A Regional Prototype for Obtaining and Evaluating Disease-Specific, Community-Level Data

Abstract

This Graduate Management Project (GMP) developed a regional method the TRICARE Southwest staff can use to obtain and evaluate community-level disease-specific data on eligible beneficiaries using TRICARE in both military and civilian settings. The first step divided the region into manageable data collection areas or communities, geographically determined by eligible beneficiary population concentration. The second identified information systems through which one can gather community-level and disease-specific data. Through DEERS, one can obtain demographic data for all Region 6 communities. Disease-specific MTF and CHAMPUS data were collected through CEIS in three sample communities, using the ICD-9 codes for one sample disease/illness. The third step determined potential community and regional benefits to obtaining, evaluating and proliferating this data. This GMP resulted in the identification of recommendations for the three sample communities, to include targeting the frequently presenting patients for case management efforts, improving coding accuracy, encouraging' comprehensive and planned care rather than emergency driven care and assessing CHAMPUS disease-specific costs in the community. This GMP also identified one method Region 6 can use to proliferate community-level disease-specific patterns and best practices throughout the region.

Open PDF

Document Details

Document Type
Technical Report
Publication Date
Apr 24, 2000
Accession Number
ADB285866

Entities

People

  • Judith M. Hawkins

Organizations

  • Academy of Health Sciences

Tags

DTIC Thesaurus Topics

  • Delivery Of Health Care
  • Headache Disorders
  • Health Care
  • Health Services
  • Information Systems
  • Medical Personnel
  • Military Medicine
  • Patient Care
  • Patient Care Management
  • Prototypes
  • Therapy

Readers

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