Study to Determine the Feasibility of Establishing a Neonatal Step-Down Unit atEisenhower Army Medical Center Fort Gordon, Georgia

摘要

This study determined the feasibility of establishing a neonatal step-down unit(neonatal feed and grow unit/level II nursery) at Eisenhower Army Medical Center to recapture Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) monies currently paid to the Medical College of Georgia, Augusta, Georgia. The author conducted a literature review using resources at the Academy of Health Sciences (AHS), U.S. Army, Fort Gordon, and civilian institutions; interviewed subject matter experts (SME) at the Office of The Surgeon General (OTSG), Health Service Command (HSC), and other Army and civilian medical treatment facilities (MTFs). He developed a conceptual model of a neonatal step-down program; surveyed a hospital ward with respect to its suitability for use as a neonatal step-down unit under the current Department of Defense (DoD) allocation system. Finally, the author presented his conclusions and recommendations in regard to the feasibility of establishing a neonatal step-down unit at DDEAMC. Neonatal step-down unit, Level II nursery, Feed and grow neonatal unit.