When should Bureau of Medicine and Surgery hospitals make or buy services?

Abstract

This thesis provides Commanding and Executive Officers tools to use in make or buy decisions for Naval health care treatment facilities. It analyzes make or buy issues, presents criteria and variables to use in make or buy decisions, and identifies services to contract out. It also focuses on three make or buy analyses conducted by Naval Medical Center San Diego. Criteria and variables that the medical center used in make or buy analyses and lessons learned from this experience are discussed. The thesis applies data used in the three make or buy analyses to potential outsourcing initiatives at other Naval hospitals. In conclusion, the thesis outlines the need for an outsourcing plan, a transition plan, a personnel relocation plan, and a make or buy analysis. Appropriate criteria for a make or buy analysis are suggested. Recommendations indicate when Naval hospitals should make or buy services