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The economics of Air Force Medical Service readiness /
To transition rapidly to wartime service, Air Force Medical Service critical-care providers need suitable peacetime training opportunities, and this work must be properly attributed to AFMS so that it receives proper credit in budget distributions.
| Clasificación: | Libro Electrónico |
|---|---|
| Otros Autores: | |
| Formato: | Electrónico eBook |
| Idioma: | Inglés |
| Publicado: |
Santa Monica, CA :
RAND,
2010.
|
| Colección: | Project Air Force report.
|
| Temas: | |
| Acceso en línea: | Texto completo |
Tabla de Contenidos:
- Ch. 1. Introduction
- ch. 2. Overview of the Air Force Medical Service
- ch. 3. Air Force Medical Service funding
- ch. 4. Measuring military medical service costs and workloads
- ch. 5. Why has the Fir Force Medical Service's workload decreased?
- ch. 6. Options available for recapturing and expanding workloads
- ch. 7. Conclusions
- Appendix A. Medical workload by service military treatment facility
- Appendix B. Readiness full-time equivalents by service
- Appendix C. Prospective payment system
- Appendix D. Medicare-eligible retiree health care fund
- Appendix E. Consolidation of Wilford Hall Medical Center and Brooke Army Medical Center
- Appendix F. Efficiency-wedge reductions
- Appendix G. Support to Landstuhl Regional Medical Center.
- 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.