| Baghdad ER - Revisited |
Sep-2009 |
19 pages |
| Authors:
Erin P Edgar; ARMY WAR COLL STRATEGIC STUDIES INST CARLISLE BARRACKS PA
|
 | The China Dragons of the 28th Combat Support Hospital deployed in support of Operation IRAQI FREEDOM from September 2006 until November 2007. This combat tour was historic in many regards, and a good team became a great team while challenged with unprecedented casualty numbers and indirect fire attacks. Not only did they save thousands of lives; they helped advanced trauma medicine, as leading hospitals worldwide have benefitted from military initiatives ... |
|
| Diabetes Prevention and Treatment Programs for Western PA - Pediatrics/Platelet Gel |
Sep-2009 |
|
| Authors:
Barbara E Barnes; Linda Simenerio; PITTSBURGH UNIV MEDICAL CENTER PA
|
 | In recognition that reduction in the incidence of diabetes and alleviation of its complications have become national public health priorities, the University of Pittsburgh Medical Center (UPMC) galvanized a partnership that included the, Children's Hospital of Pittsburgh of UPMC (CHP), University of Pittsburgh Diabetes Institute (UPDI), and the United States Air Force Surgeon General's Modernization Directorate (US AF SGR-M), to determine the best methods for preventing diabetes and improving diabetes ... |
|
| Predicting Hospital Admissions With Poisson Regression Analysis |
01-Jun-2009 |
75 pages |
| Authors:
Lisa A White; NAVAL POSTGRADUATE SCHOOL MONTEREY CA
|
| In this thesis, Poisson regression is used to predict and analyze inpatient hospital admissions for two inpatient units (Four East and Four West) at Naval Medical Center San Diego. Data that include age group, gender, beneficiary category, enrollment site and fiscal month are collected for the patient population. This information is used along with additional details about past admissions such as the location and source of admission. These data are ... |
|
| Hospital Viability during a Pandemic Influenza Outbreak |
Jun-2009 |
127 pages |
| Authors:
Jeffrey K Blackwell; ARMY COMMAND AND GENERAL STAFF COLL FORT LEAVENWORTH KS
|
| In the past 8 years since September 11, many improvements have been made to the National response capabilities; however, the all hazards approach is still inadequate to respond to a moderate pandemic outbreak. Shortcomings of our fragile healthcare framework combined with the prolonged duration of a pandemic make it difficult to prepare for such a catastrophic disaster. Therefore, the purpose of this study was to investigate the factors ensuring hospital ... |
|
| Afghanistan Security Forces Fund Phase III-U.S. Army Corps of Engineers Real Property Accountability |
14-Apr-2009 |
65 pages |
| Authors:
INSPECTOR GENERAL DEPT OF DEFENSE ARLINGTON VA
|
| We determined whether the Combined Security Transition Command-Afghanistan (CSTC-A) and the U.S. Army Corps of Engineers, Afghanistan Engineer District (AED) properly accounted for real property construction purchased with money from the Afghanistan Security Forces Fund to support the Afghanistan National Army (ANA). AED, a subordinate command of the U.S. Army Corps of Engineers, provided contracting services to CSTC-A. We reviewed 25 construction contracts, valued at $420.0 million, awarded by AED ... |
|
| Pakistan Earthquake Case Study |
Jan-2009 |
23 pages |
| Authors:
Phister; Paul W Jr; Dave Allen; Julius Barath; Ulrich Brandenberger; Ralph Bruehlmann; Alain Burton; Philip W Farrell; Geert Marien; AIR FORCE RESEARCH LAB WRIGHT-PATTERSON AFB OH
|
| As part of SAS-065, a number of case studies were examined to determine the validity of the NATO NEC C2 Maturity Model (N2C2M2). A group decided to example the earthquake that occurred in Pakistan on 8 Oct 05 to determine if there was a good application of the N2C2M2 to a natural disaster. An earthquake measuring 7.6 on the Richter scale hit northern Pakistan on 8 Oct 05. As shown ... |
|
| China's Evolution Toward Becoming a More Responsible Global Stakeholder |
Jan-2009 |
36 pages |
| Authors:
Matthew A Baldwin; MARINE CORPS UNIV QUANTICO VA
|
