Legislation on Sizing Military Medical Facilities Needed to Correct Improper Practices, Save Money, and Resolve Policy Conflicts: Report to the Congress |
Common terms and phrases
10-percent factors 10-percent rules 20-year life-cycle costs active-duty members Air Force alternative amount of space ancillary support facilities APPENDIX authorized staffing beneficiary categories Carson Army Hospital civilian facilities civilian providers Congress Cost comparison study cost effective deceased members deceased personnel dependents of active-duty dependents of retired Diego Naval Hospital DOD formula DOD's policy expected workload Government hospitals and clinics inpatient and outpatient inpatient beds law and DOD legislation less costly meet teaching military facilities military medical facilities Navy directly provides official outpatient and ancillary outpatient clinics outpatient facilities outpatient workload percent physicians policy on sizing Projected staff availability projected workload provided by CHAMPUS radiology realistic workload projections replacement hospitals replacement medical facilities retired and deceased retirees and dependents San Diego Naval Secretary of Defense sizing method sizing military medical sizing policy teaching and training teaching hospitals tions total workload training requirements U.S. Code uniformed services
Popular passages
Page 4 - ... the medical and dental care prescribed by section 1077 of this title in facilities of the uniformed services, subject to the availability of space and facilities and the capabilities of the medical and dental staff.
Page 39 - DOD computer-based systems — such as a uniform staffing model, a health resources forecasting system and an eligibility and enrollment system — which have been under development for several years. DOD expects this segment of the consultant's work to be completed in August 1980. The official in the Assistant Secretary's office responsible for facilities planning told us that the consulting firm is proceeding satisfactorily with this effort and that he expects the firm to meet the contract deadline....
Page 41 - ... questions or concerns which we may have with DOD personnel. As the work progresses, we will continue to reassess the required level of our involvement, and report to you if it appears that detailed analysis on our part is warranted. In addition to the monitoring discussed above, we plan to review DOD's policies regarding the categories of DOD beneficiaries for which it is planning and constructing such facilities. This matter will require significant effort on our part and we will keep the Committee...
Page 41 - To assist us in our monitoring effort, the Assistant Secretary's office has agreed to provide us copies of all interim and final reports prepared by both the tri-service panel and the contractor, which pertain to outpatient or ancillary support facility sizing. We will review these documents as we receive them and discuss any questions or concerns which we may have with DOD personnel. As the work progresses, we will continue to reassess the required level of our involvement, and report to you if...
Page i - HRD-81-24 — correct the services' current improper sizing practices, — save money in the long run, and — align the sizing policy with the policy for providing staff and other medical resources to facilities once they are built.
Page 39 - The Honorable Jamie Whitten Chairman, Appropriations Committee House of Representatives Dear Mr. Chairman: Your letter dated July 31, 1979, requested that we look into the methods used by the military services to size their outpatient and ancillary support facilities. In planning this work, we had several discussions with representatives of the Office of the Assistant Secretary of Defense (Health Affairs) and health facility planning officials of the military services.
Page 6 - The amount of space so programmed shall be limited to that amount determined by the Secretary concerned to be necessary to support teaching and training requirements in uniformed services facilities, except that space may be programmed in areas having a large concentration of retired members and their dependents where there is also a projected critical shortage of community facilities.
Page 28 - DOD's policy on sizing new military hospitals and clinics and its policy on allocating staff and other medical resources to the facilities after construction. While DOD policy limits the space to be planned in new inpatient and outpatient facilities by the 5- and 10-percent factors, its established policy for allocating staff and other resources which can be provided after the facility is constructed contains no such limitations. Compounding this conflict is a perceived "moral obligation" to provide...
Page 26 - ... sub-specialties are prepared to work in field hospitals, evacuation hospitals, mobile Army surgical support hospitals. I would like to know specifically what they are driving at when they say deficiency. Mr. EDWARDS. Mr. Rice was the study director and there were military members on the staff. This was a report requested by the President and submitted to the Secretary of Defense last month.
Page 39 - Office of the Assistant Secretary of Defense (Health Affairs) and health facility planning officials of the military services. He found that the Department of Defense (DOD) believes that review ana update of its outpatient and ancillary support space planning criteria is needed and has taken steps to begin this process. In this regard, DOD, in September 1979, extended the scope of an existing contract with a consulting firm to determine the feasibility of developing a DODwide computer based model...