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HRD-82-96 1 (1982-06-09)

handle is hein.gao/gaobabmrc0001 and id is 1 raw text is: 
                                             FILE COP,








Brig. Gen. Guthrie L. Turner, Jr.
Cc.:' , ad er
MCAigan ;,rmy lIedical Center
  Te: : ,nahinlton 98431

ar   3eneral Turner:

       _ .     Iriproved Procedures to lde,tify Active Djty Army Personnel
               in Civilian Medical Treatment Facilities Can Reduce Costs
               (GAO-HRD-82-96).

     The General Accounting Office recently conducted a limited review
at Iadigan Army Medical Center (4ANC) to determine whether savings were
being achieved by timely transfer of active duty personnel hospitalized
ir, civilian hospitals to Federal medical treatment facilities (MTF). We
fcand that s.:ch transfers did not always occur, bcca,1e : A7 C frequently
w~s unaware that Army personnel were in civilian hospit-als until after
they were discharged. This occurred because Army personnel were not
following established procedures, which required them to notify the
appropriate Army MTF, in this case M.AMC, when care from civilian sources
w~s obtained without prior authorization. HAMC has taken postive actions
t  solve this problem by planning briefings for Army personnel in the
area and by publicizing Army policies and requirements to civilian
hospitals. We believe these actions should be repeated on a periodic
bosis to maintain an awareness of Army requirements.

     Under current regulations, the Army is authorized to pay for care
f or civilian sources when it cannot be provided by a Federal MTF (para.
1 -1, AR40-3). When an active duty member is hospitalized in a civilian
hpspital, the medical commander in whose assigned geographic area the
pi tient is located assumes administrative responsibility for that person
(para. 18-2, AR40-3). When an active duty member obtains civilian medical
cre without prior authorization, the patient's immediate commander is
r esponsible for advising the appropriate approving authority. When a
member on leave, pass, or temporary duty, obtains civilian medical care,
the mea-ber is responsible for notifying the medical center conmander in
t~e area where the care is being provided (para. 17-7a (2)(d), AR40-3).
P ompt contact should occur between a physician at the responsible Army
MTF and the attending civilian physician to determine the patient's
condition and the feasibility of evacuation to a Federal MTF (para.
18-2a(l), AR40-3).






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