Assessing the performance of military treatment facilities
By: Nancy Nicosia ... [et. al]
Publisher: RAND
Published: 2011
Place of publication: Santa Monica, CA
Language: eng
Number of pages: 114
ISBN-13: 9780833047779
Subjects: Military Medicine; Cost effectiveness; Health planning; Medical care; Evaluation; Armed Forces
Description: The U.S. Department of Defense (DoD) has increasingly confronted financial, managerial, and operational challenges in sustaining health benefits for service members and their families: for example, medical costs are projected to increase to 12 percent of DoD's total budget in 2015, from a level of 8 percent in 2007. To address these challenges, DoD is working to transform business practices within the Military Health System. As part of this effort, DoD has considered setting targets for health care utilization in its military treatment facilities (MTFs) and rewarding or penalizing MTFs according to their performance. In this volume, the authors discuss the potential and limitations of using MTF utilization and costs as measures of MTF leaders' performance. The authors report the findings of (1) their qualitative review of performance assessment in the nonmilitary health care sector and (2) their quantitative analysis of how MTF utilization and cost metrics are limited by random variation in the data, and how MTF size and resource-intensive catastrophic cases affect this variation.
Notes: Includes bibliographical references.