| A Study to Determine the Most Feasible Sign System for Improving the Flow of Patients in the Interior Hospital |
01 AUG 85 |
66 pages |
| Authors:
Donald L. Deppensmith; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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 | The study determined the most feasible internal hospital sign system aimed at improving the flow of patients throughout the hospital and developed a sign system that is understandable, readable, durable, and attractive. The study conducted a literature review and developed a hospital movement control plan which aided in sign placement. In addition, a questionnaire queried patients for the current sign strengths and weaknesses. This data was then evaluated and a ... |
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| A Descriptive Survey of Inflammatory Bowel Disease within the Active Army Population (1971-1982) |
JUN 85 |
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| Authors:
George M. Graski; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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 | This study was an attempt to identify significant epidemiologic factors which contribute to the incidence of inflammatory bowel disease within the active army population. Keywords: Crohn's disease; Ulcerative colitis; Gastrointestinal disease; Theses. |
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| The Establishment of a Quality Circles Program and Its Effect on Employee Attitudes, Morale, and Performance at an Army Medical Treatment Facility |
AUG 84 |
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| Authors:
Richard A. Varney; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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| This study was an endeavor to implement a Quality Circles Program within an Army health care facility and to develop a guide which any health care facility, particularly military, could follow to establish similar programs. |
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| Survey of United States Army Physician Opinion: The Issue of Written 'Do Not Resuscitate' Orders |
AUG 84 |
88 pages |
| Authors:
John N. McNair; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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| As of mid-1983, the US Army medical community prohibited the use of written orders such as Do Not Resuscitate (DNR) or No Code in patient medical records. At the same time policy statements addressing DNR were in fairly widespread use in the civilian health care system. This study surveyed US Army physicians who have made or were likely to make DNR decisions in an attempt to determine whether or not ... |
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| A Study to Determine the Optimal Feasible Model for the Quality Assurance/Risk Management Program at Naval Hospital, Bethesda |
04 MAY 84 |
132 pages |
| Authors:
Peggy J. Breaux; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
|
| This study was conducted to determine the optimum feasible model for the quality assurance and risk management program for Naval Hospital, Bethesda. The current system was appraised primarily focusing on the flow of information and tracking of quality assurance problems through the system. A new system based on decentralized tracking of quality assurance problems was developed and compared with the existing system of centralized tracking. The author recommended initiation of ... |
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| A Study to Determine Command Guidance Required by Registered Nurses in the Management of Terminally Ill Patients during Pre-Death When Non- Resuscitative Measures are Implied |
MAY 84 |
73 pages |
| Authors:
Sandra V. Ross; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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| This study examined current legalities and nursing opinions to determine what command guidance is required in cases where non-resuscitative measures are implied. Local to national statutes were examined. A survey of the nursing staff was used to determine issues and concerns. The study concludes with a list of specific items that should be covered in command guidance to clarify the issues involved. Keywords: Health care, Terminal illness, Registered nurses, Medical ... |
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| A Comparative Analysis of Patient Access Modes at Wilford Hall United States Air Force Medical Center and Selected Civilian Medical Centers |
DEC 83 |
142 pages |
| Authors:
James W. Shelton Ii; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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| This study examined patient access modes of selected civilian medical centers comparable to Wilford Hall in size, specialty mis, workload, and mission to determine if a more responsive and efficient patient mode could be found for implementation. Appointment systems, clinic operations, and admission systems were compared between facilities. Numerous enhancements to patient access were identified in each of the three areas of focus. The study concluded with a specific implementation ... |
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| A Study to Determine the Actual Cost of Operating the Ambulatory Health Clinic, 97th General Hospital, Frankfurt, Germany |
AUG 83 |
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| Authors:
