Nicholas Coppola

Publications (2)0.92 Total impact

• Article: Military health system efficiency: a review of history and recommendations for the future.

  Nicholas Coppola, Robin Satterwhite, Lawrence V Fulton, Laurie L Shanderson, Rubini Pasupathy
  [show abstract] [hide abstract]
  ABSTRACT: This article reviews the history of measuring military medical health care efficiency. No single approved definition or uniform framework has ever been offered or suggested defining military medical treatment facility efficiency over the last 225 years within the Department of Defense. The purpose of this article is to consolidate much of the existing research on the latent variable of military medical efficiency over the last two centuries, and to provide health care leaders a framework for understanding past and current practices in measuring efficiency in the military health care setting.
  Military medicine 06/2012; 177(6):686-92. · 0.92 Impact Factor
• Article: Including quality, access, and efficiency in healthcare cost models.

  Lawrence V Fulton, Leon S Lasdon, Reuben R McDaniel, Nicholas Coppola
  [show abstract] [hide abstract]
  ABSTRACT: The authors investigated cost models that incorporate quality, access, and efficiency to provide decision support for resource forecasting in the multi-billion-dollar U.S. Army health system. As the Army relocates thousands of troops, the medical system must plan for changes in demand; this study supports that effort. Loglinear cost models that include data envelopment analysis (DEA) efficiency scores were evaluated through ordinary least squares estimation, ridge regression, and robust regression, and serve as the analytical framework. Parsimonious models that incorporate a simple volume-complexity metric, a DEA metric, a quality metric, and medical center status variable provide superior forecasting capability.
  Hospital Topics 02/2008; 86(4):3-16.