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MHS Quality, Patient Safety, and Access Information (for Patients)

We are committed to making it easy for you to find information on how the Military Health System (MHS) is performing. Here, you'll find data showing how our facilities score on industry standard measures for patient safety, health care outcomes, quality of care, and patient satisfaction and access to care. Search for your military treatment facility below to see how we're doing and how we measure our performance.

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Want to see information about civilian providers?

Visit Hospital Compare, a national website, operated separately from the MHS. Hospital Compare has information about the quality of care at over 4,000 Medicare-certified hospitals across the country. You can use Hospital Compare to find hospitals and compare the quality of their care. All civilian facilities in the TRICARE network can be found on Hospital Compare. 

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We Want Your Feedback

Part of our transparency efforts include getting feedback from the community we serve. This will require input from the individuals most interested in this data – our beneficiaries and military communities. If you have ideas, suggestions, or other feedback on the information we are presenting, please send us an email and let us know what information you would like to see presented and how we can make it easier to digest and use. 

We are looking for feedback on the way we present quality data on this website only. If you have feedback about your specific military hospital or clinic, contact the facility directly.

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HEDIS Quality of Care Measures PDF Version

Report
10/7/2016

The Healthcare Effectiveness Data and Information Set (HEDIS) is a tool used by more than 90 %of America's health plans to measure performance on important dimensions of care and service. There are many HEDIS scores covering a variety of quality indicators. The Military Health System uses a set group of of these indicators to measure performance. This report shows the most common HEDIS scores and includes: well-child visits, breast cancer screening, cervical cancer screening, colorectal cancer screening, lower back pain, upper respiratory infection, phayrngitis pain, testing for diabetes, and follow-up after hospitalization for mental health. HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA).

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Central Line Infections in Military Hospitals

Report
10/7/2016

A central line is a narrow tube inserted by a doctor into a large vein of a patient’s neck or chest to give important medical treatment. For patients in the ICU, a central line is often necessary so the patient can receive fluids and medication. When not put in correctly or kept clean, central lines can become an easy way for germs to enter the body and cause serious infections in the blood. These infections are called central line-associated bloodstream infections (CLABSIs), and they can be deadly. CLABSIs are mostly preventable when healthcare providers use infection control steps recommended by the Centers for Disease Control and Prevention (CDC). We track the number of infections developed by patients in the ICU because of central line devices. We study our infection “rates” by “line days” --- the number of infections divided by the number of line days (number of patients in a day with at least one central line). The rate is the number of occurrences per 1,000 line days.

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Catheter Infections in Military Hospitals

Report
10/7/2016

A catheter is a drainage tube that is inserted by a doctor into a patient’s urinary bladder through the urethra and is left in place to collect urine while a patient is immobile or incontinent. When not put in correctly or kept clean, or if left in place for long periods of time, catheters can become an easy way for germs to enter the body and cause serious infections in the urinary tract. These infections are called catheter-associated urinary tract infections (CAUTIs), and they can cause additional illness or be deadly. We track the number of infections developed by patients in the ICU because of catheter-associated urinary tract infections. We look at the number of infections compared to the number of expected infections based on the number of patients who had catheters during the time frame being measured.

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Complications Related to Surgery

Report
10/7/2016

Surgical illness or injury measures look at a number of different complications that can result from surgery, like infections, operations on the wrong area, or a return to the operating room to correct a complication. We measure these complications to get an all-cause morbidity rate. This rate shows the likelihood a surgery will have some sort of complication. This report is called the all case morbidity report.

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Complications Related to Surgery PDF Version

Report
10/7/2016

Surgical illness or injury measures look at a number of different complications that can result from surgery, like infections, operations on the wrong area, or a return to the operating room to correct a complication. We measure these complications to get an all-cause morbidity rate. This rate shows the likelihood a surgery will have some sort of complication. This report is called the all case morbidity report.

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Satisfaction Survey Results - Do Patients Recommend This Hospital

Report
10/7/2016

We value your opinion on your hospital stay. We want to see how we’re doing over time, and how we compare to civilian hospitals. We send out the same survey to all of our patients, whether you receive care from a military provider or a civilian provider in the network. This measure shows the results to the question: Would you recommend this hospital to others?

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Satisfaction Survey Results for Seeing a Provider When Needed

Report
10/7/2016

Seeing your provider when you need to is important to you – and to us. We want to ensure that you get the care you need when you need it. This measure lets us know if you think we responded appropriately to your appointment request. We send out surveys to a sample of our patients after their health care appointments. We measure your satisfaction and study trends by each hospital or clinic, by markets, by regions, by Service, and for the entire system. This helps us see where and how we can do better.

