Army Medicine

Patient Centered Medical Home (PCMH)

Army medicine is shifting to a Patient Centered Medical Home (PCMH) where patients are the center of our healthcare delivery. In the PCMH, you have a health care team that knows your medical needs, takes care of your needs, and coordinates with other health care delivery teams to provide you the best quality care. At the heart of PCMH is a cooperative and continuing relationship between provider, the nurses, and the administrative staff with the patients. The Army Surgeon General stated, "PCMH is a system for health demonstrating commitment to Soldiers, their families and retirees, bringing value and inspiring trust in Army Medicine."

How Does PCMH Work

Every beneficiary assigned to the Fox Army Health Center will have a primary care manager (PCM) designated by name and a designated support team (Red, White, or Blue). Patients participate in their care by partnering with the health care team to develop comprehensive care plan that includes preventive health measures, chronic disease management, a focus on health behaviors, and health maintenance. Communication options are available to patients that include face-to-face, secure messaging, and access to lab results, pharmacy refills, and referrals through a secure TRICARE online (TOL) portal. Patients have 24/7 access to care through either an assigned primary care team during normal operation hours or an after-hours nurse advice line. The comprehensive health care team includes behavioral health, pharmacy, dieticians, and case managers to assist you and your PCM to achieve optimal health through a comprehensive care approach in a primary care setting. A growing body of research indicates implementing PCMH principles improves access, provides a higher degree of patient and staff satisfaction, better quality of care at a lower overall health costs, and improved Soldier/Family readiness.

Our Partnership with You

The ultimate goal of PCMH is to provide quality, cost effective health care to our beneficiaries. We know things may occasionally happen that will cause you to cancel your appointment. Please call us whenever you need to cancel (24 hours in advance when possible) so that someone else may use the appointment slot. Showing up for your appointments on time allows your team to provide you the best care and the best care for all our patients. When seeing network providers, please remember to bring in your test results to your next appointment. If you have questions about PCMH, please call the clinic information line at 256-955-8888.

Healthy Tips: Influenza Prevention and Mitigation Methods

With the increased coverage of the influenza outbreak, many are wondering what, if anything, can be done to prevent getting sick. The links below have good information and actions individuals can take to mitigate the spread of the flu. In addition, the flu.gov link tells you how to care for yourself or a family member who gets sick.

flu_prevention.doc

http://www.flu.gov

Renovation Project at Fox

The first phase of Fox Army Health Center?s heating, ventilation and air conditioning (HVAC) system renovation started Friday, September 7, 2012.
Trailers in the east end parking lot currently house the Phase 1A/1B occupants: Wellness Clinic, Preventive Medicine, Occupational Health, and Medical Records. Directional signs are posted to help beneficiaries navigate the facility through the renovations, which are estimated to be completed in October 2014.
As a reminder, the following are the estimated phases of the project, at which specified clinics will move to the transitional trailers in the parking lot. Each phase is estimated to take 45 to 60 days, which is subject to change.
Phase 2: Patient Centered Medical Home (Red, White and Blue Teams) Phase 3: Command Suite Phase 4: Radiology and Quality Management Phase 5: Optometry and Physical Therapy Phase 6: Behavior Health Department Phase 7: Managed Care Phase 8: Logistics, Industrial Hygiene, Facilities, and Housekeeping Phase 9: Pharmacy, Laboratory, and Dental
We apologize in advance for the inconveniences of this project; however, patient care will not be impacted.

ATC Standards and Definitions

You can get ATC (Access to Care) info from http://www.bamc.amedd.army.mil/departments/tricare/#ATC

It is: Access to Care Standards (ATC) Access to Care Standards (ATC) is the time period within which you should receive care for injury or illness. ATC Standards at FAHC are as follows:
Urgent Care (Acute): illness or injury that has the potential to worsen if professional medical care is not received within 24 hours.

» ATC Standard: within 24 hours

Routine Primary Care: includes general office visits for the treatment of symptoms of chronic illnesses and diseases and re-evaluation care for an ongoing medical condition.

» ATC Standard: within 7 days

Established Primary Care: Routine care which includes preventive care measures to help keep you healthy and follow-up care.

» ATC Standard: no time limit

Specialty Care: focuses on a specific area of medicine e.g. Orthopedics, generally defined as care that a primary care manager is not able to provide.

