59th Medical Wing Wilford Hall Medical Center

1
59th Medical Wing Wilford Hall Medical Center
Providing Great CareBuilding Warrior Medics!

• USAFP
• Portland OR

Maj Gen Tom Travis Commander, 59th Medical
Wing 17 March 2008
I n t e g r i t y - S e r v i c e - E x c e l
l e n c e
2
Overview of BRAC
Providing Great CareBuilding Warrior Medics

• BRAC Law
• San Antonio Military Medical Center,
  Recommendation 172 (MED 10). Realign Lackland
  Air Force Base by relocating the inpatient
  medical function of the 59th Medical Wing
  (Wilford Hall Medical Center) to the Brooke Army
  Medical Center establishing it as the San
  Antonio Military Medical Center and converting
  Wilford Hall Medical Center into an ambulatory
  care center.
• BRAC Vision
• One unified San Antonio Military Medical Center
  (SAMMC) with a North and South Campus delivering
  the highest quality, cost effective healthcare in
  world-class facilities while providing wartime
  readiness support and training for the next
  generation of military healthcare professionals
  in the City of Military Medicine.

3
All in a daySAMMC
Providing Great CareBuilding Warrior Medics

• SAMMC
• 5,202 Visits
• 16,442 Medication orders
• 1,493 Radiology studies
• 6,005 Meals served
• 12,324 Lab procedures
• 93 Surgeries
• 6 Births
• 263 ED visits

• WHMC
• 2,658 Visits
• 9,442 Medication orders
• 821 Radiology studies
• 2,600 Meals served
• 9,285 Lab procedures
• 35 Surgeries
• 6 Births
• 140 ED visits

• BAMC
• 2,544 Visits
• 7,000 Medication orders
• 672 Radiology studies
• 3,405 Meals served
• 3,039 Lab procedures
• 58 Surgeries
• N/A Births
• 123 ED visits

• 220,000 beneficiaries in San Antonio (42K age
  65)

4
North Campus
Providing Great CareBuilding Warrior Medics
5
South Campus
Providing Great CareBuilding Warrior Medics
Renovate Basement, First, Second, Third and
Fourth Floors
6
End State
Providing Great CareBuilding Warrior Medics

• SAMMC North
• 425 Inpatient Beds (116 ICUs, 309 Wards)
• 31 ORs for Inpatient Ambulatory Surg
• Level 1 Trauma/ER
• Medical, Pediatric, and Surg Subspec clinics
• Labor / Delivery / Recovery, NICU, PICU
• Bone Marrow and Organ Transplant
• New Centers of Excellence Cardio-Vascular,
  Maternal-Child, Battlefield Health and Trauma

• SAMMC South
• Primary care
• 24/7 Urgent Care for Trainees
• Medical, Pediatric, and Surgical Subspecialty
  Clinics
• New Center of Excellence Eye Care

Largest Inpatient Facility in the DoDOne of the
Largest Outpatient Facilities in the DoD
7
SAMMC Integration
Providing Great CareBuilding Warrior Medics
GME Integration
13
26
2
11
6
Clinical Integration
49
34
Before BRAC
Current Status
8
SAMMC Service Mix
Providing Great CareBuilding Warrior Medics
SAMMC NORTH
SAMMC
SAMMC SOUTH
Inpatient Beds Nuclear
Medicine Pediatric Oncology Radiation
Oncology Pediatric Subspecialty Pharmacy
Gastro/Endo Pre-Admissions Hemato
logy/Oncology Surgery Chemotherapy
Central Sterile Infectious Disease
Anesthesia Nephrology Neurology Rheumatology
Pain Clinic Pulmonary Respiratory
Therapy Emergency/Trauma Cardiac
Rehabilitation Cardiac Catheterization/Angiography
General/Plastic Surgery Neurosurgery Physical
Therapy Occupational Therapy Mental
Health Invitro Fertilization
Primary Care Pediatrics Internal
Medicine Cardiothoracic/Vascular Cardiology Oral
Maxillofacial Urology/Cystoscopy Otolaryngology
Ophthalmology/Optometry Orthopedics/Cast/Physical
Medicine Physical Therapy Occupational
Therapy Womens Health Clinic Mental
Health General Radiology/RF/US Computed
Tomography MRI Mammography Pharmacy Laboratory
Sleep Study COPD Rehabilitation Allergy Dermatolog
y Endocrinology Podiatry Orthotics Chiropractic La
sik/Refractive Surgery Audiology Speech
Therapy Hyperbaric Medicine
9
Governance
Providing Great CareBuilding Warrior Medics

• SAMMC will be an umbrella organization in which
  leaders will have day to day control over the
  clinical mission
• Service specific missions will still be
  controlled at the service level
• Implementation has begun
• Leadership at each level will be balanced between
  Army and AF assets

10
Graduate Medical Education Deployment Platforms
Providing Great CareBuilding Warrior Medics

• SAMMC will service the same number of
  beneficiaries
• SAMMC will continue to train about half of all
  medical personnel for the Army and Air Force
• SAMMC will continue to deploy significant numbers
  of personnel as now
• 300-400 personnel deployed at any given time
• Critical personnel deployed
• ICU staff, critical care specialists, CCAT teams
• Non clinical support staff at every level

11
Priorities
Providing Great CareBuilding Warrior Medics

• Provide great care and service to our
  beneficiaries
• Which allows us to maintain superb medical
  education and training in the merged platforms,
  North and South
• Which builds military medical operational
  capability for both services

Providing Great CareBuilding Warrior Medics!