Unit 2: Overview of Information Systems Flashcards

1
Q

Tri-service Initiative

A

Began w/ the Integrated Inpatient Product Team (IIPT) that is operated by the Military Healthcare System (MHS).

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2
Q

Based on the goals of initiatives, what do our electronic health recs aim to accomplish?

A

They aim to fully standardize and optimize the use of best practices, minimize trng., decrease variances so the MHS can maximize use of its Information Technology investment.

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3
Q

What are the primary uses of CHCS?

A

Primarily used for booking appts. and for some order entry procedures.

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4
Q

What are the advantages of using AHLTA?

A

AHLTA means shorter waits for patients, faster reporting of diagnostic test results, improved used of medical and professional resources, and significant improvement in the quality of patient care.

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5
Q

What are the AHLTA functions?

A

It is used for all aspects of patient care, including order entry and coding.

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6
Q

The use of electronic health record allows for –

A

Standardization of processes and sharing of docs across DOD and VA Tx facilities.

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7
Q

why are electronic health records different in some MTFs?

A

Initially, MTFs were allowed to customize/modify their electronic health rec content to meet workflow/clinical needs. this led to a diff. version at every MTF

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8
Q

What are the two primary purposes of ASIMS?

A

1) ensure individual medical readiness requirements are current
2) ensure all AF members have been provided necessary or recommended preventive services

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9
Q

What are the functions of the IMR software?

A

It is an automated way of recording, verifying, and storing vital info about individual medical readiness metrics, preventive health assessment (PHA) exams, individual medical readiness, physical examination standards, and clinical preventive services standards.

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10
Q

What is the primary function of IMR?

A

To provide “real-time” medical readiness assessment of IMR requirements to CCs, individuals, and PCMs so they can manage and optimize the readiness stats of their assigned or enrolled AF personnel.

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11
Q

IMR Green status represents –

A
  • Immunizations complete/up-to-date
  • PHA within the last 18 months
  • Dental class 1-2
  • Lab reqs current
  • No deployment limiting profile
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12
Q

IMR Yellow status represents –

A

Items out of date/or needing attention

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13
Q

IMR Red status represents –

A
  • Immunizations missing or out of date
  • PHA more than 18 months ago
  • Dental class 3 or 4
  • Lab reqs missing
  • DLC profile
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14
Q

AFCITA

A

Air Force Complete Immunizations Tracking Application – an automated database program that records, verifies, and stores, clinical readiness info about immunizations

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15
Q

Dental Classifications

A

Managed through the Dental Classification Management System (DCMS) to PIMR automatically.
Class 1-2 will be reflected as GREEN
Class 3-4 will reflect as RED

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16
Q

What references are used for deployment limiting profiles?

A

AFI 48-123, Medical Examinations and Standards

AFI 10-203, Duty Limiting Conditions

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17
Q

HEAR survey –

A

Health Evaluation Assessment Review - is one of the health stratification surveys used to assist the PCM managing care for their enrolled population; provides info related to pt. health risk and needs, projects services: including need for prevention, case mgmt., and disease mgmt. programs.

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18
Q

Condition Mgmt

A

Is a system that coordinates and improves all of the services provided to patients with a given set of medical conditions

19
Q

Demand Mgmt

A

Once implemented, it will reflect the activities of a health system designed o create a healthy environment, decrease morbidity and mortality, and encourage the use of effective decision-support and self-mgmt. tools

20
Q

What does Condition (Disease) Mgmt target?

A

High cost, high volume, and complex diseases/conditions, using performance metric tools to focus on key processes and outcomes.

21
Q

Medicare

A

Health care financing for the elderly

22
Q

Medicaid

A

healthcare financing for the poor

23
Q

Health Maintenance Organization (HMO) Act of 1973

A

Act enables managed med care plan to increase in numbers and expanded enrollments though health care programs financed by grants, contracts, and loans.

24
Q

TRICARE Region 1/Northeast

A

Sierra HMO

25
Q

TRICARE Region 2/Mid-Atlantic

A

Humana

26
Q

TRICARE Region 3/Southeast

A

Humana

27
Q

TRICARE Region 4/Gulf South

A

Humana

28
Q

TRICARE Region 5/Heartland

A

Humana

29
Q

TRICARE Region 6/Southwest

A

Health Net Fed. Services (HNFS)

30
Q

TRICARE Region 7/Central

A

TriWest

31
Q

TRICARE Region 8/Central

A

TriWest

32
Q

TRICARE Region 9/SoCal

A

HNFS

33
Q

TRICARE Region 10/Golden State

A

HNFS

34
Q

TRICARE Region 11/Northwest to include Alaska

A

HNFS

35
Q

TRICARE Region 12/Hawaii

A

Contractor through lead agent (Not HMO)

36
Q

TRICARE Region 13/TRICARE EU

A

Contractor through lead agent (Not HMO)

37
Q

TRICARE Region 14/TRICARE PAC

A

Contractor through lead agent (Not HMO)

38
Q

TRICARE Region 15/TRICARE LAT AMER. & CANADA

A

Contractor through lead agent (Not HMO)

39
Q

What are the three Tricare options for beneficiaries?

A

TRICARE PRIME
TRICARE STANDARD
TRICARE EXTRA

40
Q

Tricare PRIME

A
  • Voluntary HMO option
  • AD & Deps do not have to pay the annual enrollment fee
  • Receive care from military and civilian providers
41
Q

Tricare STANDARD

A
  • AKA – CHAMPUS
  • no required enrollment
  • May use Tricare Extra
  • Tricare will pay 0% of approved allowable cost for outpatient care for AD families and 75% for retirees, their fams and all other eligible.
42
Q

Tricare EXTRA

A
  • Pt have to use a provider listed on the network of civilian health care professionals.
  • similar to standard
  • No enrollment or annual fee
  • you have to satisfy and annual deductible for outpatient care
  • Tricare pays an additional 5% of the healthcare services when pts use the network providers offered through Tricare Extra
  • Raises cost share 85% for AD fam members and 80% for retirees and their family members and other eligible beneficiaries
43
Q

Tricare For Life

A
  • New program as of 1 OCt. 2001
  • all Medicare eligible military (excluding AD fam members’ beneficiaries become eligible for all Tricare benefits)
  • Medicare eligible beneficiaries must enroll in Medicare Part B