| Outpatient Mental Healthcare of Military Personnel at a Remote U.S. Air Base in Northern Iraq |
Jun-2009 |
|
| Authors:
Teg W McBride; Wayne L Chappelle; AIR FORCE MATERIEL COMMAND BROOKS AFB TX
|
 | This article is a descriptive utilization study of a United States Air Force (USAF) outpatient mental health clinic at a remote Air Base in northern Iraq over an 8-month period (Nov 07 - Jun 08). This study provides a description of the clinic and psychological services (i.e., intake and triage, hospitalization, aeromedical evacuations and follow-up care), and utilization data of military personnel seeking care. The study follows the outline of ... |
|
| Case Study: South Texas Veterans Health Care System's Communication Center |
14-Jul-2008 |
65 pages |
| Authors:
Paula A Kinsel; SOUTH TEXAS VETERANS AFFAIRS HEALTH CARE SYSTEM SAN ANTONIO TX
|
 | This is a case study of the South Texas Veterans Health Care System's Communication Center located at the Kerrville Division in Kerrville, Texas. This project discusses missed, scheduled appointments and their impact on clinic waiting times, as well as the development of the Communication Center at Kerrville Division as a solution to reduce appointment no-shows. Through the evaluation of nine clinics over three periods, it was determined that patients who ... |
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| Outpatient Workload (RVU) Predictors: Age, Gender & Beneficiary Category |
15-Jun-2008 |
47 pages |
| Authors:
Charles Moniz; JOHNS HOPKINS UNIV BALTIMORE MD
|
| This retrospective study examines 1,529 data observations based on eligible beneficiaries who received outpatient care primary and specialty) within the catchment areas of three military treatment facilities located at Nellis AFB, Langley AFB and Travis AFB during fiscal year 2006. Data was collected from the Military Health System Management Analysis and Reporting Tool (M2). Univariate analysis of variance was used to determine the difference between workload, measured in relative value ... |
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| Mass Medication Clinic (MMC) Patient Medical Assistant (PMA) System Training Initiative |
JUN 2007 |
151 pages |
| Authors:
R. D. Clyde; Victoria Garshnek; Lawrence Burgess; CTA SOLUTIONS HONOLULU HI
|
| In a disease outbreak medication needs to be rapidly yet safely distributed to a population to minimize infection outbreak. We investigated if there are significant differences in efficiency (time) and error rates in drug dissemination to large groups of people using algorithm driven paper vs. PDA methodology. Subjects were sent through points of dispensing with volunteer clerks processing them during two sessions (alternating modes for session two). Time to process ... |
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| Telemedicine-Based Burn Research Initiative Longitudinal Outcomes of Patients - Phase II |
SEP 2005 |
5 pages |
| Authors:
Beatrice T. Stephens; BROOKE ARMY MEDICAL CENTER FORT SAM HOUSTON TX
|
| The research team was notified in May that our project had been funded with a reduced budget, which we had agreed upon with our TATC Project Manager. We then notified Jeff Quillin in the Brooke Army Medical Center Department of Clinical Investigations because he is the person responsible for dealing with grants and CRADAs. The money for the Phase I portion of this research study was in place with the ... |
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| Feasibility Study for an Off-Post, Primary Care Clinic at Fort Campbell, Kentucky |
31 MAY 2005 |
62 pages |
| Authors:
Kristen J. Kvalevog; BLANCHFIELD ARMY COMMUNITY HOSPITAL FORT CAMPBELL KY
|
| Blanchfield Army Community Hospital is located on Fort Campbell, Kentucky. It is one of seven hospitals in the Southeast Regional Medical Command supporting soldiers living in the TRICARE North Region, which includes beneficiaries from 24 states. Over 90,679 beneficiaries currently live in -the-Fort Campbell-catchment area and receive primary care at Blanchfield Army Community Hospital through the Red, White, Blue, Gold, and Young Eagle Clinics. The number of beneficiaries is rapidly ... |
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| Best Practices in Medication Safety: Areas for Improvement in the Primary Care Physician's Office |
MAY 2005 |
30 pages |
| Authors:
Kimberly A. Galt; Ann M. Rule; Bartholomew E. Clark; James D. Bramble; Wendy Taylor; Kevin G. Moores; CREIGHTON UNIV OMAHA NE
|
| This research describes a medication safety framework for primary care office-based practices and evaluates how offices manage the medication use of process within this framework. The conceptual model supporting the safety framework integrates structure, process, and outcome quality concepts relevant to medication safety. Medication safety domains were identified through a review of published literature; the Agency for Healthcare Research and Quality (AHRQ) patient safety agenda; research portfolios, reports, guidelines, and ... |
