Coalescence of Cost and Access in Obstetrical Services for Downsizing Naval Hospital: A Graduate Management Project

摘要

Naval Hospital Cherry Point (NHCP) has been mandated to shut down its inpatient services. The most demanded inpatient services are obstetrics (OB). The purpose of this study is to determine the optimal balance between the cost and access to OB services for the NHCP beneficiaries. Utilization rates as well as population size and location were analyzed for stability. Cost data were calculated for services both within the Military Treatment Facility (MTF) and civilian network. Six cost models were built which played out five scenarios. The most costly model is the status quo, while the least expensive is purchasing all OB care from the network. The most beneficial model will be a mixed model which incorporates MTF and purchased care.