When Exception to Policy Is Exceptional Policy: How Booking Physical Therapy Appointments Too Far in the Future May Adversely Impact Access to Care, Business Optimization, and Readiness.

Abstract:

INTRODUCTION:Physical therapy (PT) is a high-volume service that treats musculoskeletal injury and improves return-to-duty rates. Our experience suggests that no-show (NS) and patient cancellation (PC) rates increase the further appointment that is booked in the future, impede access to care, and increase the healthcare delivery costs. The article's purpose is to examine PT National Capitol Region (NCR) appointment data to inform appointment policies. METHODS:We utilized one year of retrospective Military Health System Management and Reporting Tool and Composite Health Care System Ad Hoc Data Pulls to review NCR PT appointment data to evaluate the effect of timing on NS and PC rates. RESULTS:We analyzed 797 new appointments at Walter Reed National Military Medical Center. Data revealed that 16% of patients seen within 10 days NS or PC; 22% of patients seen between 11 and 20 days NS or PC; 28% of patients seen 21 to 30 days NS or PC; and 25% of patients seen over 30 days after consultation NS or PC. We analyzed 182,134 PT appointments (all types) in the NCR. The NS rate was 11.1% (range 8.4-14.9%). CONCLUSIONS:At Walter Reed National Military Medical Center, 17% of new appointments were lost when they were booked over 20 days in advance; additionally, NS and PC rates were greatest after 20 days from consultation.

journal_name

Mil Med

journal_title

Military medicine

authors

Baker SE,Silvernail J,Scoville C,Kushner S,Mabry L,Konitzer L,Easley S,Iveson B,Sims C,Stoeker S,Gudorf G

doi

10.1093/milmed/usz287

subject

Has Abstract

pub_date

2020-01-07 00:00:00

pages

565-570

issue

Suppl 1

eissn

0026-4075

issn

1930-613X

pii

5740669

journal_volume

185

pub_type

杂志文章
  • Physiological effects of night vision goggle counterweights on neck musculature of military helicopter pilots.

    abstract:UNLABELLED:Increased helmet-mounted mass and specific neck postures have been found to be a cause of increased muscular activity and stress. However, pilots who use night vision goggles (NVG) frequently use counterweight (CW) equipment such as a lead mass that is attached to the back of the flight helmet to provide bal...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.172.8.864

    authors: Harrison MF,Neary JP,Albert WJ,Veillette MD,Forcest C,McKenzie NP,Croll JC

    更新日期:2007-08-01 00:00:00

  • Denial of pregnancy: a case study and literature review.

    abstract::A case is presented of a young active duty woman who experienced nonpsychotic denial of pregnancy until she precipitously delivered a healthy full-term infant. Despite the lack of prenatal care and the requirement for neonatal resuscitation, the child has apparently developed normally. The woman had no ongoing psychia...

    journal_title:Military medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Neifert PL,Bourgeois JA

    更新日期:2000-07-01 00:00:00

  • Utilizing Propensity Score Analyses in Prehospital Blood Product Transfusion Studies: Lessons Learned and Moving Toward Best Practice.

    abstract::Recently, observational studies analyzing prehospital blood product transfusions (PHT) for trauma have become more widespread in both military and civilian communities. Due to these studies' non-random treatment assignment, propensity score (PS) methodologies are often used to determine an intervention's effectiveness...

    journal_title:Military medicine

    pub_type: 杂志文章,评审

    doi:10.1093/milmed/usx137

    authors: Greene TJ,DeSantis SM,Fox EE,Wade CE,Holcomb JB,Swartz MD

    更新日期:2018-03-01 00:00:00

  • Feasibility and Acceptability of a Brief Acupuncture Intervention for Service Members with Perceived Stress.

    abstract:INTRODUCTION:Given the role of perceived stress in disability and suicidality in the military, intervening early before service members become at risk for severe injuries, hospitalizations, and chronic disability could improve health outcomes. The purpose of this study was to explore the feasibility and acceptability o...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usz132

    authors: Abanes J,Hiers C,Rhoten B,Dietrich MS,Ridner SH

    更新日期:2020-02-13 00:00:00

  • Cardiovascular risks in a military health care beneficiary population with high blood pressure.

