The Quadruple Aim: Working Together, Achieving Success
2011 Military Health System Conference
Where The Nation Heals Its Heroes
Joint Task Force National Capital Region Medical
January 25, 2011Brigadier General Steve Jones, Deputy Commander, Joint Task Force National Capital Region Medical
2011 Military Health System Conference
The Quadruple Aim: Working Together, Achieving Success
JTF CapMed
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1. REPORT DATE 25 JAN 2011 2. REPORT TYPE
3. DATES COVERED 00-00-2011 to 00-00-2011
4. TITLE AND SUBTITLE Joint Task Force National Capital Region Medical: Where The NationHeals Its Heroes
5a. CONTRACT NUMBER
5b. GRANT NUMBER
5c. PROGRAM ELEMENT NUMBER
6. AUTHOR(S) 5d. PROJECT NUMBER
5e. TASK NUMBER
5f. WORK UNIT NUMBER
7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Joint Task Force National Capital Region Medical,8901 WisconsinAvenue BG 27,Bethesda,MD,20889
8. PERFORMING ORGANIZATIONREPORT NUMBER
9. SPONSORING/MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR/MONITOR’S ACRONYM(S)
11. SPONSOR/MONITOR’S REPORT NUMBER(S)
12. DISTRIBUTION/AVAILABILITY STATEMENT Approved for public release; distribution unlimited
13. SUPPLEMENTARY NOTES presented at the 2011 Military Health System Conference, January 24-27, National Harbor, Maryland
14. ABSTRACT
15. SUBJECT TERMS
16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT Same as
Report (SAR)
18. NUMBEROF PAGES
11
19a. NAME OFRESPONSIBLE PERSON
a. REPORT unclassified
b. ABSTRACT unclassified
c. THIS PAGE unclassified
Standard Form 298 (Rev. 8-98) Prescribed by ANSI Std Z39-18
2011 MHS Conference
Joint Task Force National Capital Region Medical
Established Oct 2007 Standing JTF with enduring mission Reports to SECDEF through DEPSECDEF Commanded by a three-star medical officer Missions
– Oversee execution of NCR Medical BRAC– Ensure effective and efficient world-class healthcare in the region – Establish WRNMMC/FBCH as Joint hospitals to anchor NCR integrated delivery system– Oversee implementation of ~$800M facility projects identified in the Comprehensive Master Plan
Operational and Fiscal Control of NCR Military Medical Centers– Walter Reed Army Medical Center– National Naval Medical Center/WRNMMC at Bethesda– DeWitt Army Community Hospital/FBCH
~$1.35B Operating Budget
2
Casualty Care is JTF CapMed’s number one priority
2011 MHS Conference
JTF CapMed Relationships
3
JTF
SECRETARY OF DEFENSE
DEPUTY SECRETARYOF DEFENSE
SURGEONSGENERAL
USAF
AIR FORCECOMPONENTCOMMAND
ARMYCOMPONENTCOMMAND
NAVYCOMPONENTCOMMAND
NAVYFACILITIES
ARMYFACILITIES
AIR FORCEFACILITIES
NATIONAL NAVAL
MEDICAL CENTER
NICoE
NCRTRANSITION OIPT
OPCON
TACON
WALTER REED ARMY
MEDICAL CENTER
ARMY & NAVY
DEWITT ARMY
COMMUNITY HOSPITAL
JOINT PATHOLOGY
CENTER
WOODBRIDGE FHCFAIRFAX FHCDiLORENZO
CLINC
Where The Nation Heals Its Heroes
2011 MHS Conference
NCR Medical Joint Operating Area
4
I
Walter Reed Army Medical Center
• Total Beds: 242• Operational Beds: 242 • Occupied Beds: 155 (ICU - 12)
• Available Beds: 087 (ICU – 12)
• WII Inpatients: 29• WII Outpatients: 393 (NCR) / 454 (JOA)• Ambulances: 05 / PEVs: 03
779 MED GRP• Total Beds: 18• Operational Beds: 18• Occupied Beds: 07 (ICU – 00)• Available Beds: 11 (ICU – 06)• ASF Beds: 45 / Occupied: 01• Ambulances: 14 / AMBUS: 05
DeWitt Army Community Hospital
• Total Beds: 40• Operational Beds: 26• Occupied Beds: 03• Available Beds: 23• WII Inpatients: N/A• WII Outpatients: 83 (NCR) / 152 (JOA)• Ambulances: 04
National Naval Medical Center
• Total Beds: 444• Operational Beds: 207• Occupied Beds: 117 (ICU – 13)• Available Beds: 090 (ICU - 07)• WII Inpatients: 19• WII Outpatients: 14• Ambulances: 02 / AMBUS: 02
as of 210730R JAN 2011
2011 MHS Conference
Fort Belvoir Community Hospital
5
North Garage North Garage
BLDG “A”BLDG “A”
BLDG “C”
BLDG “D”
BLDG “E”
South Garage
Central Utility Plant
BLDG “B”
Where The Nation Heals Its Heroes
2011 MHS Conference
FBCH Clinic Construction
6
6
2011 MHS Conference
FBCH WII Lodging and Admin Complex
7Where The Nation Heals Its Heroes
2011 MHS Conference
FBCH Integrated Master Schedule
8
11/8 11/15 11/22 11/29 12/6 12/13 12/20 12/27 1/3 1/10 1/17 1/24 1/31 2/7 2/14 2/21 2/28 3/7 3/14 3/21 3/28 4/4 4/11 4/18 4/25 5/2 5/9 5/16 5/23 5/30 6/6 6/13 6/20 6/27 7/4 7/11 7/18 7/25 8/1 8/8 8/15 8/22 8/29 9/5 9/12 9/19 9/26 10/3 10/10 10/17 10/24 10/31
11/8 11/15 11/22 11/29 12/6 12/13 12/20 12/27 1/3 1/10 1/17 1/24 1/31 2/7 2/14 2/21 2/28 3/7 3/14 3/21 3/28 4/4 4/11 4/18 4/25 5/2 5/9 5/16 5/23 5/30 6/6 6/13 6/20 6/27 7/4 7/11 7/18 7/25 8/1 8/8 8/15 8/22 8/29 9/5 9/12 9/19 9/26 10/3 10/10 10/17 10/24 10/31 11/7 11/14 11/21 11/28
August‐11 September‐11 October‐11 November‐11
Fort Belvior Community Hospital ‐ Integrated Schedule Timeline Version 7.3Date 13‐Jan‐11
November‐10 December‐10 January‐11 February‐11 March‐11 April‐11 May‐11 June‐11 July‐11
May‐11 June‐11 July‐11 August‐11 September‐11 October‐11April‐11November‐10 December‐10 January‐11 February‐11 March‐11
Complete Modular FurnitureInitial Eq Outfitting Critical Areas
15 Jun 2011
Construction
Furniture & Initial Outfitting
LANAvailable Blds A, B, D & E16 Feb 2011
Data Center Hardware Operational ‐ ATO16 May 2011
Complete Telecom For Patient Ready28 Jul 2011
Finish Initial Departmental Training/Transition
15 Jul 2011
First Day In Life Excercise16 Jul 2011 Second Day In Life
Excercise 30 Jul 2011
Patient Ready 13 Aug 2011 As Authorized by JTF
Finish Initial Provisioning15 Jul 2011
Start Initial Provisioning16 Jun 2011
2nd Floor EANeed Date24 May 2011
Dept Training/Transition
Provisioning Bld C
Date From Cardtrick on 19 Oct 2010
Telecom System Ready for Training / Transitioning
16 Jun 2011
Requirements to Achieve the 13 Aug 2011Patient Ready Milestone:
IM/IT ‐(ATO) by 16 May 2011
Complete Furniture & Initial Outfitting Critical Areas by 16 Jun 2011
Begin Transitioning Critica Areas by 16 Jun 2011
