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

Information Briefing Bain & Company OUTLINE Vision Mission DHCN Overview Demographics Services Major Improvements New Facility Challenges

Information Briefing Bain & Company 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

Information Briefing Bain & Company VISION To Be The Network of Choice for DoD Beneficiaries in Northern Virginia

Information Briefing Bain & Company 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

Information Briefing Bain & Company The DeWitt Health Care Network Fairfax FHC Rader FHC Woodbridge FHC Wells AHC, AP Hill

Information Briefing Bain & Company A TYPICAL DAY AT DHCN Day Year Clinic Visits 1,747637,619 IP Census 19 7,053 Admissions 8.5 3,094 Surgeries ,715 Births Pharmacy Services 3,052 1,114,205 Radiographic Studies ,446 Meals ,438 FY 2002 Figures

Information Briefing Bain & Company DHCN PERSONNEL Total = 1385 * includes Rader Clinic As of April 2003

Information Briefing Bain & Company DEMOGRAPHICS 156,828 Eligible Beneficiaries (All Services Combined) As of 12 May 2003

Information Briefing Bain & Company PATIENT DISTRIBUTION DeWitt Family Health Centers As of 12 May 2003

Information Briefing Bain & Company CORE SERVICES Primary 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

Information Briefing Bain & Company CORE SERVICES Ambulatory Procedures General Surgery450 Ortho922 Podiatry 139 OB 28 GYN245 Ophthalmology127 Urology589 ENT 280 Gastroenterology 935 Total 3,715 FY 2002 APV Totals

Information Briefing Bain & Company CORE SERVICES Maternal/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)

Information Briefing Bain & Company CORE SERVICES Behavioral 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

Information Briefing Bain & Company SPECIALTY SERVICES 1 New Initiatives 2 Recent Service Expansion

Information Briefing Bain & Company 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

Information Briefing Bain & Company NEW DEWITT FY05 POM FY08 DEDICATION and OPENING

Information Briefing Bain & Company 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

Information Briefing Bain & Company 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 PopulationDemand Services & Staff Space HEALTHCARE REQUIREMENTS ANALYSIS

Information Briefing Bain & Company NEW FACILITY SPACE ALLOCATION Total square footage 430,000

Information Briefing Bain & Company CHALLENGES ASAM III Clinical Optimization TNEXT Preparation Strategic Communications OB Challenge Force Protection and Regional Disaster Preparedness Requirements Transition to New Facility