|
| Ambulatory Procedure Unit Coder Integration |
APR 2005 |
69 pages |
| Authors:
Christy C. Weimer; NATIONAL NAVAL MEDICAL CENTER BETHESDA MD
|
| The purpose of this study is to accurately depict the relationship between a decentralized coding design within the National Naval Medical Center's Ambulatory Procedure Unit, coding completion ratings, and productivity. This retrospective analysis of data from the Military Health System's automated data systems compares a centralized coding design (CY 2003) and a decentralized coding design (CY 2004) in which a coder was integrated within the clinic. Decentralized coding resulted in ... |
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| Quantitative and Qualitative Analyses for Fully Integrated Primary Care Clinics in the Kaiserslautern Military Community |
FEB 2005 |
72 pages |
| Authors:
Karin W. Zucker; LANDSTUHL REGIONAL ARMY MEDICAL CENTER APO NEW YORK 09180
|
| This project evaluated three courses of action, by quantitative and qualitative analyses, related to the integration of U.S. Army (Landstuhl Regional Medical Center) and Air Force (435th Medical Group, Ramstein Air Base) primary care clinics in the Kaiserslautern Military Community, Germany. Senior leaders have hypothesized that the Air Force primary care model is more efficient than the Army model, and integration in accordance with the Air Force model will allow ... |
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| Forecasting Staffing Requirements for a Fluctuating Medical Beneficiary Population |
12 JAN 2005 |
67 pages |
| Authors:
Lori N. Howes; BAYNE-JONES ARMY COMMUNITY HOSPITAL FORT POLK LA
|
| The purpose of this study was to assess the adequacy of staffing requirements for both the enrolled and non-enrolled patient population located in the Bayne-Jones Army Community Hospital (BJACH) catchment area. The existing tool used to determine staffing at Military Treatment Facilities (MTF), the Automated Staffing Assessment Model (ASAM) II, was modified to assist in identifying fluctuations in provider requirements based on monthly workload. By using the modified version of ... |
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| Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care |
2005 |
13 pages |
| Authors:
Patrick J. O'Connor; JoAnn M. Sperl-Hillen; Paul E. Johnson; William A. Rush; AGENCY FOR HEALTHCARE RESEARCH AND QUALITY ROCKVILLE MD
|
| Diabetes-related medical errors in outpatient practice are common and costly. This study attempts to accurately identify, classify, and interpret patterns of diabetes-related medical errors in primary care settings using diagnostic, laboratory, and pharmacy data. |
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| Outpatient Surgery and Patient Safety-The Patient's Voice |
2005 |
|
| Authors:
Ann S. Hundt; Pascale Carayon; Scott Springman; Maureen Smith; Kelly Florek; Rupa Sheth; Margaret Dorshorst; AGENCY FOR HEALTHCARE RESEARCH AND QUALITY ROCKVILLE MD
|
| Four outpatient surgery centers from a large Midwestern community participated in this study assessing the impact of an intervention-aimed at improving the collection of patients' pre-operative clinical information-on both the patients' clinical outcomes and staffs' quality of working life. As part of this study the investigators developed a patient telephone survey to assess the incidence of common or undesirable postoperative symptoms and how they were subsequently managed. This survey was ... |
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| An Employee Questionnaire for Assessing Patient Safety in Outpatient Surgery |
2005 |
14 pages |
| Authors:
|
| This paper provides information on the reliability and validity of an employee questionnaire developed in a study of patient safety in outpatient surgery. The Systems Engineering Intervention in Outpatient Surgery (SEIPS), a collaborative community perspective project currently underway at the University of Wisconsin-Madison, examines the impact of a systems engineering intervention on both employees and patients. In this paper, we describe the SEIPS employee questionnaire, which surveys various elements of ... |
|
| Development of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting |
2005 |
12 pages |
| Authors:
Andrew C. Seger; Tejal K. Gandhi; Carol Hope; J. M. Overhage; Michael D. Murray; David Weber; Julie Fiskio; Evgenia Teal; David W. Bates; AGENCY FOR HEALTHCARE RESEARCH AND QUALITY ROCKVILLE MD
|
