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MAJ Bukovitz, Michael USAMMA1LT Kuper, JoshuaWBAMC

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Management tool providing unbiased review of the clinical requirements and operations for medical treatment facilities (MTFs)

Focus Regionally based Address standards of care

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Assist MTF Commanders

Equipment Replacement

Validates workload and recommends appropriate infrastructure

Provides clinical recommendations

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Contracted Contracted Pilot ProgramPilot Program

Program developedProgram developedin housein house

FirstFirstimplementedimplemented

at WRAMCat WRAMC

1993199319921992

FormallyFormallyadopted by adopted by

STCPC STCPC

Originally Originally 3-year cycle 3-year cycle

changed to 4-year changed to 4-year

Laboratory and Laboratory and Pharmacy Pharmacy

AddedAdded

19991999 19951995

19941994

19951995

TARA program TARA program expanded to expanded to

include COCOMinclude COCOM

20072007

Work with HFPAWork with HFPAFor any FutureFor any Future

ProjectsProjects

2002 2002

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

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•

Equipment List /

MaintenanceInformation

WorkloadCHCS

MRE(MEDCASE

Requirements & Execution)

Floor Plans

Pre - Site

(AutoCAD)

± 1 Month (Preparation)

Med

ical

Tre

atm

ent F

acili

ties

On - Site

5 Days (Data gathering)

Equipment List &Recommendation

(MS Word)

Site Tour

Section Interviews

IT issues

Floor Plans

(VISIO)

Notes

6+ Weeks (Processing)

TARAReport

(MS Publisher)

Post - Site

-

TDA

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

Why care about TARA?

Am I pointing out my own deficiencies?

How can I benefit?

Provides Hospital Commanders with a 5 year strategic procurement plan for equipment

TARA Program is an unbiased independent team that provides:

Advice to STCPC/MEDCOMMakes infrastructure recommendationsReduces clinical and administrative workloadValidates workloadProvides clinical recommendationsAssists the site in identifying ways to recapture workload

2010Sites RMC Forecasted Tentative Dates

WBAMC Western Oct-09 2-6 NovSAMMC Southern Jan-10 19 Jan - 4 FebJackson Southern Mar-10 8-12 MarBenning Southern Apr-10 18-23 AprLeonardwood Western Jun-10 14-18 JunSill Western Jun-10 21-25 JunWAMC Northern Jul-10  23-27 Aug

2011Sites RMC Forecasted Tentative Dates

Stewart Southern Nov-10 TBD CRDAMC Southern Jan-11 TBD Campbell Southern Mar-11 TBD Knox Northern Mar-11 TBD WRAMC/JTF Northern May-11 TBD FT Wainwright/Richardson Western Jul-11 TBD MAMC Western Aug-11 TBD

2012Sites RMC Forecasted Tentative Dates

Rucker/Redstone Southern Nov-11 TBD DDEAMC Southern Jan-12 TBD Carson Western Mar-12 TBD Vicenza/Bavaria/LRMC/Heidelberg Europe Apr-12 TBD Meade/Detrick/Carlisle Northern May-12 TBD Korea/Japan/TAMC Pacific Jul-12 TBD