U' S' Medicine Institute for Health Studies

1
U. S. Medicine Institute for Health Studies

• BRAC and the Future of Health Care In the
  National Capital Region

2
Agenda

• Opening remarks Moderator 830 840
• Session I The BRAC rationale in the National
  Capital Area 840-955
• Overview
• William Winkenwerder, Assistant Secretary for
  Health Affairs, Department of Defense
• Peach Taylor, Surgeon General, United States Air
  Force
• Break 955-1005
• Session II Future implications for the National
  Capital Area 1005-1120
• Overview
• Gregg Pane, Director, Department of Health,
  District of Columbia
• Reuben Varghese, Public Health Director,
  Arlington, Virginia
• Break 1020 1130
• Session III Concluding discussion and summary
  1130 Noon
• Discussion leader Moderator

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National Capital Region (NCR) Summary Strategies

• Support war fighter and families
• Maximize military value
• Maintain or improve access to care
• Enhance jointness
• Identify and maximize synergies in colocation
• Examine outsourcing opportunities

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National Capital Region (NCR) Summary
Recommendations

• Relocate all tertiary medical services from WRAMC
  to NNMC and rename the Walter Reed National
  Military Medical Center Bethesda
• Relocate all other patient care functions to
  DeWitt Hospital, Ft. Belvoir, VA
• Disestablish AFIP
• Relocate combat casualty care to Ft. Sam Houston
• Relocate biodefense elements to WRAIR
• Relocate medical chemical defense to Aberdeen, MD

5
Potential Issues

• How will you decide where to send which patients?
• What role will information technology play in
  building an integrated delivery system (IDS)?
• What impact will these changes have on the local
  HC delivery systems and TRICARE?
• Where are the opportunities for partnering with
  the commercial health care sector?
• How do you stay ahead of the power curve in
  imaging technology?
• Are there creative ways to provide an IDS without
  the government buying yet another building?