| TITLE: The last several years have seen a noticeable rise in Chinese military investment that supports military operations other than war (MOOTW) on the part of the Peoples Liberation Army (PLA). Participation in United Nations (UN) peacekeeping operations, Humanitarian Assistance and Disaster Relief (HA/DA) and a first ever Maritime Security deployment are all aspects of China's realization that rising to become a global power requires increased responsible stakeholder in security ... |
|
| Terrorist Attacks in Mumbai, India, and Implications for U.S. Interests |
19-Dec-2008 |
|
| Authors:
K A Kronstadt; LIBRARY OF CONGRESS WASHINGTON DC CONGRESSIONAL RESEARCH SERVICE
|
| On the evening of November 26, 2008, a number of well-trained militants came ashore from the Arabian Sea on small boats and attacked numerous high-profile targets in Mumbai, India, with automatic weapons and explosives. By the time the episode ended some 62 hours later, about 165 people, along with nine terrorists, had been killed and hundreds more injured. Among the multiple sites attacked in the peninsular city known as India's ... |
|
| Simulation-Based Military Regional Anesthesia Training System |
Dec-2008 |
7 pages |
| Authors:
Yi-Je Lim; Tuan Le; Pablo Valdivia; Neil Tardella; Kenneth Curley; ARMY MEDICAL RESEARCH AND MATERIEL COMMAND FORT DETRICK MD TELEMEDICINE AND ADVANCED TECH RESEARCH CENTER
|
| Deployed American troops suffering injuries to the extremities are best treated with regional anesthesia, which renders only a portion of the body, such as a limb, insensate. However, it is possible for long-lasting damage to occur when regional anesthesia is improperly applied. Though nerve block procedures present fairly low risk in a hospital setting, the same may not be true on the battlefield-where severe trauma cases are prevalent and fellowship ... |
|
| The Assessment of a Novel In Situ Forming Wound Dressing for Military Use |
Dec-2008 |
6 pages |
| Authors:
Sameer Shums; John Jackson; Arthur Lu; Xiaowen Zhai; Thomas Hirt; Fiona Carney; BIOCURE INC NORCROSS GA
|
| Presented is an evaluation of the biocompatibility and physical properties of a novel hydrogel which cures in situ to form an effective wound dressing. This dressing has the capability of meeting the needs of both the far forward soldier and for use in hospital settings. The GelSpray(Trademark) product platform was developed by BioCure, Inc. [Norcross, GA.] in concert with the Center for Military Biomaterials Research (CeMBR). The GelSpray(Trademark) formulation has ... |
|
| Proceedings of the DOD Symposium on Evolution of Military Medical Entomology |
16-Nov-2008 |
83 pages |
| Authors:
ARMED FORCES PEST MANAGEMENT BOARD WASHINGTON DC
|
| Contents: ...drenched in dirt and drowned in abominations...: Insects and the Civil War , Military medical entomology during the Mexican-American and First World Wars: A coming of age, Entomologists in World War II, Entomological Issues during the Korean War; 1950-1953, Entomology with the U.S. Marines in Vietnam-Some Lessons Learned, Vector Control During Operation Restore Hope -Somalia, The Evolution of the Air Force Aerial Spray Capability, Vector Control during Humanitarian Assistance ... |
|
| EMS Response to Mass Casualty Incidents: The Critical Importance of Automatic Statewide Mutual Aid and MCI Training |
01-Sep-2008 |
109 pages |
| Authors:
Cheryl Hill; NAVAL POSTGRADUATE SCHOOL MONTEREY CA
|
| Incidence of natural and man-made disasters are increasing and expanding in scope. While these events may cause mass injuries, the pre-hospital emergency medical services (EMS) community is left out of the preparedness equation by virtue of being underrepresented on planning committees, not privy to disaster training, nor on the receiving end of preparedness funding. Additionally, for many states, outside standard mutual aid agreements a disaster declaration is required prior to ... |
|
| NMMC Picture Archiving and Communication Systems (PACS) |
Jul-2008 |
27 pages |
| Authors:
Robert C Becker; NORTH MISSISSIPPI MEDICAL CENTER TUPELO MS
|
| This final report summarizes project activity from October 1, 2004 through June 30, 2008. All deliverables for this project were met: PACS equipment became fully operational at the NMMC-Tupleo campus, all five community hospitals (Eupora, Pontotoc, West Point, Iuka and Hamilton sites), and at 15 primary care clinics in rural Mississippi; Radiology staff at all sites were thoroughly training; Data collection and analysis continued with results reported; Network vulnerability assessment ... |
