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
  • Intensive care of severely wounded military and civilian casualties in Zadar, Croatia.

    abstract::From August 1, 1991, to May 30, 1992, 148 severely wounded military and civilian casualties with the injury severity score of 3 to 5 were treated in the intensive care unit of the Zadar General Hospital. There were 138 male and 10 female patients; their mean age was 32 years. There were 64 wounded civilians and 84 wou...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Mlinarić J,Nincević N,Peranić H,Kostov D,Gnjatović D,Dominis M,Tolić I,Mitrović N,Serić J

    更新日期:1994-06-01 00:00:00

  • Latex content in adult vaccines.

    abstract:INTRODUCTION:Hypersensitivity reactions to natural rubber latex are well-characterized occupational concerns for health care personnel. Health care providers are at increased risk for exposure and possibly transmission of vaccine preventable diseases. Therefore, many health care facilities require providers to be vacci...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usz376

    authors: Davenport J,Gomez R,Smith D

    更新日期:2020-03-02 00:00:00

  • The effect of the M43 and M17 protective masks on stereoacuity.

    abstract::The purpose of this study was to evaluate the effects of the M17 and M43 protective masks on stereoacuity. Twelve subjects were tested on the Keystone diagnostic series stereopsis test at nearpoint and the Howard-Dolman apparatus at 40 cm and 6 m. Stereopsis was evaluated without a mask and with the M43 and M17 masks....

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Harmel LA,Wingert TA,McAlister WH,Bachman WG

    更新日期:1994-12-01 00:00:00

  • Impact on USAF tuberculosis detection and control program given a low facility tuberculosis prevalence rate.

    abstract::Isoniazid prophylaxis is a major part of the U.S. Air Force tuberculosis (TB) screening program and is closely tied to the efforts to eliminate TB. If a facility has a low prevalence rate of TB and there is no sound epidemiological evidence to rule out a false-positive TB skin test, a higher threshold for what constit...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Popper SE,Hebrink ST,Smith DA,Stewart TB

    更新日期:1996-07-01 00:00:00

  • Tactical medicine -- the Israeli revised protocol.

    abstract::Limited conflicts and the war against terrorism, in particular, have changed the emphasis in the present trend from preparing to cope with full-scale wars to the need to combat in limited conflicts. This shift has affected significantly medical units' preparations. Law enforcement organizations have come together with...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-11-00245

    authors: Waldman M,Richman A,Shapira SC

    更新日期:2012-01-01 00:00:00

  • Marine recruit adherence in a skin and soft tissue infection prevention trial: implications for recruit research and public health application.

    abstract::A cluster-randomized trial evaluating the effectiveness of chlorhexidine gluconate-impregnated wipes against skin and soft tissue infections (SSTIs) and colonization with methicillin-resistant Staphylococcus aureus (MRSA) was conducted among military recruits attending Officer Candidate School at Marine Corps Base Qua...

    journal_title:Military medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.7205/milmed-d-12-00145

    authors: Schlett CD,Grandits GA,Millar EV,Whitman TJ,Tribble DR

    更新日期:2012-11-01 00:00:00

  • A comparison of the effects of a high carbohydrate vs. a higher protein milk supplement following simulated mountain skirmishes.

    abstract::This study compared the effects of a higher protein supplement manufactured from milk vs. a commercially available higher carbohydrate supplement on serum markers of muscle damage, anaerobic exercise, choice reaction time, and body composition during 2 weekends of vigorous hikes with simulated mountain skirmishes. Thi...

    journal_title:Military medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.7205/milmed-d-11-00396

    authors: Jimenez-Flores R,Heick J,Davis SC,Hall KG,Schaffner A

    更新日期:2012-06-01 00:00:00

  • A Longitudinal Study of Commonly Used Admissions Measures and Disenrollment from Medical School and Graduate Medical Education Probation or Termination from Training.

    abstract:Introduction:This is an empirical study to better understand commonly used medical school admission measures and disenrollment decisions during undergraduate medical education as well as graduate medical education (GME) probation or termination decisions. Materials and Methods:Based on the data of USUHS medical studen...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usy069

    authors: Dong T,Gilliland WR,Cruess D,Hutchinson J,Morres L,Curtis J,Hewitt-Clarke GS,Durning SJ

    更新日期:2018-11-01 00:00:00

  • Pregnancy during Operation Iraqi Freedom/Operation Enduring Freedom.

    abstract:OBJECTIVE:The purpose of this study was to evaluate pregnancy during war-time deployment. METHODS:A retrospective review of gynecology visits was evaluated at Camp Doha, Kuwait, from August 2003 through April 2004. Of the 1,737 visits, 77 demonstrated a positive pregnancy test. These charts were evaluated for factors ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.172.5.511

    authors: Albright TS,Gehrich AP,Wright J Jr,Lettieri CF,Dunlow SG,Buller JL

    更新日期:2007-05-01 00:00:00

  • Vascularized plantar myocutaneous free flap transfer for amputee stump preparation: a proof of concept cadaver study.

    abstract::Lower extremity amputee stump ulceration, irritation, and pain have been a deterrent to consistent long-term or continuous use of lower extremity prosthetics. This study is the first in a series that hypothesizes that these complications can be minimized through the insetting of a vascularized plantar free flap (VPFF)...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-12-00298

    authors: Smith LN,Richards WT,Mozingo DW,Lottenberg L

    更新日期:2013-02-01 00:00:00

  • Positive and negative health behaviors used to ensure compliance with the U.S. Army's weight control standards by a reserve component unit.

    abstract::This paper describes the results of a nonexperimental descriptive research study in which specific positive and negative health behaviors used by soldiers in a medical reserve unit to ensure compliance with the Army Weight Control standards were surveyed using a questionnaire. The findings of the survey, particularly ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Sweeney SS,Bonnabeau RC

    更新日期:1990-06-01 00:00:00

  • Severe Systemic Lead Toxicity Resulting From Extra-Articular Retained Shrapnel Presenting as Jaundice and Hepatitis: A Case Report and Review of the Literature.

    abstract:INTRODUCTION:Despite greater than 60,000 nonfatal firearm injuries per year in the United States, retained shrapnel is a relatively rare cause of systemic lead toxicity with less than 100 cases reported in the medical literature since 1867. While intra-articular retained shrapnel as a cause of lead toxicity is well-des...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-16-00231

    authors: Grasso IA,Blattner MR,Short T,Downs JW

    更新日期:2017-03-01 00:00:00

  • An analysis of radial pulse strength to recorded blood pressure in the Department of Defense Trauma Registry.

    abstract:INTRODUCTION:Hemorrhage is the leading cause of potentially preventable death on the battlefield. The tactical combat casualty care guidelines recommend the use of the radial pulse strength to guide the administration of blood products or intravenous fluids when equipment for blood pressure monitoring is not available....

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usaa197

    authors: Naylor JF,Fisher AD,April MD,Schauer SG

    更新日期:2020-12-30 00:00:00

  • Meals ready to eat: a brief history and clinical vignette with discussion on civilian applications.

    abstract::Meals ready to eat (MRE) have undergone many revisions of their origins in the trench ration from World War I. The MRE was implemented in 1980. Its design allows extended storage and easy, safe meal preparation. MRE sodium content varies by meal and may range from 1.6 g/meal to 2.3 g/meal. The average MRE contains 1,2...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-09-00049

    authors: Feagans JM,Jahann DA,Barkin JS

    更新日期:2010-03-01 00:00:00

  • A review of the long-term health outcomes associated with war-related amputation.

    abstract::The rate of war-related amputations in current U.S. military personnel is now twice that experienced by military personnel in previous wars. We reviewed the literature for health outcomes following war-related amputations and 17 studies were retrieved with evidence that (a) amputees are at a significant risk for devel...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-00-0608

    authors: Robbins CB,Vreeman DJ,Sothmann MS,Wilson SL,Oldridge NB

    更新日期:2009-06-01 00:00:00

  • Delayed Diagnosis of Tuberculous Arthritis of the Knee in an Air Force Service Member: Case Report and Review of the Literature.

    abstract::Tuberculosis (TB) is a common disease worldwide affecting more than 2 billion people, including latent, pulmonary, and extrapulmonary TB. The presentation of disseminated TB is variable and dependent on the organs affected. Therefore, making the diagnosis and providing appropriate treatment can be delayed. We present ...

    journal_title:Military medicine

    pub_type: 杂志文章,评审

    doi:10.7205/MILMED-D-15-00232

    authors: Triplett D,Stewart E,Mathew S,Horne BR,Prakash V

    更新日期:2016-03-01 00:00:00

  • Review: management of adjustment disorder in the deployed setting.

    abstract::Adjustment disorder is a maladaptive response to a stressor that causes functional impairment. The contribution of deployment stress on the diagnosis and treatment of adjustment disorder has not been previously explored. Despite the high cost and commonality of adjustment disorder as a behavioral health condition diag...

    journal_title:Military medicine

    pub_type: 杂志文章,评审

    doi:10.7205/milmed-d-12-00057

    authors: Fielden JS

    更新日期:2012-09-01 00:00:00

  • Self-Directed Violence Aboard U.S. Navy Aircraft Carriers: An Examination of General and Shipboard-Specific Risk and Protective Factors.

    abstract::Self-directed violence (SDV), which includes suicidal ideation with and without intent, suicidal preparatory behaviors and attempts with and without harm, non-suicidal self-directed violence, and completed suicide, has been a rising concern in the military. Military shipboard personnel may represent a unique subset of...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-15-00257

    authors: Saitzyk A,Vorm E

    更新日期:2016-04-01 00:00:00

  • The Impact of a Virtual Radiology Medical Student Rotation: Maintaining Engagement During COVID-19 Mitigation.

    abstract:INTRODUCTION:The purpose of this study is to introduce a virtual radiology rotation curriculum that is being used to safely maintain medical student and intern education and engagement with the Department of Radiology at Walter Reed National Military Medical Center during coronavirus disease 2019 (COVID-19) mitigation....

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usaa293

    authors: Adams CC,Shih R,Peterson PG,Lee MH,Heltzel DA,Lattin GE

    更新日期:2020-10-03 00:00:00

  • Exploratory Laparotomy for Proximal Vascular Control in Combat-Related Injuries.

    abstract:BACKGROUND:Combat casualties have endured an increase in traumatic lower extremity amputations secondary to improvised explosive devices. Often surgical control of the proximal vasculature is required. We evaluate the safety profile of exploratory laparotomy (EXLAP) for proximal control (PC) in combat-injured patients....

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-15-00155

    authors: Hathaway E,Glaser J,Cardarelli C,Dunne J,Elster E,Safford S,Rodriguez C

    更新日期:2016-05-01 00:00:00

  • Health problems among Army children.

    abstract::Of 782 Army families with children that were surveyed, over 10% reported one or more member with health problems or handicapping conditions requiring special ongoing treatment. However, less than half of these were enrolled in the Exceptional Family Member Program. Families with illnesses/handicaps that were enrolled ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Rosen LN,Bain MW,Moghadam LZ

    更新日期:1992-02-01 00:00:00

  • 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

  • Ethylene glycol toxicity.

    abstract::Ethylene glycol is an inexpensive, readily available substance that may be associated with accidental or intentional toxicity. Toxicity from this substance may be encountered in the military and civilian populations. Because it is highly toxic and can result in death if not treated appropriately, it is imperative to r...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.169.8.660

    authors: Cox RD,Phillips WJ

    更新日期:2004-08-01 00:00:00

  • The area support medical battalion: a concept validated by Operation Desert Shield/Storm.

    abstract::Operation Desert Shield/Storm provided an opportunity to evaluate current medical assets and doctrine in support of Army air-land battle operations. The missions assigned to a medical company (clearing) during Operation Desert Shield/Storm demonstrated the value of the area support medical battalion as authorized unde...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Blake GH

    更新日期:1993-11-01 00:00:00

  • Panel 4: linking service members and exposure data to support determination of risk-proceedings of an educational symposium on assessing potentially hazardous environmental exposures among military populations.

    abstract::On May 19 to 21, 2010, the Armed Forces Health Surveillance Center and Uniformed Services University of the Health Sciences cosponsored an educational symposium on Assessing Potentially Hazardous Environmental Exposures among Military Populations. The meeting provided an opportunity for stakeholders and policy makers ...

    journal_title:Military medicine

    pub_type:

    doi:10.7205/milmed-d-11-00073

    authors: Riddle M,Lyles M

    更新日期:2011-07-01 00:00:00

  • A study protocol for tracking quality of life among U.S. service members wounded in Iraq and Afghanistan: the Wounded Warrior Recovery Project.

    abstract::There is a need for more work to understand the quality of life (QOL) outcomes of survivors of Operations Enduring Freedom and Iraqi Freedom combat injury to improve care and treatment, and prevent poor physical, psychological, and social outcomes. We describe the study design and methods of the Wounded Warrior Recove...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-13-00444

    authors: Woodruff SI,Galarneau MR,Luu BN,Sack D,Han P

    更新日期:2014-03-01 00:00:00

  • Chemical-biological warfare: medical logistics and defense.

    abstract::In this article, the authors discuss some of the hard realities of chemical and biological warfare defense in terms of the medical and medical logistics implications. In the opinion of the authors, there are no adequate defensive measures at present which would protect troops and sailors from the effects of either che...

    journal_title:Military medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Hayes DP,Marrese M

    更新日期:1991-07-01 00:00:00

  • Exploring Dentist Opinions on the Provision of Intravenous Sedation in Primary Dental Care for UK Armed Forces Personnel.

    abstract:INTRODUCTION:Anxiety toward dental treatment can lead to preventable morbidity, most notably oral pain and infection. This is of concern to the UK Armed Forces (UK AF), as dental care may not be immediately accessible during deployments and exercises, necessitating aeromedical evacuation. Current Defence Policy states ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usz451

    authors: Edwards D,Ramsey R,Breeze J,Dermont M

    更新日期:2020-08-14 00:00:00

  • Intersex patients in military service.

    abstract::The term "intersex" describes a variety of medical conditions in which sex determination is atypical. One of its most severe forms is an inadequate response to androgens due to mutations in the androgen receptor gene, which may manifest as a complete androgen insensitivity syndrome (CAIS). In this form of intersex con...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.173.11.1132

    authors: Marom T,Itskoviz D,Ostfeld I

    更新日期:2008-11-01 00:00:00

  • The surgical significance of Persian Gulf sand.

    abstract::Foreign bodies, in particular sand and soil particles, can cause considerable reaction in wounds and remain in tissues indefinitely. The introduction of foreign material as a contaminant in wounds and intracavitary injuries to military personnel deployed in the Persian Gulf region can be a complicating factor in treat...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Perdue P,Kazarian KK,Odeyale C,Quance J,Hayward I,Williams T

    更新日期:1992-07-01 00:00:00