Fiscal year

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2013 Evaluation of the TRICARE Program – Report to Congress

Posted by timmreardon on 10/22/2013
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2013 Evaluation of the TRICARE Program - Report to Congress

Section 717 of the National Defense Authorization Act (NDAA) for FY 1996 directed the Department of Defense to conduct an ongoing evaluation of the TRICARE program, requiring that the evaluation explicitly address the following issues: (1) the impact of the TRICARE program on military retirees with regard to access, costs, and quality of health care services; and (2) identify noncatchment areas in which the health maintenance organization option of the TRICARE program is available or is proposed to become available. Additional objectives of this task are: (3) examine the trends in beneficiary population demographics and utilization and DoD costs under TRICARE and compare them with civilian-sector benchmarks, (4) identify possible determinants of changes in health care utilization and costs, (5) examine the trends in beneficiary satisfaction and other MHS performance metrics and compare them with civilian-sector benchmarks, and (6) determine the impact of TRICARE on the out-of-pocket expenses of Military Health System (MHS) beneficiaries.

http://tricare.mil/tma/dhcape/program/evaluation.aspx

Military Health System(MHS) Quadruple Aim – Strategic Framework

Posted by timmreardon on 10/22/2013
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MHS QUADRUPLE AIM AND STRATEGIC DIRECTION AND PRIORITIES IN FY 2013 AND BEYOND

Since the fall of 2009, the Quadruple Aim, adopted from the unifying construct of the Triple Aim from the Institute for Healthcare Improvement(IHI; http://www.ihi.org/offerings/Initiatives/TripleAim/Pages/default.aspx),
has served as the MHS strategic framework, and remains relevant in describing our priorities and strategies for the coming years.  During FY 2012, senior MHS leaders agreed to begin FY 2013 by explicitly emphasizing in the Quadruple Aim the desired direction of improvement: toward increased readiness, better care, better health in our population and at lower costs to the Department and the MHS.
The MHS Quadruple Aim:
➤
Readiness
Increased Readiness
Readiness means ensuring that the total military force is medically ready to deploy and that the medical force is ready to deliver health care anytime, anywhere in support of the full range of military operations, including humanitarian missions.
➤
Population Health
Better Health
Our goal is to reduce the frequency of visits to our military hospitals and clinics by keeping the people we serve healthy. We are moving “from health care to health” by reducing the generators of ill health by encouraging healthy behaviors and decreasing the
likelihood of illness through focused prevention and the development of increased resilience.
➤
Experience of Care
Better Care
We are proud of our track record—but there is more to accomplish. We will provide a care experience that is safe, timely, effective, efficient, equitable, and patient- and family-centered.
➤
Per Capita Cost
Lower Cost
To lower costs, we will create value by focusing on quality, eliminating waste, and reducing unwarranted  variation; we will consider the total cost of care over
time, not just the cost of an individual health care activity. There are both near-term opportunities to become more agile in our decision making and
longer-term opportunities to change the trajectory of  cost growth through a healthier population.