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CBRAC Newsletter Nov 09 by undul845


									MARKET UPDATE....... ...1


 S POTLIGHT .............. 3

 W RAP UP ................ 4

Clinical BRAC Monthly Update
November 2009
The CBRAC Monthly Leadership Update provides news and information on the progress of the Clinical BRAC Program. The market updates for the National Capital Region (NCR), San Antonio Military Medical Center (SAMMC) and Medical Command Headquarters Collocation (Business Plan 198) components are below.

National Capital Region (NCR)
The Initial Outfitting and Transition (IO&T) Acquisition Contract to support new hospital construction at Fort Belvoir Community Hospital and WRNMMC-Bethesda was awarded to General Dynamics Information Technology on 23 Nov 2009. The construction of Buildings A (Ambulatory Care) and Building B (Inpatient Care) at the future WRNMMC Bethesda continues to progress on schedule. The roof installation, weather proofing activities and the Mechanical Electrical and Plumbing (MEP) installation continued on the upper floors of Buildings A and B in Nov 2009. The Patient Parking Garage completed structural precast erection. Construction at the future Ft. Belvoir Community Hospital (FBCH) remains on schedule as well and was 52.8% complete as of the end of Nov 2009.

San Antonio (SAT)
In Nov 2009, initial outfitting of the 14-building transitional complex at the D-Lot of San Antonio Military Medical Center North Campus (SAMMC-N) was completed. Several clinical functions including the following relocated to the transition complex in Nov 2009: Rheumatology, Southwest Oncology Group, Army Substance Abuse Program, Pediatrics Clinic, Adolescent Medicine Clinic, Well-Baby Clinic, Exceptional Family Member Program, Drug Development Unit, and Warriors in Transition Clinic. Throughout Nov 2009, construction efforts at SAT continued. In Nov 2009, the new SAMMC-N MRI Suite, part of BAMC Renovation Package A was Back in Business (BIB). Additionally, construction began on BAMC Renovation Package C.

Medical Command Headquarters Collocation (BP 198)
On 19 Nov 2009, the General Services Administration (GSA) released a revised Expression of Interest on FedBizOpps for the Medical Command Headquarters lease. The revised Expression of Interest closed on 25 Nov 2009. GSA will evaluate the responses received from the Expression of Interest in the Dec 2009 timeframe.

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CBRAC Monthly Update, Page 2

Milestones and Accomplishments
Site Financial Management NOVEMBER 2009 10 NOV NCR Year End Review DECEMBER 2009 JANUARY 2010



NOV 2009 JTF CapMed Awards IO&T Contract NOV 2009 Bldgs D & E: Permanent Power

1 DEC NCR MCM DEC 2009 Bldg C: Concrete on Deck Complete (podium) DEC 2009 Bldg C: Watertight podium DEC 2009 Bldg C: Structural Steel Topped Out DEC 2009 Bldg A: Start Floor Finishes DEC 2009 N. Garage: Striping/ Sign (Controls) Start DEC 2009 Bldg E: Exterior Skin Complete DEC 2009 Bldg CUP: Start Commissioning DEC 2009 Bldg D: Start Drywall/Finishing DEC 2009 Bldg D: Watertight

5 JAN NCR MCM JAN 2010 Bldg C: Exterior skin complete - podium JAN 2010 Bldg A: Conditioned air JAN 2010 Bldg A: Start Doors & Hardware JAN 2010 Bldg B: Exterior Skin Complete JAN 2010 Bldg E: Start Floor Finishes

NOV 2009 Bldg A: Permanent Power Ft. Belvoir NOV 2009 Bldg B: Watertight NOV 2009 Bldg B: Start Elevator Rails Walter Reed Bethesda


13 NOV Complete PPG Structural Precast NOV 2009 100% Remaining Building 9 NOV 2009 Design Package Completed abatement in crawlspace of Buildings 4, 5, 6, and 7 24 NOV SAT MCM NOV 2009 NOV 2009 Fifteen (15) Intra-facility One (1) Inter-facility 17 NOV Transition Moves Transition Move BAMC Reno Pkg C Construction Start

10 NOV Move General Surgery into New Space

DEC 2009 Start RFP2 Interior Demolition of Building 17 DEC 2009 Complete Roofing on Buildings A & B 8 DEC SAT MCM

DEC 2009 Begin Demolition of Connector C (between Building 9 and 4)

JAN 2010 Approximately 250 Parking Spaces Available in PPG

12 JAN SAT MCM JAN 2010 Five (5) Intra-facility Transition Moves

2 DEC DEC 2009 CoTo 3rd Floor Redesign Corrected Twenty-three (23) Final Submittal Intra-facility Transition 14 DEC Moves BAMC Reno Pkg E RTA

