U.S. Army Medical Department, Fort Bennning Medical Activity
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ACCESS TO CARE STANDARDS

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Definition of Access to Care (ATC).

ATC encompasses all of the necessary activities that will ensure our beneficiaries get to the right provider at the right time at the right place.

Access to Care/Access Management encompasses many medical treatment facility (MTF) functions to include:

  • The day-to-day management of the clinic's templating, scheduling, appointing functions including those made by telephone and the internet
  • Information system management that supports ATC
  • Enrollment, panel and patient demand management and analysis
  • Referral management activities
  • Appointing telephony management
  • Effective and efficient personnel management in support of the MTFs ATC program.

Goals of Access to Care Campaign.

The goal of access management is to implement and sustain a systematic, proactive, and responsive MTF access plan for all clinics and services that meets or exceeds the ATC standards.

Objectives of the Military Health System Access to Care Campaign.

  • Make the appointment system customer friendly
  • Provide access to health care services within access standards
  • Resolve the patient's request for health care services within their first contact/telephone call
  • Resolve patient issues with as few visits/interactions as possible
  • Strive for the highest in patient satisfaction
  • Open schedules on time and with sufficient supply

Acute appointments are made within 24 hours

Definition: An urgent (acute) care appointment is reserved for nonemergent, urgent care that is typically delivered by an MTF or network Primary Care Manager (PCM). Acute care services for Active Duty and TRICARE Prime enrollees shall be scheduled no greater than 24 hours from the time the need for this appointment is determined.

Routine appointments are made within 7 calendar days

Definition: A routine care appointment is designated for patients who require a visit with their PCM for a new healthcare problem that is not considered urgent. Routine care for Active Duty and TRICARE Prime enrollees shall be scheduled within seven calendar days from the time the need for this appointment is determined.

Wellness appointments are made within 28 calendar days

Definition: A wellness care appointment is designated for patients who require a visit for a wellness/or preventive health concern or with their PCM for an initial visit. This wellness care for Active Duty and TRICARE Prime enrollees shall be scheduled within 28 calendar days from the time the need for this appointment is determined.

Specialty appointments are made within 28 calendar days

Definition: A specialty care appointment is designated for patients who require an initial consult, referral, or initial self-referral. Specialty care for Active Duty and TRICARE Prime enrollees shall be scheduled within 28 calendar days from the time the need for this appointment is determined. A specialty care appointment also includes procedures designated for patients in need of medical procedures.



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