Behavioral Health Care in the Military Health System: Access and Quality for Remote Service Members

2021 ◽  
Keyword(s):  
Health Care ◽  
Health System ◽  
Behavioral Health ◽  
Behavioral Health Care ◽  
Service Members ◽  
Military Health System ◽  
Military Health ◽  
Access And Quality ◽  
System Access ◽  
The Military

Child, Family, and School Behavioral Health Care in the Military Health System

2020 ◽  
Vol 8 (3) ◽  
pp. 315-326
Author(s):  
Michael E. Faran ◽  
Patti L. Johnson ◽  
Paul K. Ban ◽  
James C. Sarver ◽  
Lindaya J. Brown ◽  
...  
Keyword(s):  
Health Care ◽  
Health System ◽  
Behavioral Health ◽  
Behavioral Health Care ◽  
Military Health System ◽  
Military Health ◽  
The Military

scholarly journals Impact of a Service Line Management Model on Behavioral Health Care in the Military Health System

2019 ◽  
Vol 70 (6) ◽  
pp. 522-525 ◽  
Author(s):  
Christopher G. Ivany ◽  
Kelly W. Bickel ◽  
Tari Rangel ◽  
James Sarver ◽  
Joann Dinkel-Holzer ◽  
...  
Keyword(s):  
Health Care ◽  
Health System ◽  
Behavioral Health ◽  
Behavioral Health Care ◽  
Management Model ◽  
Military Health System ◽  
Military Health ◽  
Service Line ◽  
The Military ◽  
Line Management

scholarly journals Purchased Behavioral Health Care Received by Military Health System Beneficiaries in Civilian Medical Facilities, 2000–2014

2018 ◽  
Vol 183 (7-8) ◽  
pp. e278-e290 ◽  
Author(s):  
Nikki R Wooten ◽  
Jordan A Brittingham ◽  
Ronald O Pitner ◽  
Abbas S Tavakoli ◽  
Diana D Jeffery ◽  
...  
Keyword(s):  
Health Care ◽  
Health System ◽  
Behavioral Health ◽  
Behavioral Health Care ◽  
Military Health System ◽  
Military Health ◽  
Medical Facilities

Racial Disparities in the Military Health System: A Framework Synthesis

2021 ◽  
Author(s):  
Tracey Pérez Koehlmoos ◽  
Jessica Korona-Bailey ◽  
Miranda Lynn Janvrin ◽  
Cathaleen Madsen
Keyword(s):  
Health Care ◽  
Health System ◽  
Racial Disparities ◽  
Women’S Health ◽  
Women's Health ◽  
Military Health System ◽  
Electronic Health Record Data ◽  
Military Health ◽  
Racial Disparities In Health ◽  
The Military

ABSTRACT Introduction Racial disparities in health care are a well-documented phenomenon in the USA. Universal insurance has been suggested as a solution to mitigate these disparities. We examined race-based disparities in the Military Health System (MHS) by constructing and analyzing a framework of existing studies that measured disparities between direct care (care provided by military treatment facilities) and private sector care (care provided by civilian health care facilities). Materials and Methods We conducted a framework synthesis on 77 manuscripts published in partnership with the Comparative Effectiveness and Provider-Induced Demand Collaboration Project that use MHS electronic health record data to present an overview of racial disparities assessed for multiple treatment interventions in a nationally representative, universally insured population. Results We identified 32 studies assessing racial disparities in areas of surgery, trauma, opioid prescription and usage, women’s health, and others. Racial disparities were mitigated in postoperative complications, trauma care, and cancer screenings but persisted in diabetes readmissions, opioid usage, and minimally invasive women’s health procedures. Conclusion Universal coverage mitigates many, but not all, racial disparities in health care. An examination of a broader range of interventions, a closer look at variation in care provided by civilian facilities, and a look at the quality of care by race provide further opportunities for research.

