Sports Medicine and Rehabilitation Team Clinic: Comparative Model Analysis of Navy and Marine Corps Options

Abstract

Abstract : The purpose of this project was to examine the suitability of several Sports Medicine and Rehabilitation Team (SMART) Clinic models. The staff elements required to staff each model was explained and the capacity each model was capable meeting was identified. The evaluation of each model included accessing the model's ability to meet the increased musculoskeletal treatment demand produced by a military training population. The costs, start-up and operating, for each model was identified so that the implementation cost of each model could be identified and compared. The economic value of the care provided by each model was assigned through the use of Civilian Health-and Medical Program Uniform Service (CHAMPUS) maximum allowable charge (CMAC) rates. The most suitable model identified by this project was model 3. Model 3's staff consists of: 1 Sports Medicine Physician, 1 Physical Therapist, 2 Certified Athletic Trainers, 2 Corpsmen, and 1 Administrative Clerk. The clinic is capable of providing up to 1,000 patient visits per month, International Classification of Disease (ICD-9) coded 99202 and 99203 visits, for musculoskeletal injuries or illnesses.