ISBN:
9780833050229
,
0833051873
,
9781283109161
,
1283109166
,
9780833051875
,
0833050222
Language:
English
Pages:
1 Online-Ressource (xxiv, 105 pages)
Series Statement:
Project Air Force
Parallel Title:
Print version Economics of Air Force Medical Service readiness
DDC:
358.4/13450973
Keywords:
United States Reorganization
;
United States Medical care
;
United States Operational readiness
;
United States Evaluation
;
United States
;
United States
;
United States
;
United States
;
Electronic books
;
United States
;
United States
;
TECHNOLOGY & ENGINEERING ; Military Science
;
MEDICAL ; Allied Health Services ; General
;
Armed Forces ; Evaluation
;
Armed Forces ; Medical care
;
Armed Forces ; Operational readiness
;
Armed Forces ; Reorganization
;
Electronic books
Abstract:
Cover -- Title Page -- Copyright -- Contents -- Preface -- 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 Services Workload Decreased? -- Work Accomplished, FYs 20008211;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 -- G. Support to Landstuhl Regional Medical Center -- Bibliography -- Back Cover
Abstract:
Cover -- Title Page -- Copyright -- Contents -- Preface -- 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 Services Workload Decreased? -- Work Accomplished, FYs 20008211;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 -- G. Support to Landstuhl Regional Medical Center -- Bibliography -- Back Cover
Note:
"Prepared for the United States Air Force
,
"TR-859-AF"--Page 4 of cover
,
Includes bibliographical references (pages 103-105)
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