|
| Implications of Surgical Training on Operating Room Throughput at Wilford Hall Medical Center |
26-Jun-2008 |
45 pages |
| Authors:
Jo Marie Kitchens; WILFORD HALL USAF MEDICAL CENTER LACKLAND AFB TX
|
| The U.S. has the highest overall healthcare expenditures of any country in the world. In a cost-conscious, competitive environment the Operating Room (OR) is a major focus of change. OR patient throughput has become an issue for most hospitals across the United States, even more so for Academic Medical Centers (AMCs). All hospitals are bearing the burden of the BBA mandated cuts, however AMCs are also faced with increasing volumes, ... |
|
| Nurse Staffing Proportions and Negative Outcomes |
23-Jun-2008 |
35 pages |
| Authors:
John L Ament; MARTIN ARMY COMMUNITY HOSPITAL FORT BENNING GA
|
| This retrospective study examined the nurse staffing proportion at Martin Army Community Hospital and whether this proportion was a significant predictor of reported negative inpatient outcomes. The proportion of nursing staff to patients was examined to determine if there is a correlation to three specific diagnoses. The specific diagnoses were post operative wound infection, pneumonia, and decubitus ulcers, as captured from the hospital data repository (MHS MART or M2). The ... |
|
| Split Forward Surgical Teams |
13 JUN 2008 |
67 pages |
| Authors:
Michael A. Ball; ARMY COMMAND AND GENERAL STAFF COLL FORT LEAVENWORTH KS
|
| In the last 20 years, the Army's Field and Combat Support Hospitals have found it difficult to deploy rapidly and to keep pace with maneuver forces. The Forward Surgical Team (FST) was the bridge for this gap in capabilities. Until recently, the FST had not been deployed and utilized in combat. With the recent conflicts in Afghanistan and Iraq, FSTs have been extensively utilized. Using the data and experiences from ... |
|
| Third Party Collections |
01-Jun-2008 |
61 pages |
| Authors:
Peter J Grant; NAVAL POSTGRADUATE SCHOOL MONTEREY CA
|
| In this study, the researcher highlights the factors identified by Inspector General Audits and other research that inhibit the Navy's Third Party Collections Program from maximizing collections (TPC) from third-party payers as a result of failing to identify and collect Other Health Insurance (OHI) Information from patients. It also looks into possible behaviors and attitudes from both hospital staff and patients that may be contributing to the problem of maximum ... |
|
| Rehabilitating the Wounded: Historical Perspective on Army Policy |
01-Jun-2008 |
121 pages |
| Authors:
Sanders Marble; OFFICE OF THE SURGEON GENERAL FALLS CHURCH VA OFFICE OF MEDICAL HISTORY
|
| This study looks at how the Army has handled long-term care for combat casualties. Policy and practice have changed over time due to 1) the availability and capability of other government hospitals to care for patients, 2) changing political climates, 3) expanding GME programs that need complex patients, 4) the developments of medical science, and 5) the economics of medical practice. The AMEDD has different levels of care and rehabilitation ... |
|
| Military Medical Care: Questions and Answers |
20-May-2008 |
|
| Authors:
Richard A Jr; Best; LIBRARY OF CONGRESS WASHINGTON DC CONGRESSIONAL RESEARCH SERVICE
|
| The primary mission of the military health system, which encompasses the Defense Department's hospitals, clinics, and medical personnel, is to maintain the health of military personnel so they can carry out their military missions, and to be prepared to deliver health care during wartime. The military health system also provides, where space is available, health care services in Department of Defense (DOD) medical facilities to dependents of active duty service ... |
|
| Business Case Analysis: Reconfiguration of the Frederick Memorial Healthcare System Courier Service |
13-May-2008 |
65 pages |
| Authors:
Nathan C Rauch; FREDERICK MEMORIAL HOSPITAL MD
|
| This business case projects the likely benefits and costs to Frederick Memorial Hospital that would result from a decision to reconfigure its courier service by way of vehicle diversification and route realignment. Presently, Frederick Memorial Hospital couriers employ inefficient utility vans on redundant routes that are not meeting the hospital's entire demand for courier services. By way of investing in fuel-efficient vehicles, reducing manpower levels, and realigning courier routes, this ... |
