Abstract:
INTRODUCTION:As the healthcare system shifts from fee-for service toward value-driven healthcare, interest has grown in medication-related quality metrics to evaluate quality and value within the healthcare system. While the Defense Health Agency (DHA) has taken steps to align healthcare quality measures across the enterprise, the extent to which DHA utilizes pharmacy quality measures (PQMs) or evaluates the quality of direct and purchased pharmacy care is unknown. MATERIALS AND METHODS:A comparison was made between existing PQMs utilized by DHA and all measures published and endorsed by the Pharmacy Quality Alliance (PQA), a recognized, PQM standard-setting organization. We also compared DHA PQMs to those used within the Medicare Part D Star Rating Program. RESULTS:DHA has implemented 10 (28%) of the 36 PQA measures available for evaluation as of August 2019. Of the five measures included in the 2020 CMS Part D Star Rating program, DHA has currently implemented four (80%) of the measures. DHA has implemented 3 of the 5 (60%) PQA CMS Display Measures, and 5 of 9 (56%) PQA CMS Patient Safety Report Measures that are not part of the Star Ratings, but that are used to benchmark and provide feedback to health plans. CONCLUSION:Opportunities exist within the DHA to leverage PQMs to evaluate the quality of pharmaceutical care, build trust with beneficiaries by increasing transparency, and maintain parity with the civilian healthcare system. Existing models and commercially available technology could be considered to rapidly operationalize the use of PQMs within the MHS.
journal_name
Mil Medjournal_title
Military medicineauthors
Costantino RC,Nau D,Neigh JJ,Hoerner PJ,Hull JR,Perfetto Edoi
10.1093/milmed/usz435subject
Has Abstractpub_date
2020-06-08 00:00:00pages
e894-e899issue
5-6eissn
0026-4075issn
1930-613Xpii
5804653journal_volume
185pub_type
杂志文章abstract:PURPOSE:Determine the short-term effects of creatine supplementation on performance of military tasks, thermoregulation, and health risks. METHODS:Male military personnel were randomly assigned to a creatine (CR; N = 8) or a placebo (CON; N = 8) supplementation group. Testing was conducted at baseline, after a 6-day l...
journal_title:Military medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:2001-11-01 00:00:00
abstract::The objective of the present study was to assess the physical fitness of patients after apical resection and partial apical pleurectomy for the treatment of primary spontaneous pneumothorax (PSP). Between 1982 and 1999, 58 patients received surgical treatment for PSP in our department. Twelve patients needed bilateral...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.170.9.760
更新日期:2005-09-01 00:00:00
abstract::Semmes-Weinstein monofilament (SWM) evaluation for protective sensation in diabetic feet is a widely used tool to guide patient care. Little evidence is available for alternative testing modalities for use when monofilament is not available or is deformed. Multiple varieties of intravenous angiocatheter tubing were su...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-13-00423
更新日期:2014-04-01 00:00:00
abstract::Experience with advanced surgery for the treatment of civilian gunshot injuries supports the changes in approach and indications for the treatment of war gunshot injuries. Eight patients with gluteal gunshot wounds are presented with typical war injuries. They were wounded during 1992 and 1993 in the war in Croatia an...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2000-03-01 00:00:00
abstract:INTRODUCTION:Young military Service Members with traumatic unilateral lower limb amputations may be at a high risk for developing knee osteoarthritis (OA). There is growing evidence for potential influence and predictive value of nonsystemic risk factors on development and progression of primary knee OA in older adults...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/MILMED-D-15-00510
更新日期:2016-11-01 00:00:00
abstract::Medical imaging plays a critical role in the rapid diagnosis, effective triage, and management of complex poly-trauma patients. High-quality medical imaging can be accomplished successfully in a deployed or wartime setting. Due to advances in aggressive resuscitation techniques and the speed of the latest generation c...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy063
更新日期:2018-09-01 00:00:00
abstract::Chaplains play a unique role in the Veterans Affairs (VA) health care systems and have numerous responsibilities. Compassion satisfaction (CS), compassion fatigue (CF), and burnout (BO) are three major phenomenons that have been documented in other helping professions, but little is known about VA Chaplains' professio...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-13-00021
更新日期:2013-06-01 00:00:00
abstract:CONTEXT:There are few studies of the economic impact or value of lower extremity prosthetic services. Results from this study can inform the value proposition concerning prosthetic services within military health, where over 40,000 Veterans with limb-loss receive care for their amputations through the Veterans Administ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00545
更新日期:2016-02-01 00:00:00
