Case Study: The Implementation of Multi-Specialty Primary Care Clinics at ColonelFlorence A. Blanchfield Army Community Hospital

摘要

Blanchfield Army Community Hospital provides health care services toapproximately 73,000 beneficiaries within the Fort Campbell health services area, averaging nearly 750,000 outpatient visits per year. In an effort to enhance the access, accountability, and efficiency of BACH's primary health care delivery system, BACH made a revolutionary change in the way it delivers primary care services. It consolidated the traditional single specialty outpatient clinics of Family Practice, Obstetric and Gynecology, and Pediatrics into three multispecialty primary care clinics (PCC). Because the PCC is a new entrant in military health care delivery systems, this offered a unique opportunity to analyze the conversion to primary care clinics, study the probleins that were encountered, develop an implementation blueprint, and make recommendations for improvements.