» ATC Standard: within 28 days

Or look at: http://www.rach.sill.amedd.army.mil/access_standards.php

Access Standards You will receive all routine and primary health care from your PCM and he/she will refer you to specialty care when necessary. You are entitled to access to care within these specific time frames: Acute/Urgent Care appointments within 24 hours Routine Care appointments within 7 days Specialty Care or Wellness appointments within 28 days

Acute/Urgent Care is for an illness or injury that would not result in further disability or death if not treated immediately, but does require professional attention within 24 hours. You would require urgent care for conditions such as a sprain, sore throat, or rising temperature that have the potential to develop into an emergency if treatment is delayed longer than 24 hours. Routine (Primary) Care includes general office visits for the treatment of symptoms, chronic or acute illnesses and diseases, and follow-up care for an ongoing medical condition. Routine care also includes preventive care measures to help keep you healthy. Specialty Care is for those times you need to see a specialist for a diagnosis or treatment that your PCM cannot provide. Your PCM will provide referrals to access services from specialty providers and will coordinate the referral request with Humana Military when necessary. Wellness Care includes health maintenance care such as physical examinations, periodic health examinations, health screenings, and well child care.

Emergency Care is defined as a medical, maternity, or psychiatric condition that would lead a "prudent layperson" (someone who has average knowledge of health and medicine) to believe that a serious medical condition exists, or the absence of immediate medical attention would result in a threat to life, limb, or eyesight, or when the person has painful symptoms requiring immediate attention to relieve suffering. If you need emergency care, go to the nearest emergency room or call 911. For questions or concerns on access standards, ask to speak with the Office Manager or NCOIC. If you need further assistance, please see the Patient Advocate (page 33).

Telephone Consultations A telephone consultation is Reynolds' systematic method of addressing patient's medical needs when appointments are not available with their assigned PCM. Patients may directly request a telephone consultation when they prefer to speak with their PCM or nurse for medication refills, test results or general health questions. If there are no appointments available or if the patient is requesting a telephone consult directly, the CAS clerk will create an electronic telephone consultation and submit it to the nurse of the patient's PCM. The clinic staff will make every effort to respond to telephone consultations on the day they are received.

For questions or concerns on access standards, ask to speak with the Office Manager of your primary care clinic. If you need further assistance, please see the Patient Advocate.

Fox Army Health Center Schedule Update

As a Reminder, the Health Center is closed on the first Thursday afternoon of every month, Saturday, Sunday, and all federal holidays. Advice Nurses are available during non-duty hours at (256) 955-8888 or 1-800-223-9531 to provide care advice. Fox is an ambulatory care clinic and does not have an emergency room. In an emergency, dial 911.

TRICARE Online Resources for Beneficiaries

            Beneficiaries have several ways to get information and assistance on their TRICARE benefit. They can start by accessing information from one of the many TRICARE online resources.

www.tricare.mil
            The official website for TRICARE, this is the best online resource for TRICARE information. Redesigned last year, the improved profile feature makes it easier and faster for beneficiaries to answer three questions about status, location and health care plan to bring up information specifically tailored to them.

www.tricareonline.com
           This patient portal allows beneficiaries who get their care at a military treatment facility to schedule appointments, track their medications and order prescription refills. The new “blue button” feature is particularly helpful because it allows beneficiaries to view and download their personal health records. It also empowers beneficiaries to better partner with their providers about the treatment they receive.

http://manuals.tricare.osd.mil
           TRICARE manuals are the primary resource for locating official TRICARE policy and benefit information. Posted on this website, these manuals incorporate all updated, published changes.

            To locate online information in the policy manuals:

• Click the search link
• Select the manual(s) to search
• Enter the search title (for example, TRICARE Assistance Program) in the text bar at the bottom of the page and click
• Select the document(s)

            The website displays the PDF file of the selected manual section.

www.tricare4u.com
           TRICARE4U is the website through which registered users (beneficiaries, beneficiary counseling and assistance coordinators, debt collection assistance officers, physicians) can check the status of claims entered into the Wisconsin Physicians Service (WPS). WPS is the claims processing contractor for the West Region, Overseas Regions and TRICARE for Life.

www.myTRICARE.com
           When using this website, registered users (beneficiaries, beneficiary counseling and assistance coordinators, debt collection assistance officers, physicians) can check the status of claims entered into the Palmetto Government Benefits Administration’s (PGBA) system. PGBA is the claims processing contractor for the North and South Regions.

www.tricare.mil/tricaresmart
           Get “SMART” with TRICARE Smart, beneficiaries’ source for TRICARE products online. Beneficiaries can view, print, or download copies of TRICARE brochures, flyers, handbooks and other products.

www.health.mil
           This is the official website for the Military Health System. The website features medical news from the: Army, Navy, Air Force, Coast Guard, TRICARE, Uniformed Services University for Health Sciences, Public Health Service, U.S. Department of Veterans Affairs and the U.S. Department of Health and Human Services.

