Feasibility of Care Management in Coast Guard Healthcare Facilitate: A Contingency Theory Perspective and Analysis of Organizational Culture

摘要

The Coast Guard Health Services Program is faced with many challenges in the post 9/11 environment. The Program's role in supporting Coast Guard missions changes as mission priorities change. Looking at the environment in terms of contingency theory, the Program must find the " right fit" for adapting to this ever-changing environment. One method of coping with this environment is through the development of a care management program for Coast Guard healthcare facilities. Care management is an approach to managing care that includes preventive services as a means to decrease the disease burden of a population, improve health, and decrease costs. This graduate management project evaluates the organizational culture of the Coast Guard Health Services Program from a contingency theory perspective in order to assess the feasibility of a care management program for Coast Guard healthcare facilities. This evaluation is done using a survey instrument that looks at the care management dimensions of quality improvement, resource management, clinical data management, non-clinical data management, information utility, prevention, educational interventions, comprehensiveness, and continuity of care in Coast Guard healthcare facilities.