Demand Management: The Primary Care Role at Ireland Army Community Hospital (IACH)
Final rept. Jul 2004-Jul 2005
IRELAND ARMY HOSPITAL FORT KNOX KY
Pagination or Media Count:
In spite of managed care efforts, the literature indicates that managed care has not proven to be the panacea for pervasive health care issues. If the Military Health System is continuing to parallel civilian health care trends, it is plausible that Military Treatment Facilities also are not effectively managing care. The executive leaders of Ireland Army Community Hospital are concerned about the primary care role in demand management for the organization. Several factors contributing to this concern are the variability of primary care managers, deficiencies in the continuity of care, the lack of internal policies governing primary care practices, and demand management limitations. This exploratory study sought to analyze high user rates as they correlate to demand management. The analysis of primary care management, as represented by the number of visits a high user had with hisher primary care manager, suggests that poor continuity of care results in a higher demand for services. The analysis of non-active duty beneficiaries indicated that targeting female population health and specific age groups could potentially mitigate this demand. Recommendations include surveying primary care staff on population health perceptions, strategic plan development, and implementation of a primary care team concept.
- Administration and Management
- Medicine and Medical Research
- Medical Facilities, Equipment and Supplies