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Number of Deliveries in Military Hospitals

Report
10/7/2016

When you are having a baby, it is important that you have confidence in the hospital you are considering for delivery. Hospitals that have fewer deliveries are okay for uncomplicated pregnancies. Hospitals that deliver more babies are often better for complicated pregnancies. We count and report the number of babies delivered in our military hospitals both by cesarean or normal delivery.

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Number of Deliveries in Military Hospitals PDF Version

Report
10/7/2016

When you are having a baby, it is important that you have confidence in the hospital you are considering for delivery. Hospitals that have fewer deliveries are okay for uncomplicated pregnancies. Hospitals that deliver more babies are often better for complicated pregnancies. We count and report the number of babies delivered in our military hospitals both by cesarean or normal delivery.

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Access to Acute and Primary Care Appointments

Report
10/7/2016

Seeing your provider in a timely manner is important to you – and to us. Our goal is to ensure you receive the right level of care, at the right time, by the right provider. This measure is used across the health care industry and lets us know if we are meeting our access to care standards. The MHS access to care standard for patients to receive an acute appointment is within 24 hours (1 day) and a routine appointment within 7 days. If the military hospital or clinic cannot meet these standards with a patient's primary care manager, the facility will schedule an appointment with another provider.access to care standards. If the military hospital or clinic can't get you an appointment with your Primary Care Manager within the standards, they will get you an appointment with another provider. We monitor this metric on a monthly basis and make more appointments available when the measure shows we need to. This measure looks at acute and routine primary care appointments.

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Access to Acute and Primary Care Appointments PDF Version

Report
10/7/2016

Seeing your provider in a timely manner is important to you – and to us. Our goal is to ensure you receive the right level of care, at the right time, by the right provider. This measure is used across the health care industry and lets us know if we are meeting our access to care standards. The MHS access to care standard for patients to receive an acute appointment is within 24 hours (1 day) and a routine appointment within 7 days. If the military hospital or clinic cannot meet these standards with a patient's primary care manager, the facility will schedule an appointment with another provider.access to care standards. If the military hospital or clinic can't get you an appointment with your Primary Care Manager within the standards, they will get you an appointment with another provider. We monitor this metric on a monthly basis and make more appointments available when the measure shows we need to. This measure looks at acute and routine primary care appointments.

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ORYX Accreditation Measures

Report
10/7/2016

You expect your hospital or clinic to meet quality and safety requirements. One way our military hospitals and clinics ensure they meet those requirements is by becoming accredited. Most military hospitals and clinics use Joint Commission for accreditation (and all will over the next few years). The Joint Commission uses the trademarked ORYX measures to grade medical facilities. Not all ORYX measures apply to all types of facilities, so hospitals and clinics are allowed to choose the ORYX measures that best fit their operations. This report shows the scores for the ORYX measures by military hospital or clinic.

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ORYX Accreditation Measures PDF Version

Report
10/7/2016

You expect your hospital or clinic to meet quality and safety requirements. One way our military hospitals and clinics ensure they meet those requirements is by becoming accredited. Most military hospitals and clinics use Joint Commission for accreditation (and all will over the next few years). The Joint Commission uses the trademarked ORYX measures to grade medical facilities. Not all ORYX measures apply to all types of facilities, so hospitals and clinics are allowed to choose the ORYX measures that best fit their operations. This report shows the scores for the ORYX measures by military hospital or clinic.

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Primary Care Manager Continuity

Report
10/7/2016

When your provider team is familiar with your medical history, it is good for you, especially if you have more complex medical issues. Our Patient Centered Medical Homes (PCMHs) help you see the same provider team. Your PCMH team will work to keep you healthy by suggesting preventive services that may prevent more complex problems later. We track this measure to find out how often you are seen by the same medical team. We use our electronic health record to monitor which provider you see. We understand that there may be times when you want to be seen quickly – and don’t need to see your primary care manager. But we want to ensure you are seen by your primary medical team when you want.

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Primary Care Manager Continuity PDF Version

Report
10/7/2016

When your provider team is familiar with your medical history, it is good for you, especially if you have more complex medical issues. Our Patient Centered Medical Homes (PCMHs) help you see the same provider team. Your PCMH team will work to keep you healthy by suggesting preventive services that may prevent more complex problems later. We track this measure to find out how often you are seen by the same medical team. We use our electronic health record to monitor which provider you see. We understand that there may be times when you want to be seen quickly – and don’t need to see your primary care manager. But we want to ensure you are seen by your primary medical team when you want.

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