Telephones Functional Critical Areas by 16 Jun 2011
Complete Departmental Initial Training/Transition by 15 Jul 2011
Start Initial Provisioning by 16 Jun 2011
Start DIL Excercises by 16 Jul 2011
Finish DIL Excercises by 31 Jul 2011
Day In Life Excercises
15 MAR 2011 ‐Basement JO(Facility Mgmt, Logistics, Security, Patient Admin, Blood Donor)
29 APR 2011 ‐ 3rd Floor JO ‐ (Not Kitchen)(Endoscopy, Servery, Mech. Areas)
01 JUN 2011 ‐ 8th & 9th Floors JO(Penthouse)
15 JUN 2011 ‐ 4th Floor JO (Inpatient Behv Health, Substance Abuse Treatment)
24 JUN 2011 ‐ 2nd Floor JO by Mod (Radiology, Cardiology, Operative Services, ICU)
02 JUL 2011 ‐ 5th Floor JO by Mod (Post/Ante Partum, Labor & Delivery)
07 JUL 2011 ‐ 6th Floor JO (Surgical Pediatrics)
15 JUL 2011 ‐ 7th Floor JO (Medical Areas)
15 JUL 2011 ‐ 3rd Floor JO (Kitchen)
BOD Building C 01 Aug 2011
Voice and Data
Start HCR Move 08 Aug 2011
Data Center Eq Del & Start of InstallLate Date 16 Dec 2010Actual 13 Dec 2010
IM/IT Network DIACAP Package to C & A
16 Feb 2011
Building & Life Safety SystemsHard Hats & PPE Off Podium Levels &
Floors 4 & 5 24 May 2011
Data Center Enclave Turnover for IM/IT EquipmentLateDate 01 Dec 2010
ConstructionBOD Bldgs A, B D & E31 Dec 2010
GDIT Modular Furniture & EquipmentBlds A, B, D & E Finish Date
Excluding Cooridors & Lobbies28 Feb 2011
All Life Safety Requirements FulfilledLate Date 01 Aug 2011
PBX Installation Complete Start IA Evaluation
04 Jan 2010
Voice IA Validation &Certification Complete
25 Apr 2011
Start Outfitting 2nd Floor24 May 2011
Eq & Outfit Initial Depts 2nd Floor
30 days
JTF Need Date:Modular Furniture & EquipmentBlds A, B, D and E Late Finish Date
1 Mar 2011
JMED Operational01 May 2011
Fire Control Room Bld C Complete15 Nov 2010
Major Medical Equipment
Life Safety Measures Complete Blds A, B, D, E
Blds B & D Joint Occupancy01 Dec 2010
Blds A & E Joint Occupancy
ATP Data Center Eq.& Switches
6 Oct 2010
TG CCD ‐ 31 Jan 2012Bld C Control Center Complete 31 Dec 2010
30 APR20 11 ‐ 1st Floor JO (Emergency, Pharmacy, Commd Grp, Oncology, Dental, Chapel)
4th & 5th Floor EA Need Date 24 May
Training / Transition Planning
Security Measures
28 days
T /G Security Measures Blds
A & E
Training /Orientation‐Badging
84 days Orientation, Training & Transition d ‐ 60 days
Full Govt Security13 Aug 2011
Start Initial Departmental Training/Transition 2nd Fl 16 Jun 2011
MRI Eq Delivery06‐Jan‐11
Start Install MRI Eq 02 Mar 2011
MRI Eq Ready 20 May 2011
3rd Floor Kitchen OperationalLate Date 15 Sep 2011
Complete Modular Furniture,Equiping & Outfitting All Areas
15 Aug 2011
GDIT Security Measures Data
Center
All Lobbies Complete15 Aug 2011
GDIT Start Furniture & EqBld C Basement07 Mar 2011
Rs& Qs Ready to Move
GDIT FF&E PrepA & E
CPO for Gov Guards Buildings
A, B, D, EBy 01 Dec 2010
Gov Guards BuildingsA, B, D, E
01 Mar 2011Bldgs A, E Lock Dwn w/Gov (HFPO) Key Control
GDIT First Fixed Furniture Blds
A & E 06 Dec 2010
BRACDate15 Sep 2011
