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 James K. Gilman, MD, FACC Brigadier General, USA, MC TRICARE San Antonio Associate Market Manager David G. Young III, MD, FACP Brigadier General, USAF, MC,CFS TRICARE San Antonio Senior Market Manager
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Base Realignment and Closure San Antonio Military Medical Center Air Force Association Briefing Col Cuda, Co-Director, San Antonio Medical BRAC Integration.
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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
James K. Gilman, MD, FACCBrigadier General, USA, MCTRICARE San Antonio Associate Market Manager
David G. Young III, MD, FACPBrigadier General, USAF, MC,CFSTRICARE San Antonio Senior Market Manager
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.”
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.
SAMMC Vision
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
SAMMC North
Parking Garage B
Intrepid Center &
Fisher Houses (Non BRAC)
Center of Excellence
Battlefield Health & Trauma
Clinical/Admin Addition Parking Garage A
New ER/ICU Tower
Over $550 million in new Milcon construction and renovation
• 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
SAMMC-SouthRenovated Space for ACC
San Antonio
Trauma Centers
FY11 PredictedSAMMC Population
San Antonio MMOSan Antonio MMO
FY06 San Antonio PopulationEligible Beneficiaries = 213,168TRICARE Enrollment = 144,056• 50,672 BAMC• 60,876 WHMC• 23,289 Randolph• 9,219 NetworkNon-enrolled student population:• 9,000 Lackland BMTs • 4,500 FSH Students
Camp Bullis
North Central Federal Clinic
SAMMC South
SAMMC North
Randolph AFB
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
FY11 San Antonio PopulationEligible Beneficiaries = 221,651TRICARE Enrollment = 147,845• 58,048 BAMC• 57,480 WHMC• 23,289 Randolph• 9,219 NetworkNon-enrolled student population:• 9,000 Lackland BMTs • 9,003 FSH Students
City of Military Medicine
Pre & Post BRAC
Pre-BRAC
Post- BRAC
Specialty ClinicsInpatient Beds
Trauma & Surgery
Lackland AFB Ft Sam Houston
Outpatient ClinicsDiagnostic Services
Medical Center Medical Center
OperationalSavings
+=
Efficiencies
WHMC60,876 Enrollees
269 Beds1.6M SF
WHMC60,876 Enrollees
269 Beds1.6M SF
BAMC50,672 Enrollees
224 Beds 1.3M SF
BAMC50,672 Enrollees
224 Beds 1.3M SF
SAMMC South
57,480 Enrollees9,000 BMTs
Re-Use WHMC
SAMMC North
58,048 Enrollees9003 Students
425 Beds, 1.7M SF
Outstanding ResultsNEJM , 9 Dec 2004, Dr Gawande
War
# Wounded or Killed
# Killed in Action
% Lethality of War Wounds
Revolutionary War, 1775-1783 10,623 4.435 42War of 1812, 1812-1815 6,675 2,60 33Mexican War, 1846-1848 5,885 1,733 29Civil War (Union Force), 1861-1865 422,295 140,414 33Spanish-American War, 1898 2,047 385 19World War I, 1917-1918 257,404 53, 402 21World War II, 1941-1945 963, 403 291,557 30Korean War, 1950-1953 137,025 33,741 25Vietnam War, 1961-1973 200,727 47,424 24Persian Gulf War, 1990-1991 614 147 24War in Iraq and Afghanistan, 2001-present 10, 369 1,004 10
*Data from the Department of Defense, as of Nov 2004
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”
Questions ??
Army BRAC Office Air Force BRAC OfficeNavy BRAC Office