Transcription
San Antonio MilitaryHealth System(SAMHS)Presented by:Maj Gen Byron HepburnCommander, 59th Medical Wing
Form ApprovedOMB No. 0704-0188Report Documentation PagePublic reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering andmaintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information,including suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, ArlingtonVA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to a penalty for failing to comply with a collection of information if itdoes not display a currently valid OMB control number.1. REPORT DATE3. DATES COVERED2. REPORT TYPEJAN 201100-00-2011 to 00-00-20114. TITLE AND SUBTITLE5a. CONTRACT NUMBERSan Antonio Military Health System (SAMHS)5b. GRANT NUMBER5c. PROGRAM ELEMENT NUMBER6. AUTHOR(S)5d. PROJECT NUMBER5e. TASK NUMBER5f. WORK UNIT NUMBER7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES)8. PERFORMING ORGANIZATIONREPORT NUMBER59th Medical Wing,San Antonio,TX,782019. SPONSORING/MONITORING AGENCY NAME(S) AND ADDRESS(ES)10. SPONSOR/MONITOR’S ACRONYM(S)11. SPONSOR/MONITOR’S REPORTNUMBER(S)12. DISTRIBUTION/AVAILABILITY STATEMENTApproved for public release; distribution unlimited13. SUPPLEMENTARY NOTESpresented at the 2011 Military Health System Conference, January 24-27, National Harbor, Maryland14. ABSTRACT15. SUBJECT TERMS16. SECURITY CLASSIFICATION OF:a. REPORTb. ABSTRACTc. THIS PAGEunclassifiedunclassifiedunclassified17. LIMITATION OFABSTRACT18. NUMBEROF PAGESSame asReport (SAR)1419a. NAME OFRESPONSIBLE PERSONStandard Form 298 (Rev. 8-98)Prescribed by ANSI Std Z39-18
Overview Pre-BRAC Post-BRAC Shaping the future
Pre-BRAC Two inpatient facilities in San AntonioInpatient and outpatient medical care provided at bothOB/GYN and Pediatrics were integratedSome GME programs were integrated
Positive ChangesSince BRAC Law All GME programs are fully integrated Highest average accreditation length Highest board scores Nationally Progress toward service integrationinitiatives continueOpportunities for synergy and creating aHigh Quality Health System
San Antonio Military Health System(SAMHS) MOA signed by respective Service Chiefs 27 Sep 10(effective 15 Sep 11) establishes SAMHS in order toprovide oversight for clinical, educational, andbusiness operations for the San Antoniomarket/catchment area.MOA Par 2.b., 2.e.,.c.,4.a.(1)
SAMHS Objectives The objective of these two organizations, workingin concert, is to: Sustain Readiness Skills of the medical forceProvide Health Improvement & Healthcare ServicesSupport GME and other Ed & TrngSupport Basic/Clinical Biomedical ResearchMOA Par 3.c. SAMHS will drive efficiencies and optimization ofthe direct care system and use of the networkMOA Par 4.a.
SAMHS StructureSAMHS(Army & AF GOs rotateDirector/Dep Director)BAMC(Army GO)Other ArmyClinicsSAUSHEC*(Maintain current GHEgovernance bylaws)59MDWSAMMCWHASC(AF DCCS)(Army Deputy)(AF GO)Other Air ForceClinics- Alternating/shared SAMHS leadership - Oversight of San Antonio military healthcare- Fully integrated SAMMC/WHASC- Continued Service Lead at WHASC (59MDW CC) and SAMMC (BAMC CG)* SAUSHEC: San Antonio Uniformed Services Health Education Consortium
Military Health SystemQuadruple AimEnabling a medically ready force, a ready medicalforce, and a resiliency of all MHS personnelPatient and family centered care that isseamless and integrated. Providingpatients the care they need, exactly whenand where they need it; safe careImproving quality and health outcomes fora defined population. Advocating andincentivizing healthy behaviors.Managing the cost of providing care for thepopulation. Eliminate waste and reduceunwarranted variation; reward outcomes, notoutputs.SAMHS Synergies Advance the MHS Quadruple Aim8
FY12 PredictedSAMHS PopulationFY11 San Antonio PopulationCampBullisSchertzCBPCCNorth CentralFederal ClinicUHSEligible Beneficiaries 214,026TRICARE Enrollment 151,397 51,269 BAMC 57,079 WHMC 21,688 Randolph 21,361 NetworkNon-enrolled student population: 8,160 Lackland BMTs/Tech 9,823 FSH StudentsRandolphAFBSAMMCWHMCFY12 San Antonio PopulationEligible Beneficiaries 227,115SAMHS Enrollment 155,550Network 22,000Non-enrolled student population: 8,160 Lackland BMTs 9,823 FSH Students
Inpatient Staff/Equip TransitionPediatrics Ward and PICU59th MDW Pediatric Ward, PICU,Hematology/Oncology andSubspecialty Clinics to 5th floorat BAMCApril2010April2010 July 2010Trauma andGeneral SurgeryWHMC Trauma assets relocateto BAMC and city of SA goesfrom 3 to 2 Level 1 TraumaCenters.ICU/Medical/SurgicalBedsThrough attrition, bedswill close at WHMC andopen at BAMC.March 2011 May 2011Psychiatric WardMoves from WHMC to7th floor BAMC WestBedtower.BRAC DeadlineSept 15, 2011June 2011 August 2011 Sept 2011Bone Marrow Transplant Unitand ClinicMoves from WHMC to BAMC.ALL 59th MDW INPATIENT SERVICES WILLHAVE RELOCATED TO BAMC RENOVATEDSPACE PRIOR TO THE BRAC DEADLINE.Labor and Delivery UnitPost-Partum and NICUMoves from WHMCto BAMC 5th floor.
BAMCSan Antonio Military Medical Center, SAMMC (15 Sept 11) Army GO LeadAF O-6 Deputy (DCCS)In/Outpatient ServicesPhase 1A – FY10Key forPhase 1B – FY10- ReadinessPhase 2 – FY11- GME- ResearchPhase 3 – FY12Phase 4 – FY14- Education& Training(Demolition & sitework for existingWilford HallHospitalMILCON on track for completion 15 July 2011
WHMCWilford Hall Ambulatory Surgical Center, WHASC (15 Sept 11) Army Personnel TBDAF Personnel: 2.6K AF GO LeadArmy O-6 DeputyPrimary/Specialty CareOutpatient SurgerySleep CenterEye Care COEDiabetes COE
Wilford Hall Ambulatory Surgical CenterMILCON PhasingPhase 1A – FY10Phase 1B – FY10Phase 2 – FY11Phase 3 – FY15Phase 4 – FY17(Demolition & sitework for existingWilford HallHospital
San Antonio Military Health SystemQUESTIONS?
SAMMC WHMC Randolph AFB Camp Bullis FY11 San Antonio Population Eligible Beneficiaries 214,026 TRICARE Enrollment 151,397 51,269 BAMC 57,079 WHMC 21,688 Randolph 21,361 Network Non-enrolled student population: 8,160 Lackland BMTs/Tech 9,823 FSH Students FY12 San Antonio Population Eligible Beneficiaries 227,115 SAMHS .
