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MHS Patient Satisfaction Surveys

The survey program was formally established in response to the National Defense Authorization Act Public Law. No. 102-484, § 724, 106 Stat. 2315, 2440 (1992) which states; the administering secretaries shall conduct annually a formal survey of persons receiving health care to determine:  

  • Availability of services provided, type of services received and facilities where provided
  • Familiarity with availability and facilities
  • Health status
  • Satisfaction with system and quality provided
  • Other matters as appropriate

DHA Decision Support Division (DSD) health care scientists collect information to measure beneficiary and staff satisfaction and to support functions such as: strategic planning and marketing; improving quality of care/access; contractual performance; and responding to the Military Health System (MHS) and Department of Defense (DoD) requests. Surveys are benchmarked against national norms. Results are monitored to implement change as appropriate. DSD's DoD Health Care Survey Operations and Information Control provides the direction, coordination and oversight for all DoD-wide health care survey research/operations.

Core Surveys

Survey  Description 
Health Care Survey of DoD Beneficiaries (HCSDB) Conducted since 1995, the HCSDB surveys approximately 250,000 eligible beneficiaries yearly and is designed specifically to collect information on unique issues related to TRICARE administered benefits. The survey provides a comprehensive look at beneficiary opinions about their health, preventative care services, ease of access to health care, health insurance coverage, satisfaction and customer services efforts over the previous 12 months.
TRICARE Inpatient Satisfaction Survey (TRISS)
Survey began in 1999 and evaluates how beneficiaries’ inpatient satisfaction, either at a military treatment facility (MTF) or at a civilian healthcare facility, compares with that of inpatients throughout the nation. Comparison of this information with the results from previous surveys as well as comparisons to civilian benchmark data measure DoD progress in meeting its goals and objectives of high quality health care.
TRICARE Outpatient Satisfaction Survey (TROSS)  The TROSS surveys approximately 575,000 TRICARE active duty and other beneficiaries to assess the perceptions and experiences of care received through the MHS. Respondents to the questionnaire evaluate the quality of health care services provided by the MHS through both the Direct CareDirect care refers to military hospitals and clinics, also known as “military treatment facilities” and “MTFs.”Direct Care (DC) and Purchased CareThe TRICARE Health Program is often referred to as purchased care. It is the services we “purchase” through the managed care support contracts.Purchased Care (PC). The data from the TROSS is compared to a nationally recognized civilian benchmark for the DoD and policy makers to measure progress and the goals for providing high quality health care.
Survey of Health Related Behaviors
The DoD Survey of Health Related Behaviors has been the predominate source of health behavior information for the military since 1980. The purpose of this population based survey is to continue to assess trends in a wide range of health behaviors in the military. The study assessed the prevalence of drug, alcohol and tobacco use, and assessed progress toward meeting HP2010 objectives.
Joint Outpatient Experience Survey (JOES) JOES combines and standardizes the long-standing Services outpatient surveys: Army (AMEDD Provider level Satisfaction Survey- APLSS), BUMED (Patient Satisfaction Survey- PSS), and Air Force (Service Delivery Assessment- SDA). JOES will continue to focus on the beneficiary experience with care received in MTFs.  It will also include a separate monthly survey based on the DHA TRICARE Outpatient Satisfaction Survey (TROSS), called JOES-C (where “C” stands for Consumer Assessment of Health Providers and Systems (CAHPS- clinician and group survey). JOES-C will continue to focus on beneficiary experience in both direct and purchase care provider offices, and will allow MHS to compare our beneficiary results to the civilian benchmark results. JOES will be managed by a tri-Service working group using a single central contract.

Survey Licensure and Clearance

The Survey Licensure and Clearance division provides direction, development, implementation and oversight of survey research for MHS. The department develops policies, strategic plans and operational guidance for survey research and interfaces with other key DoD activities to ensure appropriate approval and licensing of all MHS surveys. In addition, the operational team ensures that goals are met with respect to needs, uses and purposes of surveys and that survey efforts are cost effective, non-duplicative, non-burdensome, efficacious and protect individual privacy.

