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Ancillary service consumption by Military Health Service System special programs: implications for diagnosis related
Military Medicine
|August 1, 1989
Summary
The Military Health Service System
Area of Science:
- Healthcare Management
- Health Services Research
- Military Medicine
Background:
- The Military Health Service System (MHSS) utilizes special programs for medical treatment.
- A new workload credit system is being implemented per the National Defense Authorization Act for Fiscal Year 1987.
- This system may not adequately credit ancillary services consumed by special programs.
Purpose of the Study:
- To analyze the consumption of ancillary services by MHSS special programs.
- To assess the impact of the new workload credit system on ancillary service workload.
- To recommend adjustments for accurate workload crediting.
Main Methods:
- Analysis of ancillary service utilization data within MHSS special programs.
- Evaluation of the new weighted ambulatory visit/inpatient disposition workload credit system.
- Comparison of actual ancillary workload with credited workload.
Main Results:
- Ancillary workload consumption by MHSS facility special programs is substantial.
- The new credit system may significantly underrepresent the workload of these programs.
- Direct patient care missions supported by ancillary services are not fully recognized.
Conclusions:
- The new workload credit system requires adjustments to accurately reflect ancillary services.
- Accurate crediting is essential for resource allocation and program evaluation within MHSS.
- Failure to adjust may lead to underfunding or misallocation of resources for critical support services.
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