Medical Management

SCOPE OF SERVICES
Medical Management emphasizes the integration of evidence-based practices, including Clinical Practice Guidelines ( CPGs) and focuses on holding healthcare systems accountable for optimizing patient outcomes. This allows us to improve patient outcomes through coordinated, integrated practices, incorporating the goals of case management, utilization management, disease management, and Exceptional Family Member Program. This also helps us provide more efficient approaches to healthcare delivery. Specifically, this allows us to shift from cost containment to continuous quality improvement taking into consideration the dynamic nature of Medical Management components within the Population Health continuum. We also recognize the importance of integration of communication between case management, utilization management, disease management, and exceptional family member program services for:

          · Improving organizational efficiency & effectiveness
          · Facilitating transitions of care & stewardship of resources
          · Improving overall quality of care
          · Decreasing duplication of effort & redundancy
          · Decreasing negative outcomes from improper or poor handoffs
          · Improving overall workload management

OTHER KADENA MEDICAL CLINIC AREAS YOUR MEDICAL MANAGEMENT TEAM COLLABORATES WITH INCLUDE:

          · TRICARE Service Center Coding & Auditing dept.
         · Information Management (IM)
          · Information Technology (IT)
          · Patient Administration
          · Population Health Resource Management
          · Quality/Risk Management
          · Managed Care Support Contractor
          · Medical staff
          · Nursing staff

WHAT IS THE PATIENT CENTERED MEDICAL HOME (PCMH) PROGRAM?

- PCMH is a nationwide movement to improve healthcare
- Introduced in 1967 by American Academy of Pediatrics (AAP)
- Joint Principles of PCMH published March 2007
- Adopted by the Air Force in 2009
- Full Air Force Medical Service Implementation 2012

WHAT IS THE TEAM BASED MODEL PATIENT CENTERED MEDICAL HOME (PCMH) USES THAT HELPS PROVIDE AN ONGOING PERSONAL RELATIONSHIP WITH PATIENTS?

- 2 Providers
- 5 Technicians
- 1 Nurse

THE GOALS OF PATIENT CENTERED MEDICAL HOME (PCMH) INCLUDE:

- Better outcomes
- Fewer preventable hospital admissions
- Decreased ER utilization
- Management of chronic diseases

PATIENT CENTERED MEDICAL HOME (PCMH) PERFORMANCE MEASURES INCLUDE:

- Patient Satisfaction
-Continuity of seeing your provider team
-How well we manage chronic diseases and prevention services
- Emergency Room Utilization

Emergencies on Okinawa
The 18th Medical Group is home to PACAF's largest ambulatory clinic, and as such, does not provide emergency care. Please utilize the resources below if you are in need of medical attention after normal operating hours or require emergency care.

For Medical Emergencies on Kadena Air Base:
Landline Telephone (On Base): 911
Cell Phone: 098-911-1911

If you need to speak to a 18 MDG representative but do not face imminent loss of life, limb, or eyesight after hours, please dial 630-4817(base), option 1, or 098-960-4817(cell), option 1 for dedicated advice and instruction. We have personnel on-call 24/7 to return your call, hear your concerns and provide personalized guidance depending on your need.

The Kadena Family Health Clinic Appointment Line is open from 7:00am-4:30pm, Monday-Friday (excluding Federal Holidays, PACAF Family Days and Down Days) and 7:00am-1200pm on training days every 3rd Thursday of the month. For appointments and for answers to all of your health care questions, please call us at: 630-4817 (landline) or 098-960-4817 (cellphone), choose option '1' and option '1" again.
Cell: 098-960-4817 (Ext 1, then Ext 1)
On Base: 630-4817 (Ext 1, then Ext 1)

TRICARE ONLINE
TRICARE Online features secure access to beneficiary appointments, prescriptions, and personal health data. To register go to www.tricareonline.com click on the "Register Now on TOL" link located under the Login area on the Home page. From there, follow the instructions to complete your account registration.

PHARMACY INFORMATION
Mandatory Call-in Refills: Prescriptions called in before 1600 should be ready for pick-up the next duty day after 1000
634-1111 (On Base) -- Option 1, then Option2
098-911-5111 (Cell Phone) -- Wait for dial tone then dial 643-1111, Option 1, then Option 2
If your phone just rings and the system does not answer, all lines may be full. Please try again later. If you continue to have difficulty, please call us at 630-4368
Thank you for your continued support as we try to better serve you!

TRICARE Mail Order Pharmacy (Express Scripts)
Contacts:
Outside the United States: For on-base commercial, Toll-free, 1.866.ASK4PEC (1-866-275-4732)
TDD if Your Hearing is Impaired: Toll-free, 1-877-540-6261
Online: www.express-scripts.com/TRICARE