Ronnie M. Daniel; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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| The study investigates the cost of operating a military ambulatory clinic and compares the cost with that of a similar civilian facility. By taking into account, direct costs and indirect costs, actual operating costs and personnel costs are calculated to allow for the comparison of a civilian versus military facility based on the cost per patient visit. The study concluded that the military ambulatory clinic has operated with a lower ... |
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| A Job Satisfaction and Retention Study of Air Force Medical Service Corps Officers Recently Acquired from Civilian Sources |
AUG 83 |
115 pages |
| Authors:
Michael V. Ciccocioppo Jr; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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| The United States Air Force (AF) is experiencing a shortage of upper grade Medical Service Corps (MSC) officers because of past emphasis on the selection of prior enlisted members for commission in the corps. The recruitment of significantly more civilians into the MSC in recent years is hoped to provide a solution to this shortage in the long term. The purpose of this project is to determine if these new ... |
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| A Study to Develop a Methodology for Evaluating the Effectiveness of a Risk Management Program at U.S. Army Medical Treatment Facilities |
AUG 83 |
90 pages |
| Authors:
Gerald E. Thompson; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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| While the concept of physician liability and accountability can be traced back to Hammurabi, the history of hospital liability and accountability for care provided is contemporary. The concept of risk management evolved as hospitals looked for methods which could be used to protect themselves form liability. Army facilities like civilian institutions, attempt to minimize financial losses through effective risk management programs. This study develops a methodology for evaluating the effectiveness ... |
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| Biomedical Equipment Maintenance and Repair Naval Regional Medical Center, Camp Pendleton, California |
AUG 83 |
80 pages |
| Authors:
Jack D. Chapman; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
|
| Recent growth in the field of biomedical equipment technology has been rapid, producing a proliferation of increasingly complex medical devices. In order to assure continuous, efficient, and accurate utilization of equipment, a comprehensive, well designed maintenance and repair program is mandatory. Many facilities use service contracts to assist indigenous biomedical staffs in maintaining their equipment. This study attempts to determine the optimal method for a cost effective management system to ... |
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| A Test Program to Reduce CHAMPUS (Civilian Health and Medical Program of the Uniformed Services) |
AUG 83 |
78 pages |
| Authors:
George S. Robinson; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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| The problem is to test a proposal for reducing CHAMPUS (Civilian Health and Medical Program of the Uniformed Services) cost for outpatient care within the vicinity of Silas B. Hays Army Community Hospital by optimizing (in the grammatical sense, not the statistical) the use of currently present outpatient treatment capabilities, and when not available, utilizing a Certificate of Nonavailability for those services. In addition, part of the problem is to ... |
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| Proposal and Testing of a Methodology for Evaluating an Occupational Health Program at a U.S. Army Installation |
AUG 83 |
90 pages |
| Authors:
Martin J. Fisher; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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| This study was designed to develop explicit and effective criteria for assessing compliance with predetermined standards related to the Army Occupational Health Program. The author employed a face-to-face panel technique to develop criteria and measurement tools at two different Army installations. Discrepancies in the criteria and measurement tools between the two panels showed weaknesses in the evaluation methodology. The author also felt that the method would be impractical because the ... |
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| Assessing the Need for an Organization Structure for Quality Assurance, Womack Army Community Hospital, Fort Bragg, North Carolina |
AUG 83 |
101 pages |
| Authors:
Llewellyn E. Piper; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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| Today, hospitals in the United States are being besieged by a societal demand for quality in the delivery of health care. The Joint Commission on Accreditation of Hospitals (JCAH) has a requirement for a Quality Assurance (QA) Program. Figuring out a methodology to meet this requirement is left to the individual hospitals. In 1981, when visiting Womack Army Community Hospital, the JCAH Accreditation Team found a large number of weaknesses ... |
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| A Comparative Analysis of Nursing Manpower Requirements: Traditional Staffing Methodology versus Patient Classification System at Madigan Army Medical Center |
JUL 83 |
145 pages |
| Authors:
Lawrence S. Naehr; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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| As of mid-1983, it was estimated approximately 1,000 civilian hospitals in the U.S. utilized some form of a patient classification system to assist with nursing staffing, productivity monitoring, and budgeting justification. Several of these systems had been developed for use within Army Medical Treatment Facility (MTFs) but no system was promulgated for Army-wide use. Manpower requirements for Army MTFs are determined by applying staffing guidelines developed for various functional areas. ... |
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| A Study of Alternate Approaches to Utilization Review of Laboratory Services within an Army Medical Center |
06 JUN 83 |
140 pages |
| Authors:
Thomas E. Leonard; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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| This study was conducted to develop utilization review procedures for ancillary services in graduate medical education programs to meet JCAH and ACGME accreditation standards. The author discusses the need for utilization review as part of the changing environment for the military medical system emphasizing quality, cost-effective care. The author proposes solutions which he believes will lead to meeting JCAH and ACGME standards for utilization review of ancillary services, with no ... |
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| Utilization of a Marketing Strategy at Naval Regional Medical Center Great Lakes, Great Lakes, Illinois |
01 JUN 83 |
101 pages |
| Authors:
Kathleen A. Hiatt; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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| This study examines the question of whether or not civilian m arketing practices and principles can be applied in the military care setting. Using the NRMC Great Lakes as a basis, the answer is yes--consumers of military medical care are ready to be the recipients of health care marketing. The author found that several areas of need in the target market were not being satisfied by this naval MTF, despite ... |
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| A Military Hospice Model |
06 MAY 83 |
191 pages |
| Authors:
Joel T. Hiatt; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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| A hospice is a program concentrating on the care of the terminally ill and their families. It can be exclusively inpatient, exclusively outpatient, or some combination of both inpatient and outpatient. It involves an interdisciplinary approach by professional, staff, and volunteers interested in alleviating pain and assisting the patient and family cope with impending death. This study examines the feasibility of program for hospice at Fitzsimons Army Medical Center. It ... |
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| Improvements in the Administrative Efficiency of the Operating Room System by Using an Automated Scheduling System at William Beaumont Army Medical Center |
MAY 83 |
101 pages |
| Authors:
Fernando Martinez; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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| In late 1982, it was announced that a Tri-Service Medical Information Systems (TRIMIS) Hospital Information System (HIS) was to be installed at William Beaumont Army Medical Center, El Paso, Texas, as well as at a USAF regional Hospital Information, and a Naval Regional Medical Center. This study focuses on Beaumont where all inpatient and outpatient activities were to be integrated into the system - one which would serve as a ... |
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| A Study of Pediatric Emergency Room Utilization and Implications at Reynolds Army Community Hospital, Fort Sill, Oklahoma |
MAY 83 |
70 pages |
| Authors:
Colbert L. Flanery Jr; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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| This study examined the usage of the pediatric emergency room to determine the optimum method of providing emergency services. Seven reasons were identified for children using the emergency room services when they do, primarily based on parent availability. This study recommended changes to the pediatric services to improve the overall service to the customer. Particular emphasis was made on educating the parents on the alternative service of same day appointments ... |
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| Charging for Ambulatory Care in Military Health Care Facilities: An Evaluation and Analysis |
25 APR 83 |
115 pages |
| Authors:
Robert A. Acklin Jr; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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| This study examined the impact of imposing a fee on military beneficiaries in the an attitudinal survey. Actual fee institution was not used. The study had numerous conclusions of the impact: patient demand will not change due to a co-payment fee; co-payments will substantially contribute to CHAMPUS funding; co-payment collections will increase waiting time and contribute to patient dissatisfaction; consumers are opposed to co-payments, but feel they have little recourse; ... |
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| A Study of Non-Economic Motivational Practice for Non-Professional Key Civilian Employees of Naval Medical Facilities |
APR 83 |
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| Authors:
James L. Ayers; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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| This study addresses motivational concepts and practices as perceived by the supervisor and the employee. The author attempts to provide general information to all Naval Health Care Administrators on possible methods and retain their key civilian employees. Faced with tremendous responsibilities, increasingly complex procedures, ever-rising costs, budget limitations, and demand for the highest standards in every phase of his organization, the health care administrator must rely heavily on the willingness ... |
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| A Study of the Civilian-Military Contingency Hospital System at Keeler Army Community Hospital, West Point, New York |
APR 83 |
80 pages |
| Authors:
Joseph G. Flannery; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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| In 1980 the Department of Defense established the Civilian -Military Contingency Hospital System (CMCHS) in an attempt to solicit the cooperation of civilian hospitals for meeting the nation's medical requirements during a short term conventional war or nationally declared emergency. This system's development stemmed from an extensive two year study of what the Department of Defense's capability would be for providing medical support for the United States' military forces given ... |
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| A Study of the Ambulatory Care Quality Assurance Program at DeWitt Army Community Hospital, Fort Belvoir, Virginia |
DEC 82 |
159 pages |
| Authors:
James R. O'Keiff Jr; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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| This study was an endeavor to develop a system to collect and display useful information on the quality of ambulatory care by which hospital staff could make intelligent decisions in the management of the Ambulatory Care Quality Assurance Program. |
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| Quality Circles at Wilford Hall U.S.A.F. Medical Center, Lackland Air Force Base, Texas: Some Preliminary Findings |
01 AUG 82 |
137 pages |
| Authors:
John B. Morey; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
|
| The study investigates the impact of quality circles on job performance, which include job satisfaction and work performance variables, and also researches where quality circles would optimally apply in a military medical center. The study compiled raw data from an implemented quality circle program and in cooperation with the Air Force Institute of Technology, presented preliminary information for a wider-ranging Department of Defense study. In conjunction with the group testing, ... |
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| An Evaluation of the Navy Family Advocacy Program at Naval Regional Medical Center, Camp Pendleton, California |
AUG 82 |
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| Authors:
Anne J. Rawley; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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| This study examines the development, implementation, and results of a Family Advocacy Program to determine if the program meets standards imposed by the Navy Bureau of Medicine and Surgery (BUMED). Programs for identification, intervention, treatment, and prevention of child abuse, spouse abuse, and sexual assault were studied. The author concludes that the Family Advocacy Program studied fails to meet the standards imposed by BUMED, and argues that this indicates the ... |
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| An Analysis of a Program to Identify and Quantify Standards of Performance for U.S. Army Hospital Food Services for the Purpose of Quality Assurance |
AUG 82 |
109 pages |
| Authors:
Dexter V. Hancock; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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| This study attempts to analyze whether a Self-Assessment Survey method, to measure food service quality and identify potential problem areas, can be considered an effective and efficient Quality Assurance tool. Keywords: Food service; Hospitals; Nutrition; Theses. (KT) |
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| Uniform Chart of Accounts: A Format Design for a Management Information Report |
AUG 82 |
52 pages |
| Authors:
John C. Wocher; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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| The study determined an effective and understandable design for a uniform management report based on the Uniform Chart of Accounts (UCA) Medical Expense and Performance Report. The study objectives examined the elements of command participation and what items were essential information required for good decision-making. From this examination, a management report design was developed to provide current cost data for comparison of operating costs. The study concluded that the UCA ... |
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| A Study to Develop an Army Medical Department Wellness Program |
AUG 82 |
143 pages |
| Authors:
Thomas E. Broyles; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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| The Army Medical Department, like the entire health care delivery system in the United States, is on the threshold of a change that will increasingly focus health care on wellness rather than on only the treatment of injuries and diseases. This study develops an AMEDD wellness program for implementation. Is components include: personal responsibility, nutritional awareness, physical fitness, stress management, and environmental sensitivity. Its goal is optimal physical, emotional, and ... |
