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Admiral’s Welcome Message
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roudly, we present the commemorative issue of the National Naval Medical Center Guide.
It is an honor and a pleasure to share with you the rich history of the National Naval Medical Center. It is a noble history, from the moment in November of 1940 when President Roosevelt put shovel to earth, to September of this year when the hospital officially becomes the Walter Reed National Military Medical Center at Bethesda. Military and medical advancements have been made and we will continue to be the Flagship of hope, healing and higher education.
Rear Admiral Matthew L. Nathan NNMC Commander
The legacy of the incomparable strides made in Navy medicine, medical research and medical teaching and training, is engrained in each and every brick of this fine edifice and our reputation will continue to be known throughout the world as one of greatness.
Today, there are feelings of anticipation and excitement and also a unique sense of pride and dignity gained by so many who are and who have been a part of the creation of this magnificent military medical facility. During the challenges that accompanied construction and renovation, the staff at NNMC has endured much, selflessly turning challenges into opportunities. Our crew has remained flexible while moving forward with dedication and professionalism always putting patient care first. Their capacity and willingness to help others and each other is limitless and will carry over to the new joint environment. Even today, the footprint of the base has changed. If you look closely you will witness multi-service partners and integrated clinics working together putting patient care and family support first. You will also see a multidisciplinary crew equipped with the best knowledge available, delivering care with compassion and safety. The challenges will continue as we navigate through this opportunity to become an even greater beacon of hope, but for those of you who enter through our doors have no doubt that you will receive the best care possible for you and your family! As we integrate our diverse and unique individual histories, we will reap the benefits of a strong, united and energetic entity focused on providing world class health care to our nation’s fighting forces, retirees, and their family members. The mission for everyone associated with this exciting endeavor in military medicine and health care was clear Yesterday, is clear Today, and will remain the focal point for Tomorrow.
NATIONAL NAVAL MEDICAL CENTER GUIDE 1
A 70 Year Journey
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n this year’s NNMC Guide you will discover how NNMC got its start, more about our present expansion and what the future will hold. NNMC’s superlative reputation has made “Bethesda” a household word well beyond military medicine. To anyone in uniform, “I’m going to Bethesda”, meant only one thing; the speaker was on his or her way to the premier Navy hospital to serve, study, teach, treat or heal. NNMC’s reputation as the “Flagship of Navy Medicine” has been a source of pride for over 70 years. Today we celebrate that rich history but also celebrate an on-going legacy that will continue for many decades to come. We hope this commemorative book will become an interesting reference for you as we look forward together to a future of “fair winds and following seas.” The current NNMC Command Logo was unveiled in 2001. It features the historic Tower encircled by a gold band representing the building’s art-deco style wrought-iron embellishments. The unfurled banner proudly proclaims our leadership in Navy Medicine while the red, white and blue escutcheon symbolizes NNMC’s role as the President’s Hospital. The shield is flanked by oak leaves, Navy medicine’s symbol, and laurel leaves, an ancient symbol of healing. Force readiness and familycentered care are embodied in the words of our Motto: “Serving You and Our Nation’s Leaders.” The emblem features a navy blue border surrounded by an unbroken mooring line, honoring Navy’s seafaring history, and its unwavering protection of our Nation.
Vision: We are the epicenter of change in military medicine, leading the way to an integrated continuum of world-class patient and family centered care. Mission: As the Flagship of Navy Medicine, We provide the nation’s best Warrior care. We value our patients and staff. We maximize readiness and promote wellness for our Uniformed Services. We provide quality patient and family-centered care. We develop and export innovation through research in healthcare. We lead the way in integration for the National Capital Area healthcare system. We provide robust education and professional development programs. We serve as a resource for homeland defense and humanitarian assistance. We care for the President and the Nation’s leaders.
