Enhancing military-civilian medical synergies : the role of Army medical practice in civilian facilities / Melinda Moore, Michael A. Wermuth, Gary Cecchine, Paul M. Colthirst.

Format:

Book

Author/Creator:

Moore, Melinda, M.D., author.

Wermuth, Michael A., author.

Cecchine, Gary, author.

Colthirst, Paul M., author.

Contributor:

Arroyo Center.

United States. Army, sponsoring body.

Series:

Research report (Rand Corporation) ; RR-1313-A.

[Research report] ; RR-1313-A

Language:

English

Subjects (All):

Armed Forces.

Medical personnel.

United States--Armed Forces--Medical personnel--Training of.

United States.

United States--Armed Forces--Medical care.

Medical care.

Public-private sector cooperation--United States.

Public-private sector cooperation.

Military bases.

Military Personnel--education.

Delivery of Health Care.

Public-Private Sector Partnerships.

Medical Subjects:

Military Personnel--education.

Delivery of Health Care.

Public-Private Sector Partnerships.

Physical Description:

xxxii, 124 pages : color illustrations ; 23 cm.

Other Title:

Role of Army medical practice in civilian facilities

Place of Publication:

Santa Monica, Calif. : RAND Corporation, [2016]

Summary:

"Army medical professionals must maintain the high level of proficiency required to fulfill the Army's medical missions of supporting military operations and providing beneficiary care. Because beneficiary care demands in a U.S. medical treatment facility (MTF) do not mirror those in a combat setting and sometimes can exceed the MTF's capacity, some MTFs enter into agreements with local civilian facilities to meet shortfalls in beneficiary care or training. The study's objective was to assess Army medical practice in U.S. Department of Veterans Affairs and non-Veterans Affairs civilian facilities and suggest opportunities for improving military-civilian synergies"--Back cover.

Contents:

Preface

Figures and Tables

Summary

Acknowledgments

Abbreviations

Chapter 1: Introduction: Background

Study Objective

Methods

Organization of the Report

Chapter 2: History and Authorities for External Medical Care and Training: History

Legal Authorities and Department of Defense Policy Guidance for Military-Civilian Agreements

Liability Issues

Chapter 3: Information from the Medical Training Facility Data Call: Chapter 4: Types of Agreement and Review of Selected Agreements: Mechanisms for External Medical Care Resource Sharing and Training

Review of Selected Agreements

Chapter 5: Findings from Stakeholder Discussions, Including Site Visits

Common Themes from Stakeholder Discussions

Chapter 6: Conclusions and Recommendations: 1: Update and expand Office of the Surgeon General and Army Medical Command policy guidance for external resource-sharing agreements and gratuitous training agreements

2: Identify appropriate proponent for external resource-sharing agreements and for gratuitous training agreements

3: In the short term, identify potential untapped opportunities related to different types of external practice, especially external resource-sharing agreements, and raise awareness to encourage their use when justifiable in medical treatment facility business plans

4: For longer-term policy purposes, conduct a quantitative assessment of the costs and potential efficiencies associated with care provided in the Military Health System compared with those in different civilian options, such as those examined in this initial qualitative study

: If such analysis warrants, encourage the expansion of agreements to include a wider range of Army medical professionals and medical teams

6: Maintain the current scheme of decentralized management, but consider a mechanism for central visibility of agreements

7: Facilitate mechanisms to share experiences and learn lessons about different types of sharing and training agreements

APPENDIXES: A. Organizations Consulted

B. Office of the Surgeon General and Army Medical Command Policy Guidance on Department of Veterans Affairs-Department of Defense Sharing Agreements

C. Office of the Surgeon General Policy Guidance on Gratuitous Training Agreements

D. Details of Findings Related to Medical Treatment Facilities

Bibliography.

Notes:

Includes bibliographical references (pages 119-124).

ISBN:

9780833092229

0833092227

OCLC:

952499473