Reports completed in 1988 by the Navy Inspector General and a Blue Ribbon Panel evaluated Navy medicine. They found serious problems and expressed dissatisfaction with both the organization and effectiveness of manage...
Reports completed in 1988 by the Navy Inspector General and a Blue Ribbon Panel evaluated Navy medicine. They found serious problems and expressed dissatisfaction with both the organization and effectiveness of management. These findings formed the basis for a reorganization that was recommended to the Vice Chief of Naval Operations. A program of managed care was proposed to help control costs. The reorganization establishes a partnership between line officers, who will have command over medical facilities, and a more specialized healthcare establishment that will focus on resource planning and providing quality care.
Expert Systems are at work in a variety of technical and managerial applications. Using custom designed knowledge bases and decision rules, expert systems prompt the user to explain a problem and then offer solutions ...
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Expert Systems are at work in a variety of technical and managerial applications. Using custom designed knowledge bases and decision rules, expert systems prompt the user to explain a problem and then offer solutions or advice on how to proceed to solve the problem. A properly designed expert system maximizes the virtues of human experts by emphasizing performance and reliability, by being easy to use, by being able to explain its advice and entire line of reasoning and by being capable of interfacing with other computer systems and databases. This paper surveys the development of expert systems and offers a discussion of some aspects of expert system design and introduction. The paper concludes with a review of Navy logistics expert systems now in design.
作者：
LAMBERT, WJMedical Service Corps
Army-Baylor University Graduate Program in Health Care Administration United States Army Academy of Health Sciences (HSHA-IHC) Ft. Sam Houston Texas 78234-6100
Within the healthcare services industry, innovation is offered as a process for ameliorating issues, improving services, and getting the most out of scarce resources. Medical Services in the Army, Navy, Air Force, Vet...
Within the healthcare services industry, innovation is offered as a process for ameliorating issues, improving services, and getting the most out of scarce resources. Medical Services in the Army, Navy, Air Force, Veterans administration, and the Public Health Service have formed a Federal Healthcare Innovation Network (FHIN) to optimize the use of this management *** this article, the concept of innovation in healthcare services management and delivery is reviewed, initiatives in innovation within the five federal healthcare services are discussed, and the promises innovation holds for improved healthcare delivery are addressed.
Emergency helicopter services provided by trauma centers are now being perceived as contributing to the financial burden of the hospital because of recent changes in trauma reimbursement under the Medicare Prospective...
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Emergency helicopter services provided by trauma centers are now being perceived as contributing to the financial burden of the hospital because of recent changes in trauma reimbursement under the Medicare Prospective Payment System (PPS) and because of the general perception that collection rates are lower among trauma patients. The use of helicopters to transfer patients from one acute care facility to another may also be concentrating the patients with low collection rates at the receiving hospital. We examined retrospectively the demographic and clinical factors associated with the collection experience in a series of 288 trauma patients transferred by helicopter from another acute care facility to an inner-city hospital. Factors affecting payment at 180 and 360 days included patient age, insurance class, discharge status, and size of the hospital charge. As long as reimbursement continues to be cost-based for nonMedicare patients, collection rates remain an important consideration in determining the financial viability of using helicopters to transfer patients.
The Third Congressional Districts of Oregon and Washington face each other across the Columbia River. It is not surprising that for more than a decade each district had been represented in Congress by the same represe...
作者：
JACKSON, HANEEDHAM, WDSIGMAN, DEUSN (RET.)Capt. Harry A. Jackson
USN (Ret.) is a graduate of the University of Michigan in naval architecture and marine engineering and completed the General Electric Company's 3-year advanced engineering course in nuclear engineering. He has been an independent consulting engineer and participated in projects involving deep submergence waste disposal water purification and submarine design both commercial and government. Cdr. William D. Needham
USN is currently assigned as the repair officer of USS Hunley (AS-31) in Norfolk Virginia. He received a regular commission through NROTC at Duke University where he graduated magna cum laude in mechanical engineering. Selected for the Nuclear Power Program he served as a division officer on the USS Grayling (SSN-646) as the production training assistant at the MARE Prototype Reactor in New York and as blue crew engineer of the USS Nathan Hale (SSBN-623) where he completed the requirements to be designated qualified for command of submarines. Following line transfer to the EDO community in 1981 he completed a tour as nuclear repair officer (Code 310) at Norfolk Naval Shipyard and earned master of science in materials science and ocean engineer's degrees at MIT. His awards include the Meritorius Service Medal Navy Commendation Medal Navy Achievement Medal Spear Foundation Award and the Vice Admiral C.R. Bryan Award. Cdr. Needham also holds a master of arts degree in business management from Central Michigan University. Capt. Jackson was technical director of Scorpion Search Phase II. The on-site investigation included descending over 12
000 feet to the bottom of the ocean. He was also supervisor of one of the Navy's largest peacetime shipbuilding and repair programs. His responsibilities included supervision of design production and contract administration. Capt. Jackson was third from the top in managaement of a major shipyard and responsible for design material procurement
work order and financial control of two major surface ship prototypes as well a
Anticipated technological advances in the quieting of potential adversary submarines mandate the use of increasingly effective detection systems for U.S. ASW forces. Based on the assumptions that sonar will continue t...
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Anticipated technological advances in the quieting of potential adversary submarines mandate the use of increasingly effective detection systems for U.S. ASW forces. Based on the assumptions that sonar will continue to be the primary means of detection and that the effectiveness of each individual sonar element will not change markedly, one must increase the projected area of the sonar array to improve its capability. The primary SSN mission of anti-submarine warfare will hence require increasing the hull area devoted to the primary sonar detection system. A revolutionary hull form is proposed that maximizes the area available for this purpose. The advantages and disadvantages of this hull form are discussed and feasibility study level design parameters and arrangements presented.
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