Military Health System Review - Final Report

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Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781974365159
Total Pages : 206 pages
Book Rating : 4.3/5 (651 download)

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Book Synopsis Military Health System Review - Final Report by : United States Secretary of Defense

Download or read book Military Health System Review - Final Report written by United States Secretary of Defense and published by Createspace Independent Publishing Platform. This book was released on 2017-08-08 with total page 206 pages. Available in PDF, EPUB and Kindle. Book excerpt: On May 28, 2014, the Secretary of Defense ordered a comprehensive review of the Military Health System (MHS). The review was directed to assess whether: 1) access to medical care in the MHS meets defined access standards; 2) the quality of health care in the MHS meets or exceeds defined benchmarks; and 3) the MHS has created a culture of safety with effective processes for ensuring safe and reliable care of beneficiaries. This is the first time the MHS has taken an enterprise view of such scope in these areas. Based on information analyzed during the review, the MHS provides good quality care that is safe and timely, and is comparable to that found in the civilian sector. However, the MHS demonstrates wide performance variability with some areas better than civilian counterparts and other areas below national benchmarks. Together, the review's results and the professional inputs from six external experts indicate clear opportunities to improve health care delivery. By implementing effective strategies used by other high-performing organizations, the MHS can create an optimal health care environment that focuses on continuous quality improvement where every patient receives safe, high-quality care at all times. The major recommendations in this report are directed at system enhancements to address areas of concern and to drive change that will foster creation of a high reliability health system. High reliability organizations, in general, are those where harm prevention and quality improvement are second nature to all in the organization. Such organizations recognize the risk of over simplification in complex systems: thus, implementation of the proposed recommendations should not be expected to result in immediate change. MHS governance can support performance improvement with better analytics, greater clarity in policy, and aligned training and education programs. However, improving outcomes is about decreasing performance variance at the individual facility level, which requires consistent leadership vigilance, with the goal of making the MHS a top-tier health care system.

Military Health System Review

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Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781522903116
Total Pages : 454 pages
Book Rating : 4.9/5 (31 download)

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Book Synopsis Military Health System Review by : United States United States Government

Download or read book Military Health System Review written by United States United States Government and published by Createspace Independent Publishing Platform. This book was released on 2015-12-24 with total page 454 pages. Available in PDF, EPUB and Kindle. Book excerpt: These Terms of Reference establish the objectives and process for the Military Health System (MHS) Review. This review will assess health cm.e access, patient safety, and health care quality across the MHS, as directed by the Secretary of Defense. Health care provided in support of the Combatant Commands and operational forces is excluded from this review."

Military Health System Review

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Publisher : CreateSpace
ISBN 13 : 9781511976695
Total Pages : 454 pages
Book Rating : 4.9/5 (766 download)

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Book Synopsis Military Health System Review by : United States United States Government

Download or read book Military Health System Review written by United States United States Government and published by CreateSpace. This book was released on 2015-05-05 with total page 454 pages. Available in PDF, EPUB and Kindle. Book excerpt: These Terms of Reference establish the objectives and process for the Military Health System (MHS) Review. This review will assess health cm.e access, patient safety, and health care quality across the MHS, as directed by the Secretary of Defense. Health care provided in support of the Combatant Commands and operational forces is excluded from this review."

Military Health System Review

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Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (891 download)

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Book Synopsis Military Health System Review by : United States. Department of Defense. Office of the Secretary of Defense

Download or read book Military Health System Review written by United States. Department of Defense. Office of the Secretary of Defense and published by . This book was released on 2014 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Substance Use Disorders in the U.S. Armed Forces

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Publisher : National Academies Press
ISBN 13 : 0309260558
Total Pages : 350 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Substance Use Disorders in the U.S. Armed Forces by : Institute of Medicine

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.