| This paper describes the collaboration of Brigham and Women's Hospital and Regenstrief Institute to develop a computerized adverse drug event (ADE) monitor using electronic medical records from outpatient practices. We describe the steps involved in ADE monitor development and rule validation at large outpatient practices at Boston and Indianapolis. The final standard rule set adopted by both practice sites are currently being used to test the impact of basic and ... |
|
| Using Kiosks for Patient Self-Service Check-in as a Technology Portal to Health Forces throughout a Health Care Network |
01 SEP 2004 |
38 pages |
| Authors:
John M. Cho; DEWITT ARMY COMMUNITY HOSPITAL FORT BELVOIR VA
|
| It is hypothesized that deployment of MICK throughout the DeWitt Army Community Hospital, Fort Belvoir, Virginia, Health Care Network will improve measures of patient satisfaction, wait times, and patient needs assessment; ensure that JCAHO requirements such as HIPAA compliance and advance directives forms are completed; and significantly increase third-party collections. TOPS satisfaction data are to include patient wait times and current third-party collections as historical controls. Progress is reported regarding ... |
|
| Analysis of Patient Cycle Times at the Urgent Care Clinic at Moncrief Army Community Hospital |
JUN 2004 |
53 pages |
| Authors:
Jose L. Chavez; MONCRIEF ARMY COMMUNITY HOSPITAL FORT JACKSON SC
|
| This study evaluated the patient processing system at the Urgent Care Clinic at Moncrief Army Community Hospital, Fort Jackson, SC to assess its timeliness and efficiency. Analysis of patient cycle times at two separate time intervals made it possible to identify the different time periods and assess the patient's access to care. A questionnaire was used to evaluate the effects of changes in this process. Although overall wait and access ... |
|
| The Societal Promise of Improving Care for Depression |
2004 |
|
| Authors:
RAND HEALTH SANTA MONICA CA
|
| Depression is now the second-leading cause of disability worldwide. It brings about as much loss in functioning as most chronic diseases, for example, diabetes or heart disease. Depression costs employers more than $51 billion per year in absenteeism and lost productivity, not including high medical and pharmaceutical bills. Treatment (medication and psychotherapy) is effective for 70 to 80 percent of depressed patients. But studies over the past decade have consistently ... |
|
| Retrospective Cohort Study of Tobacco use and Outpatient Clinic Visits in a Military Population |
31 JUL 2003 |
84 pages |
| Authors:
Paul H. Nelson; TEXAS UNIV AT HOUSTON SCHOOL OF PUBLIC HEALTH
|
| Approximately sixty million Americans, almost thirty percent of the adult population, use tobacco products. Tobacco use is estimated to cause 6-12% of total medical expenditures in the United States, and is generally regarded as the most important avoidable health risk behavior in this population. Tobacco is a problem of similar magnitude in the United States military and is the focus of local and national efforts to reduce tobacco use in ... |
|
| US Air Force Nurses Assigned to Outpatient Clinics: Perceived Clinical Competence in Contingency Operations |
MAY 2003 |
91 pages |
| Authors:
Mary F. Hornback; WYOMING UNIV LARAMIE
|
| The purpose of this study was to discover how active duty Air Force (AF) nurses assigned to outpatient clinics perceived their clinical competence to practice in contingency operations, and to discover if perceptions of current training were related to perceptions of competence. A sample of 273 nurses (54. 9% response rate) participated in a web-based survey. Perceptions of clinical competence were measured using responses to the AF Clinical Competency Measurement ... |
|
| Optimizing the Internal Medicine Clinic at Evans Army Community Hospital |
2003 |
68 pages |
| Authors:
Jose A. Bonilla; EVANS ARMY COMMUNITY HOSPITAL FORT CARSON CO
|
| Although the Department of Defense (DoD) has established access to care standards for military health care organizations and their treatment facilities, many facilities may face challenges in meeting these standards. In fiscal year (FY) 2002, the Internal Medicine (IM) clinic at Evans Army Community Hospital, Fort Carson, Colorado, failed to meet access to care standards for routine appointments, and was only marginally successful in meeting standards for urgent appointments. Because ... |
|
| Electronic Behavioral Health "Health-E" |
DEC 2002 |
14 pages |
| Authors:
Gregory A. Gahm; MADIGAN ARMY MEDICAL CENTER TACOMA WA
|
| How much is access to care improved when patients are offered an internet delivered Behavioral Health Clinic? Can quality be measurably improved at the same time? Does this service cost less, particularly once it has been developed? How much can behavioral health care, enabled to reach across the home and work environment extend access to care and improve treatment quality? These are all questions this project will address. Access to ... |
