Analyzing the Requirement for a Deployed Warrior Medical Management Center Table of Distribution and Allowances at Landstuhl Regional Medical Center

摘要

This study identified personnel, equipment, facilities, evacuation, time, and patient acuity variables within the Department of Defense Central and European Commands as they pertained to the development of a Separate Table of Distribution and Allowances organization designed to medically manage evacuees during war. Three separate analyses were conducted to gather the results. A qualitative historical analysis of the existing Deployed Warrior Medical Management Center at Landstuhl Regional Medical Center revealed the need for various operational cells for the management of inpatients versus outpatients. A Chi-Square statistical test using a cross tabulation table with an alpha probability set at p(underscored) = .01 was predictive of the type of patient diagnosis (identified by 1CD9 Codes) during the first 180 days of Operation Iraqi Freedom. A total cost analysis identified patterns of financial expense, which suggested that evacuation for treatment at Landstuhl Regional Medical Center was more costly than treatment in the Central Command Theater of operations. The results of these three separate analyses support the need for a separate Table of Distribution and Allowances organization under Landstuhl Regional Medical Center dedicated to the management of evacuees during times of war and provide a template for further evaluation and planning for such an organization.