Referral Coordination in the Next TRICARE Contract Environment: A Case Study Applying Failure Mode Effects Analysis

Abstract

The next iteration of TRICARE contracts will bring changes to now military treatment facilities (MTFs) conduct business concerning the referral of Prime enrolled patients to civilian contracted providers. Madigan Army Medical Center (MAMC) is forming a Referral Coordination Center (RCC) to manage these referrals in a manner most beneficial to the MTF and the patient. This project examines the RCC in light of the new TRICARE contracts, utilizing Healthcare Failure Mode Effects Analysis (HFMEA) as the analysis tool. HFMEA is normally used on mechanical or well-established healthcare processes. Application to a proposed administrative process is a new use of the tool, which shows promise in its ability to keep a process team on track in a changing environment.

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Document Details

Document Type
Technical Report
Publication Date
Jun 13, 2004
Accession Number
ADA432682

Entities

People

  • David Colvin

Organizations

  • Madigan Army Medical Center

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Business Administration
  • Case Studies
  • Commerce
  • Contracts
  • Department Of Defense
  • Environment
  • Failure Mode And Effect Analysis
  • Health Care
  • Health Services
  • Hospitals
  • Literature Surveys
  • Medical Personnel
  • Military Medicine
  • New England
  • Patient Care
  • Surgery
  • United States

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  • Medical or Health Care Field.
  • Systems Analysis and Design