|
| Competitive Nurse Rostering and Rerostering |
MAY 2008 |
154 pages |
| Authors:
Michael V. Chiaramonte; ARIZONA STATE UNIV TEMPE
|
| Nurse rostering is the assignment of specific nurses to specific shifts for a future scheduling period. The work schedule that is created is called a roster. The reconstruction of a disrupted roster is called rerostering. When solving the rostering and rerostering problems there are two considerations: the organization's costs and the nurses preferences. Traditional solution methods, often based on integer programs (IP), have two short comings; first, they rely on ... |
|
| The Effects of a Customer Service Initiative at Moncrief Army Community Hospital |
06-Apr-2008 |
55 pages |
| Authors:
George T Barido; MONCRIEF ARMY COMMUNITY HOSPITAL FORT JACKSON SC
|
| In November 2006, Moncrief Army Community Hospital (MACH) instituted a customer service initiative intended to improve overall patient satisfaction by changing the behavior of front-desk clerks. The initiative involved front-desk clerks offering every outpatient customer an Interactive Customer Evaluation (ICE) comment card upon completion of their ambulatory visit. Implementation priority was given to the Urgent Care Clinic (UCC) and the Family Health Clinic (FHC). The purpose of this case study ... |
|
| Cost of War: Can the Department of Defense Afford the Bill |
23 MAR 2008 |
31 pages |
| Authors:
Mae M. Goldmann; ARMY WAR COLL CARLISLE BARRACKS PA
|
| Much has been reported in the news about the cost of the current war in Iraq and Afghanistan. Daily accounts of what Congress has identified in Supplemental funding, how much the Department of Defense has requested, and what actions the President has taken in the process. Supplemental funding has dominated the funding process for the past 5 years and all indications are it will continue into the foreseeable future. The ... |
|
| Satellite Surveillance: Domestic Issues |
21 MAR 2008 |
|
| Authors:
Jr. Best Richard A.; Jennifer K. Elsea; LIBRARY OF CONGRESS WASHINGTON DC CONGRESSIONAL RESEARCH SERVICE
|
| Reconnaissance satellites, first deployed in the early l960s to peer into denied regions of the Soviet Union and other secretive enemy states, have from time to time been used by civilian agencies of the federal government to assist with mapping, disaster relief, and environmental concerns. These uses have been coordinated by the Civil Applications Office at the U.S. Geological Survey, a component of the Interior Department. Post 9/11, the Bush ... |
|
| DOD and VA. Preliminary Observations on Efforts to Improve Care Management and Disability Evaluations for Servicemembers |
27 FEB 2008 |
30 pages |
| Authors:
Daniel Bertoni; John H. Pendleton; GOVERNMENT ACCOUNTABILITY OFFICE WASHINGTON DC
|
| Why GAO Did This Study. In February 2007, a series of Washington Post articles about conditions at Walter Reed Army Medical Center highlighted problems in the Army's case management of injured servicemembers and in the military's disability evaluation system. These deficiencies included a confusing disability evaluation process and servicemembers in outpatient status for months and sometimes years without a clear understanding about their plan of care. These reported problems prompted ... |
|
| P.L. 110-173: Provisions in the Medicare, Medicaid, and SCHIP Extension Act of 2007 |
07 FEB 2008 |
|
| Authors:
Hinda Chaikind; Jim Hahn; Jean Hearne; Elicia J. Herz; Gretchen A. Jacobson; Paulette C. Morgan; Chris L. Peterson; Holly Stockdale; Jennifer O'Sullivan; Julie Stone; LIBRARY OF CONGRESS WASHINGTON DC CONGRESSIONAL RESEARCH SERVICE
|
| On December 29, 2007, the President signed 5. 2499, the Medicare, Medicaid, and SCHIP Extension Act of 2007 (P.L. 110-173). This Act was passed by the House on December 19, 2007, and by a voice vote in the Senate on December 18, 2007. The Act makes changes to the nation's three major health programs, Medicare, Medicaid, and the State Children's Health Insurance Program (SCHIP), as well as other federally funded ... |
|
| Ventilator Associated Pneumonia in a Military Deployed Setting: The Impact of an Aggressive Infection Control Program |
