Readiness. Health. Partnerships. Experience

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CAPT Christopher Culp Commanding Officer CAPT Matthew Case Executive Officer CMDCM Beth A Nilson Command Master Chief Readiness. Health. Partnerships. Experience

Medical Facility A 202-bed multi-specialty hospital and ambulatory complex Adult, Pediatric and Neonatal ICUs 22 Operating Room capacity (16 template) Caring for Patients since 1830 HMCM William R. Charette Awarded Medal of Honor For Heroism in Korea

Locations NMCP and Triads Norfolk (formerly Sewell s Point) Boone Oceana Naval Medical Center Portsmouth Clinics BHC Norfolk, BHC NNSY, BHC Yorktown BHC Boone, BHC NWA, TPC Chesapeake BHC Oceana, BHC Dam Neck, TPC Va Beach Family Medicine, Deployment Health, Readiness. Health. Partnerships. Experience

Enrollment NMCP USAF Langley FT Eustis emsm total Total Eligible 290,873 101,320 32,027 424,220 Eligible AD 79,924 15,512 8,246 103,682 Enrollment 117,197 33,536 25,111 174,228 Op Forces 46,379 MCSC 42,442 Standards 102,857 37,568 w/usaf 140,425 Data M2: 9/30/17

Clinical Statistics Category FY 2017 Newborns 2769 Outpatient Visits 1,687,428 Dental Visits 145,432 Admissions 14,715 Surgeries 10,285 Prescriptions Filled 1,786,070 Laboratory Tests 4,808,779 Radiology Procedures 404,942

Command Statistics Category FY 2017 ACGME Programs 13 Other Accredited Programs 7 Members in Training 332 Conference Presentations 241 Active Protocols 232 Publications 99

Resources FY 2017 Annual Budget $529,166,000 - Civilian Personnel $153,816,000 - Contracts $180,520,000 - Pharmacy $ 88,082,000 - Consumable supplies $ 69,487,000 - Other $ 37,261,000 Purchased Care $151,149,000 Military Pay $311,411,000 Annual financial impact to Hampton Roads $991,726,000 Readiness. Health. Partnerships. Experience

Manning Total Staff 6,178 Active Duty 3,042 GS Staff 1,757 Contractors 1,378

Operational Support Expeditionary Medical unit (10 Bed) Q-West Iraq First to Deploy - Tier 1 Platforms USS Wasp (LHD-1) and two EMFs USNS COMFORT (T-AH-20) NMCP maintains Critical Core billets Currently deployed, NMCP provided the majority of personnel in support of Humanitarian Assistance/Disaster Relief in Puerto Rico (backfilled NMCP with a fraction of reserve personnel) Supported Continuing Promise (CP-15) Apr-Sep 2015, deployed 475 military personnel to 11 countries treating 124,047 patients; provided 345,270 healthcare services. Clinical Support Services Radiology Nighthawk services Telemedicine services (Health Experts OnLine at Portsmouth (HELP) Medically Ready Force Support approximately 450 commands.

Master Plan Master Plan completed 31 March 2017 Highlights: Repair and modernization of Surgical Services to include 20 operating rooms (ORs), Pre-Op, PACU, and perioperative support. (FY19 Swing, $72.4M) Feasibility study currently underway with March completion. Fetal Assessment (FY19, $800K) and PICU Relocations (Un-programmed, $1.5M)» Required prior to start of OR construction Lab Modernization (FY19, $30.1M) Un-programmed : SPD Repairs Design underway, August FY18 completion ($8.9M) Central Procedures Unit Building 2, 3 rd floor ($10.4M) A 145,000 square foot addition, Building 3 ($87M) Consolidates Outpatient Women s and Children s Health Consolidates Outpatient Mental Health Services. Modernize inpatient units converting multi-bed wards to private rooms wherever possible ($37.8M) The renovation of Building 3 to allow for the consolidation and co-location of various outpatient services ($6M) Modernize clinics, Building 2, Provides for Medical Home Port clinics ($28.5M)

Recent Accomplishments HEDIS Scores Consistently Above Average Medical Homeport NCQA Level III Certification Joint Market Engagement to include NICU Partnership with LAFB Mental Health Integration into Fleet Operations Warrior Care Clinic

Ongoing Initiatives Culture of High Reliability Expansion of Primary Care in Suffolk and Chesapeake (FY18) Cardio Thoracic Partnership Developing Joint Referral Center Streamline Specialty Care amongst NMCP, LAFB, and Ft Eustis Provide 12 Hour/Day-365 Day Primary Care Services Stroke and STEMI Center Readiness. Health. Partnerships. Experience

Challenges Civil Service Hiring Process Mental Health Capability Within The Community Toll Burden on Patients and Staff High Level Instability

Commanding Officer s Remarks