    abstract::Prevention strategies for coronary artery disease among hypertensive patients require assessment of other modifiable risk factors in the target population. In this article, we describe the prevalence of other cardiovascular risk factors in military beneficiaries with high blood pressure (HBP). Baseline data from an on...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.169.10.777

    authors: Duong DN,Smith KK,Ross MC,Kim MT

    更新日期:2004-10-01 00:00:00

  • Variation in Bariatric Surgery Costs and Complication Rates in the Military Health System.

    abstract:INTRODUCTION:Within the Military Health System (MHS), facilities have struggled to meet minimum recommended volume thresholds for certain procedures. Understanding variations in complication rates and cost can help policymakers tailor policy to target improvement. Our objective was to quantify the variation in bariatri...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usz454

    authors: Luan WP,Leroux TC,Olsen C,Robb D,Skinner JS,Richard P

    更新日期:2020-08-14 00:00:00

  • Tick bites, clinical symptoms of Lyme borreliosis, and Borrelia antibody responses in Finnish army recruits training in an endemic region during summer.

    abstract::Tick bites, associated clinical symptoms, and antibodies against Borrelia burgdorferi were investigated in 77 Finnish army recruits training during summer in an endemic region and 50 control recruits serving outside the habitat of ticks. During a follow-up of 6 months, 26.9% of the study recruits reported tick bites. ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Oksi J,Viljanen MK

    更新日期:1995-09-01 00:00:00

  • Nutrition knowledge, attitudes, and behaviors of israeli female combat recruits participating in a nutrition education program.

    abstract::The objective of this study was to assess the impact of a pilot nutrition intervention program on knowledge, attitudes, and behaviors of female combat soldiers in basic training serving in the Israeli army and to determine changes in nutrient intake. Seventy recruits participated in the intervention. Anthropometric me...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-12-00439

    authors: Herzman-Harari S,Constantini N,Mann G,Lencovsky Z,Stark AH

    更新日期:2013-05-01 00:00:00

  • Considerations for incorporating eicosapentaenoic and docosahexaenoic omega-3 fatty acids into the military food supply chain.

    abstract::The U.S. military may consider exploring the inclusion of the long-chain omega-3 fatty acids, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), in the diets of active duty military personnel. To be successful, certain challenges must be overcome including determining appropriate dosage, ensuring cost efficie...

    journal_title:Military medicine

    pub_type: 杂志文章,评审

    doi:10.7205/MILMED-D-14-00148

    authors: Ismail A,Rice HB

    更新日期:2014-11-01 00:00:00

  • Physical fitness after apical resection for the treatment of primary spontaneous pneumothorax.

    abstract::The objective of the present study was to assess the physical fitness of patients after apical resection and partial apical pleurectomy for the treatment of primary spontaneous pneumothorax (PSP). Between 1982 and 1999, 58 patients received surgical treatment for PSP in our department. Twelve patients needed bilateral...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.170.9.760

    authors: Fackeldey V,Franke A,Schachtrupp A,Becker HP,Schwab R

    更新日期:2005-09-01 00:00:00

  • Trabectome-Initiated Gonioscopy-Assisted Transluminal Trabeculotomy.

    abstract:Introduction:To introduce a trabectome-initiated gonioscopy-assisted transluminal trabeculotomy (TIGATT) procedure and to report preliminary results. Materials and Methods:A preliminary case series of eight patients who have undergone the newly proposed TIGATT procedure is presented. TIGATT is a new concept that modif...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usx174

    authors: Smith BL,Ellyson AC,Kim WI

    更新日期:2018-03-01 00:00:00

  • Exploring Disparities in Awarding VA Service-Connected Disability for Post-Traumatic Stress Disorder for Active Duty Military Service Members from Recent Conflicts in Iraq and Afghanistan.

    abstract:INTRODUCTION:We explore disparities in awarding post-traumatic stress disorder (PTSD) service-connected disability benefits (SCDB) to veterans based on gender, race/ethnicity, and misconduct separation. METHODS:Department of Defense data on service members who separated from October 1, 2001 to May 2017 were linked to ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usz208

    authors: Redd AM,Gundlapalli AV,Suo Y,Pettey WBP,Brignone E,Chin DL,Walker LE,Poltavskiy EA,Janak JC,Howard JT,Sosnov JA,Stewart IJ

    更新日期:2020-01-07 00:00:00

  • Improved communications and hearing protection in helmet systems: the communications earplug.

    abstract::Despite significant advances in hearing protection and compliance with protective standards, military personnel are still subject to noise-induced hearing loss in many combat and combat support operations. Although the Army has experienced a decrease of some 15% in primary hearing loss disability cases since 1986, a f...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Powell JA,Kimball KA,Mozo BT,Murphy BA

    更新日期:2003-06-01 00:00:00

  • Human and behavioral factors contributing to spine-based neurological cockpit injuries in pilots of high-performance aircraft: recommendations for management and prevention.

    abstract::In high-performance aircraft, the need for total environmental awareness coupled with high-g loading (often with abrupt onset) creates a predilection for cervical spine injury while the pilot is performing routine movements within the cockpit. In this study, the prevalence and severity of cervical spine injury are ass...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Jones JA,Hart SF,Baskin DS,Effenhauser R,Johnson SL,Novas MA,Jennings R,Davis J

    更新日期:2000-01-01 00:00:00

  • Armor-piercing bullet: 3-T MRI findings and identification by a ferromagnetic detection system.

    abstract::The objective of this project was to evaluate magnetic resonance imaging (MRI) issues at 3 T for an armor-piercing bullet and to determine if this item could be identified using a ferromagnetic detection system. An armor-piercing bullet (.30 caliber, 7.62 × 39, copper-jacketed round, steel core; Norinco) underwent eva...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-12-00374

    authors: Karacozoff AM,Pekmezci M,Shellock FG

    更新日期:2013-03-01 00:00:00

  • Symptomatic lumbar osteochondroma treated via a multidisciplinary military surgical team: case report and review of the literature.

    abstract::The authors describe the case of a giant osteochondroma emanating from the L5 vertebral body and extending into the retroperitoneum of a 40-year-old man, causing low back pain. Osteochondromas are benign bony tumors that typically occur within the appendicular skeleton, although in the sporadic form, up to 4% occur in...

    journal_title:Military medicine

    pub_type: 杂志文章,评审

    doi:10.7205/MILMED-D-14-00239

    authors: Rymarczuk GN,Dirks MS,Whittaker DR,Neal CJ

    更新日期:2015-01-01 00:00:00

  • Basic logistical considerations for rapid medical deployment.

    abstract::Fixed wing aircraft are the primary means of deployment for designated U.S. contingency forces. The majority of logistical constraints medical units encounter during deployment (in support of contingency forces) are a direct result of limited airframes dedicated to their movement into an area of operations. The compet...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Porisch LA

    更新日期:1991-05-01 00:00:00

  • Hormone-containing cosmetics may cause signs of early sexual development.

    abstract::Exogenous hormone exposure can cause early sexual development, but only one report suggests that this may occur secondary to the use of hair-care products. This study evaluated the usage frequency and biological effects of hormone-containing hair-care products. We reviewed the records of 102 consecutive dependent chil...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Zimmerman PA,Francis GL,Poth M

    更新日期:1995-12-01 00:00:00

  • Medicine use by Finnish female conscripts during voluntary military service.

    abstract:OBJECTIVE:The goal was to assess the prevalence of prescribed and nonprescribed medicine use, use predictors, and origin of medicines for Finnish female conscripts during their voluntary military service. METHODS:An anonymous mail survey was conducted in April 1999 among all Finnish female conscripts on duty. RESULTS...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.171.8.710

    authors: Linden K,Jormanainen V,Pietilä K,Sahi T

    更新日期:2006-08-01 00:00:00

  • Walter Reed Army Medical Center and unit healthcare administration--the historical rationale for developing this organizational structure.

    abstract::This article looks at the historical rationale behind the development of the healthcare administration structure currently used at Walter Reed Army Medical Center (WRAMC). This type of healthcare administration structure is unique to WRAMC and is not found in any other United States Army Medical Department healthcare ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Pattillo DA

    更新日期:1990-11-01 00:00:00

  • Central retinal vein occlusion in an Army ranger with glucose-6-phosphate dehydrogenase deficiency.

    abstract::Glucose-6-phosphate dehydrogenase (G6PD) deficiency is the most prevalent human enzyme deficiency, affecting an estimated 400 million people worldwide. G6PD deficiency increases erythrocyte vulnerability to oxidative stress and may precipitate episodes of hemolysis when individuals are exposed to triggering agents. Al...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-00-7608

    authors: Kotwal RS,Butler FK Jr,Murray CK,Hill GJ,Rayfield JC,Miles EA

    更新日期:2009-05-01 00:00:00

  • Talk to the Hand: U.S. Army Biophysical Testing.

