CDC 4A071N Health Services Management Craftsman Volume 1 Practice Practice Flashcards

Urgent Care Access Standard

The congressionally mandated standard for urgent care appointment access, set at $24$ hours.

Routine Appointment Access Standard

The congressionally mandated standard for routine appointment access, set at $7$ days.

Routine Specialty Care Access Standard

The congressionally mandated standard for routine specialty care, set at $28$ days or $4$ weeks.

Wellness and Health Promotion Access Standard

The congressionally mandated standard for wellness and health promotion appointments, set at $28$ days or $4$ weeks.

Open Access (OA)

A model of appointment access embodying the philosophy of doing today’s work today, resulting in reduced triaging time and increased patient trust.

DIGMA

Drop-in group medical appointment; a model allowing MTFs to accommodate more patients with similar issues without working longer days.

P2R2 access metric

A performance measurement tool each MTF uses to record and manage monthly access to care performance in relation to established standards.

Appointment Utilization Report

A CHCS report showing planned access and availability, used to see if unbooked appointment slots were created but not used.

TAT (Template Analysis Tool)

An MTF-level management tool used to evaluate scheduling adequacy and sufficiency of schedules or templates in support of TRICARE Prime access standards.

AIM (Access Improvement Module)

A tool with a user-friendly interface that allows for the navigation and viewing of appointment supply and demand by all clinics at a facility.

TRO (TRICARE regional office)

The management organization responsible for managing regional contractors and overseeing the integrated health care delivery system in the three United States-based TRICARE regions.

MCSC (managed care support contractor)

Regional contractors such as Health Net, Humana, or TriWest responsible for establishing provider networks and providing customer service to beneficiaries.

ACO (administrative contracting officer)

An official responsible for technical evaluations of change-order proposals and assisting in resolving contractual issues within a TRICARE region.

COR (contracting officer’s representative)

An official at TMA (TRICARE Management Activity) responsible for monitoring contractor performance and performing annual bid price adjustment audits.

COTR (contracting officer technical representative)

An MTF official responsible for developing surveillance programs to monitor the TRICARE managed care support contractor's performance.

Internal Resource Sharing

Agreements that supplement services provided at the Medical Treatment Facility (MTF).

External Resource Sharing

Agreements that enable military health personnel to provide covered medical services to beneficiaries in a network facility.

PPBES

Planning, Programming, Budgeting, and Execution System; a cyclic process aimed at providing combatant commanders with the best mix of forces and support.

FYDP (Future Years Defense Plan)

The primary programming document that summarizes approved programs and projects costs $6$ years and force projections $9$ years into the future.

POM (program objective memorandum)

A comprehensive presentation of the force and human resources proposed by the Air Force within fiscal constraints.

RC/CC code

A $4$-digit code used by the accounting system to monitor and report purchases by a specific work center.

EEIC (element of expense and investment code)

A $3$ to $5$-digit number that indicates the type of