Author: Nancy Nicosia Publisher: RAND Corporation ISBN: 9780833047779 Category : Medical Languages : en Pages : 138
Book Description
Considers potential efforts by the U.S. Department of Defense to assess the performance of military treatment facilities (MTFs) in cost-effectively managing health care. The authors first provide an overview of performance assessment in the nonmilitary health care sector; they then analyze the use of average MTF utilization and costs as performance measures, focusing on how MTF size and catastrophic cases affect these metrics.
Author: Brenda S. Farrell Publisher: DIANE Publishing ISBN: 1437937233 Category : Law Languages : en Pages : 43
Book Description
This is a print on demand edition of a hard to find publication. Military medical personnel, who are essential to maintaining one of the largest and most complex health systems in the nation, are in great demand due to the need to treat injured or ill servicemembers, and advances in technology that require specialized personnel. To determine how well the Department of Defense and the services are developing their medical and dental personnel requirements, this report evaluated: (1) the extent to which the services have incorporated cross-service collaboration in their medical personnel requirement processes; and (2) the service-specific processes for determining their requirements for military and civilian medical personnel. Includes recommendations. Charts and tables.
Author: Richard C. Welton Publisher: ISBN: Category : Health promotion Languages : en Pages : 0
Book Description
The MHSS is behind in its implementation of important UM strategies. Prior to this study there had not been a data-based assessment of top management support at the MTF level, where these strategies will be implemented to determine the feasibility of expanding the present utilization management focus by incorporating demand management strategies to use more comprehensive and efficacious health promotion (HP) programs. This graduate management project undertakes a more formal evaluation to collect reliable and valid data describing the current level of MTF top management support, understanding, and performance-outcome expectancy for more comprehensive HP programs. The relevant literature has been reviewed: I) to discuss the well documented factors predicting individual health-related behaviors: 2) to discuss current advances in the measurement and monitoring of general health status: and 3) to illustrate how several mature civilian health services organizations and numerous HP programs have implemented cost effective efficacious demand management strategies to reduced the need and demand for health services utilization while improving beneficiary health status. In light of these current concepts this descriptive study of current attitudes and opinions of Army and Navy MTF top management compiled from mailed survey responses is intended to be used as a basis for strategic planning by headquarters activities to facilitate the development and implementation of more comprehensive utilization management strategies.
Author: National Academies of Sciences, Engineering, and Medicine Publisher: National Academies Press ISBN: 0309466601 Category : Medical Languages : en Pages : 467
Book Description
Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€"related outcomesâ€"in particular, suicideâ€"at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services.
Author: United States. General Accounting Office Publisher: ISBN: Category : Military hospitals Languages : en Pages : 43
Book Description
GAO reviewed the Department of Defense's (DOD) efforts to provide medical facilities for American casualties who would be returned to the United States for medical care in the event of a war in an overseas area. The latitude provided in DOD guidance on the wartime use of military hospitals in the continental United States (CONUS) permits significant differences in the way the military services determine the extent of care that could be provided in their facilities if a war began. Under DOD guidance, the services have adopted different: (1) transition plans for converting individual hospitals to handle wartime casualties; (2) methods for identifying capacity of individual hospital facilities to expand the care for wartime work load; (3) stockpiling policies for medical materiels to meet mobilization expansion requirements; (4) types of buildings as wartime assets to augment hospital capacity; and (5) policies for retention of closed hospitals as future mobilization facilities. As a result of these differences, DOD does not have an accurate assessment of the medical mobilization capacity of CONUS military facilities. Recently, DOD has given little consideration to mobilization in configuring new hospitals, and its construction planning has been directed primarily to meeting design requirements for peacetime operations. Economic feasibility studies performed by the services before undertaking hospital construction projects have been used primarily to select the most cost-effective means of meeting peacetime military medical care needs. Design concept studies performed to determine configuration of new hospitals before construction are oriented to meeting peacetime performance requirements.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309152852 Category : Medical Languages : en Pages : 193
Book Description
Nearly 1.9 million U.S. troops have been deployed to Afghanistan and Iraq since October 2001. Many service members and veterans face serious challenges in readjusting to normal life after returning home. This initial book presents findings on the most critical challenges, and lays out the blueprint for the second phase of the study to determine how best to meet the needs of returning troops and their families.
Author: Cynthia Childress Publisher: ISBN: Category : Languages : en Pages : 120
Book Description
The prolonged wars in Iraq and Afghanistan have taken a toll on the United States as a whole and the United States military in particular. The primary aim of this research is to determine what impact the wars in Iraq and Afghanistan have had on the performance of military hospitals over the fiscal years 2001-2006. Specifically, what direct effect has the war in Iraq and Afghanistan had on the productivity and quality of military hospitals, and, do productivity and quality trends differ based on hospital characteristics? Since observations over multiple time periods are nested within hospitals, multilevel mixed effects regression and Poisson regression models are used to evaluate changes in productivity and quality while accounting for differences within hospitals. Using a contingency theory framework, this study fills the gap in looking at the impact of war on permanent military hospitals' productivity and quality using nationally developed and implemented quality indicators (Agency for Healthcare Quality and Research Inpatient Quality Indicators and Patient Safety Indicators). Structural characteristics of the hospital, teaching status and branch of Armed Service influenced productivity and certain quality indicators. The structural components were not able to reliably predict differences in productivity and all quality indicators, but overseas hospitals and non-teaching hospitals were most likely to differ from major teaching hospitals. The wars in Iraq and Afghanistan, denoted by the variables for wounded discharges and deployed staff, were only partially related to the productivity of military hospitals. Only an increase in the percentage of wounded discharges was related to productivity of military hospitals, and none were related to the quality indicators. In essence, the war affected the workload and productivity of military hospitals, but it did not affect the quality provided in the hospitals, as measured by AHRQ inpatient and patient safety quality indicators. Structural characteristics account for more of the variation in quality among military hospitals than the impact of war within the timeframe studied.
Author: Publisher: ISBN: Category : Languages : en Pages : 33
Book Description
The objectives of the audit were to determine whether the cost for inpatient care at military treatment facilities could be reduced by implementing diagnosis-related group length of stay standards used by civilian hospitals as the criteria for controlling or limiting inpatient admissions. The audit was also performed to determine whether medical data were processed promptly and accurately into the Retrospective Case Mix Analysis System (RCMAS). Other objectives were to assess the collection and adequacy of cost data associated with inpatient stays in military treatment facilities and to evaluate internal controls pertaining to inpatient lengths of stay in military treatment facilities and accounting for hospital costs.
Author: John Whitley Publisher: ISBN: Category : Military hospitals Languages : en Pages : 40
Book Description
The rising costs of healthcare in DoD have placed a spotlight on the importance of sound management of DoD's Military Treatment Facilities (MTFs) in recent years This, combined with concerns about adequacy in direct health care support for the readiness mission and quality, has led Congress to direct a major overhaul of the direct care system. This report presents background information on the challenges of the direct system to provide context for the modernization reforms directed by the NDAA Whitley describes specific actions DoD can take to improve performance and reduce costs in MTFs This includes, where applicable, illustration of examples where DoD has already taken these actions in a limited fashion or in other areas of the department Many of the recommended actions have been implemented on limited scales (or in other mission areas) It also draws lessons learned from these experiences for reform across other government healthcare delivery systems.
Author: Nancy Nicosia
Author: Brenda S. Farrell
Author: Richard C. Welton
Author: Richard C. Welton
Author: National Academies of Sciences, Engineering, and Medicine
Author: United States. General Accounting Office
Author: Institute of Medicine
Author: Cynthia Childress
Author: 
Author: John Whitley