The primary functions of Survey Operations and Information Control include:

  • Provide timely and accurate information and data for program evaluation, performance management, case management and decision support for the MHS (MCSC 3.0, Population Health, etc)
  • Establish premiere, cost effective and integrated assessment programs
  • Assist in benchmarking the MHS to its civilian counterparts
  • Develop strategy for identifying, articulating and achieving information needs and requirements
  • Oversee survey duplication, burden, cost and quality in and (when feasible) outside the MHS

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Showing results 1 - 15 Page 1 of 2

Current Active Surveys

Report
5/9/2016

Current Active Surveys provides a list of all Active Surveys sponsored by Defense Health Cost Assessment and Program Evaluation.

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MHS Patient Satisfaction Surveys

Joint Outpatient Experience Survey to standardize feedback from MHS beneficiaries

Article
4/13/2016
U.S. Air Force Staff Sgt. Alecia Peel-Thompson, 18th Medical Operations Squadron aerospace medical technician, checks the blood pressure of a patient.

Later this year, the Military Health System will roll out a unified outpatient survey system – a single survey for all military treatment facilities across all services.

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Health Care Program Evaluation, MHS Patient Satisfaction Surveys, Access, Cost, Quality, and Safety, Military Hospitals and Clinics

DoD Instruction 1100.13: Surveys of DoD Beneficiaries

Policy

This instruction estblishes policies, assign responsibilities, and provide procedures for information collections involving the use of surveys.

DoD Instruction 7750.7: DoD Forms Management Program

Policy

This instruction establish policies, assign responsibilities, and provides procedures governing the DoD Forms Management Program in accordance with Title 41, Code of Federal Regulations (CFR), Title 44, United States Code, Title 5, CFR,and Title 36, CFR.

DoD Instruction 8910.1-M: Information Collection and Reporting

Policy

This instruction establishes and reissues policies and assigns responsibilities for the collection of information and the control of the paperwork burden consistent with chapter 35 of Title 44, United States Code.

2013 TRICARE Inpatient Satisfaction Survey (TRISS) Report of Findings

Report
12/5/2013

The survey instrument incorporates the questions developed by the Agency for Healthcare Research and Quality (AHRQ) and the Centers for Medicare and Medicaid Services (CMS) for the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) initiative. The goal of the HCAHPS initiative is to uniformly measure and publicly report patients’ experience with their inpatient care through use of a standardized survey instrument and data collection methodology. The information derived from the survey can be useful for internal quality improvement initiatives, to assess the impact of changes in operating procedures, and to provide feedback to providers and patients. Comparison of these data with the results from previous surveys as well as comparisons to civilian benchmark data will measure Department of Defense progress in meeting its goals and objectives of high quality healthcare.

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TRICARE Inpatient Satisfaction Surveys (TRISS), MHS Patient Satisfaction Surveys

2011 Health Related Behaviors (HRB) - Active Duty Executive Summary

Report
2/1/2013

The purpose of this study is to assess health behaviors that have the potential to impact readiness and to assess the overall well-being of the Armed Forces. The Department of Defense (DoD) uses data from the Health Related Behavior (HRB) Survey to improve education, training, treatment, and counseling to support the Services and optimize individual and overall health status and fitness.

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2011 Health Related Behavior Survey Active Duty, Survey of Health Related Behaviors, MHS Patient Satisfaction Surveys

2012 TRICARE Inpatient Satisfaction Survey (TRISS) - Report of Findings

Report
10/8/2012

Surveys measure beneficiary user satisfaction with inpatient experiences in direct care and purchased care settings. Surveys are sent world-wide to a sample of eligible beneficiaries who received inpatient care. The direct care survey is a census survey while the purchased care survey is a random sample.

