By Donna O. Farley
Can the military successfully enforce scientific remedy instructions in its army therapy amenities to accomplish constant and hig h caliber practices thoughout its overall healthiness approach?
Read or Download Implementation of the Asthma Practice Guidelines in the Army Medical Department: Final Evaluation PDF
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Additional resources for Implementation of the Asthma Practice Guidelines in the Army Medical Department: Final Evaluation
Sample text
MTFs are expected to use the DoD/VA metrics in their monitoring whenever data availability permits. They also are encouraged to track additional measures that provide information relevant to their specific practice improvement priorities and practices. The Demonstration Sites Four MTFs in the Southeast Regional Medical Command served as demonstration sites for implementation of the asthma guideline: • Blanchfield Army Community Hospital (ACH) at Fort Campbell, • Eisenhower Army Medical Center (AMC) at Fort Gordon, • Martin ACH at Fort Benning, and • Moncrief ACH at Fort Jackson.
MEDCOM needs to establish clear procedures and expectations for the use of forms. Although sites were told that the use of the forms provided by MEDCOM was voluntary, participants at some of the MTFs still thought that use of the forms was mandatory. Other sites chose not to use the forms, but they did not apply alternative methods to ensure that asthma diagnosis and treatment were being documented appropriately. MEDCOM needs to forge a policy regarding the use of forms that supports efficiency and value for providers and patients, particularly for patients with multiple conditions for which more than one guideline may apply.
Defining MTF Users and Enrollees. These two subpopulations of asthma patients were identified for our analysis of the effects of the demonstration. The MTF users were identified as any patients who had at least one encounter (inpatient or outpatient) for asthma care services at one of the study MTFs at any time during the study year. The MTF enrollees were identified as those who were reported in all encounter or claims records for a study year as being enrolled TRICARE Prime at one of the demonstration or control sites.