Case Study: Preparing the Gastroenterology Clinic at Naval Medical Center San Diego (NMCSD) for T-NEX Implementation

Abstract

The objective of this study was to develop a strategy to prepare for the next generation of managed care support contracts at the clinic level. The study will identify areas of concern within the Gastroenterology (GI) clinic that result in the loss of Prime patients to the contractor, determine if those losses are appropriate, and recommend possible solutions and better business practices. The study analyzed data involving a five-step process that includes evaluating resource allocation and productivity, referral tracking and variation, provider profiling, appointment utilization / template management, and costs. Based on this study, the clinic should increase bookable hours for staff providers from six to seven hours. The clinic should also continue with the revised referral / disengagement process currently in place and continue to provide education and training to primary care providers. Through analysis of in-house and network costs, 13 procedures and diagnoses were identified that should be either performed in-house or referred to the network that result in a cost savings to the GI clinic of over $90,000. By referring these procedures to the network, access and capacity will be greatly improved.

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Document Details

Document Type
Technical Report
Publication Date
Apr 09, 2004
Accession Number
ADA432458

Entities

People

  • Brent N. Adams

Organizations

  • Naval Medical Center San Diego

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Health Services
  • Internal Medicine
  • Medical Personnel
  • Military Medicine
  • Patient Care
  • Patient Care Management
  • Therapy

Fields of Study

  • Medicine

Readers

  • Medical or Health Care Field.