Assessing the performance of military treatment facilities / Nancy Nicosia, Barbara O. Wynn, John A. Romley.

Format:

Book

Author/Creator:

Nicosia, Nancy.

Contributor:

Wynn, Barbara O.

Romley, John A.

Rand Corporation.

Center for Military Health Policy Research.

United States. Department of Defense. Office of the Secretary of Defense.

Series:

Rand Corporation monograph series

Language:

English

Subjects (All):

Medicine, Military--United States--Evaluation.

Medicine, Military.

Medical care--United States--Evaluation.

Medical care.

Armed Forces.

Cost effectiveness.

Evaluation.

United States.

United States--Armed Forces--Medical care--Evaluation.

United States--Armed Forces--Medical care--Cost effectiveness.

Health planning--United States.

Health planning.

Physical Description:

xxiii, 114 pages : illustrations ; 23 cm.

Place of Publication:

Santa Monica, CA : RAND Corporation, 2011.

Summary:

The U.S. Department of Defense (DoD) has increasingly confronted financial, managerial, and operational challenges in sustaining health benefits for service members and their families: for example, medical costs are projected to increase to 12 percent of DoD's total budget in 2015, from a level of 8 percent in 2007. To address these challenges, DoD is working to transform business practices within the Military Health System. As part of this effort, DoD has considered setting targets for health care utilization in its military treatment facilities (MTFs) and rewarding or penalizing MTFs according to their performance. In this volume, the authors discuss the potential and limitations of using MTF utilization and costs as measures of MTF leaders' performance. The authors report the findings of (1) their qualitative review of performance assessment in the nonmilitary health care sector and (2) their quantitative analysis of how MTF utilization and cost metrics are limited by random variation in the data, and how MTF size and resource-intensive catastrophic cases affect this variation.

Contents:

Introduction

The context for assessing the performance of military treatment facilities

Performance assessment in health care

Performance assessment and MTF size

Performance assessment and catastrophic cases

Conclusions.

Notes:

"Prepared for the Office of the Secretary of Defense."

"RAND Center for Military Health Policy Research."

"MG-803-OSD."--P. [4] of cover.

Includes bibliographical references (pages 111-114).

ISBN:

9780833047779

0833047779

OCLC:

727357001

Online:

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