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The Military Health System Research (MHSR) Program provides intramural and extramural grants for topic areas directed by the Office of the Assistant Secretary of Defense for Health Affairs (OASD (HA)) and the Defense Health Agency (DHA). The intent of this initiative is to foster capability and capacity within the Military Health System (MHS) to conduct health system research by through intramural and extramural grants. The Military Health System Research (MHSR) funds studies that identify factors that affect the economics/cost, quality, variation, and outcomes of military health care delivery across the enterprise. The program goal is to use data-driven research to inform policy and decision making, resulting in improved efficiency and effectiveness of healthcare delivery within the MHS.
This chart shows obligations for the program by fiscal year. All data for this chart was provided by the
administering agency and sourced from SAM.gov, USASpending.gov, and Treasury.gov.
For more information on each of these data sources, please see the
About the data page.
No new projects funded due to Covid 19, so no accomplishment to report.
Examples of projects that could be funded resulting in accomplishments include studies that identify factors that affect the economics/cost, quality, variation and outcomes of military health care delivery. This includes how policies, social factors, financing systems, organizational structures and processes, health technologies, behaviors influence the health care delivery to individuals, families, communities, and populations.
-Research led to expansion of the ACCESS system within the MHS that would (1) help reduce ED crowding, (2) improve access to care through a live-tracking system that patients can review and select from, and (3) reduce the number of unfilled primary care appointments.
-The ACCESS system in place in the BAMC ED serves as a template for other MTFs to use.
An MHSR funded project at the Naval Postgraduate School (NPS) has shown significant variation in access to behavioral health resources across the US that can have impact to Service members and their beneficiaries. The NPS study reports that almost one-third of TRICARE Beneficiaries live in a community with inadequate mental health care access, specifically access to psychiatrists. Study findings were published in the Journal of the American Medical Association (JAMA Network Open 6.1 (2023): e2249314-e2249314.). The MHSR funded project at Dartmouth College in collaboration with the Institute for Defense Analysis (IDA) compared rates of utilization of low back pain (LBP) treatments (i.e. physical therapy, manual therapy, behavioral therapies, opioid and benzodiazepine prescription) across the MHS and their association with resolution of LBP in the claims data. The research reported substantial variation in the treatment rates across catchment areas (A military treatment facility (MTF) based catchment area consists of zip codes within a 40-mile radius of the MTF) with higher rates of opioid prescription associated with worse outcomes (defined as an absence of administrative claims for LBP during a 6 to 12-month period after the index diagnosis). Results are published in the Journal Spine (Lurie, Jon D., et al. “A Regional Analysis of Low Back Pain Treatments in the Military Health System.” Spine.)
Single Audit Applies (2 CFR Part 200 Subpart F):
For additional information on single audit requirements for this program, review the current Compliance Supplement.
OMB is working with the U.S. Government Accountability Office (GAO) and agency offices of inspectors general to include links to relevant oversight reports. This section will be updated once this information is made available.