|
| A Joint Venture Analysis for a Combined Acute/Chronic Hemodialysis Clinic at Tripler Army Medical Center |
JUN 2002 |
72 pages |
| Authors:
Lawrence P. Nolan; TRIPLER ARMY MEDICAL CENTER HI
|
| The objective of this study was to determine the cost effectiveness and strategic implications of expanding the existing dialysis clinic at Tripler Army Medical Center (TAMC), Oahu, Hawaii, to allow Veterans Administration (VA) beneficiaries access for chronic dialysis care. The study analyzed the costs incurred by the Spark M. Matsunaga Veteran's Administration Medical and Regional Office Center (VAMROC) during FY2002 at private dialysis facilities and at TAMC. The VAMROC provides ... |
|
| Transitioning to Itemized Billing in the Military Healthcare System: Are We Ready? Evaluating Outpatient Coding Accuracy in the Walter Reed Army Medical Center General Internal Medicine Clinic |
19 APR 2002 |
55 pages |
| Authors:
Eric E. Poulsen; WALTER REED ARMY MEDICAL CENTER WASHINGTON DC
|
| In a major step towards meeting Health Insurance Potability and Accountability Act (HIPAA) standards, the Military Healthcare System (MHS)plans to implement an outpatient itemized billing system by October 2002. Over the last four years, there have been many different methods and systems used to collect and code outpatient encounter data. The purpose of this project is to evaluate and assess various methods of performing coding in the Walter Reed Army ... |
|
| A Comparison Between an Internet Communications Platform and Traditional |
NOV 2001 |
5 pages |
| Authors:
Arn Eliasson; WALTER REED ARMY MEDICAL CENTER WASHINGTON DC
|
| In Summary, this project will: establish a home monitoring solution that augments the existing Obstructed Sleep Apnea (OSA)patient treatment and compares satisfaction ratings among patients with OSA with and without the home monitoring system, measure patient compliance with the continuous positive airway pressure device via the home monitoring system versus traditional outpatient clinic visits, and provied a cost-effectiveness analysis between the traditional and home monitoring system. |
|
| Gynecologic Oncology Outreach Evaluation |
NOV 2001 |
6 pages |
| Authors:
Gaylor S. Rose; WALTER REED ARMY MEDICAL CENTER WASHINGTON DC
|
| The goal of our project was to decrease the morbidity and mortality caused by gynecologic malignancies in servicewomen and dependents in Europe and offer military health care providers within the European theatre an opportunity for continuing medical education. I believe we surpassed the initial goals of the project. With the placement of video-teleconferencing equipment at the National Naval Medical Center, Bethesda, Maryland in addition to the preexisting equipnient in the ... |
|
| A Cost Effectiveness Analysis of an Orthopedic/Podiatry Minor Procedure Room |
JUL 2000 |
36 pages |
| Authors:
Dawn M. Garcia; LANDSTUHL REGIONAL ARMY MEDICAL CENTERAPO NEW YORK 09180
|
| National health care reform has fostered a focus on the issues of cost and access. While there continues to be a lot of talk on the issue of access, the foremost attention has been placed on the financing of health care delivery. Efforts to reduce the cost of health care have had a profound impact on surgical practice and specifically on the utilization of services and changing practice patterns. One ... |
|
| Determination of Tripler Army Medical Center Outpatient Service and Ambulatory Procedure Charges to the Veterans Administration for Fiscal Year 2000 |
19 JUN 2000 |
42 pages |
| Authors:
Mark Perry; Robert P. Durkee; TRIPLER ARMY MEDICAL CENTER HI
|
| The objective of this study was to determine Tripler Army Medical Center outpatient service and ambulatory procedure visit (APV) charges to the Veterans Administration for fiscal year 2000. First, relevant Medical Expense and Personnel System (MEPRS) cost was defined and a relevant MEPRS rate was calculated for each outpatient service cost center and APV category. Second, fiscal year 1999 utilization and associated cost of VA utilization of TAMC services was ... |
|
| The Impact of Outpatient Professional Coding on Third-Party Collections at Wilford Hall Medical Center |
MAR 2000 |
48 pages |
| Authors:
Paul W. Garden; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATION
|
| The purpose of this study was to determine if a dedicated coding staff improves outpatient third-party collections at Wilford Hall Medical Center. To accomplish this, a review of the current procedures was undertaken in three key areas: identification of third-party health care insurance carriers, coding, and claims processing. Since the implementation of the Ambulatory Data System, there have been concerns over missed opportunities for third-party collections due to coding non-compliance. ... |
