Preparing for the Implementation of the TRICARE Senior Demonstration Project at the TRICARE Region 11 Lead Agency and Madigan Army Medical Center: A Cast Study

摘要

This study provides an analysis of the activities undertaken by the TRICARE Region 11 Lead Agency and Madigan Army Medical Center (MAMC) staff in planning and preparing for the implementation of a TRICARE Senior Demonstration of Military Managed Care. The study utilizes a survey instrument and identifies management's perceptions about the relative importance of TRICARE Senior Demonstration implementation issues, time and coordination requirements for managing the issues, learning requirements during the implementation process, and management's perception about the potential threats to the ultimate success of the demonstration. Survey results are compared and contrasted among seven different demographic sub-groups. Managements perceptions of the most important issues can provide an invaluable source of information for management staff of other Lead Agencies and Medical Treatment Facilities that will likely implement this program in the future. The discussion of the major issues, the discussion of potential threats, and the comparison of results among demographic sub-groups contained in this study can further help define management priorities when implementing a similar program in the future.