Accession Number : ADA293180

Title :   A Utilization Review and Analysis of Nonurgent PRIMUS Referrals to the Darnall Army Community Hospital Internal Medicine Clinic.

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) : Ray, Sandra A.

PDF Url : ADA293180

Report Date : MAY 1994

Pagination or Media Count : 76

Abstract : A utilization review and analysis was conducted for referrals from PRIMUS clinics to the Internal Medicine Clinic at Darnall Hospital from 1 April to 30 September 1993. Actual costs for 206 referrals to both Darnall Hospital and CHAMPUS were calculated. The study found that Darnall Hospital provided needed referral services in a more cost effective manner than standard CHAMPUS. However, partnership physicians provided needed medical care at a substantially lower cost to Darnall Hospital with no copayment to the patient. The study reported that Internal Medicine Clinic physicians spend a relatively small portion of their reported working time in the outpatient clinic. Conversely, nurse practitioners report a higher number of working hours and significantly higher levels of productivity than their physician counterparts. Recommendations include reducing appointment length, improving the no-show fill rate, changing duty locations for Internal Medicine Clinic physicians so that they treat more patients in the outpatient clinic.

Descriptors :   *COST EFFECTIVENESS, *CLINICAL MEDICINE, *MEDICAL SERVICES, POSITION(LOCATION), JOBS, LOW COSTS, TIME, COSTS, LEVEL(QUANTITY), PRODUCTIVITY, OUTPATIENT CLINICS, PHYSICIANS, UTILIZATION, NURSES, CHAMPUS, INTERNAL MEDICINE.

Subject Categories : Medicine and Medical Research
      Economics and Cost Analysis

Distribution Statement : APPROVED FOR PUBLIC RELEASE