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E-book

Title The economics of Air Force Medical Service readiness / John C. Graser [and others]
Published Santa Monica, CA : RAND, 2010

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Description 1 online resource (xxiv, 105 pages) : illustrations (some color)
Series Project Air Force
Project Air Force report.
Contents Ch. 1. Introduction -- ch. 2. Overview of the Air Force Medical Service -- ch. 3. Air Force Medical Service funding -- ch. 4. Measuring military medical service costs and workloads -- ch. 5. Why has the Fir Force Medical Service's workload decreased? -- ch. 6. Options available for recapturing and expanding workloads -- ch. 7. Conclusions -- Appendix A. Medical workload by service military treatment facility -- Appendix B. Readiness full-time equivalents by service -- Appendix C. Prospective payment system -- Appendix D. Medicare-eligible retiree health care fund -- Appendix E. Consolidation of Wilford Hall Medical Center and Brooke Army Medical Center -- Appendix F. Efficiency-wedge reductions -- Appendix G. Support to Landstuhl Regional Medical Center
Cover -- Title Page -- Copyright -- Contents -- Preface -- Figures -- Tables -- Summary -- Acknowledgments -- Abbreviations -- Glossary -- CHAPTER ONE Introduction -- Background -- The Challenge to the Military Health System -- Purpose -- Methodology -- Organization of This Report -- CHAPTER TWO Overview of the Air Force Medical Service -- Mission -- Recent History -- Overview of the DoD Military Health System -- Key Differences Among the Services Health Systems -- Size and Composition -- Command Structure -- Relationships Between the Air Force Medical Service and Air Force Major Commands -- Medical Facilities -- Summary -- CHAPTER THREE Air Force Medical Service Funding -- Budget Overview -- Emphasis on Military Treatment Facility Efficiency -- Prospective Payment System -- Efficiency Wedge -- Medicare-Eligible Retiree Health Care Fund Earnings -- Local Military Treatment Facility Reimbursements -- Military Treatment Facility Financial Information -- Comparing the Air Force Medical Service to the Army and Navy Medical Departments -- Methodology of the Medical Department Comparisons -- Comparison of Medical Departments Expenses and Earnings -- Prescription Costs -- Comparing MTF Size and Earnings Share Across Services -- Stepped-Down MEPRS A and B Expenses Versus Earnings -- Future Military Health System Funding Concerns -- Summary -- CHAPTER FOUR Measuring Military Medical Service Costs and Workloads -- Introduction -- Reporting and Measuring Resources: Labor and Labor Costs -- Limitations in Reporting Manpower -- Reporting and Measuring Workload -- Limitations on Workload Reporting -- Summary of Benefits -- How Do System Inaccuracies Affect Performance Measures and Funding? -- Prospective Payment System -- Primary Care Productivity -- Medicare-Eligible Retiree Health Care Fund -- Summary -- CHAPTER FIVE Why Has the Air Force Medical Services Workload Decreased? -- Work Accomplished, FYs 20008211;2007 -- Effects of Readiness and Deployments on Workload Production -- Decline in the Number and Availability of Air Force Medical Service Surgeons -- Effects of Converting Inpatient Facilities to Stand-Alone Clinics -- Effects of TRICARE for Life -- Keesler AFB Hospital and Hurricane Katrina -- Replacements for Deployed Medical Personnel -- Summary -- CHAPTER SIX Options Available for Recapturing and Expanding Workloads -- Maintaining Clinical Currency of Providers -- Option 1: Expand Opportunities at Existing Air Force Medical Service Facilities -- Option 2: Assign Air Force Providers to Shared or Joint Hospitals -- Option 3: Increase Cooperation with Nonmilitary Hospitals -- Option 4: Increase Reliance on the Air National Guard and Reserves During Wartime -- Summary -- CHAPTER SEVEN Conclusions -- APPENDIXES -- A. Medical Workload by Service Military Treatment Facility -- B. Readiness Full-Time Equivalents by Service -- C. Prospective Payment System -- D. Medicare-Eligible Retiree Health Care Fund -- E. Consolidation of Wilford Hall Medical Center and Brooke Army Medical Center -- F. Efficiency-Wedge Reductions -- G. Support to Landstuhl Regional Medical Center -- Bibliography -- Back Cover
Summary To transition rapidly to wartime service, Air Force Medical Service critical-care providers need suitable peacetime training opportunities, and this work must be properly attributed to AFMS so that it receives proper credit in budget distributions
Notes "Prepared for the United States Air Force."
"TR-859-AF"--Page 4 of cover
Bibliography Includes bibliographical references (pages 103-105)
Notes English
Print version record
In Books at JSTOR: Open Access JSTOR
Subject United States. Air Force Medical Service -- Evaluation
United States. Air Force Medical Service -- Reorganization
United States. Air Force -- Medical care.
United States. Air Force -- Operational readiness
SUBJECT United States. Air Force fast
United States. Air Force Medical Service fast
Subject TECHNOLOGY & ENGINEERING -- Military Science.
MEDICAL -- Allied Health Services -- General.
Armed Forces -- Evaluation
Armed Forces -- Medical care
Armed Forces -- Operational readiness
Armed Forces -- Reorganization
Form Electronic book
Author Graser, John C
ISBN 9780833051875
0833051873
1283109166
9781283109161
9786613109163
6613109169