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| Quality Circles: An Innovative Program to Improve Military Hospitals |
AUG 82 |
93 pages |
| Authors:
Larry D. Ellis; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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| Increasing pressure has been applied to the health care industry to reduce costs, improve quality, and increase efficiency. For many years, the Japanese have been using teams of cooperating workers called Quality Circles to increase productivity and assure quality. The concept has been successfully applied in American industry and introduced into hospitals. A Quality Circle consists of employees who voluntarily meet on a regular basis to identify, analyze, and solve ... |
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| A Study of Factors Affecting the Retention of Civilian Registered Nurses in the Army Medical Department |
AUG 82 |
90 pages |
| Authors:
Frank G. McDonakd III; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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| The critical problem of acquiring and retaining the desired number of civilian registered nurses in the Army Medical Department is examined. Most MEDCENs and MEDDACs have reported difficulty in filling RN positions, and Health Service Command's Civilian Personnel Office has acknowledge the problem. The civilian sector is also feeling the severity of the nursing shortage. Among the problems to which the author attributes the AMEDD's difficulty in retention and turnover ... |
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| A Study of the Ambulatory Care Quality Assurance Program at DeWitt Army Community Hospital, Fort Belvoir, Virginia |
AUG 82 |
169 pages |
| Authors:
James R. O'Keiff Jr; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
|
| In 1981 at DeWitt Army Community Hospital, an insufficient amount of usable ambulatory care information was being generated. This prohibited the hospital staff from identifying problems and making intelligent decisions regarding the quality of care provided. Short comings in the hospital's Quality Assurance Program had been noted by Joint Commission Accreditation of Hospitals (JCAH) and General Accounting Office surveys, both highlighted the need for more information. This study attempts to ... |
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| A Study to Determine the Optimal Long Range Utilization of the Main Hospital Building at Fitzsimons Army Medical Center |
AUG 82 |
99 pages |
| Authors:
John J. Leininger; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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| This study determined the optimal long range use of the main hospital building at Fitzsimons Army Medical Center and proposed a methodology for determining the long range use of other facilities. This study analyzed the current building deficiencies, mission, and health planning criteria to determine alternatives for the buildings use. The author concluded that construction of a new wing for inpatient use and conversion of the main hospital building to ... |
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| A Study to Determine the Ambulatory Quality Assurance Impact of a Computer-Stored Medical Records System Upon the Family Practice Clinic, Silas B. Hays Army Community Hospital, Fort Ord, California |
AUG 82 |
135 pages |
| Authors:
Frank J. Berlingis; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
|
| Silas B. Hays Army Community Hospital was selected as the sole Army test site for a Computerized Medical Record Information System (CMRIS). This study focuses on the hospital's Family Practice Clinic. It seeks to determine whether the Joint Commission on Accreditation of Hospitals (JCAH) quality assurance standards for ambulatory care services can be better satisfied through the use of a computerized medical record information system, than through the traditional manual ... |
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| A Study of the Sharing/Purchasing Method of Providing Radiation Therapy Services at Dwight David Eisenhower Medical Center, Fort Gordon, Georgia |
AUG 82 |
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| Authors:
Charles H. Lewis; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
|
| In 1982 Dwight David Eisenhower Army Medical Center (DDEAMC) was providing radiation therapy support to authorized beneficiaries by referral to a local civilian proprietary firm. This was financed by supplemental care funds for active duty personnel and through CHAMPUS for other authorized beneficiaries. The establishment of an in-house radiation therapy center at DDEAMC was being considered when congress directed the Department of Defense to implement a program to test the ... |
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| A Study of the Handling of Referrals for Supplemental Care by Military Medical Treatment Facilities with Proposed Changes to Improve the Handling of Such Referrals at Cutler Army Community Hospital, Fort Devens, Massachusetts |
AUG 82 |
81 pages |
| Authors:
Jay H. Anderson; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
|
| Army Medical Treatment Facilities often have to refer patients to civilian health care providers for services which are beyond the capabilities of the Army facility. These referrals fall into two categories: 1. CHAMPUS referrals and 2. Supplemental Care referrals. Supplemental care referrals, used whenever non-elective specialized treatment procedures, consultations, diagnostic tests (like CT scans, EEGs, or others unavailable at the Army MTF), and supplies are required to augment the overall ... |
