Accession Number : ADA432458


Title :   Case Study: Preparing the Gastroenterology Clinic at Naval Medical Center San Diego (NMCSD) for T-NEX Implementation


Descriptive Note : Graduate management project


Corporate Author : NAVAL MEDICAL CENTER SAN DIEGO CA


Personal Author(s) : Adams, Brent N


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/a432458.pdf


Report Date : 09 Apr 2004


Pagination or Media Count : 71


Abstract : The objective of this study was to develop a strategy to prepare for the next generation of managed care support contracts at the clinic level. The study will identify areas of concern within the Gastroenterology (GI) clinic that result in the loss of Prime patients to the contractor, determine if those losses are appropriate, and recommend possible solutions and better business practices. The study analyzed data involving a five-step process that includes evaluating resource allocation and productivity, referral tracking and variation, provider profiling, appointment utilization / template management, and costs. Based on this study, the clinic should increase bookable hours for staff providers from six to seven hours. The clinic should also continue with the revised referral / disengagement process currently in place and continue to provide education and training to primary care providers. Through analysis of in-house and network costs, 13 procedures and diagnoses were identified that should be either performed in-house or referred to the network that result in a cost savings to the GI clinic of over $90,000. By referring these procedures to the network, access and capacity will be greatly improved.


Descriptors :   *COST EFFECTIVENESS , *RESOURCE MANAGEMENT , *GASTROINTESTINAL DISEASES , LOGISTICS SUPPORT , CASE STUDIES , OUTPATIENT CLINICS


Subject Categories : Administration and Management
      Anatomy and Physiology
      Medicine and Medical Research
      Logistics, Military Facilities and Supplies


Distribution Statement : APPROVED FOR PUBLIC RELEASE