Army Medical Facilities

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1 Army Medical Facilities D. Bruce Murray, P.E. Corps Liaison to US Army Medical Command 19 March 2012 Society of American Military Engineers (SAME) Dallas, TX US Army Corps of Engineers

2 Overview Introduction Program Genesis Organizations Growth and Modernization Acquisitions IO&T Sustainment The Way Ahead

3 DoD Medical Program Genesis 1975 U.S. Army Health Facility Planning Agency chartered to manage the Army Surgeon General s Medical MILCON Program after Walter Reed Bldg 1 construction cost/time overruns 1990 Former Defense Medical Facilities Office (DMFO) transitions and aligned as TMA/PPMD 1993 MEDCOM created internal structure to accept Life cycle maintenance responsibility of their own medical facilities 1994 Defense Health Program (DHP) formed. All medical services facilities maintenance transferred from line services (DPW/BCE) to ASD(HA) 1995 ASD(HA) adopted DOD Directive that all Military medical facilities are to meet Joint Commission Accreditation Standards 1997 Memorandum of Agreement established between MEDCOM and Corps for SRM Program support 2007 Walter Reed decrepit patient housing debuts on 60 Minutes

DoD Medical TriCare Medical Activity (TMA) Assistant Secretary of Defense Health Affairs

& Navy) This is a separate funding appropriation (DoDM), different from line Services

Planning & Mgmt Division) is primary proponent and central management of medical facilities

4 DoD Medical TriCare Medical Activity (TMA) Assistant Secretary of Defense Health Affairs (ASD-HA) Tri-care Management Activity (TMA) manages all Military Medicine (Army, Air Force & Navy) This is a separate funding appropriation (DoDM), different from line Services normal MILCON (MCA or MCAF) DoDM funds do not belong to the Services HA-PPMD (Portfolio Planning & Mgmt Division) is primary proponent and central management of medical facilities HA-PPMD - Provides Programmatic oversight and funding control for all three Military Medical Services

5 Services Surgeons General Commander Army Medical Command (MEDCOM) Dual hat - Army Surgeon-General 3 star billet ASCFAC Asst Chief of Staff for Facilities, provides Army MILCON facility planning and programming input to HA-PPMD. HFPA - Health Facility Planning Agency Medical MILCON execution agent responsible for Corps interface for design-construction-initial outfitting (IO&T) and transitioning into patient ready facilities Dep-ACSFAC responsible for : Army Medical Sustainment, Renewal and Modernization (SRM) Program. maintaining healthcare facility not the installation DPW Note: Split Command structure with ACSFAC and HFPA in DC, while Dep-ACSFAC is in San Antonio

Detrick Ft. Belvoir Ft. Campbell Ft. Lee Ft. Bragg Ft. Jackson Ft. Benning Ft.

6 Army Regional Medical Commands Ft. Wainwright Ft. Richardson Camp Humphreys Western RMC Ft. Lewis Ft. Irwin Ft. Huachuca Ft. Carson Ft. Bliss Ft. Leavenworth Ft. Riley Ft. Leonard Wood Ft. Still Ft. Hood Ft. Sam Houston Northern RMC Ft. Drum West Point Aberdeen Ft. Knox Ft. Detrick Ft. Belvoir Ft. Campbell Ft. Lee Ft. Bragg Ft. Jackson Ft. Benning Ft. Stewart European RMC Camp Carroll Camp Zama Pacific RMC Southern RMC Medical Research and Material Command at Ft Detrick Landstuhl Heidelberg Vicenza Katterbach Vilseck Public Health Command at Aberdeen Proving Grounds

7 Growth and Modernization BRAC 05 Army Transformation Global Repositioning Grow The Army Walter Reed s 60 Minutes Debut American Recovery and Reinvestment Act

8 Acquisitions AE Designer selection for DBB Design Build for Clinics (Medical, Dental, Vet) Design-Bid-Build for Major MEDCENs/Labs Integrated Design Bid Build (IDBB) Early Contractor Involvement (ECI) as a variation of D-B-B to approximate CM@Risk Design Build of MEDCEN only as required

9 AE Contracts at Huntsville Unrestricted Ellerbe Beckett/RLF Ewing Cole HDR HKS/W&S Leo A Daley Zimmer Gunsul Frasca Restricted East West KAL NIKA Technologies

10 FY13 Budget Request to Congress Service Location Installation Project Authorization Appropriation ($000) ($000) Army CO Pike's Peake High Altitude Research Laboratory 3,600 3,600 Germany Rhine Ordnance Barracks (KMC) MEDCEN Replacement, Incr 2 501, ,000 MD Ft Detrick USAMRIID Stage 1, Incr 7 (2007 $ M) 19,000 MO Ft Leonard Wood Dental Clinic 18,100 18,100 NY Ft Drum Soldier Specialty Care Center 17,300 17,300 TX Ft Bliss Hospital Replacement, Incr 4, (2010: $ M) 207,400 Navy CA MC Air Ground Combat Ctr, 29 Palms Medical Clinic Replacement 27,400 27,400 IL Naval Training Ctr, Great Lakes Drug Laboratory Replacement 28,700 28,700 MD NSA Annapolis Health Clinic Replacement 66,500 66,500 NC MCB Camp Lejeune Medical Clinic Replacement 21,200 21,200 VA NS Norfolk Veterinarian Facility Replacement 8,500 8,500 Air Force IL Scott AFB Medical Logistics Warehouse 2,600 2,600 Korea Kunsan AB Medical/Dental Clinic Addition 13,000 13,000 Korea Osan AB Hospital Addition/Alteration 34,600 34,600 NC Seymour-Johnson AFB Medical Clinic Replacement 53,600 53,600 NM Cannon AFB Medical/Dental Clinic Replacement 71,023 71,023 SC Shaw AFB Medical Clinic Replacement 57,200 57,200 TX Joint Base San Antonio Ambulatory Care Clinic Ph3 Incr 2 (2012: $161.3M) 80,700 JTF MD WRNMMC, Bethesda Base Installation Accessibility and Appearance Plan 7,000 7,000 MD WRNMMC, Bethesda Electrical Capacity and Cooling Towers 35,600 35,600 MD WRNMMC, Bethesda Temporary Medical Facilities 26,600 26,600 Major Construction Projects 993, ,623 UMC 5,000 5,000 P&D 105, ,700 Total FY13 Medical MILCON 1,104,654 1,037,323

11 Initial Outfitting and Transition IO&T planning begins during design, Phased occupancy Construction contractor, Corps, HFPA, IO&T contractor, new staff learning operational capabilities of new facility all working together IO&T is a series of task orders to complete coordination that begins during construction and continues until facility becomes operational Can be 20-30% of construction budget Huntsville Center hosts set of contracts for IO&T provisioning

12 Huntsville Initial Outfitting and Transition Contracts Huntsville s contracts cover all services of IO&T including: comprehensive project management; interior design services; planning and purchasing of medical, research, non-medical equipment and furnishings; transition and relocation planning & services; receipt, storage and warehousing of new and existing equipment; installation, technical inspection, maintenance and training for equipment/systems; and final turnover, close-out and post-occupancy evaluations (POE).

13 Huntsville Initial Outfitting & Transition Contracts Unrestricted pool (4 year contracts - available through June 2014) shared capacity or $409M. BTF Solutions General Dynamics IAP Worldwide Services Lockheed Martin MilHot Restricted pool (4 year contracts - available through Sept 2014) shared capacity of $81M. Partners Healthcare Group (PHG) Advantech Martek Global Services Odell International Omega Group Industries Corp

14 Army Sustainment Renovation & Modernization (SRM) Program In 1997 a Memorandum of Agreement (MOA) was signed between MEDCOM and the Corps of Engineers. The MOA outlines centralized management and control of Corps contracting and technical support in the execution of MEDCOM s SRM program. The MOA established three Medical Support Teams (MST); one each at Huntsville (not to be confused with MX), Mobile, and Fort Worth. Each MST being granted contracting and support authority across MSC and District areas of responsibility. Ft Worth has since transferred this responsibility to Little Rock (2009). This MOA, which is still in effect, provides consistency of engineering maintenance and repair service, consistency of contracted products, and consistency of execution across the entire MEDCOM enterprise.

The Way Ahead Challenges of 21st Century: Hospital Recapitalization SAMMC-N, Belvoir, Benning, Riley, Hood, Bliss, Landstuhl (KMC), Irwin, Knox Additions/Alterations - Carson, Stewart,

15 The Way Ahead Challenges of 21st Century: Hospital Recapitalization SAMMC-N, Belvoir, Benning, Riley, Hood, Bliss, Landstuhl (KMC), Irwin, Knox Additions/Alterations - Carson, Stewart, Campbell, Bragg Laboratory Recapitalization USAMRIID, Bio Defense Labs, Institute of Chemical Defense, USARIEM Commissioning (TBCx) IO&T Reliable, adaptive, flexible, efficient facilities

16 Questions? David Bruce Murray, P.E. Corps Liaison to US Army Medical Command Slide 16

Duty Title Unit Location

Duty Title Unit Location Deployment DEPLOYMENTS (12 month) 6/15/2014 ***ALL DEPLOYED ASSIGNMENTS ARE SUBJECT TO CHANGE*** Legal Advisor US Embassy Kabul, Afghanistan Combined Security Transition Command- Staff Judge Advocate Afghanistan