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TABLE 7-2 Department of Defense Medical Automated Information Systems with Relevant Data
Acronym
Name
Description
ADS
Ambulatory Data System
Captures client-specific encounter, diagnostic, and treatment data for clients visiting outpatient clinics
CDIS
Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) Detail Information System
Supports on-line, near real-time access to individual detailed CHAMPUS information
CEIS
Corporate Executive Information System (800) 865-7023
Provides a collection of databases designed to furnish Department of Defense health care managers with executive information for decision support
CHCS
Composite Health Care System
Provides a daily record of patient administrative and clinical data for military medical treatment facilities
DMIS
Defense Medical Information System
Provides a large repository of patient-level, population, normative, and financial data to support health care analysts and decision makers
MCQA
Managed Care Query Application
Provides ad hoc capabilities to medical treatment facilities for CHAMPUS, Biometrics, and patient population data
RCMAS
Retrospective Case Mix Analysis System
Provides clinical and management information; detailed patient level data; and workload and utilization data
TCSDB
Tri-Service CHAMPUS Statistical Database
Supports ad hoc research, analytical health outcomes studies, and Medical Analysis Support System (MASS) files
Recommendations For New Methods
The committee recommends that the military survey a representative sample of active-duty personnel individually and review the individuals' personnel and medical records during the course of an interview. This method would enable the investigator to obtain all the data needed in a single effort, ensure quality control of the data, build a database that would preserve the anonymity of the individual, and obviate the need to merge automated information systems with highly sensitive data. However, the need to create a system that will obtain information from several large and representative samples of the entire DoD over the course of several years may make this choice cost prohibitive.
An alternative recommendation is to expand the triennial Survey of Health-Related Behaviors among Military Personnel to include the demographic, medical, nutrition, fitness, and pregnancy data needed. Changing the questionnaire to include the social security number, as was done with the Navy's Perceptions of Wellness and Readiness Assessment survey and the Army's
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