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| Health Care Marketing at Keller Army Community Hospital West Point, New York |
AUG 82 |
163 pages |
| Authors:
Matthew J. Lyons Jr; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
|
| The author maintains that there may be substantial room and need for the application of marketing techniques in military medical facilities. Such facilities simply do not know, firsthand, the wants, needs, and desires of their patients. Often they react to complaints outside stimuli, or higher headquarters rather than take a proactive marketing approach to management. This study seeks to determine if the concept of marketing and some of its techniques ... |
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| The Optimal Feasible Method of Collecting and utilizing Army Hospital Meal Accounting Data |
AUG 82 |
33 pages |
| Authors:
Roxanne E. Romack; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
|
| Military hospital food service cost are computed based upon th e hospital ration concept. A hospital ration is subsistence furnished by the hospital food service to an individual during a 24-hour period. It is strictly a military concept which complicates the process of military-civilian comparisons. Its importance increases as hospital food services performed in-house are evaluated for possible contracting out to commercial services. This study attempts to determine the optimal ... |
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| An Analysis of Missed Appointments at a Military Treatment Facility |
15 MAY 82 |
80 pages |
| Authors:
Richard M. Haemmerle; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
|
| Hospital outpatient services are becoming a larger component in the provision of total health care. Increases in outpatient visits have also resulted in high rates of broken or missed appointments. Broken appointments waste the health professional's time and make for inefficient use of medical resources. More importantly, medical noncompliance and interruption of the continuity of the health care process can lead to irreversible changes in a patient's condition. This study ... |
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| A Study of how to Implement Holistic Medicine in the Military Environment |
MAY 82 |
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| Authors:
George A. Bodie; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
|
| A quiet revolution is going on in health care today that has the potential to change the face of medical care and practice all across the United States. It's called holistic medicine and involves approaches which emphasize preventive measures and encourage life-style modifications. Wellness programs emphasizing weight control, diet management, control of alcohol and smoking, physical fitness, stress reduction, and spiritual attachment are very popular. Since the military represents a ... |
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| A Study to Determine the Optimal Strategic Planning Process for Controlling and Coordinating the In-House Development of an Integrated Computer- Supported Hospital Information System |
MAY 82 |
79 pages |
| Authors:
Michael P. Meyer; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
|
| This study examines Strategic Planning concepts and how they relate to the development of Hospital Information Systems. The author recommends that Strategic Planning methods be utilized in the development of Hospital Information Systems, and provides guidance on how to do so. Keywords: Theses; Integrated information systems; Hospital administration; Computer networks; Information exchange; Health care; Strategic planning; Information systems. (kt) |
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| A Study to Design a System to Identify Handicapped Family Members of Active Duty Soldiers at Fort Benning, Georgia |
MAY 82 |
41 pages |
| Authors:
James C. Larson; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
|
| The provision of medical care to handicapped family members of active duty personnel requires the use of specialized personnel, facilities, and equipment. It is in the best interests of the Army to provide this care in the most efficient manner possible. This involves the consolidation of medical resources to provide specialized care at the military installations which have the greatest need. This study is an effort to determine the optimal ... |
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| Dying is a Living Process: A Study of the Cost-Effectiveness of Initiating a Hospice at Madigan Army Medical Center with Implications for Army- Wide Utilization |
APR 82 |
99 pages |
| Authors:
Lynne Lashleenger; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
|
| This study examined the cost effectiveness of initiating an inpatient hospice program in an Army treatment facility, Madigan Army Medical Center. The data examined were derived retrospectively from established hospices. This study concluded that establishment of a hospice in a military facility would probably be cost effective. Due to the restrictions against hospices in the military facilities the author proposes and alternative system. The proposed 'Continuing Care Unit' offers the ... |
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| Implementation of a Quality Assurance Program in a United States Army Medical Treatment Facility |