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TRICARE Inpatient Satisfaction Surveys (TRISS), MHS Patient Satisfaction Surveys

2011 Health Related Behaviors Survey - Active Duty Army Memo

Report
9/28/2011

This memorandum requests your continued support for the Department of Defense (DoD) Lifestyle Assessment Program (DLAP), a program that complements DoD’s Human Resources Strategic Plan by assessing Service members’ healthy lifestyle knowledge and choices. These behaviors affect short- and long-term well-being and greatly impact readiness and retention. Information on these issues has been, and will continue to be, collected through surveys and special studies. The next planned event in the program is the 2011 DoD Survey of Health Related Behaviors Among Active Duty Military Personnel (2011 Active Duty HRB Survey).

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2011 Health Related Behaviors Survey - Active Duty Air Force Memo

Report
9/19/2011

This memorandum requests your continued support for the Department of Defense (DoD) Lifestyle Assessment Program (DLAP), a program that complements DoD’s Human Resources Strategic Plan by assessing Service members’ healthy lifestyle knowledge and choices. These behaviors affect short- and long-term well-being and greatly impact readiness and retention. Information on these issues has been, and will continue to be, collected through surveys and special studies. The next planned event in the program is the 2011 DoD Survey of Health Related Behaviors Among Active Duty Military Personnel (2011 Active Duty HRB Survey).

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2011 Health Related Behavior Survey Active Duty, Survey of Health Related Behaviors, MHS Patient Satisfaction Surveys

2011 Health Related Behaviors Survey - Active Duty ASD-HA News Release Final Draft

Report
8/10/2011

Falls Church, VA – The Office of the Assistant Secretary of Defense for Health Affairs and the Director, TRICARE Management Activity (TMA), today announced the 2011 Health Related Behaviors (HRB) Survey will be launched starting the week of August 15th. Approximately 300,000 randomly selected Active Duty Service members will be asked to complete the anonymous survey, on site or via Internet.. The HRB Survey has been conducted every 3 years since 1980 and is used to measure the health related behaviors and lifestyles of Active Duty military personnel that have the potential to impact readiness.

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2011 Health Related Behaviors Survey - Active Duty Marine Corps Memo

Report
8/1/2011

This memorandum requests your continued support for the Department of Defense (DoD) Lifestyle Assessment Program (DLAP), a program that complements DoD’s Human Resources Strategic Plan by assessing Service members’ healthy lifestyle knowledge and choices. These behaviors affect short- and long-term well-being and greatly impact readiness and retention. Information on these issues has been, and will continue to be, collected through surveys and special studies. The next planned event in the program is the 2011 DoD Survey of Health Related Behaviors Among Active Duty Military Personnel (2011 Active Duty HRB Survey).

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2011 Health Related Behaviors Survey - Active Duty Navy Memo

Report
8/1/2011

This memorandum requests your continued support for the Department of Defense (DoD) Lifestyle Assessment Program (DLAP), a program that complements DoD’s Human Resources Strategic Plan by assessing Service members’ healthy lifestyle knowledge and choices. These behaviors affect short-and long-term well-being and greatly impact readiness and retention. Information on these issues has been, and will continue to be, collected through surveys and special studies. The next planned event in the program is the 2011 DoD Survey of Health Related Behaviors Among Active Duty Military Personnel (2011 Active Duty HRB Survey).

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2011 Health Related Behaviors Survey - Active Duty Military Questions and Answers

Fact Sheet
6/1/2011

Questions and answers for active duty military for the 2011 Health Related Behaviors Survey

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2011 Survey of Health Related Behaviors (HRB) - Active Duty Service Members - ASD/HA Memo

Report
6/1/2011

This memorandum requests your continued support for the Department of Defense (DoD) Lifestyle Assessment Program (DLAP), a program that complements DoD’s Human Resources Strategic Plan by assessing Service members’ healthy lifestyle knowledge and choices. These behaviors affect short- and long-term well-being and greatly impact readiness and retention. Information on these issues has been, and will continue to be, collected through surveys and special studies. The next planned event in the program is the 2011 DoD Survey of Health Related Behaviors Among Active Duty Military Personnel (2011 Active Duty HRB Survey).

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2011 Health Related Behavior Survey Active Duty, Survey of Health Related Behaviors, MHS Patient Satisfaction Surveys
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DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

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