Download or read book The Military Health System How Might It Be Organized written by and published by . This book was released on 2002 with total page 5 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since the end of World War II, the issue of whether to create a unified military health system has arisen repeatedly. Some observers have suggested that a joint organization could potentially lead to reduced costs, better integrated health care delivery. a more efficient administrative process, and improved readiness. A recent RAND study done for the Under Secretary of Defense (Personnel and Readiness) developed organizational alternatives for the military health system and outlined trade-offs inherent in choosing among them. This analysis as reported in Reorganizing the Military Health System: Should there be a Joint Command? by Susan D. Hosek and Gary Cecchine concluded that careful consideration should be given to reorganizing TRICARE, the military's health care program for active and retired military members and their families, but that the additional benefits of a joint command are more difficult to assess.
Download or read book Reorganizing the Military Health System Should There Be A Joint Command written by and published by . This book was released on 2001 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report documents research on the organization of the Military Health System (MHS). This research was initiated as part of a larger project to assess the organization and cost of the Department of Defense's TRICARE health benefits program. A focus of this initial work was identifying organizational models in the civilian managed- care sector that might be applied to TRICARE. Subsequently, the research expanded when the National Defense Authorization Act for Fiscal Year 2000 requested a study of the expansion of joint medical operations, including an assessment of the merits and feasibility of establishing a joint command. Responding to this request required further investigation of medical readiness and joint organizations and the development of alternative joint-command structures. This report should be of interest to those in the Congress, the Department of Defense, and elsewhere who are interested in the Military Health System. Portions of this report may also interest those concerned about the design of health-care organizations, especially in the public sector.
Download or read book Substance Use Disorders in the U S Armed Forces written by Institute of Medicine and published by National Academies Press. This book was released on 2013-03-21 with total page 350 pages. Available in PDF, EPUB and Kindle. Book excerpt: Problems stemming from the misuse and abuse of alcohol and other drugs are by no means a new phenomenon, although the face of the issues has changed in recent years. National trends indicate substantial increases in the abuse of prescription medications. These increases are particularly prominent within the military, a population that also continues to experience long-standing issues with alcohol abuse. The problem of substance abuse within the military has come under new scrutiny in the context of the two concurrent wars in which the United States has been engaged during the past decade-in Afghanistan (Operation Enduring Freedom) and Iraq (Operation Iraqi Freedom and Operation New Dawn). Increasing rates of alcohol and other drug misuse adversely affect military readiness, family readiness, and safety, thereby posing a significant public health problem for the Department of Defense (DoD). To better understand this problem, DoD requested that the Institute of Medicine (IOM) assess the adequacy of current protocols in place across DoD and the different branches of the military pertaining to the prevention, screening, diagnosis, and treatment of substance use disorders (SUDs). Substance Use Disorders in the U.S. Armed Forces reviews the IOM's task of assessing access to SUD care for service members, members of the National Guard and Reserves, and military dependents, as well as the education and credentialing of SUD care providers, and offers specific recommendations to DoD on where and how improvements in these areas could be made.
Download or read book Reorganizing the Military Health System written by Susan D. Hosek and published by Rand Corporation. This book was released on 2001 with total page 95 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since the end of WWII, the question of whether to create a unified military health system has arisen repeatedly. Despite a variety of answers to this question, the system has largely retained its traditional structure, with separate Army, Navy and Air Force medical departments. This book documents research on the organization of the military health system. It considers 5 alternative organizational structures for their likely impact on peacetime health care and wartime readiness.
Download or read book The Military Health System written by United States. Congress. House. Committee on Armed Services. Subcommittee on Military Personnel and published by . This book was released on 2010 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Military Health System written by United States Congress and published by Createspace Independent Publishing Platform. This book was released on 2017-10-14 with total page 118 pages. Available in PDF, EPUB and Kindle. Book excerpt: The military health system: Health AffairsTRICARE Management Activity organization : hearing before the Military Personnel Subcommittee of the Committee on Armed Services, House of Representatives, One Hundred Eleventh Congress, first session, hearing held April 29, 2009.