A National Trauma Care System

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Publisher : National Academies Press
ISBN 13 : 0309442850
Total Pages : 531 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis A National Trauma Care System by : National Academies of Sciences, Engineering, and Medicine

Download or read book A National Trauma Care System written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-10-12 with total page 531 pages. Available in PDF, EPUB and Kindle. Book excerpt: Advances in trauma care have accelerated over the past decade, spurred by the significant burden of injury from the wars in Afghanistan and Iraq. Between 2005 and 2013, the case fatality rate for United States service members injured in Afghanistan decreased by nearly 50 percent, despite an increase in the severity of injury among U.S. troops during the same period of time. But as the war in Afghanistan ends, knowledge and advances in trauma care developed by the Department of Defense (DoD) over the past decade from experiences in Afghanistan and Iraq may be lost. This would have implications for the quality of trauma care both within the DoD and in the civilian setting, where adoption of military advances in trauma care has become increasingly common and necessary to improve the response to multiple civilian casualty events. Intentional steps to codify and harvest the lessons learned within the military's trauma system are needed to ensure a ready military medical force for future combat and to prevent death from survivable injuries in both military and civilian systems. This will require partnership across military and civilian sectors and a sustained commitment from trauma system leaders at all levels to assure that the necessary knowledge and tools are not lost. A National Trauma Care System defines the components of a learning health system necessary to enable continued improvement in trauma care in both the civilian and the military sectors. This report provides recommendations to ensure that lessons learned over the past decade from the military's experiences in Afghanistan and Iraq are sustained and built upon for future combat operations and translated into the U.S. civilian system.

Military Medical Care: Questions and Answers

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Publisher : DIANE Publishing
ISBN 13 : 1437920047
Total Pages : 20 pages
Book Rating : 4.4/5 (379 download)

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Book Synopsis Military Medical Care: Questions and Answers by : Dan J. Jansen

Download or read book Military Medical Care: Questions and Answers written by Dan J. Jansen and published by DIANE Publishing. This book was released on 2010-02 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contents: Recent Developments; Background; Subjects: Purpose of DoD¿s Military Health System (MHS); Structure of the MHS; Unified Medical Budget; Medicare Eligible Retiree Health Care Fund; Cost of Military Health Care to Beneficiaries; Changes in MHS in Recent Years; Eligibility to Receive Care; Assignment of Priorities for Care in Military Medical Facilities; Relationship of DoD Health Care to Medicare; Military Personnel and Free Medical Care for Life; Payment of Private Health Care Providers; Effect of Base Realignment and Closure on Military Medical Care; Pharmacy Benefit; Medical Benefits Available to Reservists; Congressionally Directed Medical Research Program; Tricare and Abortion; and Use of Animals in Medical Res. or Training.

Advances in Patient Safety

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Publisher :
ISBN 13 :
Total Pages : 526 pages
Book Rating : 4.7/5 (54 download)

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Book Synopsis Advances in Patient Safety by : Kerm Henriksen

Download or read book Advances in Patient Safety written by Kerm Henriksen and published by . This book was released on 2005 with total page 526 pages. Available in PDF, EPUB and Kindle. Book excerpt: v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.

Perspectives on the Department of Defense Global Emerging Infections Surveillance and Response System

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Publisher : National Academies Press
ISBN 13 : 0309170397
Total Pages : 214 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Perspectives on the Department of Defense Global Emerging Infections Surveillance and Response System by : Institute of Medicine

Download or read book Perspectives on the Department of Defense Global Emerging Infections Surveillance and Response System written by Institute of Medicine and published by National Academies Press. This book was released on 2001-10-30 with total page 214 pages. Available in PDF, EPUB and Kindle. Book excerpt: Perspectives on the Department of Defense Global Emerging Infections Surveillance and Response System: A Program Review describes the capacity, quality, and effectiveness of the international and domestic facilities and programs that are a part of a DoD system to monitor and address emerging infectious diseases globally. The committee concludes that the goals of the system are in U.S. military, U.S. civilian, and global public health interests and that substantial progress has been made toward achieving system goals.