|
| Graduate Management Project: An Evaluation of the Johns Hopkins Outpatient Surgery Center Patient Satisfaction Survey |
24 NOV 1999 |
71 pages |
| Authors:
Barry Evan; Dorothy L. Oakers; JOHNS HOPKINS UNIV BALTIMORE MD
|
| Changes in the health care market such as increased competition, managed care, and declining reimbursements provided incentive for health care organizations to seek better ways of doing business and many started embracing the quality culture. These changes in the health care market along with a shift to consumerism have forced virtually all health care organizations to face the challenge of defining and measuring quality. Customer or patient satisfaction is a ... |
|
| Brooke Army Medical Center: A Strategic Plan Preparatory Analysis |
05 APR 1999 |
91 pages |
| Authors:
Robert L. Goodman; BROOKE ARMY MEDICAL CENTER FORT SAM HOUSTON TX
|
| The project was the preparatory analysis for the 1998 strategic plan for Brooke Army Medical Center (BAMC). Goals of the project were to identify shifts in resources and personnel over time as BAMC ushered in the practice of managed care. The purpose of the study was met by providing relevant information about the shifts in internal operations over time. Nine hypotheses were analyzed. BAMC did shift resources from impatient related ... |
|
| Perceptions of Emergency Department Physicians Toward Collaborative Practice With Nurse Practitioners in an Emergency Department Setting |
01 OCT 1998 |
59 pages |
| Authors:
Tracy A. Wingert; UNIFORMED SERVICES UNIV OF THE HEALTH SCIENCES BETHESDA MD
|
| Once considered reserved for life-threatening disease or illness, emergency departments in the United States are now described as the primary care clinic and the social work department for many Americans (Grumback, Keane & Bindman, 1993). A 1992 study found 2 million children in the United States routinely used the emergency department as their primary source of care (Halfon, Newacheck, Wood & Peter, 1996). Studies have shown 50-90% ... |
|
| Development of a Primary Care Site: Issues for the Health Care Executive |
MAY 1998 |
66 pages |
| Authors:
Douglas E. Thomas; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATION
|
| Naval Hospital, Jacksonville, Florida is a community hospital located in the North Eastern portion of Florida. The Commanding Officer and his staff are responsible for approximately 230,000 total cachement area beneficiaries in Florida and Georgia (Managed Care, 1997). In Florida, there are five Branch Medical Clinics that provide care at Naval Air Station Jacksonville, Naval Station, Mayport, Naval Air Station Cecil Field, Naval Station Orlando, and ... |
|
| Productivity Improvement through Computer Simulation: Analysis of Staff Utilization Prior to Facility Occupation |
17 APR 1998 |
45 pages |
| Authors:
Paul H. Duray Jr.; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATION
|
| The Fort Monroe' Health Clinic is in the process of preparing to move into a fully renovated facility. Key staff members determined they had a window of opportunity to examine and improve their clinic operations before reoccupation. The tool of computer simulation was selected to assist in that effort. The purpose of the study was to reduce patient utilization of the waiting room. This was done ... |
|
| Access to Outpatient Services in the Military Health System (MHS): Case Study at a U.S. Army Medical Center |
16 APR 1998 |
60 pages |
| Authors:
William C. Dowdy; INSPECTOR GENERAL DEPT OF DEFENSE ARLINGTON VA
|
| This study examines access to outpatient services at William Beaumont Army Medical Center for all beneficiary groups in Adult Primary Care, Pediatrics, General Outpatient/Emergency Room, Physical Therapy and Dermatology clinics. Analysis suggests that a large proportion of outpatient capacity is either unplanned (walk-ins averaged 21% of visits), or is not being used (25% unbooked and 11% cancellation/no-shows on average). More effective use of the ... |
|
| Strategic Analysis and Associated Management Products Supporting the Reengineering of Bayne-Jones Army Community Hospital: Consultative Products and Findings |
APR 1998 |
160 pages |
| Authors:
Larry Fulton; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATION
|
| In support of strategic reengineering of Bayne-Jones Army Community Hospital (BJACH), this consultative project provides a strategic analysis of the hospital, an overview of planned strategies of the hospital, and five management products based upon requirements identified in the strategic analysis and plans. These five products are listed below. *Product 1 - "Bayne-Jones Outpatient Model," a strategic modeling simulation for determining the efficacy of business process reengineering efforts. ... |
