1. 1 MAJ Bukovitz, Michael USAMMA 1LT Kuper, Joshua WBAMC

2. 2  Management tool providing unbiased review of the clinical requirements and operations for medical treatment facilities (MTFs)  Focus  Regionally based  Address standards of care

3. 3  Assist MTF Commanders  Equipment Replacement  Validates workload and recommends appropriate infrastructure  Provides clinical recommendations

4. 4 Contracted Pilot Program Program developed in house First implemented at WRAMC 19931992 Formally adopted by STCPC Originally 3-year cycle changed to 4-year Laboratory and Pharmacy Added 1999 1995 1995 1994 1995 TARA program expanded to include COCOM 2007 Work with HFPA For any Future Projects 2002

5.  TARA assesses the following areas during on-site visits:  Clinical Performance  Requirements  Operations  Equipment  Provides strategic planning guidance for capital/investment equipment within the USAMEDCOM  Review/validate MEDCASE and Super CEEP requirements  Performs research and analysis on emerging technologies 5

6. Equipment List / Maintenance Information Equipment List / Maintenance Information Workload CHCS Workload CHCS MRE (MEDCASE Requirements & Execution) MRE (MEDCASE Requirements & Execution) Floor Plans Pre - Site (AutoCAD) ± 1 Month (Preparation) Medical Treatment Facilities On - Site 5 Days (Data gathering) Equipment List & Recommendation (MS Word) Site Tour Section Interviews IT issues Floor Plans (VISIO) Notes 6+ Weeks (Processing) TARA Report (MS Publisher) Post - Site - TDA

8.  Qualitative  5-Year equipment replacement plan  Replacement/upgrades, operational flow, and clinical issue recommendations  Enhance patient care  Quantitative  Cost avoidance about $1.4M per facility  Maintenance/Service contracts  Purchase of most appropriate equipment  Reduction of environmental hazards  Averaged cost avoidance about $4.1M /year

9.  Why care about TARA?  Am I pointing out my own deficiencies?  How can I benefit?

10.  Provides Hospital Commanders with a 5 year strategic procurement plan for equipment  TARA Program is an unbiased independent team that provides:  Advice to STCPC/MEDCOM  Makes infrastructure recommendations  Reduces clinical and administrative workload  Validates workload  Provides clinical recommendations  Assists the site in identifying ways to recapture workload

11. 2010 SitesRMCForecastedTentative Dates WBAMCWesternOct-092-6 Nov SAMMCSouthernJan-1019 Jan - 4 Feb JacksonSouthernMar-108-12 Mar BenningSouthernApr-1018-23 Apr LeonardwoodWesternJun-1014-18 Jun SillWesternJun-1021-25 Jun WAMCNorthernJul-10 23-27 Aug 2011 SitesRMCForecastedTentative Dates StewartSouthernNov-10TBD CRDAMCSouthernJan-11TBD CampbellSouthernMar-11TBD KnoxNorthernMar-11TBD WRAMC/JTFNorthernMay-11TBD FT Wainwright/RichardsonWesternJul-11TBD MAMCWesternAug-11TBD 2012 SitesRMCForecastedTentative Dates Rucker/RedstoneSouthernNov-11TBD DDEAMCSouthernJan-12TBD CarsonWesternMar-12TBD Vicenza/Bavaria/LRMC/HeidelbergEuropeApr-12TBD Meade/Detrick/CarlisleNorthernMay-12TBD Korea/Japan/TAMCPacificJul-12TBD