Logistics business practice changes for the managed care environment: inpatient consumable supply cost capture by patient, provider, and DRG

Download
Author
Piraino, Stephen J.
Date
1994-12Advisor
Fields, Paul J.
Scaramozzino, James A.
Metadata
Show full item recordAbstract
The Department of Defense has implemented a new strategy called managed care to control costs, to improve access to care, and to optimize the size of the Military Health Services System. Capitation based resource allocation has significantly changed the incentives of hospital commanders, because they are now possible for the cost of all care provided to beneficiaries within their catchment area. This includes care provided both in-house and care that was previously provided under CHAMPUS. Thus the previous practice of demand shifting will not alleviate potential budget problems. This study recommends business practice changes that are required in order for Navy Medicine to compete in this new environment. The changes include pursuit of a product-line type accounting system, and an integrated Materials Management Information System capable of supply cost capture by patient, provider, and diagnosis. Current cost accounting and logistics practices only provide aggregate supply assumption data segregated by work-center. In order for the Department of Defense and the Services to provide quality care in the most cost effective manner, actual cost data must be captured by patient provider, and diagnosis.
Rights
This publication is a work of the U.S. Government as defined in Title 17, United States Code, Section 101. Copyright protection is not available for this work in the United States.Collections
Related items
Showing items related by title, author, creator and subject.
-
Does decreased access to emergency departments affect patient outcomes? Analysis of AMI population 1996-2005
Shen, Yu-Chu; Hsia, Renee Y. (National Bureau of Economic Researcj, 2011-01);We analyze whether decreased emergency department access (measured by increased driving time to the nearest ED) results in adverse patient outcomes or changes in the patient health profile for patients suffering from acute ... -
Patient satisfaction : a visual analysis using Trellis Graphics
Hall, Tonya A. (Monterey, California. Naval Postgraduate School, 1998-09-01);During times of peace, health care is one of the foremost quality of life issues to active duty members, their families and retirees. Patient satisfaction surveys are used to determine how patients perceive salient aspects ... -
Medical decision analysis : an application in hypertension.
Kapernick, Robert Edwin (Monterey, California. Naval Postgraduate School, 1975-03);A decision analysis was conducted on the specific diagnostic category of hypertension to obtain optimal diagnosis- treatment procedures. Emphasis was placed on the problem formulation phase of the decision analysis. ...