Evaluation of the Congressionally Directed Medical Research Programs Review Process

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Publisher : National Academies Press
ISBN 13 : 0309450047
Total Pages : 165 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Evaluation of the Congressionally Directed Medical Research Programs Review Process by : National Academies of Sciences, Engineering, and Medicine

Download or read book Evaluation of the Congressionally Directed Medical Research Programs Review Process written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-12-19 with total page 165 pages. Available in PDF, EPUB and Kindle. Book excerpt: The medical research landscape in the United States is supported by a variety of organizations that spend billions of dollars in government and private funds each year to seek answers to complex medical and public health problems. The largest government funder is the National Institutes of Health (NIH), followed by the Department of Defense (DoD). Almost half of DoD's medical research funding is administered by the Congressionally Directed Medical Research Programs (CDMRP). The mission of CDMRP is to foster innovative approaches to medical research in response to the needs of its stakeholdersâ€"the U.S. military, their families, the American public, and Congress. CDMRP funds medical research to be performed by other government and nongovernmental organizations, but it does not conduct research itself. The major focus of CDMRP funded research is the improved prevention, diagnosis, and treatment of diseases, injuries, or conditions that affect service members and their families, and the general public. The hallmarks of CDMRP include reviewing applications for research funding using a two-tiered review process, and involving consumers throughout the process. Evaluation of the Congressionally Directed Medical Research Programs Review Process evaluates the CDMRP two-tiered peer review process, its coordination of research priorities with NIH and the Department of Veterans Affairs, and provides recommendations on how the process for reviewing and selecting studies can be improved.

Burdens of War

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Publisher : JHU Press
ISBN 13 : 1421422875
Total Pages : 368 pages
Book Rating : 4.4/5 (214 download)

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Book Synopsis Burdens of War by : Jessica L. Adler

Download or read book Burdens of War written by Jessica L. Adler and published by JHU Press. This book was released on 2017-07-19 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the World War I era, veterans fought for a unique right: access to government-sponsored health care. In the process, they built a pillar of American social policy. Burdens of War explores how the establishment of the veterans’ health system marked a reimagining of modern veterans’ benefits and signaled a pathbreaking validation of the power of professionalized institutional medical care. Adler reveals that a veterans’ health system came about incrementally, amid skepticism from legislators, doctors, and army officials concerned about the burden of long-term obligations, monetary or otherwise, to ex-service members. She shows how veterans’ welfare shifted from centering on pension and domicile care programs rooted in the nineteenth century to direct access to health services. She also traces the way that fluctuating ideals about hospitals and medical care influenced policy at the dusk of the Progressive Era; how race, class, and gender affected the health-related experiences of soldiers, veterans, and caregivers; and how interest groups capitalized on a tense political and social climate to bring about change. The book moves from the 1910s—when service members requested better treatment, Congress approved new facilities and increased funding, and elected officials expressed misgivings about who should have access to care—to the 1930s, when the economic crash prompted veterans to increasingly turn to hospitals for support while bureaucrats, politicians, and doctors attempted to rein in the system. By the eve of World War II, the roots of what would become the country’s largest integrated health care system were firmly planted and primed for growth. Drawing readers into a critical debate about the level of responsibility America bears for wounded service members, Burdens of War is a unique and moving case study. -- Jennifer D. Keene, Chapman University, author of Doughboys, the Great War, and the Remaking of America

The Elasticity of Demand for Health Care. A Review of the Literature and Its Application to the Military Health System

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Publisher :
ISBN 13 :
Total Pages : 70 pages
Book Rating : 4.:/5 (946 download)

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Book Synopsis The Elasticity of Demand for Health Care. A Review of the Literature and Its Application to the Military Health System by :

Download or read book The Elasticity of Demand for Health Care. A Review of the Literature and Its Application to the Military Health System written by and published by . This book was released on 2002 with total page 70 pages. Available in PDF, EPUB and Kindle. Book excerpt: Understanding the effects of changes in health insurance policies on the demand for health care services is an important and timely topic. As the Military Health System (MHS) has evolved over time, it has begun to adopt cost-containment strategies that have been tested in private health plans. These strategies have led to changes in many aspects of the health care services offered to Department of Defense (DoD) beneficiaries. Each change potentially can affect the number of people accessing services, the intensity of use, and the cost to the DoD. The goal of this report is to summarize the research relevant for considering the effects of policy changes on the demand for DoD health care services and associated costs.

