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Base Realignment and Closure San Antonio Military Medical Center Air Force Association Briefing

Base Realignment and Closure San Antonio Military Medical Center Air Force Association Briefing Col Cuda, Co-Director, San Antonio Medical BRAC Integration Office Col Hardin, Co-Director, San Antonio Medical BRAC Integration Office. David G. Young III, MD, FACP

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Base Realignment and Closure San Antonio Military Medical Center Air Force Association Briefing

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  1. Base Realignment and Closure San Antonio Military Medical Center Air Force Association Briefing Col Cuda, Co-Director, San Antonio Medical BRAC Integration Office Col Hardin, Co-Director, San Antonio Medical BRAC Integration Office David G. Young III, MD, FACP Brigadier General, USAF, MC,CFS TRICARE San Antonio Senior Market Manager James K. Gilman, MD, FACC Brigadier General, USA, MC TRICARE San Antonio Associate Market Manager

  2. BRAC Language “Realign Lackland Air Force Base, TX, by relocating the inpatient medical function of the 59th Medical Wing (Wilford Hall Medical Center) to the Brooke Army Medical Center, Ft Sam Houston, TX, establishing it as the San Antonio Regional Military Medical Center, and converting Wilford Hall Medical Center into an ambulatory care center.” SAMMC Vision One unified San Antonio Military Medical Center (SAMMC) with two integrated campuses: a North campus at Ft Sam Houston and a South campus at Lackland AFB. Providing the same level of wartime readiness support while delivering high quality, efficient, care for DoD beneficiaries in the San Antonio market.

  3. SAMMC North Campus • 425 Inpatient Beds Inpatient/Ambulatory Surgery • Level 1 Trauma/ER • Medical and surgical subspecialties • 2240 personnel moving north from WHMC • Additional staff moves south to support mission requirements • Primary structure 953K SF: 644K SF new construction plus 309K SF renovated space * Building Gross Square Footage ** Departmental Gross Square Footage

  4. SAMMC North Parking Garage A Clinical/Admin Addition Center of Excellence Battlefield Health & Trauma New ER/ICU Tower Intrepid Center & Fisher Houses (Non BRAC) Parking Garage B Over $550 million in new Milcon construction and renovation

  5. SAMMC North- Beds & OR’s Located at North Campus • Beds • 303 Ward (Includes NICU) • 90 ICU • 32 Maternal Child Health 425 Inpatient • Operating Rooms • 28 OR’s • 2 new Trauma OR’s • 1 Burn • 2 OB • 23 Ambulatory & Inpatient OR’s Largest medical complex in DOD

  6. SAMMC South Campus • Ambulatory Care Center (ACC) • Basic Military Trainees • Primary care and medical specialties • Will occupy 4 floors of WHMC, approximately 700K SF; approximately 131K SF will require renovation • 406 personnel efficiencies; 2,240 moving North

  7. SAMMC-SouthRenovated Space for ACC

  8. San Antonio

  9. Trauma Centers

  10. FY11 PredictedSAMMC Population • FY06 San Antonio Population • Eligible Beneficiaries = 213,168 • TRICARE Enrollment = 144,056 • 50,672 BAMC • 60,876 WHMC • 23,289 Randolph • 9,219 Network • Non-enrolled student population: • 9,000 Lackland BMTs • 4,500 FSH Students North Central Federal Clinic Camp Bullis Randolph AFB • FY11 San Antonio Population • Eligible Beneficiaries = 221,651 • TRICARE Enrollment = 147,845 • 58,048 BAMC • 57,480 WHMC • 23,289 Randolph • 9,219 Network • Non-enrolled student population: • 9,000 Lackland BMTs • 9,003 FSH Students SAMMC North SAMMC South • Assumptions • TRICARE Enrollment remains • constant • Pediatric specialties and Internal • Medicine to the North • No increase in retiree population • Enrollment starts at Federal Clinic • in FY08 City of Military Medicine

  11. Pre & Post BRAC Lackland AFB Ft Sam Houston WHMC 60,876 Enrollees 269 Beds 1.6M SF BAMC 50,672 Enrollees 224 Beds 1.3M SF Pre- BRAC Medical Center Medical Center Efficiencies SAMMC South 57,480 Enrollees 9,000 BMTs Re-Use WHMC SAMMC North 58,048 Enrollees 9003 Students 425 Beds, 1.7M SF Post- BRAC + Operational Savings = Outpatient Clinics Diagnostic Services Specialty Clinics Inpatient Beds Trauma & Surgery

  12. Outstanding ResultsNEJM , 9 Dec 2004, Dr Gawande

  13. Unsurpassed Homeland Security Planning • Katrina/Rita: SA “model for nation”-Secretary Mineta • Civil/military cooperation in response to WMD • Community trauma & bio-terrorism planning efforts • STRAC (SW TX Regional Advisory Council for Trauma) • REMPSC (Regional Emergency Medical Preparedness Steering Committee) • EHDG (EMS/Hospital Disaster Group) • Local San Antonio Trauma Training • Foundation for world-wide “critical care in the air”

  14. Questions ?? Navy BRAC Office Army BRAC Office Air Force BRAC Office BP 170 BP 174 BP 172 BP 169 MRMC SAMMC AETC Brooks City Base ISR-BH MEDCOM BAMC METC Joint Basing ISG LAFB TMA WHMC AMEDDC&S MJCSG FSH Navy Enlisted Training Air Force Enlisted Training

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