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【正文】 partner Focus Exit Divest or partner or outsource High Low Low High Critical to mission Ability to succeed 35 The MHS should collect a rigorous factbase to set strategy and targets Demand Supply Overall, service line and MTF levels Academic and private practice benchmarks ? Patient population ? Outpatient visits ? Inpatient admissions ? Service line use rates ? Volumes per provider ? Pharmacy spend ? GME program accreditation ? Nonmedical contracting costs ? Provider mix and capacity ? Provider productivity ? Support staff productivity ? Clinical outes ? Direct and purchased care costs ? Patient access ? Geographic resource distribution ? Patient satisfaction levels 36 A preliminary diagnosis suggests that various clinical areas have productivity below academic institution benchmarks Pr odu ct i vi tybe l o w acad emi cl eve l sPr odu ct i vi tybe twee nac ade mi c andpr i vate pra ct i cePr odu ct i vi tyab ove p ri vatepr ac ti ceSe rvice l i nes M TF Provi der FTE s020406080100%Percent of t otal37 A number of service lines are also experiencing access issues Av eragef or 21s ervice li nesServic e line A Servic e line B0. 2%6. 0%5. 8%0246%Pe rcent l eakage d ue to capac i ty constrai nts38 Redesign initiatives for the MHS may take many forms… Facilities rationalization Clinical program consolidation Contracting/ collections from 3rd party payors Resource allocations Patient and provider retention Shared support services Specialization of facilities Rethinking outsourcing Incentives across system Preventative care/disease management GME program design Procurement efforts … but must be informed by data 39 Key questions for the MHS ? What is (are) the missions and how can they be translated into measurable goals? ? What service lines and activities should be provided in the MTFs versus purchased from the civilian sector? Providers vs. hospital/clinic management Primary vs. specialty care ? How is the MHS system performing vs. targets and the petition and what initiatives need to be put in place? ? What anizational changes are required to implement these initiatives? ? Which decisions should be made at an integrated versus at the Service (Army, Navy, Air Force) level? 40 A single, integrated healthcare supply strategy needs to be developed to serve a single patient population Army Navy Air Force Supply of care: MHS Beneficiaries Demand for care: TriService, Coordinated, Integrated Supply of Care 41 謝 謝 :46:0715:4615::46 15:4615:46::46:07 2023年 2月 6日星期一 3時(shí) 46分 7秒
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