Base Realignment and Closure

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Base Realignment and Closure San Antonio Military
Medical Center Air Force Association
Briefing Col Cuda, Co-Director, San
Antonio Medical BRAC Integration Office Col
Hardin, Co-Director, San Antonio Medical BRAC
Integration Office
James K. Gilman, MD, FACC Brigadier General, USA,
MC TRICARE San Antonio Associate Market Manager
David G. Young III, MD, FACP Brigadier General,
USAF, MC,CFS TRICARE San Antonio Senior Market
Manager
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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.
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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
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SAMMC North
Parking Garage A
Clinical/Admin Addition
Center of Excellence Battlefield Health Trauma
New ER/ICU Tower
Intrepid Center Fisher Houses (Non BRAC)
Parking Garage B
Over 550 million in new Milcon construction and
renovation
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SAMMC North- Beds ORs
Located at North Campus

• Beds
• 303 Ward (Includes NICU)
• 90 ICU
• 32 Maternal Child Health
• 425 Inpatient
• Operating Rooms
• 28 ORs
• 2 new Trauma ORs
• 1 Burn
• 2 OB
• 23 Ambulatory Inpatient ORs

Largest medical complex in DOD
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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

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SAMMC-SouthRenovated Space for ACC
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San Antonio
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Trauma Centers
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(No Transcript)
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FY11 PredictedSAMMC Population

• 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

North Central Federal Clinic
Camp Bullis
Randolph AFB

• 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

SAMMC North
SAMMC South

• 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
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Pre Post BRAC
Lackland AFB
Ft Sam Houston
WHMC 60,876 Enrollees 269 Beds 1.6M SF
BAMC 50,672 Enrollees 224 Beds 1.3M SF
Pre- BRAC
Medical Center
Medical Center
Efficiencies
SAMMC South 57,480 Enrollees 9,000 BMTs Re-Use
WHMC
SAMMC North 58,048 Enrollees 9003 Students 425
Beds, 1.7M SF
Post- BRAC

Operational Savings

Specialty Clinics Inpatient Beds Trauma Surgery
Outpatient Clinics Diagnostic Services
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Outstanding ResultsNEJM , 9 Dec 2004, Dr Gawande
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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

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Questions ??
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