for all operational levels in the MHS. Thus, the quality of this standardized data is crucial to
quality decision-making at all MHS levels.
a. Medical Treatment Facilities. At medical treatment facility (MTF) levels, the
information is used to allocate and reallocate resources against programmed workload
and resources. The information is used in developing staffing justification, trending patient
care demand, make/buy decision-making, and marketing, among other functions. The
WWR data collection contributes to the overall goal of the MTF information management
function to obtain, manage, and use information to improve patient outcomes and
individual and hospital performance in patient care, governance, management, and
support processes. The WWR contributes to theMTFs' Joint Commission on Accreditation
of Healthcare Organizations (JCAHO) by partial fulfillment of the Information Management
b. Major Commands. At Major Command levels, such as the Air Force Major
Commands (MAJCOMs) and the Army's Regional Medical Commands RMCs),
information is used to evaluate MTF performance against budget execution, to reallocate
resources when necessary, and to project future program as well as planning needs.
c. Lead Agents. At Lead Agent (LA) levels, the information is used to coordinate
care under the Managed Care Support Contracts of TRICARE. One key use of the data is
in the management of bid price adjustments with the TRICARE Managed Care Support
d. Department of Defense (Health Affairs) DoD(HA). At DoD(HA) Level, the
information is shared within the DoD, the Executive Branch, and Congress to demonstrate
performance required by law and statute, as well as to form a basis of continuing and
increased authorizations and appropriations.
e. Flow of WWR Data and Relationship to Resources.
(1) Selected monthly WWR data is used to populate many workload measures
of the Expense Assignment System Version III (EAS III) and the Navy's Standard
Accounting and Reporting System/Field Level (STARS/FL).
(2) Before Composite Health Care System (CHCS) Version 4.4, MTF
personnel frequently manually entered workload data from CHCS workload printouts into
the EAS III and STARS/FL. With CHCS version 4.4, a Medical Expense Performance and
Reporting System (MEPRS) workload American Standard Code for Information
Interchange (ASCII) file was available to the MTF personnel for transfer into the EAS. In
CHCS version 4.5, the Workload Assignment Module (WAM) was added to standardize
and interface (i.e., connect) CHCS workload information with the EAS and STARS/FL
systems. With WAM, this information from CHCS will no longer need to be re-keyed into