Abolish the paper trail! Save the government time & money! We can even reduce privacy violations by eliminating the need for information to be recorded or transferred via paper. This can be accomplished in the following ways: -Discontinue use of paper encounters which record information when a patient checks in for an appointment by implementing an electronic device(lap top, tough book, ipad) to record this information... more »
There are too many Tricare call centers. Eliminate customer service, enrollment call center, and claims call centers and merge them into one. Knowledge of Tricare policies would be much more user friendly if one call center had all of the answers.
I have worked in the prison system for over 10 years and I have to question why we spend hundreds of thousands of dollars performing elective surgeries on inmates that have lived with their conditions for years. We could eliminate millions of dollars and cut significant government spending by screening inmates on their initial incarceration and documenting their existing medical conditions. Why is the government responsible... more »
Every time I go into any medical facility or pretty much any office I see big flat screens with "sign in" scrolling on it. What happened to good old dry eraser boards? Not only that, but there is a flat screen every 10 feet with some random useless information that could just be written on a dry erase board. Save money and have more regulation on the people that are in charge of ordering items.
The U.S. gives aid to almost every country in the world in one way or another. If a foreign citizen uses U.S. services without paying -- hospitalization and medical care at the top of the list -- hospitals etc. should send the bill to the State Dept which would bill the appropriate country. If the bill is not paid within 30 days it is withheld from their foreign / military aid and the State Dept should repay the hospital/institution... more »
I think we should track records like banks track money. Each branch should be given a routing number, and each medical facility should be given account numbers. The account numbers should be given based of the facilities respective branch (1-Army 2-Marines 3 AF, etc,etc). All paperwork should be electronically filed, and only printed at the members request on an as needed basis (at a small fee). This could save money... more »
JTF-CAPMED, a 3-star command, was built to support the BRAC of National Capital Region hospitals. The BRAC will be complete within another 90-120 days, yet the command is slated to remain. It argues that there needs to be a single medical command in the NCR for emergencies. There is - it's called the National Disaster Medical System and it's been managed by the Dept. of Health and Human Services for over 20 years. Eliminate... more »
It makes a great deal of sense to spend money for accreditation at medical centers across the Bureau. The price paid for Joint Commission accreditation is a huge waste of money for the institutions within the Bureau of Prisons that are designated as Care level 1 and Care level 2 institutions. ACA accreditiation is a protection for all federal inmates and adheres to most of the standards set forth by Joint Commission.... more »
All DoD Medical Treatment Facilities (MTF's) are currently connected to the same networks as major combatant commands, so the medical information systems on MTF networks are required to meet the same stringent security rules as weapons and command / control systems. And yet, MTF medical systems do not connect to any of the combatant command systems. In fact, the MTF's have more of a need to share patient data with other... more »
With the rise of unemployment and thousands of Americans living on the streets, I think the government could save costs by creating a program very similar to the CCC (Circa 1933-1944) that will use existing housing areas and create large centers whose sole purpose is to give homeless Americans of all ages a place to sleep, eat, learn and work. The centers will provide food, water, housing and medical care to help get... more »
Currently, all of the DoD medical systems are different. Even though the primary system may be the same... they still have different attributes and are not joint service user freindly. Immunizations, Laboratory, Profiles and many other items are ALL different. This problems costs us BILLIONS to run separate programs, completely disables the ability for MTF's to offer care to various branches service members since the... more »
The DoD/VA are supposed to have a completely paper free medical program but we use/abuse more paper than anyone else. Currently, it costs between 6-8 dollars on just SUPPLIES to see a routine patient. If the patient has a longer appointment, multiple problems or has more questions, the price can jump to 12-15 per person. These numbers are actually very generous. Patients always need handouts, lab results and other items... more »
A comprehensive website could deal with benefits, debts and status of claims. The information is geographically distributed in various computer systems. Having one system/place for this information benefits everyone. A lot of this information is in computers already . The VA gets a lot of people calling to check on their claims ,benefits, and debt repayment status. This accounts for a significant amount of phone... more »
If ordered in large volumes to replace existing cards and new cards, the paper to plastic migration would only be separated by pennies due the the millions being ordered. The next generation card would last longer, and your parents and/or grand parents would not have to laminate them! Newer security features could be incorporated to prevent replication (which can be achieved quite easily with the current paper card),... more »
Not all pilots require an FAA medical certifcate to fly. Light Sport pilots only need a drivers license. Balloon and glider pilots don't even need that. All of the studes I've seen show no statistical difference in accidents caused by medical deficiencies between those pilots who currently need an FAA 3rd class medical certifcate and those who do not. Therefore, the 3rd class medical certificate is supefluous and wasteful... more »