abstract::In the U.S. Army, motor vehicle crashes (MVCs), both privately owned and military, are a leading cause of injury and death. Few studies have described the distribution and trends of MVCs among Army personnel, which may have been impacted by current military missions. This descriptive study of risk factors and select o...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00482
更新日期:2011-09-01 00:00:00
abstract:INTRODUCTION:Longer steps with load carriage is common in shorter Soldiers when matching pace with taller Soldiers whereas shorter steps are hypothesized to reduce risk of injury with load carriage. The effects of load carriage with and without step length manipulation on loading patterns of three commonly injured stru...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz031
更新日期:2019-10-01 00:00:00
abstract::I visited Afghanistan during the recent conflict. The conditions were primitive, and all patients with major injuries died in the field. Those who could make the 2 to 3 week trip over the mountains to Pakistan received only basic medical care at best. Without air superiority and helicopter evacuation, this could be th...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1990-05-01 00:00:00
abstract:INTRODUCTION:Hemorrhage is the leading cause of potentially preventable death on the battlefield. The tactical combat casualty care guidelines recommend the use of the radial pulse strength to guide the administration of blood products or intravenous fluids when equipment for blood pressure monitoring is not available....
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa197
更新日期:2020-12-30 00:00:00
abstract::A number of long-distance running events are held each year in the United States; the Army Ten Miler (ATM) is one such race held annually in Washington, DC. The purpose of the present study was to retrospectively analyze medical encounters for runners participating in the ATM from 1998 to 2004. Of the estimated 91,750...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00447
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVE:The purpose of this study is to report the device lessons learned from an emergency tourniquet program and, in particular, to emphasize analysis of discarded devices recovered after clinical use. METHODS:Discarded tourniquet devices were analyzed after use in emergency care of war casualties to determine wea...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00114
更新日期:2011-10-01 00:00:00
abstract::Deep water running (DWR) has become a well-recognized from of cardiovascular conditioning for injured athletes and has been used successfully to maintain running performance. DWR provides for decreased stress and weightbearing to injured tissue and joints, allows for maintenance of cardiovascular fitness and a trainin...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2001-03-01 00:00:00
abstract:INTRODUCTION:Gestational diabetes mellitus (GDM) affects approximately 1-14% of all pregnancies in the United States and has significant maternal and neonatal consequences. Developing GDM can increase a patient's risk of developing overt diabetes in the future which may impact a soldier's readiness. The purpose of this...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa400
更新日期:2020-11-24 00:00:00
abstract::Seasonal aeroallergens commonly cause allergic conjunctivitis, rhinorrhea, sinusitis, and cough in sensitized individuals. These clinical symptoms are the result of IgE-mediated type I hypersensitivity reactions, which trigger the degranulaton of mast cells and basophils. In contrast, aeroallergens are not common prec...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz106
更新日期:2019-12-01 00:00:00
abstract::Ethylene glycol is an inexpensive, readily available substance that may be associated with accidental or intentional toxicity. Toxicity from this substance may be encountered in the military and civilian populations. Because it is highly toxic and can result in death if not treated appropriately, it is imperative to r...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.8.660
更新日期:2004-08-01 00:00:00
abstract::Today's military is experiencing rapid advances in technology and in manpower utilization. The Army Medical Department is redesigning the structure and function of deployable hospital systems as part of this effort. The transformation of deployable hospital systems requires that a critical analysis of manpower utiliza...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.8.770
更新日期:2006-08-01 00:00:00
abstract::Data were collected on 750 patients over a 6-month period at a Troop Medical Clinic in the US in an effort to identify gynecological problems of soldiers and to gain insight into the most effective ways to handle the needs of female soldiers. All female soldiers belonging to the Nurse Practitioner Gynecological Satel...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1987-02-01 00:00:00
abstract::U.S. military researchers have made major contributions to the discovery, diagnosis, treatment, and prevention of a number of parasitic diseases. We review the paramount U.S. military contributions to the understanding of leishmaniasis, filariasis, schistosomiasis, trypanosomiasis, gastrointestinal parasites, intestin...
