Defense Medical Logistics Center Fort Detrick, Maryland

1. Defense Medical Logistics CenterFort Detrick, Maryland Mr. David W. WilliamsDeputy for MaterielUS Army Medical Research and Materiel Command 5 March 2008

2. Defense Medical Logistics CenterFort Detrick, Maryland Scheduled occupancy Dec 2008

3. Agenda • Introduction • What is Medical Logistics? • What is the Role of Ft. Detrick in Medical Logistics? • Project Highlights • Operational implications of the DMLC • Project photographs • Summary

4. Medical Logistics Institutional MHS • Medical materiel & services for institutional medical facilities • Acquisition & Life Cycle Management of equipment and assemblages • Health Facility Planning & Management • Medical contingency requirements management • Medical Research & Development • Force Projection & Sustainment Programs Operational MHS • Medical materiel & services for theater Health Service Support • Medical logistics planning • Medical logistics support operations • Medical equipment management (Patient Movement Items) • Medical Equipment Maintenance • Optical Fabrication • Medical set assembly & reconstitution

5. Attributes of Medical Logistics Medical Logistics is a critical function of the Military Health System (MHS), and: • Supports primarily the specialized requirements of the MHS • Does not duplicate capabilities of line logistics systems • Is functionally integrated with health service support in peace and war • Is directly accountable to the Surgeon at every level • Emulates best commercial business practices • Is uniquely configured for direct EDI transactions with the commercial medical market sector • Supports standard Defense business processes with systems that are Jointly developed and managed • Is vertically integrated from retail through national-levels • Has achieved documented cost savings within the MHS in excess of $4 Billion • Is not a ‘stovepipe’ … it is functionally and electronically interfaced with logistics systems for distribution

6. Impact of Medical Logistics Readiness • Integrated processes from theater to national-level • > 90% of customer demands met within 3-7 days in Combat Zone • High clinician confidence (draft DLA Medical Materiel Readiness Assessment, Dec 07) • Single MedLog support structure for HSS system • Contributes to lowest morbidity & mortality rates in US military history (OEF/OIF) Business • Price DOD pays for drugs & supplies is lowest in US Healthcare • 80% of items received in less than 24 hours (CONUS) • Contracting, ordering and bill paying prices totally electronic • DoD inventories of drugs & supplies nearly eliminated (CONUS) • Lean supply chain from commercial vendors to MHS customers • One standardized family of medical logistics Automated Information Systems

7. Role of Ft Detrick in Medical Logistics

8. Project Schedule 2 November 2006

9. Project Cost

10. Construction Benefits • Smaller Foot Print - New Medlog Building will house personnel and equipment from several surrounding structures to be demolished. This will decrease current facility footprints by 13,000 square feet. • Aesthetically Pleasing -The new Medlog Building is aesthetically more pleasing than the buildings and trailers that it is replacing and aligns with the base architectural theme. • Reduces Traffic off post - The new Medlog Building will have 3 state of the art classrooms minimizing the need for off-post travel for meetings or training. The conference rooms and several offices will be equipped with video tele-conferencing capabilities. • The DMLC be a ‘Center of Excellence’ that will draw visitors to Ft. Detrick

11. Construction Benefits • Energy Efficient – The new Medlog Building is outfitted with the latest energy efficient mechanical equipment, electrical equipment, thermal windows, energy efficient lighting, and insulation that will result in significant reduction of power usage. • Reduces Water Consumption - The new Medlog Building will contain bathroom and water fixtures that require significantly less water to operate. • Environmentally Friendly - The new Medlog Building will produce less water run off into storm water management ponds. The existing mature trees have been protected and will remain in their original location. In addition, greenery and new trees will be planted.

12. Objectives for Occupancy • Achieve maximum efficiency and effectiveness in support of Joint Force Health Protection • Improve capabilities for interoperability among the Services • Maintain the organizational integrity of tenant agencies • Maximize future opportunities to improve operations, increase operability, and transform organizations through design flexibility

13. Primary Opportunities Primary opportunities for operational efficiency include: • Co-location or consolidation of ‘administrative’ functions (conference scheduling, meeting support, mail/distribution, reproduction, building management) • Joint medical operations center capable of 24/7 operations • Support for materiel standardization and master data management • Tri-Service staffing of the materiel management center • Inter-organizational collaboration to address prioritization of requirements • Inter-organizational collaboration on materiel acquisition • Inter-organizational planning of MedLog support to specific operations across full range of military operations • Inter-organizational collaboration on technology introduction • Inter-organizational collaboration on support to MHS-wide medical logistics information technology architecture

14. Broadening Joint Partnerships Specific focus areas for collaboration include: • Clinical Engineering / medical equipment management • Management of equipment allowance standards • Materiel acquisition for medical assemblage production • Operations planning and requirements determination • Medical Contracting support • Business analysis and development of business process improvements across the MHS • Technology assessment and acquisition management (including DIN/PACS) • Management of DOD medical materiel excess programs • Management of DOD Vaccine programs • Information Technology services, such as LAN Administrator, help desk, web services, VTC support, and system administration

15. Defense Medical Logistics Center October 2007

16. Defense Medical Logistics Center October 2007

17. Storm-water Management Pond

18. Installing Ventilation Ducting

19. Installing Facia and Downspouts

20. Site Work for Parking

21. Summary • The Defense Medical Logistics Center is on track to be fully operational in early calendar year 2009 • The DMLC is a significant opportunity to achieve greater Joint collaboration and effort in support of military medicine • The DMLC will be a center of excellence and activity for medical logistics within the DOD • Innovation • Support to worldwide military medical operations • Conferencing / collaboration with industry • Acquisition of medical materiel and services

22. Questions ?

23. Definitions • Collocation: Locating work areas from different agencies into close proximity of each other to facilitate coordination / cooperation • Integration: Combining personnel workspaces from different agencies into a common work area, but retaining agency affiliation and accountability • Consolidation: Combining like functions into a common organizational element that support two or more tenant agencies