Accession Number : ADA324186

Title :   A Study to Determine the Feasibility of Establishing a Patient Self-Care Unit at Madigan Army Medical Center.

Descriptive Note : Final rept. Jul 95-Apr 96,

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

Personal Author(s) : Chowen, Steven H.

PDF Url : ADA324186

Report Date : APR 1996

Pagination or Media Count : 65

Abstract : A case study of inpatient utilization at Madigan Army Medical Center was conducted in three phases to determine the number of inpatient bed days coded as self care to determine the potential for future populations of self care patients, and to conduct a cost benefit analysis between establishing a self care unit or keeping self care patients in an inpatient bed. An investigation of Nursing Workload Management Data indicated that in 2605 inpatient bed days were coded as self care in 1994 and 1812 bed days in 1995. Investigation of the lengths of stay for ten high volume Diagnostic Related Groups (DRG) indicated that future admissions using current practice patterns would potentially yield 2135 self care days within these ten DRGs alone. Results of the cost benefit analysis indicated that establishing a self care unit within Madigan Army Medical Center would increase variable costs by $42,649. It was recommended that the self care unit not be established and that alternative uses for available ward space be explored.

Descriptors :   *COST ANALYSIS, *MILITARY MEDICINE, *HOSPITALIZATIONS, *SELF TREATMENT, DEPARTMENT OF DEFENSE, DATA MANAGEMENT, FINANCIAL MANAGEMENT, COST EFFECTIVENESS, ARMY FACILITIES, PATIENTS, WORKLOAD, HOSPITALS, NURSING, MANHOURS, BIOMEDICAL INFORMATION SYSTEMS.

Subject Categories : Economics and Cost Analysis
      Medical Facilities, Equipment and Supplies

Distribution Statement : APPROVED FOR PUBLIC RELEASE