FEB 2008 |
7 pages |
| Authors:
Michael L. Landrum; Clinton K. Murray; BROOKE ARMY MEDICAL CENTER FORT SAM HOUSTON TX
|
| Background: Since the onset of military operations in Iraq and Afghanistan, there has been a marked increased in multidrug resistant bacterial infections among combat casualties. We describe the rates of ventilator-associated pneumonia (VAP) before and after the implementation of aggressive infection control measures at the Air Force Theater Hospital in Iraq. Methods: All patients admitted to the intensive care unit (ICU) were followed prospectively for the development of VAP. Baseline ... |
|
| A Reduction in Clot Formation Rate and Strength Assessed by Thrombelastography Is Indicative of Transfusion Requirements in Patients With Penetrating Injuries |
FEB 2008 |
|
| Authors:
Amy J. Plotkin; Charles E. Wade; Donald H. Jenkins; Kimberly A. Smith; Jody C. Noe; Myung S. Park; Jeremy G. Perkins; John B. Holcomb; ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX
|
| Bleeding is a major cause of death in patients with traumatic injuries. Recently, thrombelastograph (TEG) has been suggested as an additional means of evaluating coagulation in trauma patients. We hypothesized that TEG data would aid in defining the coagulopathy of trauma in patients with penetrating traumatic injuries. |
|
| Hyperkalemia After Packed Red Blood Cell Transfusion in Trauma Patients |
FEB 2008 |
7 pages |
| Authors:
Matthew C. Aboudara; Frank P. Hurst; Kevin C. Abbott; Robert M. Perkins; WALTER REED ARMY MEDICAL CENTER WASHINGTON DC
|
| A spectrum of derangements of potassium homeostasis have been reported on patients undergoing transfusion with cell-based transfusion products, specifically, packed red blood cells (PRBCs) and fresh whole blood. In both adults and children, hypokalemia has been reported more frequently than hyperkalemia. The largest reported series of which we are aware, retrospective in nature, reported an incidence of hypokalemia of 72% in children undergoing liver transplantation; hyperkalemia occurred in less than ... |
|
| Practical Use of Emergency Tourniquets to Stop Bleeding in Major Limb Trauma |
FEB 2008 |
14 pages |
| Authors:
Jr. Kragh John F.; Thomas J. Walters; David G. Baer; Charles J. Fox; Charles E. Wade; Jose Salinas; John B. Holcomb; ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX
|
| Background: Previously we showed that tourniquets were lifesaving devices in the current war. Few studies, however, describe their actual morbidity in combat casualties. The purpose of this study was to measure tourniquet use and complications. Methods: A prospective survey of casualties who required tourniquets was performed at a combat support hospital in Baghdad during 7 months in 2006. Patients were evaluated for tourniquet use, limb outcome, and morbidity. We identified ... |
|
| Outcome, Cost, and Oversight of Iraq Reconstruction Contract W914NS-04-D-0006 |
28 JAN 2008 |
45 pages |
| Authors:
OFFICE OF INSPECTOR GENERAL ARLINGTON VA SPECIAL INSPECTOR GENERAL FOR IRAQ RECONSTRUCTION
|
| In March 2004, the U.S. Army Corps of Engineers, on behalf of the Coalition Provisional Authority (CPA), awarded Parsons Delaware, Inc. (Parsons) a cost-plus-award-fee contract (W9l4NS-04-D-0006) to provide design and construction services. This contract was one often design/build construction contracts approved by the Deputy Assistant Secretary of the Army (Policy and Procurement) to provide an overarching framework for procuring design/build construction services to restore the Iraqi infrastructure. The contracts were ... |
|
| Brain Imaging Research: The Detection of Deception Utilizing HD-ERP, |
01-Jan-2008 |
61 pages |
| Authors:
Jennifer M Vendemia; SOUTH CAROLINA UNIV COLUMBIA
|
| The goal of this project is to create a functioning laboratory at the University of South Carolina whose purpose was to conduct research on central nervous system mechanisms (with fMRI and HD-ERPs) involved in deceptive behavior. The most intensive part of the project was the construction of an fMRI facility within the Palmetto Health Hospital, and training for faculty and staff at the University of South Carolina who would use ... |
|