Health System Performance Comparison: an Agenda for Policy, Information and Research

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Publisher : McGraw-Hill Education (UK)
ISBN 13 : 033524727X
Total Pages : 418 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis Health System Performance Comparison: an Agenda for Policy, Information and Research by : Irene Papanicolas

Download or read book Health System Performance Comparison: an Agenda for Policy, Information and Research written by Irene Papanicolas and published by McGraw-Hill Education (UK). This book was released on 2013-06-16 with total page 418 pages. Available in PDF, EPUB and Kindle. Book excerpt: International comparison of health system performance has become increasingly popular, made possible by the rapidly expanding availability of health data. It has become one of the most important levers for prompting health system reform. Yet, as the demand for transparency and accountability in healthcare increases, so too does the need to compare data from different health systems both accurately and meaningfully. This timely and authoritative book offers an important summary of the current developments in health system performance comparison. It summarises the current state of efforts to compare systems, and identifies and explores the practical and conceptual challenges that occur. It discusses data and methodological challenges, as well as broader issues such as the interface between evidence and practice. The book draws out the priorities for future work on performance comparison, in the development of data sources and measurement instruments, analytic methodology, and assessment of evidence on performance. It concludes by presenting the key lessons and future priorities, and in doing so offers a rich source of material for policy-makers, their analytic advisors, international agencies, academics and students of health systems.

Evaluation of the Department of Veterans Affairs Mental Health Services

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Publisher : National Academies Press
ISBN 13 : 0309466601
Total Pages : 467 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Evaluation of the Department of Veterans Affairs Mental Health Services by : National Academies of Sciences, Engineering, and Medicine

Download or read book Evaluation of the Department of Veterans Affairs Mental Health Services written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-03-29 with total page 467 pages. Available in PDF, EPUB and Kindle. Book excerpt: Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€"related outcomesâ€"in particular, suicideâ€"at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services.

The Elasticity of Demand for Health Care

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Author :
Publisher : Rand Corporation
ISBN 13 : 9780833031099
Total Pages : 57 pages
Book Rating : 4.0/5 (31 download)

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Book Synopsis The Elasticity of Demand for Health Care by : Jeanne S. Ringel

Download or read book The Elasticity of Demand for Health Care written by Jeanne S. Ringel and published by Rand Corporation. This book was released on 2002 with total page 57 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides a framework for understanding the effects of changes in the Military Health System benefit structure on the demand for health care services paid for by the DoD.

Collection and Reporting Patient Safety Data Within the Military Health System

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Publisher :
ISBN 13 :
Total Pages : 27 pages
Book Rating : 4.:/5 (946 download)

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Book Synopsis Collection and Reporting Patient Safety Data Within the Military Health System by :

Download or read book Collection and Reporting Patient Safety Data Within the Military Health System written by and published by . This book was released on 2001 with total page 27 pages. Available in PDF, EPUB and Kindle. Book excerpt: On November 29, 1999, the Institute of Medicine released a report entitled "To Err is Human, Building a Safer Health System." The report estimated that as many as 44,000 to 98,000 patients die each year in the United States as a result of medical errors. As a result of the findings in the report, the President issued a memorandum on December 7, 1999, directing the Quality Interagency Coordination Task Force to evaluate the report recommendations. The Assistant Secretary of Defense (Health Affairs) has proposed a centralized, DoD-wide patient safety reporting program to reduce occurrence of medical errors. The program focuses on prevention of medical errors through centralized reporting of patient safety data and sharing the data and lessons learned throughout DoD. The Assistant Secretary of Defense (Health Affairs) requested that we review the proposed patient safety reporting program.

Utilization Review in the Military Health Care Delivery System

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Publisher :
ISBN 13 :
Total Pages : 128 pages
Book Rating : 4.:/5 (823 download)

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Book Synopsis Utilization Review in the Military Health Care Delivery System by : David H. Pratt

Download or read book Utilization Review in the Military Health Care Delivery System written by David H. Pratt and published by . This book was released on 1991 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt: