Organization for Optimization: Intervention Recommendations for Optimizing the Delivery of Ambulatory Primary Care and Mental Health Care in Navy Military Treatment Facilities
Published Date: October 1, 2002
Abstract:D7032 The central question this report addresses is: What are some likely interventions that Navy Medicine can take in building the infrastructure of ambulatory primary care and mental health in Navy medical treatment facilities (MTFs) to optimally allocate, integrate, organize, and use the human, physical, and technical resources directly or indirectly available to it to achieve the capacity, accessibility, effectiveness, satisfaction, and efficiency performance goals of optimization, within the context of and constraints set by its external environment? Based on our work with Navy Medicine's primary care and mental health advisory boards over the past two years, the report discusses background conceptual issues to optimization, introduces a series of ten potential interventions that we recommend Navy Medicine consider implementing, and then identifies a number of barriers to and critical success factors that bear on implementing them. We see optimization as a system property, and Navy Medicine as a complex system requiring optimization interventions that (a) organize and integrate clinical care and care protocols within and across multiple system levels and interrelated clinical specialties, (b) incorporate clinical leadership, technological advances, and behavioral approaches, and (c) are evidence based.