|
| Determining the Optimal Operational Concept in the Orthopedic Clinic Using Simulation |
APR 1998 |
101 pages |
| Authors:
William B. Grimes; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATION
|
| The total time a patient spends in an Orthopedio Clinic was studied using computer simulation. Patient arrival patterns, patient flow patterns, and time distributions were developed and the data was entered into a computer simulation program. Results of the simulation yielded insights into clinic dynamics. Proposed operational changes should significantly decrease the average patient total time in clinic from 74.54 (SD 16.32) minutes to 51.42 (SD ... |
|
| Simulation Models of Three Ireland Army Community Hospital Primary Care Clinics |
APR 1998 |
42 pages |
| Authors:
Myron L. Fay; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATION
|
| Through the use of simulation models, this study compared the existing configuration of three primary care clinics. Altermate models, which change staffing levels and process configurations, were also built with intent of improving the efficiency of the primary care clinics. In this study, statistically significant differences in the patient's total time spent in the clinic, patient waiting times and resource utilization rates existing among the ... |
|
| A VA Community Based Outpatient Clinic: Needs Assessment and Location Determination |
FEB 1998 |
57 pages |
| Authors:
Ted Baxter; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATION
|
| For the past four years, the Veterans Health Administration (VHA), under the leadership of Undersecretary for Health, Kenneth W. Kizer, M.D., M.P. H., has been undergoing a dramatic and comprehensive process to realign its health care delivery system from a traditional acute care hospital system to an integrated delivery system that employs principles of managed care. One of the most important components of VHA's realignment ... |
|
| The Relationship Between Social Support and Coping in Patients Undergoing Outpatient Surgery |
NOV 97 |
91 pages |
| Authors:
Lee A. Sheehan; AIR FORCE INST OF TECH WRIGHT-PATTERSONAFB OH
|
| By the year 2020, it is expected the senior population, 65 and older, will constitute 15.5% of the total U.S. population, or 45 million people (Doty, Korfin, & Weiner, 1985). Within this group, those 85 and older are the fastest growing population segment with improved medical care and technology largely responsible for their increased longevity (Feldstein, 1993). A natural outcome of this longevity is the need to manage both acute ... |
|
| An Examination of the Medical Offset Resulting from Mental Health Use on a Military Population |
27 OCT 97 |
431 pages |
| Authors:
Alan R. Constantian; AIR FORCE INST OF TECH WRIGHT-PATTERSONAFB OH
|
| The purpose of this study was to examine the need and use of; outpatient mental health services by active duty members and active duty family members and to determine if the so called 'offset effect' could be detected in this population. Using a subset of the worldwide 1994-95 Department of Defense Health Beneficiary Survey numbering over 26,000 observations, several hypotheses were examined. Several important findings were made. First in spite ... |
|
| Factors Influencing Patient Satisfaction with Nursing Care in a Military Outpatient Clinic |
19 JUN 97 |
65 pages |
| Authors:
Susan F. Ball; AIR FORCE INST OF TECH WRIGHT-PATTERSON AFB OH
|
| This study focuses on the factors which influence patient satisfaction with nursing care in an Air Force outpatient clinic. The review of literature demonstrates that multiple factors influence patient satisfaction, including perception of a caring attitude by providers, education about their illness and prognosis, and provision of information about preventive health behaviors. Imogene King's Theory of Goal attainment is the conceptual framework used for the study. Demographic data and the ... |
|
| The True Costs of No-Shows |
07 JUN 1997 |
53 pages |
| Authors:
Ivan D. Speights Sr; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATION
|
| This study examined 5 outpatient clinics and identified the potential loss of $4.5K in 1st quarter, FY97, due to loss utilization of fixed costs associated with patient appointments. $4.5K equates to a potential $18K of wasted resources that could have been otherwise allocated during the fiscal year. The study also provides a potential death spiral existing within the appointment system of Winn Army Community Hospital that ... |
|
| Army Health Connection. Volume 3, Issue 1 |
97 |
23 pages |
| Authors:
ARMY CENTER FOR HEALTH PROMOTION AND PREVENTIVE MEDICINE (PROVISIONAL) ABERDEE N PROVING GROUND MD
