Ambulatory Surgery Utilization at Madigan Army Medical Center.
Final rept. Jul 94-Jul 95,
ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATI ON
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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 Administrations HCFAs 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.
- Administration and Management
- Personnel Management and Labor Relations
- Medical Facilities, Equipment and Supplies
- Military Forces and Organizations