SAMMCSouth BP 171 & 173 BP 198 10 NOV Keesler Construction Contract Award 19 NOV GSA issued revised Expression of Interest Nov 2 Nov 9 Nov 16 Communications Milestone NOV 2009 Keesler IO&T Contract Award 30 NOV 25 NOV I-Team Expression of Meeting Interest Closes Nov 23 Nov 30

2 DEC SMMAC Meeting: Determine/Finalize Functional Adjacencies Dec 7 Dec 14 Dec 21 Financial Management Milestone

DEC 2009 Continue IO&T Planning Dec 28 Decision Making Milestone

4 JAN I-Team Meeting Jan 4 Jan 11 Medical Command HQs Planning Milestone Jan 18 Jan 25


Design/Construction Milestone

Transition Milestone

Medical Command HQs I-Team Milestone

The Future FBCH, Nov 2009

National Capital Region (NCR)
 At the future WRNMMC, General Sur-  At the future FBCH, the steel erection of
gery Department renovations were completed on 10 Nov 2009. Also, structural precast erection of the Patient Parking Garage was completed on 13 Nov 2009. bridges from Building A to Building B was started in Nov 2009, and tower steel erection continues on Floors 7 & 8 in Building C.

San Antonio (SAT)
 The BAMC Renovation Design PackThe Future WRNMMC-Bethesda, Nov 2009 Back in Business (BIB) in Nov 2009. age C construction began in Nov 2009.  Fifteen (15) intra-facility moves and  The Magnetic Resonance Imaging one (1) inter-facility move were completed on the campus of SAMMC-N in (MRI) completed its transition from the Nov 2009. BAMC temporary trailer into the SAMMCN 1st floor renovated space and was

Medical Command Headquarters Collocation (BP 198)
 The T2 technical subgroups began
proval. meeting the week of 16 Nov 2009 to  On 19 Nov 2009, GSA released a rebegin work on the technical aspects of vised Expression of Interest, with a transitioning to the new facility. closing date of 25 Nov 2009, to gauge  The lease prospectus remains with market interest. GSA is continuing with the lease process. Congress pending their review and ap-

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CBRAC Monthly Update, Page 3

Spotlight and Major Event
Spotlight: Ms. Dawn Rusing, Sr. Health Systems Analyst, SAMBIO
This month’s spotlight features Ms. Dawn Rusing, Senior Health Systems Analyst, SAMBIO. She is responsible for planning, coordinating, directing and managing all aspects of the analysis activities for implementation and execution of BRAC related integration of Brooke Army Medical Center (BAMC) and Wilford Hall Medical Center (WHMC). Armed with the invaluable knowledge gained in seven years with the Department of Healthcare Operations at Brooke Army Medical Center, Ms. Rusing was an apt choice to serve as the Senior Health Systems Analyst for the San Antonio Medical (BRAC) Integration Office (SAMBIO). As a health systems analyst at SAMBIO, Ms. Rusing manages the business operations, planning and resource execution for the San Antonio Military Medical Center (SAMMC) platform. The SAMBIO Co-Directors rely heavily on Ms. Rusing’s knowledge and expertise in developing, executing, and monitoring the SAMMC integration mission in order to meet the Congressionally mandated BRAC deadline of 15 Sep 2011. Ms. Rusing’s goal at the SAMBIO is to integrate resources and clinical business operations in accordance with BRAC law, maintaining and predicting the necessary requirements to meet the clinical and GME mission for our SAMMC platform in support of over 220,000 beneficiaries. The SAMMC project, as a whole, is dynamic and challenging and requires constant evaluation and coordination for successful business planning and sustainability. Ms. Rusing holds a Bachelor’s degree in Health Care Administration and a Master’s degree in Health Services Research from Texas State University. Ms. Rusing enjoys traveling, scuba diving, volleyball and spending time with her family and friends. She is admired by her co-workers for her dedication to the SAMMC project and her highly infectious laugh.

Major Event: NCR Initial Outfitting and Transition (IO&T) Acquisition Contract Award on 23 Nov 2009
Construction at WRNMMC-Bethesda, 15 Nov 09

The National Capital Region Initial Outfitting and Transition (IO&T) Acquisition Contract for WRNMMC-Bethesda and Ft. Belvoir Community Hospital was awarded to General Dynamics Information Technology (GDIT) at a cost of $322M on 23 Nov 2009. GDIT was one of five companies to bid on the contract. Under the IO&T Contract, GDIT will provide outfitting and transition services for the new facility at Ft. Belvoir while helping to upgrade the facility at NNMC-Bethesda. The contract is scheduled to be completed by November 2012. According to the contract, 10 percent of the work is to be completed in Washington, DC, 50 percent of the work is to be completed in Bethesda, MD and 40 percent of the work is to be completed at Ft. Belvoir, VA.

