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Dewitt Community Healthcare Network

Information Brief to Bain & Company14 May 2003

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OUTLINE• Vision • Mission• DHCN Overview• Demographics• Services• Major Improvements• New Facility• Challenges

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FORT BELVOIR, VIRGINIA

• The “Corporate Park” for DoD– Army Materiel Command– Army Management Staff College– Defense Logistics Agency– Defense Systems Management College– USA Criminal Investigation Command– Intelligence & Security Command

• 2070 housing units (26 GO quarters)

• Barracks for 857 single soldiers• Supports PERSCOM, AMC, CG Station Alexandria

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VISION

To Be The Network of Choice

for DoD Beneficiaries in Northern Virginia

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MISSION• To Provide Our Beneficiaries Ready Access to the

Appropriate Level of Quality, Comprehensive Medical Care

• To Provide Primary and Specialty Care Within the Walter Reed Health Care System

• To Maintain and Improve Individual and Collective Readiness in Support of National Security Objectives

• To Support Education and Clinical Research

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The DeWitt Health Care Network

Fairfax FHCRader FHC

Woodbridge FHCWells AHC, AP Hill

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A TYPICAL DAY AT DHCN Day Year

Clinic Visits 1,747 637,619

IP Census 19 7,053

Admissions 8.5 3,094

Surgeries 15.5 3,715

Births 2.3 826

Pharmacy Services 3,052 1,114,205

Radiographic Studies 355 129,446

Meals 998 255,438

FY 2002 Figures

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DHCN PERSONNEL

356

608

421Military

GS (FTEs)

Contract (FTEs)

Total = 1385* includes Rader Clinic

As of April 2003

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DEMOGRAPHICS156,828 Eligible Beneficiaries

(All Services Combined)

12%

21%33%

34%A/D

A/D FMs

Retired

Ret FMs

As of 12 May 2003

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PATIENT DISTRIBUTIONDeWitt Family Health Centers

Family Health CenterTRICARE

PrimeTRICARE

PlusTotal

EnrollmentFHC Ft. Belvoir 28,449 3,061 31,510

FHC Ft. Myer 8,511 3,465 11,976

FHC Fairfax 16,871 2,721 19,592

FHC Woodbridge 24,482 2,000 26,482

TOTAL 78,313 11,247 89,560

As of 12 May 2003

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CORE SERVICESPrimary Care

• 4 Family Health Centers– 365 days/year (2 FHCs)– Priority care to Prime enrollees– Multi-specialty primary care teams– X-ray, Lab, Pharmacy, Immunizations– Optometry Services– Well Woman Clinic

• Sports Medicine Fellowship Program• Family Practice Residency Program

– 18 house staff– 3-year accredited training program

• Emergency Medicine (includes AMIC)– Approx. 47,000 visits yearly

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CORE SERVICESAmbulatory Procedures

General Surgery 450Ortho 922Podiatry 139

OB 28 GYN 245

Ophthalmology 127Urology 589ENT 280

Gastroenterology 935 Total 3,715

FY 2002 APV Totals

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CORE SERVICESMaternal/Child Health

• OB Clinics– DeWitt– Woodbridge

• Labor & Delivery– 70 deliveries monthly– 4 Labor, Delivery and Recovery

Rooms

• Mother/Baby Ward– 24 beds (12 Bassinets, 12 Adult Beds)

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CORE SERVICESBehavioral Health

• Adult Psychiatry/Behavioral Health– DeWitt, Fairfax, Rader, Woodbridge

• Child & Adolescent Psychiatry– DeWitt, Woodbridge, Fairfax

• Social Work Services (Clinic & Family Advocacy)– DeWitt, Fairfax, Rader, Woodbridge

• ADAPC– DeWitt, Rader

• Adolescent Partial Hospitalization Program (DeWitt)– 11 staff members– 12 average census

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SPECIALTY SERVICESDeWitt WB Rader FX

Ortho X2 X1 X

OB/GYN X X1

PT/OT X X1 XMental Health X X X X

Neurology X1

Urology X1

Cardiology X1

GI X2

Dermatology X X1

Allergy XOphthalmology X

1 New Initiatives 2 Recent Service Expansion

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MAJOR IMPROVEMENTS• Opening of Woodbridge FHC-Dec 01

• Expansion of Fairfax FHC- Apr 02

• Magnetic Resonance Imagery

• ER & Acute Care Clinic Renovation

• Pediatric Clinic Moved to a Larger Area

• Medical Specialty Clinic Modular Building

• Women’s Health Pavilion

• Internal Medicine Clinic

• Contingency Pavilion

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NEW DEWITTFY05 POM

FY08 DEDICATION and OPENING

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PLANNING ASSUMPTIONS• Population-Based Planning

• Patient-Focused Care

• Proximity

• TRICARE For Life

• Volume/Case Mix to Support GME/Residency Programs

• Leveraging Technology to Improve Health Care Outcomes

• Telemedicine/Use of Computers Enhances Patient Knowledge– TRICARE On Line

• Maximize Flexibility of the Building for Future Options

• Existing DeWitt Postured for Continued Service Through FY07/08

– ER Renovation

– Women’s Pavilion Renovation

– Medical Subspecialty Clinic Relocated

– FHC Ft. Belvoir Renovation

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Space

Primary and Specialty Care – Family Practice, Pediatrics, Internal Medicine, General Surgery, Obstetrics, Gynecology, Well-Woman, Orthopedics, Podiatry, PT, OT, Chiropractor, Urology, ENT, Audiology, Allergy, Cardiology, Dermatology, Gastroenterology, Neurology, Respiratory, Optometry, Ophthalmology and Speech Pathology, Behavioral Health, Preventive Medicine, IV Infusion, Occupational Health

Supporting Diagnostics – Imaging, MRI, Mammography, CT, Ultrasound, Fluoroscope, Laboratory

Birthing Pavilion – 10 Labor/Delivery/Recovery Postpartum (LDRP) Rooms, 2 Antepartum Rooms

Ambulatory Surgery – 4 Operating Rooms and 4 Endoscopic Suites

ER with Holding/Observation Area – 15 Treatment/Observation Areas

Population DemandServices &

Staff SpaceSpace

HEALTHCARE REQUIREMENTS ANALYSIS

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Primary Care Pod19%

Medicine Pod4%

Surgury Pod6%

Musculo-Skeletal Pod5%

Women's Pod8%

Mental Health Pod5%

Preventive Medicine3%

Patient Services16%

Support Services19%

Inpatient2%

Operating Rooms9%

Administration2%

Miscellaneous2%

NEW FACILITY SPACE ALLOCATION

Total square footage 430,000

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CHALLENGES• ASAM III

• Clinical Optimization

• TNEXT Preparation

• Strategic Communications

• OB Challenge

• Force Protection and Regional Disaster Preparedness Requirements

• Transition to New Facility