The economics of Air Force Medical Service readiness /

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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.

Detalles Bibliográficos
Clasificación:Libro Electrónico
Otros Autores: Graser, John C.
Formato: Electrónico eBook
Idioma:Inglés
Publicado: Santa Monica, CA : RAND, 2010.
Colección:Project Air Force report.
Temas:
United States. > Air Force Medical Service > Evaluation.
United States. > Air Force Medical Service > Reorganization.
United States. > Air Force > Medical care.
United States. > Air Force > Operational readiness.
États-Unis. > Air Force > État de préparation opérationnelle.
United States. > Air Force.
United States. > Air Force Medical Service.
TECHNOLOGY & ENGINEERING > Military Science.
MEDICAL > Allied Health Services > General.
Armed Forces > Evaluation.
Armed Forces > Medical care.
Armed Forces > Operational readiness.
Armed Forces > Reorganization.
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.

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