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CBRAC Monthly Update, Page 4

BRAC in The News
Click on the title to read the article. (Maryland Community Newspapers Online): Bases Brace for Boom with BRAC, 13 Nov 2009 “Maryland’s initially anticipated job gains of 45,000 to 60,000 in the next few years due to the Pentagon's Base Realignment and Closure program are "understated, perhaps significantly understated," a state official said this week. The earlier estimates were "very conservative," and the actual indirect and direct BRACrelated job count could exceed 60,000 in the coming years, said retired Marine Corps Gen. J. Michael Hayes, director of the Office of Military and Federal Affairs in the Maryland Department of Business and Economic Development. He made the remarks while speaking to mostly retail executives, developers and economic development officials Tuesday during a panel discussion coordinated by the International Council of Shopping Centers at a Smithsonian Institution office in Landover. The jobs will be mostly high-paying positions in the information technology, scientific and research fields, with salaries averaging around $100,000, Hayes said.” San Antonio Business Journal: Texas Wins Workforce Retraining Grant to help BRAC Communities, 19 Nov 2009 “Texas will receive a $2.5 million grant from the U.S. Department of Labor to continue to help communities impacted by the Base Realignment and Closure actions. The state is losing 1,472 jobs as a result of the 2005 decision to realign or close military bases in Texas. “Few are more deserving of our support than our men and women in uniform, and the civilian workers who support them,” says Secretary of Labor Hilda L. Solis. “This grant will continue to provide workers with job placement assistance, skills training and other re-employment services to help them secure new jobs and strive through the changes brought on by BRAC.” The state will use the grant to assist workers who are losing their jobs. The money could be used for assessment, counseling, case management, job training, job development, relocation assistance, job placement and follow-up. In San Antonio, some jobs are being lost at Brooks City-Base, Lackland Air Force Base and Randolph Air Force Base. Fortunately for the city, however, San Antonio’s bases will still experience a projected net gain of 8,500 jobs as a result of the 2005 Base Realignment and Closure Decision. The bulk of the new jobs will be located at Fort Sam Houston.” Southern Maryland Online: Concerns Over Gridlock in Bethesda Looms as BRAC Draws Near, 21 Nov 2009 “As mandated by BRAC, Walter Reed Army Medical Center in Washington will relocate much of its operation to Bethesda National Naval Medical Center by September 2011. This will bring 2,500 employees to the hospital as well as create "1,900 estimated additional trips to the hospital campus per day," according to a recent study by the federal Government Accountability Office. The merged facility will be renamed the Walter Reed National Military Medical Center. In remarks to the subcabinet, Lt. Gov. Anthony Brown said the new employees at the medical center will simply be transferring from Walter Reed, meaning that they would likely not relocate to the Bethesda area. Weighing both the lack of new Marylanders and the creation of additional traffic, Brown said that Bethesda was the one jurisdiction where "the burden outweighs the benefits" of BRAC. " Washington Business Journal: General Dynamics gets $322M Walter Reed Job, 29 Nov 2009 “General Dynamics Corp.’s information technology division has won a $322 million contract for work at military medical facilities in the Washington region. The contract award was announced by the Department of Defense Friday. The work will be done at the new Walter Reed Medical Center in Bethesda and the Fort Belvoir Community Hospital, according to Defense Industry Daily. General Dynamics will do the majority of the work in Bethesda and Fort Belvoir, with some contracting work in Washington as well. Completion is scheduled for Nov. 29, the Defense Department said.”

Building for the Future
The pictures below represent the future facilities (from left to right) of the San Antonio Military Medical Center North (SAMMC-N) Consolidated Tower (CoTo), the Ft. Belvoir Community Hospital (FBCH) and the Walter Reed National Military Medical Center (WRNMMC). Once completed, these medical facilities will provide leading, world class healthcare to all service members and their families.

External Links Disclaimer - The appearance of hyperlinks to external sites does not constitute endorsement by TMA of the linked web site or the information, products or services contained therein. For other than authorized activities such as military exchanges and Morale, Welfare and Recreation sites, TMA does not exercise any editorial control over the information you may find at these locations. Such links are provided consistent with the stated purpose of this edition of the Clinical BRAC Newsletter.

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