| A Tale of Two Disability Coding Systems: The Veterans Administration Schedule for Rating Disabilities (VASRD) vs. Diagnostic Coding Using the International Classification of Diseases, 9th Edition, Clinical Modification (ICD-9-CM) |
JAN 2008 |
62 pages |
| Authors:
Nicole S. Bell; Ilyssa E. Hollander; Jeffrey O. Williams; Paul J. Amoroso; SOCIAL SECTORS DEVELOPMENT STRATEGIES INC BOSTON MA
|
| Disability rates have increased by approximately 10% per year over the past 25 years. Little is known about the etiology, in part because Veterans Administration Schedule for Rating Disabilities (VASRD) codes are not clinical diagnoses. This report describes results from analyses linking VASRD disability codes to International Classification of Disease, 9th Rev., Clinical Modification (ICD-9-CM) clinical diagnoses captured in hospital administrative records during disability case processing. Results suggest that while ... |
|
| Business Case Analysis of the Walter Reed Army Medical Center Medical/Surgical Prime Vendor Generation III Service Level Electron Program |
25 OCT 2007 |
96 pages |
| Authors:
Peter B. Markot; WALTER REED ARMY MEDICAL CENTER WASHINGTON DC
|
| The purpose of the business case analysis was to determine what combination of Full-Time Equivalent (FTE) staffing and medical/surgical services offered under the Prime Vendor (PV) Generation III contract would provide the best supply chain management solution for Walter Reed Army Medical Center (WRAMC). In support, three scenarios were developed with various combinations of FTE staffing and PV service options in order to determine a best value solution. Results of ... |
|
| A Case Study of the Implementation of Radio Frequency Identification Asset Visibility Tracking at Walter Reed Army Medical Center |
23-Oct-2007 |
49 pages |
| Authors:
James A Morrison; WALTER REED ARMY MEDICAL CENTER WASHINGTON DC
|
| This case study analyzes the decision to implement radio frequency identification (RFID) asset tracking at Walter Reed Army Medical Center (WRAMC). The study examines the existing RFID asset tracking systems at Womack Army Medical Center (WAMC) and the Lahey Clinic in Massachusetts to determine RFID's impact on property maintenance, management, and accountability. The study identifies best business practices learned from the implementation of RFID at these institutions. Additionally, the study ... |
|
| Determining Hospital Ship (T-AH) Staffing Requirements for Humanitarian Assistance Missions |
16 OCT 2007 |
45 pages |
| Authors:
Tracy Negas; Carrie Brown; Paula J. Konoske; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
|
| The primary mission of the hospital ship is to provide acute medical and surgical services to forces ashore and afloat during military operations. In addition, the hospital ship also has the mission of providing a hospital asset in support of disaster relief (DR) and humanitarian assistance (HA) operations. This secondary mission requires the hospital ship to provide medical care to a different population with a set of medical conditions not ... |
|
| Air Force Operational Medicine: Using the Estimating Supplies Program to Develop Materiel Solutions for the Operational Clinical Requirements for the U.S. Air Force Otolaryngology Team (FFENT) |
10 OCT 2007 |
90 pages |
| Authors:
Curt Hopkins; Ralph Nix; Paula Konoske; Gerry Pang; Martin Hill; Tracy Negus; Kathleen Onofrio; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
|
| The U.S. Air Force Medical Support Agency, Surgeon General Support Logistics Office, requested that the Naval Health Research Center (NHRC) conduct a proof of concept study to assess the validity and feasibility of using NHRC's medical modeling tool for the development and management of Air force medical Allowance Standards as a baseline for standardization throughout the armed services. The primary objective of this study was to provide the Air Force ... |
|
| Effect of Plasma and Red Blood Cell Transfusions on Survival in Patients with Combat Related Traumatic Injuries |
OCT 2007 |
11 pages |
| Authors:
Philip C. Spinella; Jeremy G. Perkins; Kurt W. Grathwohl; Alec C. Beekley; Sarah E. Niles; Daniel F. McLaughlin; Charles E. Wade; John B. Holcomb; CONNECTICUT CHILDREN'S MEDICAL CENTER HARTFORD
|
