Standard (fee-for-service option)• TRICARE For Life (for Medicare-eligible beneficiaries age 65 and over effective 1 Oct 01)Eligible MHS beneficiaries receive certain benefits based on their chosen health plan.Resources: http://www.tricare.osd.mil/ e-mail: questions@tma.osd.milTRICARE Area Office (TAO) — see TRICARE Regional Office (TRO)In overseas locations, TRICARE Regional Offices (TROs, see below) are called “area offices.” The TAOs consist ofEurope, Pacific, Alaska, and Latin America/Canada.Resources: See TRICARE Regional Office (TRO)TRICARE Online (TOL)An enterprise-wide, secure Internet portal for use by DoD beneficiaries, providers, and managers worldwide.TOL provides access to health and contact information for hospitals, clinics, and providers. It provides links toinformation on TRICARE services and benefits, as well as helpful resources, such as DM tools, a drug interactionchecker, and a Personal Health Journal. TOL enables TRICARE Prime and Plus members to make appointmentswith a PCM online. TOL is maintained by the Clinical Information Technology Program Office (CITPO) at theDefense Health Services Systems (DHSS).Resources: http://www.tricareonline.com/
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