Download or read book The Military Health System written by and published by . This book was released on 2002 with total page 3 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Military Health System Second Edition written by Gerardus Blokdyk and published by 5starcooks. This book was released on 2018-04-16 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt: What is the total cost related to deploying Military Health System, including any consulting or professional services? What will drive Military Health System change? Who sets the Military Health System standards? Who is the main stakeholder, with ultimate responsibility for driving Military Health System forward? What other organizational variables, such as reward systems or communication systems, affect the performance of this Military Health System process? Defining, designing, creating, and implementing a process to solve a challenge or meet an objective is the most valuable role... In EVERY group, company, organization and department. Unless you are talking a one-time, single-use project, there should be a process. Whether that process is managed and implemented by humans, AI, or a combination of the two, it needs to be designed by someone with a complex enough perspective to ask the right questions. Someone capable of asking the right questions and step back and say, 'What are we really trying to accomplish here? And is there a different way to look at it?' This Self-Assessment empowers people to do just that - whether their title is entrepreneur, manager, consultant, (Vice-)President, CxO etc... - they are the people who rule the future. They are the person who asks the right questions to make Military Health System investments work better. This Military Health System All-Inclusive Self-Assessment enables You to be that person. All the tools you need to an in-depth Military Health System Self-Assessment. Featuring 703 new and updated case-based questions, organized into seven core areas of process design, this Self-Assessment will help you identify areas in which Military Health System improvements can be made. In using the questions you will be better able to: - diagnose Military Health System projects, initiatives, organizations, businesses and processes using accepted diagnostic standards and practices - implement evidence-based best practice strategies aligned with overall goals - integrate recent advances in Military Health System and process design strategies into practice according to best practice guidelines Using a Self-Assessment tool known as the Military Health System Scorecard, you will develop a clear picture of which Military Health System areas need attention. Your purchase includes access details to the Military Health System self-assessment dashboard download which gives you your dynamically prioritized projects-ready tool and shows your organization exactly what to do next. Your exclusive instant access details can be found in your book.
Download or read book The Military Health System written by United States House of Representatives and published by . This book was released on 2019-09-29 with total page 118 pages. Available in PDF, EPUB and Kindle. Book excerpt: The military health system: Health Affairs/TRICARE Management Activity organization: hearing before the Military Personnel Subcommittee of the Committee on Armed Services, House of Representatives, One Hundred Eleventh Congress, first session, hearing held April 29, 2009.
Download or read book Military Medical Care written by Don J. Jansen and published by Createspace Independent Pub. This book was released on 2012-10-20 with total page 30 pages. Available in PDF, EPUB and Kindle. Book excerpt: The primary objective of the military health system, which includes the Defense Department's hospitals, clinics, and medical personnel, is to maintain the health of military personnel so they can carry out their military missions and to be prepared to deliver health care during wartime. The military health system also covers dependents of active duty personnel, military retirees and their dependents, including some members of the reserve components. The military health system provides health care services through either Department of Defense (DOD) medical facilities, known as “military treatment facilities” or “MTFs” as space is available, or through private health care providers. The military health system currently includes some 56 hospitals and 365 clinics serving 9.7 million beneficiaries. It operates worldwide and employs some 58,369 civilians and 86,007 military personnel. Since 1966, civilian care to millions of dependents and retirees (and retirees' dependents) has been provided through a program still known in law as the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS), but more commonly known as TRICARE. TRICARE has four main benefit plans: a health maintenance organization option (TRICARE Prime), a preferred provider option (TRICARE Extra), a fee-for-service option (TRICARE Standard), and a Medicare wrap-around option (TRICARE for Life) for Medicare-eligible retirees. Other TRICARE plans include TRICARE Young Adult, TRICARE Reserve Select and TRICARE Retired Reserve. TRICARE also includes a pharmacy program and optional dental plans. Options available to beneficiaries vary by the beneficiary's duty status and location. This report answers several frequently asked questions about military health care, including: How is the military health system structured? What is TRICARE? What are the different TRICARE plans and who is eligible? What are the costs of military health care to beneficiaries? What is the relationship of TRICARE to Medicare? How does the Affordable Care Act affect TRICARE? What are the long-term trends in defense health care costs? What is the Medicare Eligible Retiree Health Care fund, which funds TRICARE for Life? The Government Accountability Office (GAO) and the Congressional Budget Office (CBO) have also published important studies on the organization, coordination and costs of the military health system, as well as its effectiveness addressing particular health challenges. The Office of the Assistant Secretary of Defense for Health Affairs Home Page, available at http://www.health.mil/, may also be of interest for additional information on the military health system.
Download or read book Organization Commitment and Personnel Retention in the Military Health Care System written by Michael LeeRoy Feris and published by . This book was released on 1976 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The question of how sufficient numbers of military health care providers can be maintained to meet an increasing demand on their services in the face of the all-volunteer service provides the focus for study. This thesis addresses the personnel retention issue through a model of organization commitment developed for a synthesis of research findings in related areas of organization psychology. The model is tested upon an existing pool of survey data drawn from the three military medical services. Discriminant analysis is employed to segregate the sample into degrees of commitment to determine the most successful predictors of retention and motivation. It was found that an individual's length of service and the perception of the command's concern for human resources were consistently more powerful predictors than the concern for salary, status, and educational opportunities. Profiles of the four categories of commitment are developed which provide insight into which individuals can more likely be retained in service. The profiles suggest areas in which organizations can move to improve upon retention and motivation. It is concluded that the concept of organization commitment discloses a broader range of effective policy choices than models presently available. (Author).
