The economics of Air Force Medical Service readiness
The Air Force Medical Service (AFMS) currently runs three in-theater hospitals for severely injured or wounded personnel. Part of the practioners' preparation was treating DoD beneficiaries for a broad range of injuries and illnesses. Opportunities for this preparation are not as numerous "...
| Otros Autores: | |
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| Formato: | Libro electrónico |
| Idioma: | Inglés |
| Publicado: |
Santa Monica, CA :
RAND
2010.
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| Edición: | 1st ed |
| Colección: | Project Air Force report.
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| Materias: | |
| Ver en Biblioteca Universitat Ramon Llull: | https://discovery.url.edu/permalink/34CSUC_URL/1im36ta/alma991009427828506719 |
Tabla de Contenidos:
- Cover; Title Page; Copyright; Preface; Contents; Figures; Tables; Summary; Acknowledgments; Abbreviations; Glossary; CHAPTER ONE Introduction; Background; The Challenge to the Military Health System; Purpose; Methodology; Organization of This Report; CHAPTER TWO Overview of the Air Force Medical Service; Mission; Recent History; Overview of the DoD Military Health System; Key Differences Among the Services' Health Systems; Size and Composition; Command Structure; Relationships Between the Air Force Medical Service and Air Force Major Commands; Medical Facilities; Summary
- CHAPTER THREE Air Force Medical Service Funding Budget Overview; Emphasis on Military Treatment Facility Efficiency; Prospective Payment System; Efficiency Wedge; Medicare-Eligible Retiree Health Care Fund Earnings; Local Military Treatment Facility Reimbursements; Military Treatment Facility Financial Information; Comparing the Air Force Medical Service to the Army and Navy Medical Departments; Methodology of the Medical Department Comparisons; Comparison of Medical Departments' Expenses and Earnings; Prescription Costs; Comparing MTF Size and Earnings Share Across Services
- Stepped-Down MEPRS A and B Expenses Versus Earnings Future Military Health System Funding Concerns; Summary; CHAPTER FOUR Measuring Military Medical Service Costs and Workloads; Introduction; Reporting and Measuring Resources: Labor and Labor Costs; Limitations in Reporting Manpower; Reporting and Measuring Workload; Limitations on Workload Reporting; Summary of Benefits; How Do System Inaccuracies Affect Performance Measures and Funding?; Prospective Payment System; Primary Care Productivity; Medicare-Eligible Retiree Health Care Fund; Summary
- CHAPTER FIVE Why Has the Air Force Medical Service's Workload Decreased? Work Accomplished, FYs 2000-2007; Effects of Readiness and Deployments on Workload Production; Decline in the Number and Availability of Air Force Medical Service Surgeons; Effects of Converting Inpatient Facilities to Stand-Alone Clinics; Effects of TRICARE for Life; Keesler AFB Hospital and Hurricane Katrina; Replacements for Deployed Medical Personnel; Summary; CHAPTER SIX Options Available for Recapturing and Expanding Workloads; Maintaining Clinical Currency of Providers
- Option 1: Expand Opportunities at Existing Air Force Medical Service Facilities Option 2: Assign Air Force Providers to Shared or Joint Hospitals; Option 3: Increase Cooperation with Nonmilitary Hospitals; Option 4: Increase Reliance on the Air National Guard and Reserves During Wartime; Summary; CHAPTER SEVEN Conclusions; APPENDIXES; A. Medical Workload by Service Military Treatment Facility; B. Readiness Full-Time Equivalents by Service; C. Prospective Payment System; D. Medicare-Eligible Retiree Health Care Fund; E. Consolidation of Wilford Hall Medical Center and Brooke Army Medical Center
- F. Efficiency-Wedge Reductions
