Summarizes 305 Medical Group's Initiatives to recapture care/services and integrate joint base health services. Overview:Situation Assessment, Joint Base and BRAC, Campaign Plan and Results Way Ahead Lessons: Issues and Information

1. 305th
Medical Group
Medics! Can Do…Will Do!
Health System of One (HS01) Initiatives
Col Douglas E. Anderson
Commander
305th Medical Group
McGuire AFB NJ

2. 2Medics! Can Do…Will Do!
Purpose and Overview
“Jointness Is Not About Purpleness, Its About
Interoperability and Interdependence”
 Situation Assessment
 Joint Base and BRAC
 Campaign Plan and Results
 Way Ahead
 Lessons: Issues and Information

3. 3Medics! Can Do…Will Do!
Situation Assessment
“When You’re In and Infinite Loop, Do Something”
BRAC’d
Overlapping
Catchment Areas
Desired Endstates
Eliminate frustration on source of care
Improve Satisfaction
Maximize Space (15%)
Optimize Capacity w DoD and Network
resources
Reduce Costs & Lost Duty Time
Enhance Currency
Guidance 2 Years Ago
Joint Basing: Combine common
services for effectiveness and efficiency
•AF/SG: Apply Principles of AF/SG BRAC
Work Group Recommendations
•18AF/CC: “No New Missions Without
Resources”
•AMC/SG: “Do What’s Right For the
Patient and Mission”

4. 4Medics! Can Do…Will Do!
Future Joint Base Is Growing
“Overlaps With Joint Readiness Center (JRC) and Joint Mobilization
Training Center (JMTC) … 25-28K Warriors .. Within 3 Miles”
25-28K Soldiers Prepare For Mobilization and
De-mobilize per yr …. And Growing With AF
and Navy Deployment Processing and
Training Missions
Active
Duty
(AD)
41%
Retired/
Other
17%
AD
Family
Member
42%
Enrollment
Ft Dix: 18%
VA Clinic
305th
MDG
Walson

5. 5Medics! Can Do…Will Do!
Joint Basing Initiative
 Consolidate Common Installation Support Functions
 Mission Supt Gp is Lead, but Program Impacts All
 Each Service Maintains Mission & Chain of Command
 Bottom Line: Find Common Ground, Eliminate Excess
Overhead, Improve Service and Outcomes

6. 6Medics! Can Do…Will Do!
Major BRAC Plus-Up FY08-13 (Oct 07)
“BRAC Decisions and COBRA Report Did Not Address Residual Impact on
the McGuire Healthcare System .. We can not Ignore it”
 39 Army/Navy/Marine Acft/Helos to McGuire—63% Incr
 Personnel—1000 (and families) & 1600 Drill Reservists
 $250M+ in Funded MILCON

7. 7Medics! Can Do…Will Do!
Health System of 1 (HSO1) Campaign Plan
“There’s Never a Perfect Time in a Perfect Storm”
C2: Collaboration & Coordination
-Bi-Monthly HSO1 Meetings
-Sponsored local Workshops x 6
-Joint facility MOU v1 - complete
-Documented history and lessons (CD available)
(Creating a Culture of Working Better Together)
Recapture Care from Network
Operational
-Physical Therapy
-Urgent Care Clinic
-Mobile MRI – possibly expanding to support VA
-Tele-Radiology (Travis + VA (Pending tests)
-Tele-Health – Psychiatry (Network and WRMC)
- Approved or Under Assessment
-Dermatology Clinic (Pending Contract Award)
-Urology and Orthopedics – Circuit Riders
-Tele-Health – Dermatology
(Cost: $1.1M/Savings:$1.5M/ yr, 2.5K-man hrs
saved / yr)
Share Resources
- Army
-Optometry (x1)
-Dental (x1 dentist + 3 techs)
-Provider support during low mob periods
- Navy
-Provider w/ 2 Corpsman & Dentist 2-3x Mnth
(420 Man-Hrs Saved/Referrals Avoided/Currency+)
Co-Locate Services
-Army - Operational
-Troop Med Clinic
-Physical Therapy
-Behavioral Health
-Vet Office
-Navy--Confirmation of Requirement In Progress
- Flt Med-2 Flt Surgeons/4 Corpsman –FY10
- Family Practice Docs x2 w/Support Staff–FY10
- Veterans Affairs (VA)
-3 VA Dentists with support staff – Nov
(Cost: $200K/Cost Avoidance$2.4M)

8. 8Medics! Can Do…Will Do!
Way Ahead
“Sensing the Future, Building a Better Tomorrow Today”
Commander’s Priorities
C2:
 MOU v2: Navy requirements, refine
accounting methods
 Joint Pandemic Plan and Exercise
 Plan for Med Manpower or $$: Net
increase= 36
Share:
 Telehealth: Rad, Psych (includes
resilience plans), Derm … other?
Co-Locate or Re-Locate:
 Army Occ Health, plan for Navy?
 Ft Dix VA Clinic into 305th
(JIF
proposal)
 Army Dental Patients to Ft Dix
Mills Dental Clinic (maximize)
Recapture, Expand, Better Manage:
 Dental (General and Specialty)
 Physical Therapy - Expand
 Disease Management – VA?
 MRI - VA?
Growth
Retirees: enrolling at
1-2/wk
A Federal Health
System of One?

9. 9Medics! Can Do…Will Do!
Lessons: Issues and Information
“We’re Working and Learning Together Better … and
Pressing Forward”
Issues
 Population Growth
 When? How many?
 Operational Support Issues
 Aviation Medicine/IFE
 PH/BIO
 Mental Health/Fam Advocacy
 EMS response system
 Compliance: AAAHC?
 Interoperability – One Source?
 Funding sources
 Systems
 Logistics
 Training
 VA: Multiple VISNs
Information (CD available)
 Proposals and Cost Analyses packages
 Joint USE Facility Use MOU
 Basic + Addendums
 Talker Papers
 Overview of Health System of One
 Summary of Challenges and Issues
 GAO Visit Summary
 DoD/VA Sharing Opportunities
 Aviation Medicine Support Issues
 Bio Environmental Engineering
 Mental Health Initiatives
 Dental Recapture and Optmization
 Reports
 HSO1 Meeting Minutes
 AMC/SG Site Visit Reports
 Marketing and Enrollment plan
 FY08-13 POM Inputs
Yes, We Are Building a A Federal Health System of One …. And One
Without Walls!

10. 10Medics! Can Do…Will Do!
Questions?
Comments?
douglas.anderson3@mcguire.af.mil