Download or read book Organizing for High Reliability in Army Medicine written by Lamont G. Kapec and published by . This book was released on 2017 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In response to an ongoing patient safety dilemma within healthcare organizations, many healthcare organizations have shifted their focus towards high reliability science. Research in this field of study has focused on high risk industries, such as aviation, nuclear power, and aircraft carriers, which have obtained low rates of error despite operating in a complex work environment where errors would normally occur. Experts studying these high reliability organizations suggests that highly reliable performance can be achieved by mindfully organizing to achieve collective mindfulness--a collective behavioral capability to discover and correct preventable errors and adapt to unexpected events. Their theory suggests there are five processes (or principles) required to produce a collective state of such mindfulness: Preoccupation with Failure, Reluctance to Simplify, Sensitivity to Operations, Commitment to Resilience, and Deference to Expertise. These socio-cognitive processes result in the participants mindfully looking for errors, discussing ways to learn from errors (updating), and drawing upon and deferring to each other's expertise when needed.While the theory and principles seem relatively straightforward, it is often hard to implement them in healthcare organizations. In fact, there are few studies that have shown this way of organizing for high reliability in order to improve preventable errors in healthcare in a significant way. This is primarily because the principles are theoretical and often hard to operationalize and implement in practice. To date there is little research on this subject.This study will have a significant impact on the way the Army Medical Department and the Military Health System organizes for high reliability. It is currently unknown how the Army has implemented these strategies and if there are any barriers/facilitators to implementation. If this can be codified, the organization could develop strategies to improve the implementation efforts. This would likely reduce patient safety errors to zero, which is the goal of the high reliability strategies. This would also contribute to the literature on high reliability in healthcare, where many organizations are struggling to implement these strategies.
Download or read book The Future of Public Health written by Committee for the Study of the Future of Public Health and published by National Academies Press. This book was released on 1988-01-15 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The Nation has lost sight of its public health goals and has allowed the system of public health to fall into 'disarray'," from The Future of Public Health. This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of government--federal, state, and local--at which these functions would best be handled.
Download or read book Organization of the Military Health Care System written by Richard V. N. Ginn and published by . This book was released on 1986 with total page 9 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Committee Organization written by United States. Congress. House. Committee on Armed Services and published by . This book was released on 2011 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Military Medical Care written by Bryce H. P. Mendez and published by Independently Published. This book was released on 2018-12-04 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt: Military medical care is a congressionally authorized entitlement that has expanded in size and scope since the late 19th century. Chapter 55 of Title 10 U.S. Code, entitles certain health benefits to military personnel, retirees, and their families. These health benefits are administered by a Military Health System (MHS). The primary objectives of the MHS, which includes the Defense Department's hospitals, clinics, and medical personnel, are (1) to maintain the health of military personnel so they can carry out their military missions and (2) to be prepared to deliver health care during wartime. Health care services are delivered through either Department of Defense (DOD) medical facilities, known as military treatment facilities (MTFs) as space is available, or through civilian health care providers. As of 2017, the MHS operates 681 MTFs, employs nearly 63,000 civilians and 84,000 military personnel, and serves 9.4 million beneficiaries across the United States and in overseas locations. Since 1966, civilian care for millions of retirees, as well as dependents of active duty military personnel and retirees, has been provided through a program still known in law as the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS), more commonly known as TRICARE. TRICARE has three main benefit plans: a health maintenance organization option (TRICARE Prime), a preferred provider option (TRICARE Select), and a Medicare supplement option (TRICARE for Life) for Medicare-eligible retirees. Other TRICARE plans include TRICARE Young Adult, TRICARE Reserve Select, and TRICARE Retired Reserve. TRICARE also includes a pharmacy program and optional dental and vision plans. Options available to beneficiaries vary by the sponsor's duty status and geographic location. This report answers selected frequently asked questions about military health care, including How is the Military Health System structured? What is TRICARE? What are the different TRICARE plans and who is eligible? What are the costs of military health care to beneficiaries? What is the relationship of TRICARE to Medicare? How does the Affordable Care Act affect TRICARE? When can beneficiaries change their TRICARE plan? What is the Medicare Eligible Retiree Health Care fund, which funds TRICARE for Life? This report does not address issues specific to battlefield medicine, veterans, or the Veterans Health Administration.
Download or read book Cooperative Efforts Within the US Military Health Services System written by and published by . This book was released on 1985 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: Efforts in medical readiness, peacetime health services and quality assurance were examined. Previous studies of the US military medical organization and the current structures of selected Allied military medical organizations were reviewed. As a result of the growth of interest in improving wartime and peacetime effectiveness and efficiency, several organizational improvements have been made to eliminate unnecessary triplication of effort in the US military medical system. Medical readiness has been improved in the areas of intelligence, research and development, and logistics. While progress in readiness has occurred in plans, operations and training, there is need for improvement. Peacetime health services have also experienced the emphasis on joint operations. Regionalization, has fallen short of original expectations and needs revitalization. The Joint Interservice Resource Study Group process offers additional opportunities to review medical functions and services. Quality assurance has benefited from the joint efforts of the Tri-Service Committee on Quality Assurance and the Interservice Training Review Organization. Common credentialing criteria, however, will require standardization of the professional training base which can only occur after joint functional reviews of specialty training. The major recommendation made by the study was that Department of Defense direct a system-wide analysis of medical functions, requirements, programs and resources to determine the best military medical organization for both wartime and peacetime.