Start Install Angio Cath Lab Eq 15 Mar 2011
Radiology Eq Submittal Review w T/G, HDR16 Nov ‐ 15 Dec 2010
Need Date: LAN Bld C 2nd Floor
21 Mar 2011
Relocate Existing Radiology Eq15 Sep 2011
Continued Transitioning as Staff Moves
Bld C BasementEarly Access 15 Feb 2011
Ops Planning Kick‐Off Complete28 Oct 2010
Progress Line
Education Summit03 Dec 2010
Draft OccupancyImplementation Plan
30 Dec 2010
Early StartBadging Gov Workers
01 Mar 2011
New LINAC Delivery
21 Jan 2011
Last Test EM Power Bld C19‐Dec 2010
MEP Systems Operational Blds
A, B, D & E
ChilledWater ‐ Stable Power for MRI
FBCH IT Service Contract Awarded 10 Nov 2010
Gov Start Operate Blds A, B, D, E & CUP01 Jan 2011
Complete Furniture & Outfitting Cooridors & Lobbies
Blds A, B, D & E16 Jun 2011
DACH / FBCH VLAN Active
02 Jan 2011
Del New Base Relocated LINAC03 Dec 2010
WRAMC LINAC Install
14 Jan 2011
Complete Major Medical Eq for Initial Dept Training 2nd Fl
15 Jun 2011
Complete Incomplete
Joint Occupancy: Joint Occupancy:Basement, 1st Floor, 2nd Floor, 3rd Floor, 4th Floor, 5th Floor, 8th
Floor & 9th Floor
6th Floor, & 7th Floor, 3rd Floor Kitchen, some areas of 1st & 2nd
floor lobbies
Initial Outfitting & Furniture: Initial Outfitting & Furniture:
Basement, 1st Floor, 2nd Floor, 3rd
Floor, 4th Floor, & 5th Floor, 8th
Floor , & 9th Floor
6th Floor & 7th Floor
Provisioning:All Floors
Departmental Training:All FloorsDay in Life Exercise :All Floors
Status of Hospital Building on June 16, 2011
DataCenter:Data Center Hardware OperationalTelephones Ready for the Training
Complete IncompleteJoint Occupancy: Joint Occupancy:All Floors Some areas of 1st & 2nd floor Initial Outfitting & Furniture: Initial Outfitting & Furniture:Basement, 1st floor, 2nd floor, 3rd
floor, 4th floor, 5th floor, 6th
floor, 7th floor, 8th floor, & 9th
Some areas of 1st & 2nd floor lobbies
Provisioning: Provisioning:Basement, 1st Floor, 2nd Floor, 3rd
Floor, 4th Floor, 5th Floor, 8th
floor, & 9th floor
6th Floor, 7th Floor, 3rd floor kitchen & some areas of 1st & 2nd
floor lobbies
Departmental Training: Departmental Training:Basement, 1st floor, 2nd floor, 3rd
floor, 4th floor, 5th floor, 8th
floor, & 9th floor
6th Floor, 7th Floor, 3rd floor kitchen
Day in Life Exercise:All Floors
Telephones Ready for Training
DataCenter:Data Center Hardware Operational
Status of Hospital Building on July 15, 2011Complete Incomplete
Joint Occupancy: Joint Occupancy:All Floors Limited Access to some areas of
1st & 2nd floor lobbies
Initial Outfitting & Furniture: Initial Outfitting & Furniture:All Floors Some areas of 1st & 2nd floor
Provisioning:All FloorsDepartmental Training: Departmental Training:Basement, 1st floor, 2nd floor, 3rd
floor, 4th floor, 5th floor, 8th
floor, & 9th floor
6th Floor, 7th Floor, 3rd floor kitchen
Day in Life Exercises: Day in Life Exercises:Ongoing for Basement, 1st floor, 2nd floor, 3rd floor, 4th floor, & 5th
floor
6th Floor, 7th Floor, 3rd Floor Kitchen
