The Quality-Volume Relationship: Comparing Civilian and MHS Practice
CENTER FOR NAVAL ANALYSES ALEXANDRIA VA RESOURCE ANALYSIS DIV
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The literature shows that the best outcomes occur when patients get their health care in high-volume settings. High-volume surgeons are more proficient. High volume hospitals are safer. These findings have changed how civilian health care is delivered. Civilian hospitals, insurance companies, governments, and institutions all focus on volume as an indicator of quality. The Military Health System MHS lags by comparison. Fewer MHS patients have their procedures in high-volume settings. MHS also misses opportunities to consolidate low-volume hospitals into higher-volume regional facilities. For many product lines, most operations are done by surgeons who perform the procedure infrequently. There are nearly 10 million TRICARE beneficiaries, and thus ample opportunities for MHS to set up high-volume center of excellence programs to meet existing beneficiary demand for services. Such initiatives could improve average patient outcomes while supporting clinical currency for MHS physicians.
- Medicine and Medical Research
- Medical Facilities, Equipment and Supplies
- Military Forces and Organizations