Accession Number : ADA292930

Title :   An Assessment of the Efficacy of a New Admissions Process at Madigan Army Medical Center.

Descriptive Note : Final rept. Jul 93-Jul 94,

Corporate Author : ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATI ON

Personal Author(s) : Rhodes, Steven C.

PDF Url : ADA292930

Report Date : MAY 1994

Pagination or Media Count : 97

Abstract : During this period of escalating medical costs and constrained resources, new and innovative methods of conducting business must be adopted. In response to this changing environment, Madigan Army Medical Center has focused attention to efficient and effective utilization management programs. One change in process that is the result of this focus was the institutional change in the admissions procedure for non-emergent surgeries. This change in admissions policy is exemplified by the establishment of a pre-Admission Unit (PAU) in which all Pre-admission testing, education, pre-certification and discharge planning occur in one centralized location. Like many other changes in procedures, there had been no prior evaluation of the effectiveness and efficacy of the new unit. A retrospective analysis of 518 patients who had been admitted for one of six surgical DRGs was conducted to determine if there had been any change in the average length of stay for those patients being admitted in accordance with the new procedure. Findings indicate that the establishment of a PAU has resulted in an average savings of 2.08 occupied bed days (OBDs) per procedure. The potential fiscal savings and conservation of resources resulting from this decrease in lengths of stay are enormous.

Descriptors :   *CONTRACT ADMINISTRATION, *ARMY FACILITIES, *MILITARY MEDICINE, *MEDICAL SERVICES, *HEALTH CARE FACILITIES, POSITION(LOCATION), COSTS, MEDICINE, PLANNING, RESOURCES, CENTRALIZED, CONSERVATION.

Subject Categories : Medicine and Medical Research
      Administration and Management
      Medical Facilities, Equipment and Supplies

Distribution Statement : APPROVED FOR PUBLIC RELEASE