Accession Number : ADA314129

Title :   Ambulatory Surgery Utilization at Madigan Army Medical Center.

Descriptive Note : Final rept. Jul 94-Jul 95,

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

Personal Author(s) : Culver, Cathi L.

PDF Url : ADA314129

Report Date : AUG 1995

Pagination or Media Count : 52

Abstract : Military Medical Treatment Facilities (MTFs) experience higher admission rates than civilian facilities. The military setting may present valid reasons for inpatient versus outpatient treatment, but the possibility remains that these resources might not be used as appropriately as possible. A study of surgical utilization at Madigan Army Medical Center (MAMC) for fiscal year (FY) 1994 was conducted. A comparison of inpatient surgeries performed at MAMC in FY94 with the Health Care Financing Administration's (HCFA's) most current list of approved ambulatory surgeries was done. The results showed that 65% of a subset consisting of 77 inpatient surgeries met the ambulatory surgery criteria and amounted to $89,936 in resource utilization. The subsample containing 1047 records meeting the ambulatory surgery criteria, with a 26% error rate and averaging 1.14 additional days length of stay, amounted to $587,504 expended on inpatient resources in FY94 that may have been more appropriately spent in the outpatient arena. The demographic data showed the greatest percentage (60%) of inpatient surgeries meeting the criteria to be the Sponsor. Opportunities for shifting resources for better utilization were identified and validated against similar civilian sector experiences.

Descriptors :   *OUTPATIENT CLINICS, *HEALTH CARE FACILITIES, *SURGERY, *UTILIZATION, DATA BASES, DATA MANAGEMENT, COST EFFECTIVENESS, COST ANALYSIS, MULTIVARIATE ANALYSIS, ARMY FACILITIES, THESES, CIVILIAN PERSONNEL, PATIENTS, MEDICAL SERVICES, HOSPITALS, PLANNING PROGRAMMING BUDGETING, BIOMEDICAL INFORMATION SYSTEMS.

Subject Categories : Administration and Management
      Personnel Management and Labor Relations
      Medical Facilities, Equipment and Supplies
      Military Forces and Organizations

Distribution Statement : APPROVED FOR PUBLIC RELEASE