Capacity Analysis of a Family Care Clinic Using Computer Simulation to Determine Optimal Enrollment Under Capitated Resource Allocation Constraints

Abstract

When implemented, Enrollment Based Capitation will change the manner that health care in the Military Health System is financed and delivered. Placing Military Treatment Facilities at capitated, financial risk will force Commanders and their staffs to become acutely familiar with the health care needs of their enrollees, and of their own process for delivering health care services. The Twelfth Medical Group is the Air Force's largest freestanding ambulatory clinic in the United States, currently enrolled at 63 percent of its estimated 18,000 enrollee capacity. This project simulates the operations of the Family Care Clinic and reports its financial and operational performance under capitation to identify the critical factors contributing to optimal enrollment. Current capacity was tested using simulation and found to be insufficient for 18,000 enrollees due to the availability of providers to deliver care. Alternative models revealed the additional resources required to support 18,000 enrollees. The simulation models and resulting analysis provides the Twelfth Medical Group a dynamic analytical tool to assist in determining optimal enrollment of the Family Care Clinic under Enrollment Based Capitation.

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Document Details

Document Type
Technical Report
Publication Date
Apr 01, 1998
Accession Number
ADA372403

Entities

People

  • William K. Prevo

Organizations

  • Academy of Health Sciences

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Computer Programs
  • Computer Simulations
  • Computers
  • Delivery Of Health Care
  • Health Care
  • Health Services
  • Knowledge Management
  • Management Engineering
  • Management Personnel
  • Mathematical Models
  • Medical Personnel
  • Military Medicine
  • Military Training
  • Personnel Management
  • Spreadsheet Software
  • United States

Readers

  • Medical or Health Care Field.