www.tricare-overseas.com
            This is the official website of the TRICARE Overseas Program. International SOS administers the TRICARE Overseas Program for uniformed service members, retirees and families. The overseas region is divided into three geographic areas: Eurasia-Africa, Latin America/Canada and Pacific. Several links on the website includes: "Beneficiaries," "Providers" and "Government Users."

www.hnfs.com
          This is the official website for Health Net Federal Services, TRICARE's regional contractor for the North. After selecting "I'm a Beneficiary" in the TRICARE North Region column, there are links to help beneficiaries find a network provider and military treatment facilities, authorizations and coverage information.

www.humana-military.com
           This is the official website for Humana Military, TRICARE’s regional contractor for the South. The website is divided into three sections: beneficiary, provider and government.

www.triwest.com
           This is the official website for TRIWEST Healthcare Alliance, TRICARE’s regional contractor for the West. Several links on the website includes: “beneficiary,” “provider connection” and “find a provider.”

www.tricare.mil/contacts
           And if beneficiaries can't find what they need on one of the web sites listed above, they can still pick up the phone and talk to a person. The "TRICARE Contacts" link has the telephone numbers beneficiaries need.

Click here for Fox Army Health Center's Announcements



HOME FAQ CONTACT US LINKS MEDCOM A-Z SITEMAP ARMY.MIL AKO

ACCESS TO CARE Appointments Clinics PCMH Patient Assistance Operating Hours Pharmacy Telephone Info Wellness Center Inspector General "Notice of Privacy Practice (NOPP) - A Guide to Your Privacy Rights"	Our vision for Fox Army Health Center is to become the premier model of organizational and beneficiary wellness	ESSENTIAL LINKS

