Accession Number : ADB169123

Title :   Tri-Service CHAMPUS Statistical Database Project (TCSDP): Selected U.S. Army Health Clinics; CHAMPUS Costs & Workload Factors for Highest Ranking Diagnoses of U.S. Army Beneficiaries within 20 & 40 Mile Radii for Fiscal Year 1990. Gateway to Care Management Analysis Series.

Descriptive Note : Final rept. Oct 89-Sep 90,

Corporate Author : ARMY HEALTH CARE STUDIES AND CLINICAL INVESTIGATION ACTIVITY FORT SAM HOUSTON TX

Personal Author(s) : Optenberg, Scott A. ; Moon, Kathleen A.

Report Date : OCT 1992

Pagination or Media Count : 164

Abstract : This report utilizes CHAMPUS Fiscal Year (FY) data for U.S. Army beneficiaries living within 20 and 40 mile radii of eight designated U.S. Army Health Clinic areas. Patient beneficiaries were selected by home zip codes matching distinct zip codes associated with each clinic area and designated radius in miles from the clinic (see Appendix E). For seven of the clinic sites, the report analyzes costs and workload factors for ICD-9-CM diagnoses in three types of services: patient hospitalizations (Appendix A), Inpatient professional services (Appendix B), and ambulatory professional services (Appendix C). Each appendix contains four sets of tables, each set presenting one table per clinic area. The first group of tables lists for each clinic the ICD-9-CM diagnoses ranked as the top twenty-five in total government payments for beneficiaries within a 20 mile radius of the clinic. This set of summaries is followed by tables listing the top government payment diagnoses within a 40 mile radius of each clinic. The final two groups of summaries per appendix list, by clinic, top diagnoses ranked by workload factor (dispositions for patient hospitalizations, number of services for professional services) within a 20 mile radius and then within a 40 mile radius. Non-highest diagnoses for each category of table were summed into a group called Other and printed at each report's end. Appendix D contains data for St. Louis only, present radius tables like those generated for Appendices A-C.

Descriptors :   *COSTS, *HEALTH, *WORKLOAD, *MEDICAL SERVICES, *MILITARY MEDICINE, HOSPITALIZATIONS, MATCHING, NUMBERS, PATIENTS, RANKING, SITES, ARMY PERSONNEL, FAMILY MEMBERS, AREA COVERAGE, HEALTH CARE FACILITIES, INFORMATION SYSTEMS, SELECTION, PATIENTS, RECORDS, MEASUREMENT.

Subject Categories : Medicine and Medical Research
      Theoretical Mathematics
      Economics and Cost Analysis

Distribution Statement : APPROVED FOR PUBLIC RELEASE