Research for Costs

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September 1, 1997
Telemedicine (TM) is an umbrella term that covers various technologies used to transmit information for health services. TM uses electronic information and communication technologies to provide and support health care when distance separates the participants. In an effort to enhance medical services at sea, the Navy is considering taking TM beyond the demonstration phase by installing the equipment on over 300 ships and Fleet Marine Force units. Because this would be a significant investment, the Surgeon General has asked CNA to determine the cost-effectiveness of the technology. We conducted a cost-benefit analysis on four telemedicine modalities: telephone and fax, e-mail and internet, video-teleconferencing, and teleradiology. These TM modalities can be enhanced with various digitized diagnostic instruments. We also conducted a cost-benefit analysis on the following instruments: dermascope, ophthalmoscope, otoscope, stethoscope, endoscope, electrocardiogram and defibrillator, and ultrasound.
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July 1, 1997
Despite shrinking budgets, the U.S. military is struggling to simultaneously fund force levels, current operations, and an aggressive modernization program. Many believe the military can fund its recapitalization program if cost efficiencies can be achieved from within infrastructure budgets. One way to reduce infrastructure costs is through competition, outsourcing, and privatization. Whether the in-house (or organic) team or the private team wins the contract, the government benefits because the competition lowers costs and increases productivity. This paper examines the maintenance of the Navy's TA-4Js. The value of this analysis is that it allows us to look at a long series of performance and cost data, both for in-house and contractor maintenance. Because we have data on three contractors, we can also examine the effect of changing contractors.
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May 1, 1997
CNA prepared this briefing for the Department of the Navy's Rightsourcing Process Action Team, under the auspices of the Total Ownership Cost Goal Management Board of the Assistant Secretary of the Navy (Research, Development, and Acquisition) (ASN(RD&A)). In this briefing, we review the background of the study and our approach, identify those companies and activities that participated in our study, summarize the factors that we found affect rightsourcing decisions, and describe our key findings.
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May 1, 1997
In January 1997, CNA published a report (CRM 96-133) that identified the most cost-effective and operationally suitable strategy for testing and repairing electronic components on AEGIS destroyers. The study concluded that alternatives that included the sue of the USM-646 tester on board the DDGs (and, by implication, on other ships as well) were the most cost-effective. The USM 646 tester, which is based on a personal computer, uses diagnostic software (called gold disks) on a CD-ROM to test electronic components for faults. Once the faults are identified, they can be repaired if the correct equipment and parts are available. By doing tests and repairs on board, a ship can avoid considerable depot-level repair costs and other costs as well. A full test ad repair capability requires five elements: the USM-646; a gold disk library; a PACE 2000 tool station; a supply of repair piece parts; and qualified technicians. Subsequently, OPNAV asked CNA to develop an investment strategy that would state the order in which surface ships should receive the elements. N43 further asked that we identify the costs and cost avoidance associated with this strategy.
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April 1, 1997
To improve the quality of life of service members and increase overall efficiency, the Deputy Assistant Secretary of the Navy for Installations and Facilities asked CNA to examine Department of the Navy (DON) housing processes, identify options and alternatives to the current system, and evaluate these options. In this paper, we present our analysis of current DON housing practices. Its purpose is to describe the current state of housing benefits, including costs, conditions, processes, and value to the service members. These descriptions will serve as a baseline for comparison with proposed alternatives to the current housing system. This paper has five parts. In the first, we give a short overview of current DON housing benefits and summarize the results of the study. In the three sections that follow, we discuss current family housing, bachelor housing, and off-base allowances. In the last section, we list our conclusions.
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March 1, 1997
New technology is changing the way we train people. The Director of Naval Training (N7) has stated that the Navy needs to incorporate more of this new technology in to its training environments. To achieve this goal, the training community must meet several challenges. N7 asked CNA for help in structuring a cost-benefit analysis of training technology. It wanted CNA to develop a methodology for analyzing and evaluating the potential benefits that new technologies can bring to Navy training. N7 stated that the methodology should define quantitative measures for assessing the benefits, specify mathematical relationships and procedures for computing these measures, and identify the data to be collected.
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January 1, 1997
This study was sponsored by the Deputy Chief of Naval Operations for Logistics (N4) who asked us to assemble the lessons learned in outsourcing and privatization. Earlier work for this study identified new opportunities for the Navy and identified initial lessons learned at a Navy technical center. This study also identified specific ways to streamline the competition process required by OMB Circular A-76, and initial findings of five outsourcing and competition case studies reported in earlier reports issued from this project. In this final report, we focus on privatization, as distinct from outsourcing. We make the distinction clearer in the body of the paper. For this report, we reviewed the economics literature to determine whether (and if so, why) public sector firms are inherently less efficient that private sector firms. We conducted case studies of the office of Personnel Management (OPM) privatization of its background investigations unit, and the Naval Air Warfare Center (NAWC) - Indianapolis privatization. We also examined the competition program run by the City of Indianapolis for many of its city services, including the outsourcing of the local wastewater treatment plant. Finally, we collected information on other privatization, both in the United States and abroad.
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December 1, 1996
The Director of Shore Installation Management (N46) sponsored CNA's participation in an Infrastructure Symposium with RAND from October 16 to 18, 1996 at the RAND Santa Monica facility. Both CNA and RAND have a long history of research in defense infrastructure. By working together, they can build upon each other's research and plan future research better than if they work in isolation. DoD continues to struggle with how to operate more effectively and fulfill its mission when resources are shrinking. In particular, DoD is looking to create a more efficient infrastructure to make funds available for recapitalization and modernization. The primary purpose of the symposium was to synthesize the results of previous and ongoing research projects and thereby identify the best areas and approaches for future research. This paper represents the views of the CNA participants. As many of the results reported were preliminary, we avoid detailing the findings.
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December 1, 1996
The debate continues as to whether use of the private sector really lowers cost. Some opponents say that outsourcing and privatizaiton actually increase costs, but experience argues the opposite. In this report, we survey selected recent initiatives on privatization, competition, and outsourcing in both government and nongovernment sectors. We draw from a variety of publications and reports by the Defense Science Board, the Commission on Roles and Missions, and the General Accounting Office, as well as CNA's prior work and the work of other research organizations.
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December 1, 1996
In 1955, the Office of Management and Budget (OMB) implemented a policy known as the Commercial Activities (CA) Program. This program enables the private sector to compete with government organizations in providing goods and services when it is appropriate and economical to do so. The objective is to promote an efficient support structure through competition. This research memorandum is part of a CNA-initiated research effort examining the DoD Commercial Activities program. Most of our previous research has examined the Navy CA program. This paper presents the results of all completed DoD comprehensive A076 competitions between 1978 and 1994.
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