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Table of Contents* YESTERDAY
From the War of 1812 to NNMC Past Commanders The President’s Hospital NNMC’s Recent History USNS COMFORT
TODAY
A Message from NNMC’s Chiefs of Staff BRAC Pioneers...A Joint Vision Joint Task Force CapMed Construction and Renovation The New “Buzz” Words: Integration and Transition Naval Support Activity Bethesda & Tenet Commands
Patient Services:
Medical Home/Patient and Family-Centered Care Services List/Locations Care for Wounded Warriors Never Wavers National Intrepid Center of Excellence (NICoE) Executive Services A New Organizational Model and 2011 Annual Plan
TOMORROW
Finding Your Way Around - Location Map Fort Belvoir Community Hospital
The Way Forward
Page 4-7 8 9 10 - 13 14 - 15 16 - 17 18 - 19 20 - 21 22 - 23 24 - 25 26 - 29 30 - 31 32 - 33 34 - 37 38 - 39 40 41 42 - 43 44 45
* The phone numbers of departments are not printed in this book because they are now updated regularly in the Command’s Outlook System. The expanded descriptions of patient services normally found in the Guide will be forthcoming in the early spring in a smaller, more convenient Patient Services Guide. Contents of the 2011 National Naval Medical Center Guide are not necessarily the official view of, nor endorsed by, the U.S. Government, the Defense Department (DoD) or Comprint, Inc. Advertising in this publication does not constitute endorsement by the DoD or Comprint, Inc., or the products or services advertised. Everything advertised in this publication shall be made available for purchase, use or patronage without regard to race, color, religion, sex, national origin, age, marital status, physical handicap, political affiliation or any other non-merit factor of the purchaser, user or patron. Published by Comprint Military Publications, a private firm in no way connected with the U.S. Navy, under exclusive written contract with the National Naval Medical Center, Bethesda, Maryland.
Credits Marketing/Communications Team Editor-in-Chief/Writer: Dawn S. Marvin Cover Design/Senior Designer: Regina R. Randolph Contributing Graphic Designers: Miguel Cajigal Catherine Myrick Tobin Morelli Editors/Researchers: Adrienne Villafana Onike Decker Photography: Various Talented NNMC PAO Photojournalists over the years Special Thanks to: Jan Herman and Andre Sobocinsky Of BUMED’s Office of Medical History for Historical Photographs Dr. Joe Lopreiato, for loan of NNMC Memorabilia
Comprint Military Publications 9030 Comprint Court Gaithersburg, MD 20877 301-921-2800 www.dcmilitary.com Publisher: John Rives General Manager: Matt Dunigan Account Executives: Ryan Ebaugh Mike Spera James Constantine Graphic Designer: Kelly Guevara
NATIONAL NAVAL MEDICAL CENTER GUIDE 3
From the War of 1812 to NNMC
S
ince the infancy of our Nation, when drugs often did more harm than good and surgeries took place whenever and wherever possible, military medicine in the U.S. has grown to be in the forefront of modern medicine and has led the way in innovative emergency quality care in remote and dangerous environments.
In 1812, the first naval medical facility in the Washington, D.C. area was established in a rented building near the Washington Old Navy Hospital Pennsylvania Ave. Navy Yard. 1866. The Bureau of Medicine and Surgery (BUMED) was established in 1842, as the central administration for Navy medicine and was given the responsibility for all Navy hospitals and the care of Navy and Marine Corps patients in the US. Dr. William P.C. Barton, a surgeon in the U.S. Navy, became the first Chief of the Bureau (later known as Surgeon General).
appropriated $115,000 for the construction of a 50bed naval hospital at 921 Pennsylvania Avenue, SE, in Washington, D.C., between 9th and 10th Streets. Soon outdated, the Naval Hospital at Pennsylvania Avenue was deemed “antiquated and insufficient,” and in 1906, Congress appropriated $125,000 for a replacement. Built behind the Old Naval Observatory at 23rd and E Streets NW, the “New Naval Hospital” included quarters for sick officers and nurses, a contagious disease building, and administrative offices. From that day to this, the original Navy hospital on Pennsylvania Ave. came to be known as the “Old Navy Hospital.” The “New Naval Hospital”, along with the Naval Medical School, became the Naval Medical Center in 1935. To this day, these historic buildings are an integral part of navy medicine, housing the current location of BUMED and the offices of the Surgeon General of the Navy.
In 1843, patients from the medical facility were transferred to the Marine Barracks at 8th and I Streets. In 1866, during the Civil War, Congress
New Naval Hospital/Naval Observatory now BUMED
1908: The first Navy Nurses “The Sacred Twenty” were also the first women accepted into the Navy.
Even in its conception and early history, NNMC was an integral part of the expansion of military medicine and warrior care. President Franklin D. Roosevelt pushed the growth of modern military medicine into the future as he prepared for the inevitable American involvement in WWII. He
“At all the watery margins they have been present. Not only on the deep sea, the broad bay, the rapid river, but also up the narrow muddy bayou, and wherever the ground was a little damp, they made their tracks.” —President Abraham Lincoln, 1863 Referring to Union Navy Sailors.
4 NATIONAL NAVAL MEDICAL CENTER GUIDE 2011
New Navy Hospital circa 1925
knew that the very best medical care for our returning Sailors, Soldiers, Marines and Airmen would be needed. December 7, 1941, “a day that would live in infamy…” proved him right.
