Research Catalog

Title

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

Author

Nicosia, Nancy.

Publication

Santa Monica, CA : RAND Corporation, 2011.

Items in the Library & Off-site

Holdings

Details

Additional Authors

• Center for Military Health Policy Research.
• Nicosia, Nancy.
• Rand Corporation.
• Romley, John A.
• United States. Department of Defense. Office of the Secretary of Defense.
• Wynn, Barbara O.

Description

xxiii, 114 p. : ill.; 23 cm.

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.

Series Statement

Rand Corporation monograph series

Uniform Title

Rand Corporation monograph series.

Subject

• Health Planning
• Health planning > United States
• Hospitals, Military
• Medical care > United States > Evaluation
• Medicine, Military > United States > Evaluation
• Quality Assurance, Health Care
• United States
• United States > Cost effectiveness
• United States > Evaluation

Genre/Form

Statistics

Note

• "Prepared for the Office of the Secretary of Defense."
• "RAND Center for Military Health Policy Research."
• "MG-803-OSD."--P. [4] of cover.

Bibliography (note)

• Includes bibliographical references (p. 111-114).

Processing Action (note)

• committed to retain

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.

ISBN

• 9780833047779 (pbk. : alk. paper)
• 0833047779 (pbk. : alk. paper)

LCCN

^^2011020359

Owning Institutions

Harvard Library