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Base Realignment and Closure San Antonio Military Medical Center Air Force Association Briefing 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 Col Cuda, Co-Director, San Antonio Medical BRAC Integration Office Col Hardin, Co-Director, San Antonio Medical BRAC Integration Office 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. 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 Clinical/Admin Addition Parking Garage A Center of Excellence Battlefield Health & Trauma New ER/ICU Tower Intrepid Center & Fisher Houses (Non BRAC) Over $550 million in new Milcon construction and renovation 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 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 SAMMC-South Renovated Space for ACC San Antonio Trauma Centers FY11 Predicted SAMMC Population North Central Federal Clinic Camp Bullis Randolph AFB San Antonio MMO SAMMC North SAMMC South 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 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 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 Pre & Post BRAC Lackland AFB PreBRAC Ft Sam Houston WHMC 60,876 Enrollees 269 Beds 1.6M SF BAMC 50,672 Enrollees 224 Beds 1.3M SF Medical Center Medical Center Efficiencies PostBRAC SAMMC South 57,480 Enrollees 9,000 BMTs Re-Use WHMC Outpatient Clinics Diagnostic Services + SAMMC North 58,048 Enrollees 9003 Students 425 Beds, 1.7M SF Specialty Clinics Inpatient Beds Trauma & Surgery = Operational Savings Outstanding Results NEJM , 9 Dec 2004, Dr Gawande # Wounded # Killed or Killed in Action War Revolutionary War, 1775-1783 War of 1812, 1812-1815 Mexican War, 1846-1848 Civil War (Union Force), 1861-1865 Spanish-American War, 1898 World War I, 1917-1918 World War II, 1941-1945 Korean War, 1950-1953 Vietnam War, 1961-1973 Persian Gulf War, 1990-1991 War in Iraq and Afghanistan, 2001-present 10,623 6,675 5,885 422,295 2,047 257,404 963, 403 137,025 200,727 614 10, 369 4.435 2,60 1,733 140,414 385 53, 402 291,557 33,741 47,424 147 1,004 *Data from the Department of Defense, as of Nov 2004 % Lethality of War Wounds 42 33 29 33 19 21 30 25 24 24 10 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 BP 169 Brooks City Base Navy BRAC Office BP 170 BP 172 BP 174 MRMC SAMMC ISR-BH BAMC Joint Basing Air Force BRAC Office MEDCOM METC ISG LAFB WHMC FSH TMA AMEDDC&S Navy Enlisted Training Air Force Enlisted Training AETC MJCSG