Research for Efficiency

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CNA's Support to the Revolution in Business Affairs (RBA)
December 1, 2000
In today's world of downsizing and shrinking budgets, the Department of the Navy (DON) continues to seek more efficient and effective ways to support the operational forces. The past decade has seen the end of the Cold War and a rise in the number of crisis response actions. With its ability to project forward presence, the DON has become a strong element in today's diplomacy. It is apparent that as the missions of the naval services evolve, the infrastructure that supports the operational forces must evolve as well. This infrastructure must be as flexible, responsive, and adaptable as the forces it supports. In response to this situation, in late 1997, the Secretary of the Navy directed the Under Secretary of the Navy to begin work on a strategic business plan for the DON. Such a plan required the participation of not only the leadership in the Secretariat, but the Navy and Marine Corps as well. This paper documents the DON's strategic planning efforts, reviews the processes and products that have been created to enable strategic planning, and provide recommendations and lessons learned.
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Patient Access Study
March 1, 1998
The Assistant Chief for Health Care Operations (BUMED 03) asked CNA to develop a method that Navy medicine can use to determine whether it is meeting Tricare access standards, especially for scheduling appointments. The report found that the Composite Health Care System (CHCS) currently gives local military medicine providers the ability to track patient access to care, but that many providers are grappling with the same concerns and issues. To reduce redundancy, the report recommends that Navy medicine adopt standard guidelines for appointing and tracking access based on the experience of the facilities pioneering Tricare. It specifically recommends that Navy medicine develop system-wide appointing guidelines that increase the use of central appointing, standardize appointment types, make specialty referrals electronic, and develop specialty referral guidelines.
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