DataCenter:Data Center Hardware Operational
Status of Hospital Building on August 1, 2011
Provisioning:
Telephones Ready for the Training
Complete IncompleteJoint Occupancy: Joint Occupancy:All Floors Limited Access to some areas of
1st & 2nd floor lobbies
Initial Outfitting & Furniture: Initial Outfitting:All Floors Some areas of 1st & 2nd floor
lobbiesProvisioning:All FloorsDepartmental Training:All FloorsDay in Life Exercises: Day in Life Exercises:Basement, 1st floor, 2nd floor, 3rd
floor, 4th floor, & 5th floor6th Floor, 7th Floor, 3rd Floor Kitchen
DataCenter:Data Center Hardware OperationalTelephones Ready
Status of Hospital Building on August 13, 2011
Provisioning:
Departmental Training:
Complete Equiping and Outfitting 2nd Floor ‐ 24 Jun 2011
Start Training Clinics16 May 2011
MEP Working Bld C Data C Enclave Rev Date 01 Jan 2011
GDIT First Furniture Bld D19 Jan 2011
GDIT First Furniture Bld B12 Jan 2011
Where The Nation Heals Its Heroes
2011 MHS Conference
Wounded, Ill and Injured
9Where The Nation Heals Its Heroes
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2011 MHS Conference
WRNMMC and FBCH Moves
10Where The Nation Heals Its Heroes
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WRAMC Key Staff to WRNMMC Training
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WRAMC Elective Surgery
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PHYSICAL OPERATIN G ROOM
Incoming Staff
T raining Ongoing
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AVAILABILITY PLANNEQ DURING CONSOLIDATEQ MOVE 2-28 AUG 11
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WRAMC: Staffed ORa teams through 27 AUG are future FBCH staff teams and future W RNMMC s tafr teams • WRAMC: OR staff troimno transition time- 20 days (ear1.est begin date 22 A UG . completes 10 SEP)
On 15 SEP, 779 MDG ORs convert to same-day surgeries
2011 MHS Conference
NCR Medical Joint Operating Area
11
WRNNMCStaff: ~6000Total Beds: 345ICU Beds: 50Operating Rooms: 20Projected Wounded Warriors: 350
CapMed Capabilities39 Medical Facilities18K Medical Staff545K Eligible Beneficiaries 282K MTF Enrollees
FBCHStaff: ~3000Total Beds: 120ICU Beds: 10Operating Rooms: 10Projected Wounded Warriors: 400
September 2011New WRNMMC
Capability• Vision Centers of Excellence
• National Intrepid Center of Excellence
• Level I Trauma Care• Consolidated Cancer Center
• Gynecological Oncology
• Prostate Oncology• Breast Cancer• Medical Oncology• Surgical Oncology• Comprehensive Warrior Transition Support Services
• Joint Pathology Center
New FBCH Capability• Adult and Radiation Oncology Services
• ICU• IP Behavioral Health• Inpatient Pediatric• Breast Center• Nuclear Medicine• Laser Eye Center• Oral Surgery• Chiropractic Services• Pain Clinic• Rheumatology• Comprehensive Warrior Transition Support Services
• Vascular• Cardiac Catheter Lab• Neurology• Endocrinology• Pulmonary Clinic• Interventional RadiologyWhere The Nation Heals Its Heroes