|
| Sprains, strains, stress fractures, tendinitis. Painful and sometimes disabling, injuries like these lead to profiles and lost duty days. They are a problem. But how big a problem? According to COL Bruce H. Jones, M.D., M.P.H., injuries are a very large problem. COL Jones is the Director of Epidemiology and Disease Surveillance at the U.S. Army Center for Health Promotion and Preventive Medicine. Most of his career has been devoted ... |
|
| Endocrine Deficiency in the Servicewoman: An Assessment of Prevalence, Adequacy of Therapy, and Impact on Deployability in Patients Evaluated at the WRAMC Endocrinology Clinic |
APR 96 |
24 pages |
| Authors:
Henry B. Burch; WALTER REED ARMY MEDICAL CENTER WASHINGTON DC
|
| A computerized database containing active duty servicewomen and dependent wives of active duty servicemen was established as a subset of patients entered into the Walter Reed Army Medical Center Endocrinology Clinic patient database. A total of 8503 patients were screened, among whom 796 patients were found eligible for database entry. Eligible patients were then contacted by correspondence. Among eligible patients, fewer than 10% were able to be contacted or willing ... |
|
| Outpatient Clinical Pharmacy Case Review within the South Texas Veterans Health Care System |
APR 96 |
79 pages |
| Authors:
David P. Deeter; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATI ON
|
| Outpatient pharmacy expenditures for the South Texas Veterans Health Care System (STVHCS) have increased at a rate of 1.4% per month; most of this increase can be attributed to an increase in the number of prescriptions being filled. The purpose of this project was to determine if a clinical pharmacy case review program designed to identify prescriptions that should be canceled or changed to cheaper alternatives can avoid sufficient cost ... |
|
| USAF Dental Instrument Processing Center Design Guidance |
JAN 96 |
39 pages |
| Authors:
John H. Hatfield; James J. Kane; Richard H. Blankman; ARMSTRONG LAB BROOKS AFB TX AEROSPACE MEDICINE DIRECTORATE
|
| This Design Guidance includes USAF dental clinic dental instrument processing center space planning and construction criteria inclusive of architectural, mechanical, and electrical design requirements. |
|
| Womack Army Medical Center's Pre-Admission Unit |
NOV 95 |
78 pages |
| Authors:
Thomas H. Berry; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATI ON
|
| The purpose of this Graduate Management Project is to collect and analyze data from two groups of patients to determine performance improvements before and after pre-admission processing changes. |
|
| Environmental Assessment, P-019, Medical/Dental Clinic; Navy Exchange, Gas Station/Car Wash Facility |
95 |
54 pages |
| Authors:
NAVAL SECURITY GROUP COMMAND HEADQUARTERS WASHINGTON DC
|
| In accordance with the National Environmental Policy Act (NEPA) of 1969 as amended, and OPNAVINST 5O90.lB, Chapter 2, an Environmental Assessment is to be prepared when a Federal action has the potential to impact the human environment. At Naval Security Group Activity Northwest (hereafter Northwest or the Installation), a new medical/dental clinic is proposed for construction. A Navy Exchange (NEX) and gas station with car wash have also been proposed ... |
|
| A Study of Non-Urgent Utilization of the Emergency Room and its Relationship to Access to Care at Kimbrough Army Community Hospital, Fort George G. Meade, Maryland |
MAY 94 |
122 pages |
| Authors:
Derick B. Ziegler; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATI ON
|
| This study determined the prevalence of non-urgent utilization of the ER at Kimbrough Army Community Hospital (KACH) and identified why non-urgent patients choose to utilize the ER. On the basis of the findings a primary care system was recommended to decrease non-urgent utilization of the ER at KACH and improve access to care. Components of the system include: use of a fast track triage system; use of a telephone triage ... |
|
| An Assessment of Customer Satisfaction between a Family Practice and Outpatient Clinic. 95th Combat Support Hospital, Heidelberg, Germany |
APR 94 |
116 pages |
| Authors:
John P. Cook; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATI ON
|
| The drawdown in U.S. Army Europe has brought with it a need to measure and assess consumer satisfaction in the area of health care. This information will allow medical units to better respond to patient needs during this stressful transition period. The management problem in this study was to measure the perceived quality of care in the Ambulatory Care Department of the 95th Combat Support Hospital (CSH). This was done ... |
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Reports by Keyword(s)
*OUTPATIENT CLINICS
