| Edizione | [1st ed.] |
| Pubbl/distr/stampa |
Santa Monica, CA, : RAND, 2010
|
| Descrizione fisica |
1 online resource (132 p.)
|
| Disciplina |
358.4/13450973
|
| Altri autori (Persone) |
GraserJohn C
|
| Collana |
Project Air Force report
|
| Soggetto topico |
Armed Forces - Economic aspects
|
| ISBN |
1-283-10916-6
9786613109163
0-8330-5187-3
|
| Formato |
Materiale a stampa  |
| Livello bibliografico |
Monografia |
| Lingua di pubblicazione |
eng
|
| Nota di contenuto |
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
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| Record Nr. | UNINA-9910220156503321 |