Ambulatory Data System: A Case Study in the Implementation of an Ambulatory DataSystem at Naval Medical Center, Portsmouth, Virginia

摘要

The Naval Medical Center Portsmouth, Virginia (NMCP) was tasked by HigherAuthority with implementation of the Ambulatory Data System. To facilitate the implementation process, the Ambulatory Data Implementation Team was formed. The team's composition was a cross representation of all areas of NMCP affected by the ADS. Members were designated by official appointment letters from the Commanding Officer. The team's charge was to serve as a mechanism for discovery, discussion, and resolution of clinic based problems during the ADS implementation, serve as a forum for the presentation and discussion of proposals related to the use of the ADS at NMCP, and provide policy recommendations on the courses of action regarding the ADS to the Board of Directors (BOD), Deputy Commander and Commander for review and action. The chief aim of the implementation of the ADS is to collect base line data on ambulatory care encounters at NMCP. This data will be included in the analysis of ambulatory care costs throughout Region 2. The data analysis will subsequently provide valuable input for bid price adjustments and modifications to the MCSC for the region. ADS implementation at NMCP offers the potential for tremendous organizational wide rewards and benefits. These include, but are not limited to, opportunities to evaluate quality and cost effectiveness of care and the ability for providers to track and manage care provision. ADS can also provide NMCP leadership the opportunity to perform case mix analysis, evaluate clinic processes, obtain cost of patient specific encounters, monitor Graduate Medical Education programs with increased accuracy, improve measures of outcomes and perform epidemiological trend assessments.