The Rising Cost of Civilian Trauma Care at Brooke Army Medical Center: Strategies and Solutions

Abstract

This study examines the crisis involving the rising cost of providing trauma care to civilians at Brooke Army Medical Center. The paper specifically addresses the partnership and policy strategies BAMC has employed in an attempt to mitigate the increasing costs and still justify the existence of the trauma program. BAMC has pursued partnership agreements with University Health System as a means of compensation for unreimbursed trauma care provided to Bexar County residents. Four proposed agreements are quantitatively and qualitatively evaluated as viable methods of compensation. Although all four proposals indicate significant cost savings, the negative qualitative effects of entering into the agreements preclude implementation. This study then looks at the historical success of BAMC s influence on the policy development process and examines current and proposed efforts to sustain the trauma program and find funding. Finally, both partnerships and policy development are evaluated in terms of recommendations for future strategy supporting the BAMC trauma program.

Open PDF

Document Details

Document Type
Technical Report
Publication Date
Jun 01, 2003
Accession Number
ADA421273

Entities

People

  • Chris Rheney

Tags

DTIC Thesaurus Topics

  • Agreements
  • Burns
  • Department Of Defense
  • Employment
  • Governments
  • Health Services
  • Law
  • Medical Personnel
  • Military Facilities
  • Military Hospitals
  • Military Medicine
  • Military Personnel
  • Military Training
  • National Security
  • Patient Care
  • Personnel Management
  • Therapy

Readers

  • Life Cycle Cost Analysis
  • Medical or Health Care Field.
  • Strategic Security Studies