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Dewitt Community Healthcare Network Information Brief to Bain & Company 14 May 2003

Dewitt Community Healthcare Network Information Brief to Bain & Company 14 May 2003. OUTLINE. Vision Mission DHCN Overview Demographics Services Major Improvements New Facility Challenges. FORT BELVOIR, VIRGINIA. The “Corporate Park” for DoD Army Materiel Command

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Dewitt Community Healthcare Network Information Brief to Bain & Company 14 May 2003

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  1. Dewitt Community Healthcare NetworkInformation Brief to Bain & Company14 May 2003

  2. OUTLINE • Vision • Mission • DHCN Overview • Demographics • Services • Major Improvements • New Facility • Challenges

  3. FORT BELVOIR, VIRGINIA • The “Corporate Park” for DoD • Army Materiel Command • Army Management Staff College • Defense Logistics Agency • Defense Systems Management College • USA Criminal Investigation Command • Intelligence & Security Command • 2070 housing units (26 GO quarters) • Barracks for 857 single soldiers • Supports PERSCOM, AMC, CG Station Alexandria

  4. VISION To Be The Network of Choice for DoD Beneficiaries in Northern Virginia

  5. MISSION • To Provide Our Beneficiaries Ready Access to the Appropriate Level of Quality, Comprehensive Medical Care • To Provide Primary and Specialty Care Within the Walter Reed Health Care System • To Maintain and Improve Individual and Collective Readiness in Support of National Security Objectives • To Support Education and Clinical Research

  6. The DeWitt Health Care Network Wells AHC, AP Hill Woodbridge FHC Fairfax FHC Rader FHC

  7. A TYPICAL DAY AT DHCN Day Year Clinic Visits 1,747 637,619 IP Census 19 7,053 Admissions 8.5 3,094 Surgeries 15.5 3,715 Births 2.3 826 Pharmacy Services 3,052 1,114,205 Radiographic Studies 355 129,446 Meals 998 255,438 FY 2002 Figures

  8. DHCN PERSONNEL Total = 1385 * includes Rader Clinic As of April 2003

  9. DEMOGRAPHICS156,828 Eligible Beneficiaries(All Services Combined) As of 12 May 2003

  10. PATIENT DISTRIBUTIONDeWitt Family Health Centers As of 12 May 2003

  11. CORE SERVICESPrimary Care • 4 Family Health Centers • 365 days/year (2 FHCs) • Priority care to Prime enrollees • Multi-specialty primary care teams • X-ray, Lab, Pharmacy, Immunizations • Optometry Services • Well Woman Clinic • Sports Medicine Fellowship Program • Family Practice Residency Program • 18 house staff • 3-year accredited training program • Emergency Medicine (includes AMIC) • Approx. 47,000 visits yearly

  12. CORE SERVICESAmbulatory Procedures General Surgery 450 Ortho 922 Podiatry 139 OB 28 GYN 245 Ophthalmology 127 Urology 589 ENT 280 Gastroenterology 935 Total 3,715 FY 2002 APV Totals

  13. CORE SERVICESMaternal/Child Health • OB Clinics • DeWitt • Woodbridge • Labor & Delivery • 70 deliveries monthly • 4 Labor, Delivery and Recovery Rooms • Mother/Baby Ward • 24 beds (12 Bassinets, 12 Adult Beds)

  14. CORE SERVICESBehavioral Health • Adult Psychiatry/Behavioral Health • DeWitt, Fairfax, Rader, Woodbridge • Child & Adolescent Psychiatry • DeWitt, Woodbridge, Fairfax • Social Work Services (Clinic & Family Advocacy) • DeWitt, Fairfax, Rader, Woodbridge • ADAPC • DeWitt, Rader • Adolescent Partial Hospitalization Program (DeWitt) • 11 staff members • 12 average census

  15. SPECIALTY SERVICES 1 New Initiatives 2 Recent Service Expansion

  16. MAJOR IMPROVEMENTS • Opening of Woodbridge FHC-Dec 01 • Expansion of Fairfax FHC- Apr 02 • Magnetic Resonance Imagery • ER & Acute Care Clinic Renovation • Pediatric Clinic Moved to a Larger Area • Medical Specialty Clinic Modular Building • Women’s Health Pavilion • Internal Medicine Clinic • Contingency Pavilion

  17. NEW DEWITT FY05 POM FY08 DEDICATION and OPENING

  18. PLANNING ASSUMPTIONS • Population-Based Planning • Patient-Focused Care • Proximity • TRICARE For Life • Volume/Case Mix to Support GME/Residency Programs • Leveraging Technology to Improve Health Care Outcomes • Telemedicine/Use of Computers Enhances Patient Knowledge • TRICARE On Line • Maximize Flexibility of the Building for Future Options • Existing DeWitt Postured for Continued Service Through FY07/08 • ER Renovation • Women’s Pavilion Renovation • Medical Subspecialty Clinic Relocated • FHC Ft. Belvoir Renovation

  19. HEALTHCARE REQUIREMENTS ANALYSIS Population Demand Services & Staff Space Space Space Primary and Specialty Care– Family Practice, Pediatrics, Internal Medicine, General Surgery, Obstetrics, Gynecology, Well-Woman, Orthopedics, Podiatry, PT, OT, Chiropractor, Urology, ENT, Audiology, Allergy, Cardiology, Dermatology, Gastroenterology, Neurology, Respiratory, Optometry, Ophthalmology and Speech Pathology, Behavioral Health, Preventive Medicine, IV Infusion, Occupational Health Supporting Diagnostics– Imaging, MRI, Mammography, CT, Ultrasound, Fluoroscope, Laboratory Birthing Pavilion– 10 Labor/Delivery/Recovery Postpartum (LDRP) Rooms, 2 Antepartum Rooms Ambulatory Surgery– 4 Operating Rooms and 4 Endoscopic Suites ER with Holding/Observation Area– 15 Treatment/Observation Areas

  20. NEW FACILITY SPACE ALLOCATION Total square footage 430,000

  21. CHALLENGES • ASAM III • Clinical Optimization • TNEXT Preparation • Strategic Communications • OB Challenge • Force Protection and Regional Disaster Preparedness Requirements • Transition to New Facility

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