CDC 4A071 - Health Services Management Craftsman (UNIT 1) Questions and Answers Already Passed
What is the access to care standard for Urgent Care? - Answers 24 hours
What is the access to care standard for Routine Appointments? - Answers 7 days
What is the access to care standard for Routine Specialty Care/Wellness, Health Promotion? - Answers
28 days/1 month
What model allows MTF's to accommodate more patients without working longer days and improve the
educational content of their patient encounters? - Answers Drop-in Group Medical Appointment
(DIGMA)
CHCS module utilized for all appointment booking - Answers Managed Care Program (MCP)
Tools, such as the P2R2 access metric, the CHCS ATC summary reports, and the MTF TAT, and
appointment type utilization reports are available to assist MTF personnel do what? - Answers Manage
Access to Care
What is the name of the site on web where you can locate the tools to run and utilize reports? - Answers
Tricare Operations Center (TOC)
Explain why each MTF uses the P2R2 access Metric. - Answers To record and manage monthly access to
care performance in relation to established standards.
What is the benefit of the Appointment Utilization Report? - Answers To see if appointment type slots
are being created for special appointment types but not being used.
Which CHCS report provides the number of facility appointment cancellations by reason for each clinic
and provider? - Answers Facility Cancellation Statistical Report
Which CHCS report provides a preview of the availability of appointments by appointment type and by
provider with a clinic on a given date and time? - Answers Next Available Appointment Report
What is the purpose of the CHCS ATC Summary Report? - Answers Calculates the time between the
appointment request and when the patient is seen.
Which tool allows each MTF to compare their performance to to other peer facilities? - Answers Tricare
Operations Center (TOC)
What serves as an MTF-level management tool that evaluates scheduling adequacy and sufficiency of an
MTF's schedule and /or templates in support of TRICARE Prime access standards? - Answers Template
Analysis Tool (TAT)
What tool provides a user friendly interface that allows navigation and ease of viewing appointment
supply and demand by all clinics in an MTF? - Answers Access Improvement Module (AIM)
, How does the AFMS and the MTF's improve biometric data quality? - Answers Biometric Data Quality
Assurance Service (BDQAS)
Name three ways the BDQAS biometric data is used. - Answers 1. Supports population health
management decisions.
2. Provides quantitative justification for resource decisions.
3. Support managed care contract negotiations, business cost analysis, and the bid price adjustment.
Explain the most recent changes to the TRICARE program - Answers the number of stateside health care
service contracts decreased from 7 to 3 and the number of stateside TRICARE regions decreased from 11
to 3
Who represents the new management organization for managing regional contractors and overseeing
an integrated health care delivery system in the U.S? - Answers Tricare Regional Office (TRO)
Name each of the three Tricare Regional offices and the regional contractor of each - Answers (1) TRO
North - Health Net
(2) TRO South - Humana
(3) TRO West - TriWest
What are some of the specific responsibilities of the Tricare Regional offices? - Answers 1) Ensure
network quality
2) Monitor customer satisfaction
3) Manage TRO customer service
4) Coordinate appointing and referral management policies
5) Address enrollment issues
6) Manage contract and fiscal management functions
Who monitors MTF performance in accordance with the business plans and communicates with MTF
commanders? - Answers Regional Director
Who does the MCS contractor work with to manage TRICARE at a regional level? - Answers Tricare
Regional Office (TRO)
Name five incentives that the AFMS gives to each MCS contractor for top performance - Answers 1)
Quality medical outcomes
2) Telephone access
What is the access to care standard for Urgent Care? - Answers 24 hours
What is the access to care standard for Routine Appointments? - Answers 7 days
What is the access to care standard for Routine Specialty Care/Wellness, Health Promotion? - Answers
28 days/1 month
What model allows MTF's to accommodate more patients without working longer days and improve the
educational content of their patient encounters? - Answers Drop-in Group Medical Appointment
(DIGMA)
CHCS module utilized for all appointment booking - Answers Managed Care Program (MCP)
Tools, such as the P2R2 access metric, the CHCS ATC summary reports, and the MTF TAT, and
appointment type utilization reports are available to assist MTF personnel do what? - Answers Manage
Access to Care
What is the name of the site on web where you can locate the tools to run and utilize reports? - Answers
Tricare Operations Center (TOC)
Explain why each MTF uses the P2R2 access Metric. - Answers To record and manage monthly access to
care performance in relation to established standards.
What is the benefit of the Appointment Utilization Report? - Answers To see if appointment type slots
are being created for special appointment types but not being used.
Which CHCS report provides the number of facility appointment cancellations by reason for each clinic
and provider? - Answers Facility Cancellation Statistical Report
Which CHCS report provides a preview of the availability of appointments by appointment type and by
provider with a clinic on a given date and time? - Answers Next Available Appointment Report
What is the purpose of the CHCS ATC Summary Report? - Answers Calculates the time between the
appointment request and when the patient is seen.
Which tool allows each MTF to compare their performance to to other peer facilities? - Answers Tricare
Operations Center (TOC)
What serves as an MTF-level management tool that evaluates scheduling adequacy and sufficiency of an
MTF's schedule and /or templates in support of TRICARE Prime access standards? - Answers Template
Analysis Tool (TAT)
What tool provides a user friendly interface that allows navigation and ease of viewing appointment
supply and demand by all clinics in an MTF? - Answers Access Improvement Module (AIM)
, How does the AFMS and the MTF's improve biometric data quality? - Answers Biometric Data Quality
Assurance Service (BDQAS)
Name three ways the BDQAS biometric data is used. - Answers 1. Supports population health
management decisions.
2. Provides quantitative justification for resource decisions.
3. Support managed care contract negotiations, business cost analysis, and the bid price adjustment.
Explain the most recent changes to the TRICARE program - Answers the number of stateside health care
service contracts decreased from 7 to 3 and the number of stateside TRICARE regions decreased from 11
to 3
Who represents the new management organization for managing regional contractors and overseeing
an integrated health care delivery system in the U.S? - Answers Tricare Regional Office (TRO)
Name each of the three Tricare Regional offices and the regional contractor of each - Answers (1) TRO
North - Health Net
(2) TRO South - Humana
(3) TRO West - TriWest
What are some of the specific responsibilities of the Tricare Regional offices? - Answers 1) Ensure
network quality
2) Monitor customer satisfaction
3) Manage TRO customer service
4) Coordinate appointing and referral management policies
5) Address enrollment issues
6) Manage contract and fiscal management functions
Who monitors MTF performance in accordance with the business plans and communicates with MTF
commanders? - Answers Regional Director
Who does the MCS contractor work with to manage TRICARE at a regional level? - Answers Tricare
Regional Office (TRO)
Name five incentives that the AFMS gives to each MCS contractor for top performance - Answers 1)
Quality medical outcomes
2) Telephone access