journal_title:Military medicine
pub_type: 历史文章,杂志文章,评审
doi:10.7205/milmed.170.4s.17
更新日期:2005-04-01 00:00:00
abstract::Japanese encephalitis is a viral disease emerging in areas of influence for the Australian Defence Force immediately north of the continent, including the Torres Strait border of Australia and Papua, New Guinea. Only the mouse brain-derived, inactivated, Nakayama strain vaccine is commercially available to the Austral...
journal_title:Military medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.7205/milmed.171.12.1190
更新日期:2006-12-01 00:00:00
abstract:Introduction:This review summarizes the research conducted on botulinum toxin (BoTx) from 1943 to 1956 by a small group of Camp Detrick investigators and their staff. A systematic, cross-disciplinary approach was used to develop effective vaccines against this biological warfare threat agent. In response to the potenti...
journal_title:Military medicine
pub_type: 历史文章,杂志文章,评审
doi:10.1093/milmed/usx047
更新日期:2018-05-01 00:00:00
abstract:INTRODUCTION:An anonymous online survey was presented to active duty U.S. Army, Reserve, and National Guard Soldiers with experience as en route care medical providers with the intent of identifying factors which contribute to musculoskeletal disorders in U.S. Army en route care medical providers. The survey looked at ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa223
更新日期:2021-01-25 00:00:00
abstract::Expedited Partner Therapy (EPT) is the practice of treating the partners of patients with sexually transmitted infections by providing medications for the patient to deliver to his or her sexual partner (s) without direct clinical assessment of the partner(s). EPT is an evidence-based option that can augment existing ...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/MILMED-D-14-00590
更新日期:2015-08-01 00:00:00
abstract::Thousands of military members self-medicate with dietary supplements containing unknown quantities of pharmacologically active compounds. These poorly regulated substances can cause real harm to the military population, especially when they contain stimulants such as caffeine. When taken regularly, caffeine has severa...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00045
更新日期:2015-08-01 00:00:00
abstract::The planning and execution for contingency pharmacy services in support of Operations Desert Shield/Desert Storm in an overseas Air Force Medical Center are described. These operations presented the staff with far different challenges than the contingency support plan that had been in place for several years. That pla...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-06-01 00:00:00
abstract::This article examines the history of battlefield tourniquets. The tourniquet, if used properly, is perhaps the leading lifesaving device available to soldiers in the field. However, tourniquet use has been surrounded throughout history by controversy and dogma which continue today. Only after examining the historical ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.5.352
更新日期:2006-05-01 00:00:00
abstract:OBJECTIVES:This was a pilot study to determine (1) whether it is feasible to effectively blind human subjects to the presence of the insect repellents N,N-diethyl-m-toluamide (DEET) and permethrin; (2) whether DEET affects the absorption of permethrin; and (3) whether combat videotape viewing and mental arithmetic are ...
journal_title:Military medicine
pub_type: 杂志文章,随机对照试验
doi:10.7205/milmed.171.2.122
更新日期:2006-02-01 00:00:00
abstract::Sulfur Mustard (SM) is a potent alkylating agent with electrophilic property which has been used as a chemical warfare agent in at least 12 conflicts. It has reemerged as a major threat in recent years. Medical attention is primarily concerned with its action on the skin, eyes, and respiratory tract which may be compl...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:2002-07-01 00:00:00