Current Projects for the U.S. Military
Naval Hospital Camp Lejeune
The objectives of the SOW include:
- To develop a simulation model to determine the minimum facility
capacity and staff requirements needed to meet the performance parameters
established by the Commander, Naval Hospital, Camp Lejeune
- Develop a simulation model to address alternative patient scheduling
and arrival practices needed to meet the performance parameters
established by the Commander, Naval Hospital, Camp Lejeune
- Develop this model to work in conjunction with the patient flow
model developed for the same clinic
Evaluation of Tricare for Life
The objectives of the SOW are to assist the Health Program Analysis
and Evaluation Directorate (HPA&E) in its effort to evaluate the
implementation of TRICARE FOR LIFE (TFL).
Rather than the macro-analytical approach taken in previous TRICARE
evaluations, the objective of this study is to take a micro-analytical
approach and focus on specific issues with the greatest potential to lower
costs, while improving quality and access of care. The project has
two goals:
Epidemiological Assessment
An epidemiological assessment of a cohort of the eligible beneficiaries
(i.e., 44-64 years of age) will be conducted using available historical
data. The analysis will address the shifts in the utilization of care
(i.e., inpatient to outpatient), morbidity (e.g., acute to chronic),
and the changes in disease incidence and prevalence reflected in changes
in utilization of services. These analyses will be used by the
contractor and government representatives to select key areas for
further exploration in the second goal - design of the new TRICARE
Evaluation Report.
Design of a new TRICARE Evaluation Report
While the new report will consider the design and methodology of the
four previous evaluation reports, it will focus on evaluating specific
areas of the TRICARE to drive performance improvement. The thrust of
the new report format is to compare TRICARE performance with industry
"best practices." In addition to satisfying legislatively mandated
questions about TRICARE, the objective is to provide a suggested
implementation plan for achieving improved cost, quality and access
outcomes.
Coordination of Perinatal Care in the National Capital
Area
The objectives of this SOW are to provide analytical support to the
Health Program Analysis and Evaluation Directorate (HPA&E) of the
TRICARE Management Activity (TMA) to apply various simulation models
in order to optimize the organization and delivery of perinatal care
in the NCA. The analyses include the cost, quality and access
performances of following MHS care units: inpatient obstetrics,
outpatient obstetrical clinics and Neonatal Intensive Care Units.
Existing simulation models constructed for each of these care units
are used to balance changes in patient demand and clinical practice
patterns with the appropriateness of capacity resources (e.g., rooms
and support staff). The simulation models allow an integrated analysis
of how the individual care units (e.g., inpatient, outpatient and NICU
services) across different MTFs affect regional delivery of perinatal care.
Development of Primary Care Clinic Simulation Models for Dewitt
Army Community Hospital, Family Health Center of Fairfax and Family
Health Center of Woodbridge
The objectives of this SOW are (1) to develop a simulation model to
determine the minimum facility capacity and staff requirements needed
to meet the performance parameters established by the Commander,
Dewitt Army Hospital, Fort Belvoir,VA; and (2) develop a simulation
model to address alternative patient scheduling and arrival practices
needed to meet the performance parameters established by the Commander,
DeWitt Army Hospital, Fort Belvoir, Virginia; and (3) develop this
model to work in conjunction with the patient flow model developed for
the same clinic. In HSE's opinion, this SOW requires a discrete-event
simulation model application. While other simulation model techniques
might be employed (e.g. Monte-Carlo), only a discrete-event technique
will provide the level of operational analysis required.
Military
International
Private Sector
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