    abstract:BACKGROUND:Many people are unaware of the science underlying the biophysical properties of Soldier clothing and personal protective equipment, yet there is a well-refined biomedical methodology initiated by Army physiologists in World War II. This involves a methodical progression of systematic material testing technol...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-16-00156

    authors: Santee WR,Potter AW,Friedl KE

    更新日期:2017-07-01 00:00:00

  • A Case Report of Acute Renal Failure as a Result of Light-Chain-Mediated Acute Tubular Interstitial Nephritis in a 30-Year-Old Combat Veteran.

    abstract::We present a 30-year-old combat veteran with an unclear exposure history, with multiple deployments who was later diagnosed with acute renal failure as a result of light-chain deposition disease. Despite a drastic decline in kappa light chains following chemotherapy; his renal function worsened, and he progressed to e...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-17-00164

    authors: Forster BM,Hinton AP,Thurlow JS

    更新日期:2017-11-01 00:00:00

  • Medical limitations of gas masks for civilian populations: the 1991 experience.

    abstract::Using a gas mask (GM) may involve considerable inconvenience, impairment of respiration and communication, and serious psychological reactions. The medical literature is primarily focused on the occupational aspects of using the GM by young and healthy workers. In contrast, there is hardly any information concerning t...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Golan E,Arad M,Atsmon J,Shemer J,Nehama H

    更新日期:1992-09-01 00:00:00

  • A case of Pott's disease in a 20-year-old military dependent.

    abstract::Tuberculous spondylitis (Pott's disease) is an uncommon complication of Mycobacterium tuberculosis infection that may have serious consequences if the diagnosis is missed or delayed. A case of tuberculous spondylitis in a military dependent is presented. Clinical presentation, radiologic findings, laboratory findings,...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Grinkemeyer MD,LaBarre RC,Yaszemski MJ,Klucznik RP,Blatt SP,Drehner DM

    更新日期:1994-03-01 00:00:00

  • The Walter Reed Army Medical Center Nephrology Service website: a tool for military-wide provider and patient education.

    abstract:OBJECTIVES:Military medical subspecialists consult with referring physicians, direct patient care and education, support isolated subspecialists, and maintain cohesive readiness plans. The World Wide Web appears promising in fulfilling these roles. METHODS:A website providing directed resources, the Walter Reed Army M...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Welch PG

    更新日期:2000-03-01 00:00:00

  • Outcomes of community-acquired, methicillin-resistant Staphylococcus aureus, soft tissue infections treated with antibiotics other than vancomycin.

    abstract::Community-acquired, methicillin-resistant Staphylococcus aureus (cMRSA), soft tissue infections are becoming increasingly prevalent in the outpatient setting. Few studies have been specifically designed to examine the efficacy of oral antibiotic therapy for these infections. We performed an observational study to dete...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.171.6.504

    authors: Barnes EV 2nd,Dooley DP,Hepburn MJ,Baum SE

    更新日期:2006-06-01 00:00:00

  • Fundamentals of Anorectal Technical Skills: A Concise Surgical Skills Course.

    abstract:INTRODUCTION:Anorectal diseases, among the most common surgical conditions, are underrepresented in medical training. The Fundamentals of Anorectal Technical Skills course was developed to provide cost-effective formal training in diagnosis of common anorectal conditions and in commonly performed anorectal procedures u...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usaa070

    authors: Kucera WB,Nealeigh MD,Dyke C,Ritter EM,Artino AR,Durning SJ,Sweeney WB

    更新日期:2020-09-18 00:00:00

  • Females Engaged in Elite Training Previously Only Open to Males: Exploring the Variables of Successful Outcomes.

    abstract::To date, there has been no analysis of the skills or attributes predicting success in female trainees who undergo traditionally male elite military training. This retrospective case control study characterized variables specific to females in the Special Operations Combat Medic course. 20/39 males and 15/38 females su...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usy291

    authors: Givens ML,Eklund K

    更新日期:2019-03-01 00:00:00

  • Patient movement in the Pacific theater: changing the strategic focus from airplane to patient.

    abstract::The U.S. military health care system forms a vast network across thousands of miles to serve patients in the Pacific theater. The medical treatment facilities in the Pacific, however, act independently and do not effectively track patients in the air evacuation system. The patients and the tracking systems are so disc...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Olsen JC

    更新日期:2001-05-01 00:00:00