Naval Hospital Guam Facility Case Study Example | Topics and Well Written Essays - 750 words

Naval Hospital Guam Facility - Case Study ExampleNaval Hospital Guam 2006).My search has so far brought up the general attribute management program for the Department of defence mechanism but no specifics on this particular facility. I have been unable to identify a comprehensive character Assurance Program document online for the Naval Hospital Guam.The tasks of the Data Quality Analysis and Evaluation Division, the closest thing to Quality Assurance, is as follows Administers, coordinates and analyzes a diverseness of statistical data, to include Medical Expense and Workload (MEPRS) Clinical workload data (both inpatient and outpatient) and Utilization Reporting for use by the command and high authority. Provides guidance to work centers in developing statistical data collection techniques and conducts training to familiarize personnel with statistical data reporting and requirements, and the impact on financial and manpower resource allocation(U.S. Naval Hospital Guam, 2008). In connection with TRICARE, there was reference to the 1998 document from the Assistant Secretary of Defense. The Department of Defense (DoD) Utilization Management (UM) Policy for the Direct C be System provides a framework for systematic business and clinical processes. Regional UM and Quality Management processes are developed at the Lead Agent level. The Lead Agent establishes joint excogitations with the Managed Care Support (MCS) Contractors. The National Committee for Quality Assurance (NCQA) standards or the pronounce Committee on Accreditation of Health Care Organizations (JCAHCO) standards provide the basis for the flexible development of processes which are multidisciplinary, cost efficient and designed to optimize patient flush (Assistant Secretary of Defense, 1998). The goals and objectives include attention to the cost efficiency, timeliness and quality of care as well as the optimal partnership with MCS Contractors. Process performance, process emolument and syste m improvement analysis are an integral part of the plan and appropriate measurement and statistical methods are included in the plan.Key elements of the plan are education, utilization review, demand referral management, case and disease management, discharge planning and health promotion. These provide a basis for the evaluation of care and the development of trounce practices including practice guidelines, critical pathways and critical outcome studies.TRICARE has developed a Provider Handbook by Region to supply information on key operating(a) aspects of the program and program options.Mandated RequirementsAccording to the Assistant Secretary of Defense (1998), integration of UM in the Direct Care System (DCS) with the contractors network, other regional Military discussion Facilities (MTF),