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USAFSAM BRAC PLAN

USAFSAM BRAC PLAN. 22 March 2010 Maj Donna Fox. Departments of Epidemiology Laboratory First to move – Immunodiagnostics Sections of Immunodiagnostics Phasing of personnel and instrumentation Modular facility for testing Preparations both at Brooks City-Base and at Wright-Patterson AFB

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USAFSAM BRAC PLAN

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  1. USAFSAMBRAC PLAN 22 March 2010 Maj Donna Fox

  2. Departments of Epidemiology Laboratory First to move – Immunodiagnostics Sections of Immunodiagnostics Phasing of personnel and instrumentation Modular facility for testing Preparations both at Brooks City-Base and at Wright-Patterson AFB Transition of testing The effects of moving in relation to customer care – minimal  “We’re Moving – Not Closing”

  3. Brooks City-Base Lab • Departments of the Epi Laboratory • Immunodiagnostics • Microbiology • Virology • Bacteriology • Parasitology • Molecular • Shipping/Receiving • Customer Service

  4. PHE FY 2009 WORKLOADTotal Tests: 2,039,587Immunodiagnostics Tests: 1,896,006Other PHE Tests: 143,581

  5. Immunodiagnostics • Largest department in the Epi Laboratory • Performs over 90% of patient workload • Chosen to relocate first due to size of instrumentation and workload volume

  6. Sections of Immunodiagnostics • HIV • HEPATITIS • EIA • BIOPLEX • IFA • GC/CHLAMYDIA

  7. Sections of Immunodiagnostics • HIV • Automated testing performed on Siemens Centaur XP analyzer: HIV Screens • Semi-Automated testing performed using BioRad AutoBlot 3000: HIV Western Blots • Hepatitis • Automated testing performed on Siemens Centaur Classics: HEPATITIS (A, B, C) PANELS • Reflex testing for HEPATITIS B positive results • Manual HBeAg/HBeAb ELISA testing

  8. Siemens Centaur Classic/XP

  9. BioRadAutoBlot 3000 Semi-Automated Western Blot analyzer

  10. Sections of Immunodiagnostics • Enzyme Immunoassay (EIA) • Tests performed on Trinity-Biotech DSX analyzer: CMV G/M, H. Pylori, Lyme AB, Rubeola, Mumps, Varicella • Tests performed on BioRad Bioplex analyzer: ANA, EBV G/M, HSV I/II, Syphilis

  11. Trinity DSX and BioRadBioplex

  12. Sections of Immunodiagnostics • Immunofluorescent Assay (IFA) • Confirmatory Western Blot methods performed: CMV M and Lyme M • Manual tests performed: Auto-Antibody, Coccidioides, FTA-ABS, Mycoplasma, Q Fever G/M, Rickettsia, VDRL

  13. Sections of Immunodiagnostics • Miscellaneous Testing • Automated testing performed on Gen-Probe Tigris analyzer: Gonorrhea/Chlamydia • Automated testing performed on Siemens Centaur XP analyzer: Rubella G/M, Toxoplasma, Thyroid AB

  14. Gen-Probe Tigris

  15. BRAC Personnel • Movement of military and civilian personnel in 3 phases • Phase 1 – ADVON team of 6 military and 2 civilian members PCSing in June 2010 • Phase 2 – 3 military and 2 civilian members PCSing in December 2010 • Phase 3 – 2 civilian members PCSing in January 2011 • TDY – 2 civilian personnel being sent TDY to Wright-Patterson for validation studies on instrumentation

  16. BRAC Analyzers • Movement of instrumentation in 2 phases • Phase 1 – July 2010 • 2 Bioplex analyzers (1 moved from BCB to WP and 1 new one from BioRad) • 2 Tigris analyzers – brand new from GenProbe • 4 Centaur analyzers – brand new from Siemens • Phase 2 – Jan 2011 • 1 Bioplex analyzers (BCB) • 1 Tigris analyzer (BCB)

  17. Modular Bldg (A.K.A.-Trailer) Floor Plan - Immunodiagnostics

  18. Preparations while at BCB • Upfront plans completed prior to move • Interop CHCS test files • Contracts – Equipment (new and reagent rental, Personnel, Supplies) • Accreditations (CAP, CDC, etc.) • OIs/SOPs, Policies, Procedures

  19. Preparation for Testing at WP • Moving trucks arrive 1 Jul 2010 • Unpacking and Laboratory Set-up • Computer set-up/access • Vendors and analyzers • Validation • Vendors • Technical Supervisors • Initial testing scheduled to begin 1 Oct 2010

  20. Testing Samples • Transition of patient samples to WP • Timeline By Base • 30% – 15 Oct 2010 • 50% - 15 Nov 2010 • 70 % - 15 Dec 2010 • 100% - 1 Jan 2011 • Volunteers • Contact Annette Compton • CAP Inspection

  21. Streamlined Process • Dual-Operations • Full transition to Wright-Patterson • 6 month process • Turn-Around Times • Maintained • Modular Bldg • 18-month contract – 1 Jan 2012 • Transition to new facility after everyone else • Instrumentation

  22. Summary • Breakdown of the Epi labs departments and sections • Analyzers used for testing • Transition of personnel and equipment to Wright-Patterson • Testing samples and streamlining the ability to perform dual-operations • Your ADVON team members

  23. Questions? United States School of Aerospace Medicine Epidemiology Laboratory Service (USAFSAM/PHE) 2730 Louis Bauer Drive Brooks City-Base, TX 78235-5132 EPI Lab Customer Service Team DSN: 240-8378 Commercial: 210.536.8378 Email: epilab.help@brooks.af.mil Website: https://kx.afms.mil/epi/

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