scholarly journals A Survey of Family Planning Training, Knowledge, and Practices Among Health Care Providers Within the Military Health System at Joint Base Lewis–McChord

2018 ◽  
Vol 184 (5-6) ◽  
pp. e394-e399 ◽  
Author(s):  
Elizabeth I Deans ◽  
Alison L Batig ◽  
Sarah Cordes ◽  
Alicia N Scribner ◽  
Peter E Nielsen ◽  
...  
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Health System ◽  
Health Care Providers ◽  
Care Providers ◽  
Military Health System ◽  
Military Health ◽  
The Military

scholarly journals Total Joint Arthroplasty Volume in the Military Health System

2020 ◽  
Vol 185 (7-8) ◽  
pp. e1051-e1056
Author(s):  
Ashley B Anderson ◽  
George C Balazs ◽  
Daniel I Brooks ◽  
Jonathan F Dickens ◽  
Benjamin K Potter
Keyword(s):  
Health System ◽  
Total Joint Arthroplasty ◽  
Active Duty ◽  
Joint Arthroplasty ◽  
Service Members ◽  
Military Health System ◽  
Military Health ◽  
Male Patients ◽  
The Military ◽  
To Receive

ABSTRACT Introduction The relationship between volume and outcome of total knee arthroplasties is a concern in both the civilian and military patient populations. We sought to compare surgeons and hospital procedure volumes performed on military service members and define factors leading to increased civilian referrals. Materials and Methods The Military Health System Data Repository (MDR) contains patient information on all healthcare beneficiary encounters, including care provided both in Military Health System (MHS) facilities and in civilian network facilities. The Military Analysis and Reporting Tool (M2) queried the MDR for all patients between 2011 and 2015 with a CPT code for hip or knee arthroplasty associated with a provider HIPAA taxonomy code for orthopedic surgery. M2 enrollee encounters were used to calculate the total number of arthroplasty procedures performed by both military and civilian orthopedic surgeons on MHS enrollees as well as the incidence rate of arthroplasty procedures. Logistic regression was used to predict which cases were more likely to have been treated at military treatment facilities using patient gender, sponsor service branch, age, and beneficiary category. Results During the study period, a total of 12,627 military facility arthroplasty cases and a total of 142,637 civilian facility arthroplasty cases were performed on TRICARE enrolled patients. The total number of military surgeons performing arthroplasty on TRICARE enrolled patients was 323, while the total number of civilian surgeons performing arthroplasty was 10,245 during the same time period; the number of military surgeons performing arthroplasty on active duty patients was 176, and the total number of civilian surgeons performing arthroplasty on military patients was 1045. Overall, including retirees and activity duty service members, more procedures are performed by civilian network surgeons than military surgeons in all states. In an adjusted model, male patients were slightly more likely to receive care at an military treatment facilitie than female patients (OR = 1.47, 95% CI: 1.41–1.53). Furthermore, with respect to service, patients with Air Force (OR: 1.08, 95% CI: 1.02–1.15) and Navy sponsors (OR: 1.61, 95% CI: 1.51–1.71) were more likely to receive military care than patients with Army sponsors. Conclusions Based on our findings, we recommend the MHS focus attention to recapturing the Army active duty male patients who are more likely to receive care outside of the military healthcare network. Further analysis of the many factors including, but not limited to, referral process for total joint arthroplasty, time to procedure, and facility resources is required, in addition to assessing patient outcomes following the procedures.

Assessing Low-Value Health Care Services In The Military Health System

2019 ◽  
Vol 38 (8) ◽  
pp. 1351-1357 ◽  
Author(s):  
Tracey Pérez Koehlmoos ◽  
Cathaleen King Madsen ◽  
Amanda Banaag ◽  
Adil H. Haider ◽  
Andrew J. Schoenfeld ◽  
...  
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Care Services ◽  
Military Health System ◽  
Military Health ◽  
Care Services ◽  
The Military
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