	Active Duty/Family \| DoD Civilians \| Retirees/Family Patient Centered Medical Home (PCMH) Army medicine is shifting to a Patient Centered Medical Home (PCMH) where patients are the center of our healthcare delivery. In the PCMH, you have a health care team that knows your medical needs, takes care of your needs, and coordinates with other health care delivery teams to provide you the best quality care. At the heart of PCMH is a cooperative and continuing relationship between provider, the nurses, and the administrative staff with the patients. The Army Surgeon General stated, "PCMH is a system for health demonstrating commitment to Soldiers, their families and retirees, bringing value and inspiring trust in Army Medicine." How Does PCMH Work Every beneficiary assigned to the Fox Army Health Center will have a primary care manager (PCM) designated by name and a designated support team (Red, White, or Blue). Patients participate in their care by partnering with the health care team to develop comprehensive care plan that includes preventive health measures, chronic disease management, a focus on health behaviors, and health maintenance. Communication options are available to patients that include face-to-face, secure messaging, and access to lab results, pharmacy refills, and referrals through a secure TRICARE online (TOL) portal. Patients have 24/7 access to care through either an assigned primary care team during normal operation hours or an after-hours nurse advice line. The comprehensive health care team includes behavioral health, pharmacy, dieticians, and case managers to assist you and your PCM to achieve optimal health through a comprehensive care approach in a primary care setting. A growing body of research indicates implementing PCMH principles improves access, provides a higher degree of patient and staff satisfaction, better quality of care at a lower overall health costs, and improved Soldier/Family readiness. Our Partnership with You The ultimate goal of PCMH is to provide quality, cost effective health care to our beneficiaries. We know things may occasionally happen that will cause you to cancel your appointment. Please call us whenever you need to cancel (24 hours in advance when possible) so that someone else may use the appointment slot. Showing up for your appointments on time allows your team to provide you the best care and the best care for all our patients. When seeing network providers, please remember to bring in your test results to your next appointment. If you have questions about PCMH, please call the clinic information line at 256-955-8888. Healthy Tips: Influenza Prevention and Mitigation Methods With the increased coverage of the influenza outbreak, many are wondering what, if anything, can be done to prevent getting sick. The links below have good information and actions individuals can take to mitigate the spread of the flu. In addition, the flu.gov link tells you how to care for yourself or a family member who gets sick. flu_prevention.doc http://www.flu.gov Renovation Project at Fox The first phase of Fox Army Health Center?s heating, ventilation and air conditioning (HVAC) system renovation started Friday, September 7, 2012. Trailers in the east end parking lot currently house the Phase 1A/1B occupants: Wellness Clinic, Preventive Medicine, Occupational Health, and Medical Records. Directional signs are posted to help beneficiaries navigate the facility through the renovations, which are estimated to be completed in October 2014. As a reminder, the following are the estimated phases of the project, at which specified clinics will move to the transitional trailers in the parking lot. Each phase is estimated to take 45 to 60 days, which is subject to change. Phase 2: Patient Centered Medical Home (Red, White and Blue Teams) Phase 3: Command Suite Phase 4: Radiology and Quality Management Phase 5: Optometry and Physical Therapy Phase 6: Behavior Health Department Phase 7: Managed Care Phase 8: Logistics, Industrial Hygiene, Facilities, and Housekeeping Phase 9: Pharmacy, Laboratory, and Dental We apologize in advance for the inconveniences of this project; however, patient care will not be impacted. ATC Standards and Definitions You can get ATC (Access to Care) info from http://www.bamc.amedd.army.mil/departments/tricare/#ATC It is: Access to Care Standards (ATC) Access to Care Standards (ATC) is the time period within which you should receive care for injury or illness. ATC Standards at FAHC are as follows: Urgent Care (Acute): illness or injury that has the potential to worsen if professional medical care is not received within 24 hours. » ATC Standard: within 24 hours Routine Primary Care: includes general office visits for the treatment of symptoms of chronic illnesses and diseases and re-evaluation care for an ongoing medical condition. » ATC Standard: within 7 days Established Primary Care: Routine care which includes preventive care measures to help keep you healthy and follow-up care. » ATC Standard: no time limit Specialty Care: focuses on a specific area of medicine e.g. Orthopedics, generally defined as care that a primary care manager is not able to provide. » ATC Standard: within 28 days Or look at: http://www.rach.sill.amedd.army.mil/access_standards.php Access Standards You will receive all routine and primary health care from your PCM and he/she will refer you to specialty care when necessary. You are entitled to access to care within these specific time frames: Acute/Urgent Care appointments within 24 hours Routine Care appointments within 7 days Specialty Care or Wellness appointments within 28 days Acute/Urgent Care is for an illness or injury that would not result in further disability or death if not treated immediately, but does require professional attention within 24 hours. You would require urgent care for conditions such as a sprain, sore throat, or rising temperature that have the potential to develop into an emergency if treatment is delayed longer than 24 hours. Routine (Primary) Care includes general office visits for the treatment of symptoms, chronic or acute illnesses and diseases, and follow-up care for an ongoing medical condition. Routine care also includes preventive care measures to help keep you healthy. Specialty Care is for those times you need to see a specialist for a diagnosis or treatment that your PCM cannot provide. Your PCM will provide referrals to access services from specialty providers and will coordinate the referral request with Humana Military when necessary. Wellness Care includes health maintenance care such as physical examinations, periodic health examinations, health screenings, and well child care. Emergency Care is defined as a medical, maternity, or psychiatric condition that would lead a "prudent layperson" (someone who has average knowledge of health and medicine) to believe that a serious medical condition exists, or the absence of immediate medical attention would result in a threat to life, limb, or eyesight, or when the person has painful symptoms requiring immediate attention to relieve suffering. If you need emergency care, go to the nearest emergency room or call 911. For questions or concerns on access standards, ask to speak with the Office Manager or NCOIC. If you need further assistance, please see the Patient Advocate (page 33). Telephone Consultations A telephone consultation is Reynolds' systematic method of addressing patient's medical needs when appointments are not available with their assigned PCM. Patients may directly request a telephone consultation when they prefer to speak with their PCM or nurse for medication refills, test results or general health questions. If there are no appointments available or if the patient is requesting a telephone consult directly, the CAS clerk will create an electronic telephone consultation and submit it to the nurse of the patient's PCM. The clinic staff will make every effort to respond to telephone consultations on the day they are received. For questions or concerns on access standards, ask to speak with the Office Manager of your primary care clinic. If you need further assistance, please see the Patient Advocate. Fox Army Health Center Schedule Update As a Reminder, the Health Center is closed on the first Thursday afternoon of every month, Saturday, Sunday, and all federal holidays. Advice Nurses are available during non-duty hours at (256) 955-8888 or 1-800-223-9531 to provide care advice. Fox is an ambulatory care clinic and does not have an emergency room. In an emergency, dial 911. TRICARE Online Resources for Beneficiaries Beneficiaries have several ways to get information and assistance on their TRICARE benefit. They can start by accessing information from one of the many TRICARE online resources. www.tricare.mil The official website for TRICARE, this is the best online resource for TRICARE information. Redesigned last year, the improved profile feature makes it easier and faster for beneficiaries to answer three questions about status, location and health care plan to bring up information specifically tailored to them. www.tricareonline.com This patient portal allows beneficiaries who get their care at a military treatment facility to schedule appointments, track their medications and order prescription refills. The new “blue button” feature is particularly helpful because it allows beneficiaries to view and download their personal health records. It also empowers beneficiaries to better partner with their providers about the treatment they receive. http://manuals.tricare.osd.mil TRICARE manuals are the primary resource for locating official TRICARE policy and benefit information. Posted on this website, these manuals incorporate all updated, published changes. To locate online information in the policy manuals: • Click the search link • Select the manual(s) to search • Enter the search title (for example, TRICARE Assistance Program) in the text bar at the bottom of the page and click • Select the document(s) The website displays the PDF file of the selected manual section. www.tricare4u.com TRICARE4U is the website through which registered users (beneficiaries, beneficiary counseling and assistance coordinators, debt collection assistance officers, physicians) can check the status of claims entered into the Wisconsin Physicians Service (WPS). WPS is the claims processing contractor for the West Region, Overseas Regions and TRICARE for Life. www.myTRICARE.com When using this website, registered users (beneficiaries, beneficiary counseling and assistance coordinators, debt collection assistance officers, physicians) can check the status of claims entered into the Palmetto Government Benefits Administration’s (PGBA) system. PGBA is the claims processing contractor for the North and South Regions. www.tricare.mil/tricaresmart Get “SMART” with TRICARE Smart, beneficiaries’ source for TRICARE products online. Beneficiaries can view, print, or download copies of TRICARE brochures, flyers, handbooks and other products. www.health.mil This is the official website for the Military Health System. The website features medical news from the: Army, Navy, Air Force, Coast Guard, TRICARE, Uniformed Services University for Health Sciences, Public Health Service, U.S. Department of Veterans Affairs and the U.S. Department of Health and Human Services. www.tricare-overseas.com This is the official website of the TRICARE Overseas Program. International SOS administers the TRICARE Overseas Program for uniformed service members, retirees and families. The overseas region is divided into three geographic areas: Eurasia-Africa, Latin America/Canada and Pacific. Several links on the website includes: "Beneficiaries," "Providers" and "Government Users." www.hnfs.com This is the official website for Health Net Federal Services, TRICARE's regional contractor for the North. After selecting "I'm a Beneficiary" in the TRICARE North Region column, there are links to help beneficiaries find a network provider and military treatment facilities, authorizations and coverage information. www.humana-military.com This is the official website for Humana Military, TRICARE’s regional contractor for the South. The website is divided into three sections: beneficiary, provider and government. www.triwest.com This is the official website for TRIWEST Healthcare Alliance, TRICARE’s regional contractor for the West. Several links on the website includes: “beneficiary,” “provider connection” and “find a provider.” www.tricare.mil/contacts And if beneficiaries can't find what they need on one of the web sites listed above, they can still pick up the phone and talk to a person. The "TRICARE Contacts" link has the telephone numbers beneficiaries need. Click here for Fox Army Health Center's Announcements	Adult Screening Form 2012-13 Assistant Inspector General Beneficiary Counseling Coordinator Building A Healthier You Commander's Page Contact Us Debt Collection Assistance DEERS Update Flu shot flier 2013 HEDIS Screening for Life Interactive Customer Evaluation (ICE) Medical Exam Report Medical Warfighter Forum Patient Administration Division Patient Advocate Pediatric Screening form 2012-13 Pharmacy Refill Physical Exam Checklist Travel Reimbursement TRICARE Information VIS for injectable VIS intranasal 2012 to 2013 Webmaster Who is Eligible for Services at FOX

		TOP NEWS STORIES

		Fox Annoucements Fox Army Health Center Holiday Schedule Important Patient Safety Information Army Victim Advocacy Program (VAP) Health Links The Army Surgeon General's Blog Tricare Offers After Hours Assistance

Privacy & Security Notice \| External Links Disclaimer \| Disclaimer: Web Site Medical Information Posting Restrictions Web Accessibility \| HIPAA Privacy \| DoD Notice \| Last Modified: Fox Army Health Center \| 4100 Goss Road \| Redstone Arsenal, Alabama 35809-7000 \| Phone: 800.223.9531 Call Center Number: 256-955-8888 Toll Free Number: 800-223-9531 Pharmacy Refill Number: 256-842-7337 This Web site provides an introduction to the U.S. Army Medical Department's headquarters organizations, which are the Office of the Army Surgeon General and U.S. Army Medical Command headquarters. It is intended for interested members of the public, news media and Army Medical Department beneficiaries.