U.S. Naval Hospital Okinawa Command Brief. Commanding Officer/Director Captain Tim Weber, MSC, USN
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1 U.S. Naval Hospital Okinawa Command Brief Commanding Officer/Director Captain Tim Weber, MSC, USN 1
2 Mission Enabling readiness and wellness through patient-centered healthcare that is safe, accessible and high quality. 2
3 Chain of Command Commanding Officer, USNH Okinawa reports directly to Commander, Navy Medicine West in San Diego, CA. USNH Okinawa is a tenant of Marine Corps Base Camp Butler USNH Okinawa provides support for all garrison and operational commands in Okinawa. III MEF MCIPAC 18 th Wing 10 th SG CFAO CTF-76 3
4 USNH Okinawa Campus Utility Support Structure Utility Plant Water Tank Multipurpose Facility MCCS Gym Helopad Blood Bank HAZMAT Storage Facility Officer Quarters/ Family Nest Enlisted Quarters Transportation USNH Naval Hospital Warehouse Medical Waste Facility Preventive Medicine and Behavioral Health Gate 7 Improvements/PH I Gate 7 Improvements/PH II 4
5 Military Health Care Facilities in Okinawa 18th Medical Group Kadena Air Base USNH Okinawa Camp Foster (Evans) Camp Kinser Camp Schwab Camp Hansen Camp Courtney (Bush) MCAS Futenma USNHO Branch Health Clinics Family Medicine Clinics Active Duty Clinics 5
6 Who We Serve USNHO Population Total: 36,319 7,709 23% 10,075 29% 3,717 11% 5,251 15% 7,567 22% AD: 16,535 AD Ashore AD Ops Forces AD MCMH ADFM Must Sees (Civ, Cont, Ret) 18 th Medical Group AD Ashore 7,271 ADFM 7,376 Others 374 Total 15,381 Western Pacific Eligible Population AD 88,783 ADFM 61,246 Retirees/FM 38,769 Total 188,768 6
7 USNH Okinawa at a Glance Billeted Staff Officers 282 Enlisted 560 DoD Civilians 144 MLC 152 Contractors 150 Volunteers 86 Total 1,374 Does not include 195 officer/enlisted USMCbased/AF staff working in USNH Okinawa facilities. Capacity Beds: Active/Expandable: 62/122 Medical/Surgical 18 Neonatology ICU 12 Mental Health 10 Mother Infant Care Center 14 ICU 8 Operating Rooms 9 7
8 Services We Provide Primary Care Family Medicine Hospital Family Medicine Camp Kinser and Courtney Clinics Internal Medicine Pediatrics Branch Clinics Clinical Support Services Preventive Medicine Community Health/Health Promotion EDIS Nutrition Management Substance Abuse Program Pharmacy Laboratory Radiology/CT/MRI Healthcare resolutions* Nuclear Medicine* *Unique Capabilities in WESTPAC Specialty Care Emergency Medicine Anesthesia/Pain Management* Neonatal Intensive Care Unit* General Surgery Neurosurgery* ENT Obstetrics/Gynecology Maternal Fetal Medicine* Internal Medicine (Neurology, Pulmonary/ Critical Care Medicine, Gastroenterology)* Sports Medicine Ophthalmology/Optometry Orthopedics/Podiatry Occupational Health Physical/Occupational Therapy/ Chiropractor Urology Oral Surgery/Dental Dermatology Mental Health (Inpatient*/Outpatient) 8
9 Formerly located at Clark AB, moved to USNH Okinawa in the early 90 s following base closure in aftermath of Pinatubo eruption Staffed primarily by USAF Personnel (18 th Medical Operations Squadron) Referral center for all of WESTPAC Average daily census: 2 Neonatal Intensive Care Unit (NICU) Neonatal Transport Missions (FY15) - Ground: 20 - Air: 20 - From USNHO: 11 9
10 Family Nest Support Primarily supports off-island, high-risk pregnancy patients and parents with children in the NICU & ICU families Average occupancy: 2 families/month Average length of stay: 40 days Managed by WESTPAC Inn: 2 rooms on campus and more at WESTPAC Inn 10
11 A Day at USNH Okinawa Outpatient Visits 1,489 ER Visits Lab specimens 1,000 Radiology Encounters 150 Prescriptions (inpatient/outpatient) 517/1,048 Surgeries 16 Hospital admissions/daily census 10/27 Community Admissions 0-3 Births 3 Top 5 Inpatient Encounters 1. Pregnancy/Childbirth 2. Musculoskeletal/Connective Tissue 3. Digestive System 4. Mental Diseases and Disorders 5. Ear, Nose, Mouth, and Throat Top 5 Outpatient Encounters 1. Orthopedic 2. Mental Health 3. Ear, Nose, Mouth, and Throat 4. Dermatology 5. Obstetrics Top 5 Surgeries 1. Appendectomy, Laparoscopic 2. Inguinal Hernia Repair 3. Cholecystectomy Laparoscopic 4. Tonsillectomy/Adenoidectomy 5. Knee, Arthroscopy Top 5 Specialty Referrals 1. Cardiology 2. Sleep Equipment 3. Prosthetics/Orthotics 4. Pain Clinic 5. Sleep Disorder 11
12 Partnerships in Delivery Care in the Pacific Collaboration between USNH Okinawa, USNH Guam and USNH Yokosuka for health care support Use of Tripler Army Medical Center s Tele-Health capability 2015 Case Volume Tele-Consults 585 Pt Moves: TAMC/HI Network* 223 Overflight 78 Total 886 *97% start as tele-consultations Total USNHO users: 129 clinical/admin Total case breakout: 66% adult; 34% pediatric Total Case Volume 2014: 726 Top TAMC Specialties Orthopedics 95 Radiology 91 Infectious Disease 68 Pediatric Cardiology 61 Pediatric Pulmonary 54 12
13 Primary Host Nation Support Hospitals MESH Le Medical Ctr Dr. Heli Hokubu (ER, Cardiology) Nakagami (Plastics, Breast reconstruction) Okinawa Prefectural Chubu (ER, rheum, oncology) Chubu Tokushukai (ER, urol/neph) Makiminato Central (Cardio, dialysis) Tomishiro Chuo (Nuclear, Ortho) Nanbu Medical Center (Peds cardio, NICU/PICU) Nanbu Tokushukai (Hyperbaric therapy) Ryukyu University (Oncology, chemo, ortho, PET) Heart Life (Gastrointestinal manometry) 13
14 Host Nation (HN) Collaboration HN hospitals and agencies are critical to our mission success and military/family readiness. Public health Disease surveillance/investigation; infectious disease management Tri-Service/Prefectural Government collaboration Medical Japanese physician internship program Ongoing USNH Okinawa/HN hospital continuing medical education Nursing school collaboration; Nursing symposium Emergency management with government and JSDF medical Community Relations Futenma Junior/Senior High School student visits to USNH Okinawa Ginowan Route 81 monthly clean-up Christmas visit to Nambu Children s Medical Center 14
15 Okinawan Goods and Services Hierarchy of acquisition procurement DoD medical acquisition programs Navy Medicine enterprise contracts Regional contracts Local methods Significant local acquisition Medical equipment maintenance contracts Non-medical maintenance contracts Facilities related 15
16 DISCUSSION 16
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