Brooke Army Medical Center: A Strategic Plan Preparatory Analysis

摘要

The project was the preparatory analysis for the 1998 strategic plan for Brooke Army Medical Center (BAMC). Goals of the project were to identify shifts in resources and personnel over time as BAMC ushered in the practice of managed care. The purpose of the study was met by providing relevant information about the shifts in internal operations over time. Nine hypotheses were analyzed. BAMC did shift resources from impatient related activities into ambulatory settings. BAMC did increase information management staffing. BAMC did demonstrate growth in nursing administration. BAMC did not show the expected declines in admissions expected from utilization management activities. BAMC did not show the expected increases in ambulatory visits. Total ambulatory access declined and productivity per provider and/or clinic support staff declined significantly. BAMC did not demonstrate a reduction in ancillary resources or staffing as a result of reductions in inpatient services. BAMC did not demonstrate any cost savings as a result of administrative business process changes in the logistics division. Finally the comparison between actual contract nursing usage (DD-205-I by work center) showed a significant lack of accountability for these personnel in the WMSN, the UCAPERS, and the MEPRS.