AFI44-176 8 SEPTEMBER 2017 9
nonclinical positions is kept to a minimum, except for where an adverse action exists per AFI
44-119, Medical Quality Operations.
2.2. The Access Manager/Access Management Team (AMT) will:
2.2.1. Be chaired by the GPM. The Chief of the Medical Staff (SGH) will be the alternate
chair. The AMT will follow the agenda outlined in Attachment 3 of AFI 44-176. (T-2)
2.2.2. Include at a minimum: the Access Manager, all GPMs, SGH, Chief Nurse (SGN);
Administrator (SGA); Health Care Integrator (HCI); Health Service Management 4A
Functional or representative; Aerospace Medicine Chief (SGP) or representative; Flight
Commanders of all clinics, TRICARE Operations and Patient Administration (TOPA) Flight
Commander, the Quality Manager, and the lead appointment agent. (T-2)
2.2.2.1. The Medical Operations Squadron (MDOS), Medical Support Squadron
(MDSS) and Aerospace Medicine Squadron (AMDS), and Surgical Operations Squadron
(SGCS) Commanders are highly encouraged to participate and/or be members of the
AMT.
2.2.3. Meet in-person with AMT members listed in para 2.2.2 above at least monthly to
review/coordinate templating, scheduling, appointing, clinic/appointment staffing, provider
coverage, supply shortfalls and surpluses, and other clinical operational issues with the goal
of optimizing ATC at the MTF. The AMT will discuss process improvement efforts. (T-2)
2.2.4. Review performance measures for all clinics monthly, to include but not limited to:
Third Next available appointment (24HR, FTR, SPEC), appointment utilization, demand
management purchased care leakage, patient satisfaction, telephony metrics, no-show
metrics, first call resolution results, PCM continuity measures, and NAL metrics. (T-2) See
Attachment 3 for full list of measures to be reviewed at the AMT.
2.2.5. Document evidence of meeting occurrence (i.e. slides and sign-in roster). Formal
meeting minutes are encouraged but not required. (T-2)
2.2.6. The AMT will review the Nurse Advice Line (NAL) sustainment plan annually. (T-2)
2.3. The Group Practice Manager (GPM) will:
2.3.1. Chair the AMT. (T-2)
2.3.2. Recommend access improvement strategies and at minimum report deficient access-
related performance measures/results to the Executive Committee at least monthly through
the AMT in accordance with paragraph 2.2.4 above. (T-2)
2.3.3. Monitor/analyze NAL appointment booking, usage and performance metrics. (T-2)
2.3.4. Perform continuous demand management forecasting. (T-2)
2.3.5. Develop and modify provider templates. (T-3) This should be done in conjunction
with providers and clinic leadership (e.g. Flight Commander/Flight Chief, etc.).
2.3.6. Collaborate with providers and clinic leadership to provide an adequate supply of
appointments through management of templates, schedules, appointing procedures and
utilization of access enhancing tools. (T-2)