OCT 81 |
48 pages |
| Authors:
Bruce A. Dalton; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
|
| This study explored the evolution of the Quality Assurance Program through standards established by the Joint Commission on Accreditation and Professional Standards Review Organization. The study identified the initial overall reluctance by the medical profession, but the necessity to establish a mechanism of retrospective review of health care provisions by the practitioners. It provided an applicable approach to the establishment of programs within the military medical treatment facilities. Keywords: Joint ... |
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| A Study to Determine the Best Organization for a Clinical Support Division at the U.S. Army Medical Department Activity (MEDDAC), Fort Ord, California |
01 AUG 81 |
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| Authors:
Thomas Van Hook; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
|
| In 1977, Health Services Command published Ambulatory Patient Care (APC) Model 18, Clinical Support Division. It suggested grouping all administrative elements which support direct patient care services under a single manager. It further proposed that, to maximize effectiveness, there should be a centralized system of management supervision to provide uniform guidance for all administrative personnel. The purpose of the model was to assist the hospital in establishing an improved administrative ... |
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| A Study of the Volunteer Services, General Leonard Wood Army Community Hospital, Fort Leonard Wood, Missouri |
AUG 81 |
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| Authors:
Carl D. Brown; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
|
| It is determined that the most effective volunteer service program for General Leonard Wood Army Community Hospital, Fort Leonard Wood, Missouri would be achieved by first, coordinating and integrating the carrying out of defined responsibilities of the Director of Hospital Volunteers with other administrative staff members of the hospital. Additionally, there must be developed and implemented new and innovating recruitment programs that are designed to and will attract additional volunteers ... |
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| A Study to Determine the Optimal Means of Expediting the Processing of Inpatient Treatment Records at the Walter Reed Army Medical Center, Washington, DC |
AUG 81 |
89 pages |
| Authors:
James H. Murry Jr; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
|
| The study assessed the best means of expediting the processing of Inpatient Treatment Records (ITR) whose magnitude posed problems to timely record completion. Problems addressed the possible alternatives available to the command to ensure physician completeness of the ITR. The study conducted literature research and examined the record system to determine its weaknesses. The research indicated the ITR improvements revolved on two essential ingredients with that being the state of ... |
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| A Study to Determine Whether Nurse Practitioners are Appropriately Utilized at Moncrief Army Hospital, Fort Jackson, South Carolina |
AUG 81 |
138 pages |
| Authors:
Ronald P. Hudak; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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| The Army Medical Department uses three types of health care extenders: AMOSISTs, Physician Assistants, and Nurse Practitioners. All release the physician to perform at a higher level of medical skill. A nurse practitioner is trained in the skills of minor diagnosis, physical examination, and treatment of medical problems, in addition to normal nursing skills. This study plots actual functions performed by nurse practitioners at Moncrief Army Community Hospital against those ... |
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| A Study of Meeting the Emotional Needs of Dying Patients and their Families at Walter Reed Army Medical Center, Washington, DC |
AUG 81 |
76 pages |
| Authors:
Charles F. Mullary Jr; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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| The study examines how the emotional needs of dying patients and their families are best met by the hospital staff, What is the best method for the health care professional to provide support to the terminally ill patient. Data gathered through literature reviews and personal interviews identified what emotional needs the patient required. Some alternatives discussed included a hospice program or a Care Team formulated to meet those emotional needs ... |
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| A Study of the Operating Room Scheduling System at Tripler Army Medical Center, Hawaii |
AUG 81 |
72 pages |
| Authors:
Charles F. Fehring; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRA TION
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| Convinced that operating rooms were being scheduled in somewhat less than an efficient manner, the Chief of Anesthesiology and Operative Service, and Chief of the Department of Surgery at Tripler requested that the scheduling system be studied. Surgeons had been having to wait beyond their scheduled operating times or having cases canceled because of inaccurate time estimates - a frustrating situation. The study conducted concluded that the optimum solution to ... |
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