| Hemorrhage from traumatic injuries is the second most common cause of death and the most common cause of potentially preventable deaths from combat related injuries. Upon autopsy review, it was estimated that 15% to 20% of deaths that occur in combat were preventable with appropriate treatment, with 66% to 80% of these deaths occurring from hemorrhagic shock. Death from severe traumatic injuries occurs quickly, usually within 6 hours to 12 ... |
|
| A Comparison Between Patients Treated at a Combat Support Hospital in Iraq and a Level I Trauma Center in the United States |
OCT 2007 |
6 pages |
| Authors:
Martin A. Schreiber; Karen Zink; Samantha Underwood; Lance Sullenberger; Matthew Kelly; John B. Holcomb; OREGON HEALTH AND SCIENCE UNIV PORTLAND
|
| The delivery of medicine during war time presents numerous complex challenges that differ significantly from civilian practice. Medical care in the Global War on Terrorism is delivered 12,000 miles from home. Conditions are austere and resources are limited forcing caregivers to draw on all of their medical expertise. The safety of personnel cannot be guaranteed as American hospitals represent strategic targets for terrorists. Care is delivered both to American soldiers, ... |
|
| An Analysis of the Impact of AHLTA Implementation on Provider Productivity at Naval Hospital Jacksonville, FL |
29 AUG 2007 |
43 pages |
| Authors:
Diego Esguerra; NAVAL HOSPITAL JACKSONVILLE FL
|
| Naval Hospital Jacksonville, FL, implemented the use of an electronic medical record (AHLTA) in November 2005. Following the installation of AHLTA, productivity decreased. This study measured productivity at the provider level during each period. The dependent variable for this study was productivity, defined as Relative Value Units (RVU) divided by encounters. Regression results indicated that the overall model significantly predicted provider productivity, albeit weakly: R2=.249, R2 adj=.237, F(12, 759)=20.63, p ... |
|
| A Strategic Management Plan to Adopt a New Methodology for Treating Total Joint Replacement Patients |
28 JUN 2007 |
52 pages |
| Authors:
Bradley D. Gann; NORTH MISSISSIPPI MEDICAL CENTER TUPELO MS
|
| The strategic management issue researched is how to improve the NMMC's total joint replacement program. This procedure was initially recognized as an area of concern by the organization due to its high cost and predictions of a substantial national increase in volume over the next several years. The hospital intends to strategically position itself to increase quality outcomes, volume, and cost effectiveness relative to total joint replacements. The evaluation of ... |
|
| A Business Case Analysis for Implementing and Optimizing Telemedicine at Fort Irwin |
15 JUN 2007 |
78 pages |
| Authors:
Dean L. Martin; WEED ARMY COMMUNITY HOSPITAL FORT IRWIN CA
|
| Teleradiology, telepsychiatry, and teledermatology are three existing telemedicine services at Fort Irwin's Weed Army Community Hospital. This research study provides an analysis on the qualified and quantifiable financial costs and benefits of these services over the past year as well as implementing a telepharmacy program using the cost model and benefits rationale scenario-building tools. The hospital's Governing Body will have the objective scrutiny to support their business decisions regarding telemedicine ... |
|
| Detainee Medical Operations during Operation Iraqi Freedom: Determination of a Transition Plan |
15 JUN 2007 |
76 pages |
| Authors:
Matthew A. Sheaffer; ARMY COMMAND AND GENERAL STAFF COLL FORT LEAVENWORTH KS
|
| The United States Armed Forces in Iraq currently provides health care for thousands of detainees in U.S. custody. Required health care, in accordance with Department of Defense Directive and U.S. Army regulation, for detainees surpasses current deployable U.S. Army medical capabilities. Planning for the Iraqi government to take over essential services must include the provision for detainee health care. Nearly eight years prior to the initiation of Operation Iraqi Freedom, ... |
|
| What Resources are Required to Provide Full Service Obstetric and Gynecologic Care to DoD Employees and their Families on the Korean Peninsula? |
10 JUN 2007 |
56 pages |
| Authors:
Alan A. Jones; ARMY MEDICAL DEPT CENTER AND SCHOOL FORT SAM HOUSTON TX
|
| The Purpose of this Graduate Management Project is to identify the obstetric/gynecologic (OB/GYN) resource requirements to meet the needs of all Department of Defense (DoD) employees and their family members on the Korean Peninsula. The unique environment in Korea presents several challenges to the Military Health System for providing OB/GYN care. The study uses both quantitative and qualitative analysis. The quantitative analysis measured staffing, productivity, and access to care. Results ... |
|
| The National Disaster Medical System's Reliance on Civilian-Based Medical Response Teams in a Pandemic is Unsound |
01-Jun-2007 |
|
| Authors:
Delaney; John B Jr; NAVAL POSTGRADUATE SCHOOL MONTEREY CA
|
| The world is threatened with a pandemic. Such an event, considered by many to be the greatest public health risk the world faces, has the potential to kill up to forty or fifty million people, sicken hundreds of millions, and significantly impact the global economy. Countries and health organizations throughout the world are monitoring the threat and developing strategic plans and systems to prepare for what many consider an inevitable ... |
|
| Manpower Staffing, Emergency Department Access and Consequences on Patient Outcomes |
JUN 2007 |
79 pages |
| Authors:
Alvin T. Meng; NAVAL POSTGRADUATE SCHOOL MONTEREY CA
|
| Pressure on emergency medical services (EMS) is rising. The growth in EMS utilization has coincided with a decline in the number of emergency departments (ED). Between 1994 and 2004, the annual number of ED visits in the United States rose by 18 percent (from 93 million to 110 million) whereas the number of hospitals operating 24-hour EDs decreased by 12 percent during the same time frame. This study has three ... |
|
| Implementation of Get with the Guideline Acute Myocardial Infarction Program at Johns Hopkins Hospital and Its Effect on Core Measures |
25 MAY 2007 |
38 pages |
| Authors:
Jason P. Richter; JOHNS HOPKINS HOSPITAL BALTIMORE MD
|
| John Hopkins Hospital implemented the Get with the Guidelines (GWTG) evidence-based program for use with patients who have Acute Myocardial Infarction (AMI), a component of Congenital Heart Disease (CHD). CHD is the single leading cause of death for persons in the United States. The GWTG program is a web-based tool developed by the American Heart Association (AHA) that allows for data entry and benchmarking of AHA guidelines. The stated goal ... |
|
| Community Hospital Telehealth Consortium |
APR 2007 |
19 pages |
| Authors:
Jr Williams Elton L.; SOUTHWEST LOUISIANA HEALTHCARE SYSTEM LAKE CHARLES CHTC TELEMED/LCMH
|
| The Community Hospital Telehealth Consortium is a unique, forward-thinking, community-based healthcare service project organized around 5 not-for-profit community hospitals located throughout Louisiana and Mississippi. The central tenet of the CHTC project is the utilization of TeleHealth technology to improve and expand the opportunity for rural and urban underserved populations to receive quality, affordable health care. The CHTC's goals are to improve quality of and access to health care, to reduce ... |
|
| Resolving the Nurse Crisis in San Antonio |
APR 2007 |
54 pages |
| Authors:
James L. Jones; GREATER SAN ANTONIO HOSPITAL COUNCIL TX
|
| The purpose of this policy analysis study is to provide options to resolving the nurse crisis in San Antonio. As the metropolitan San Antonio population grows and ages over the next decade, demand for health care services will rise dramatically. The reality is that the supply of nurses is not growing as fast as the demand for nurses is. This growing shortage of nurses threatens the ability of hospitals and ... |
|
| A Business Case Analysis: Establishment of a Sub-Acute Ward for Tripler Army Medical Center |
31 MAR 2007 |
75 pages |
| Authors:
Colleen Reichenberg; ARMY MEDICAL DEPT CENTER AND SCHOOL FORT SAM HOUSTON TX
|
| This business case examines the likely costs and benefits of establishing of a sub-acute ward which is designed to decrease the cost of treating long-stay patients. The recommendation is to establish a sub-acute ward on a current surgical ward by October 1, 2009. Three options were evaluated: (1) current ward space, (2) enhanced use lease (EUL) building, or (3) business as usual (BAU). The BAU option returned a net present ... |
|
Reports by Keyword(s)
HOSPITALS