President Franklin D. Roosevelt Selects the Present Site As the former Assistant Secretary of the Navy from 1913 to 1920, President Franklin Delano Roosevelt (FDR) was very dedicated to the Navy, and particularly to Navy Medicine. He envisioned a Navy Medical Center complete with a vital training college, research capacities, a laboratory, a pharmacy, a dental school, an extensive medical library, and medical services and care second to none in military medicine.
At the laying of the Cornerstone, FDR stated, “the striking architecture of this great center (combines) practical usefulness (with) the harmony of its lines and gives expression to the thought that art is not dead in our midst,” and apparently the US Department of the Interior agreed, designating the original Tower a historical landmark in 1977, citing the building’s significance as an outstanding example of Art Deco architecture.
At the time there was pressure from both military and political sources to choose an alternate site closer to the city. Some even suggested the Navy hospital be built on the grounds of the Walter Reed Army Medical Center, in order to foster medical cooperation between the two services. Ultimately, President Roosevelt’s choice became the final location. He drew a sketch of the building on White House Stationary, reminiscent of the State Capitol Building in Lincoln, Nebraska, which he admired. This sketch became the template for the design of the new Naval Medical Center. Ground was broken on June 29, 1939, by Rear Admiral Percival S. Rossiter, MC, USN, the former U.S. Surgeon General, and President Roosevelt laid the cornerstone on Armistice Day, November 11, 1940.
FDR with Rep. Carl Vinson, Chairman of the House Naval Affairs Committee; Senator David Walsh, Chairman of the Senate Naval Affairs Committee; and Rear Admiral P.S. Rossiter, Surgeon-General of the Navy, at the site of future Naval Hospital.
In 1937, Congress appropriated funds for the construction of a new Naval Medical Center. When President Roosevelt saw farmland with a springfed pond on the outskirts of the town of Bethesda, MD; it reminded him of the Biblical “Healing Pool of Bethesda”, and he felt it would be a perfect spot for the medical center. President Roosevelt delivering dedication speech. 1942
NATIONAL NAVAL MEDICAL CENTER GUIDE 5
Always standing ready to treat the Nation’s Heroes Nearing the end of World War II in 1945, temporary buildings were added to accommodate 2,464 wounded American Sailors and Marines. With the start of the Korean War, the medical center’s capacity once again rose, this time to 1,167 beds in 1951, and during the Vietnam War, the bed capacity peaked at 1,122 beds in 1968. Temporary buildings remained on the grounds in one form or another to accommodate War Wounded until 1979.
The Medical Center is Expanded In August of 1960, a $5.6 million dollar expansion project was initiated and consisted of two five-story wings attached to the original Dr. Janet Travell, personal physician to President Kennedy, touring the NNMC facilities. 1961
Navy nurses during greensward maneuvers at the call of a Marine. 1944.
The Original Center With a final ribbon cutting on August 31, 1942, again officiated by President Roosevelt, the Naval Medical Center was comprised of a 500-bed Hospital, the Medical School, the Dental School and the Medical Research Institute, and consisted of the Tower (building 1), the back of the tower (building 2), and two “wings” (buildings 3 and 5, and buildings 4 and 6).
building. Completed in the summer of 1963, buildings 7 and 8 provided space for 258 additional beds and replaced some of the temporary ward buildings. In January of 1973, the mission of the Naval Medical Center was modified to include the provision: “provide coordinated dispensary health care services as an integral element of the Naval Regional Health Care System, 1969 Vietnam. U.S. Marines carrying out their wounded 10 miles northeast of An Hoa.
Temporary ‘Quonset’ type Ward WWII Wounded. 1945
Wounded soldiers at Naval Medical Center. 1942
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including shore activities.” This change established the National Naval Medical Center Region, and placed all naval health care facilities within the Naval District Washington under the authority of the Commanding Officer of the Naval Medical Center. The new inpatient buildings and the Naval Medical Center were consolidated into one command to form the National Naval Medical Center. In 1975 another extensive renovation was needed which included the construction of two new buildings: Building 9, a three-story outpatient structure and Building 10, a sevenstory, 500-bed inpatient facility. Combined, the buildings covered more than 880,000 square feet. In 1979 the remaining temporary buildings were finally razed to make room for a multi-level staffparking garage.
Front page of the 1st issue of “The News.” Jan. 6, 1945
The caption from the back of this 1942 souvenir postcard: The United States Naval Medical Center in Bethesda, Md., twelve miles from Washington, is practically a city in itself. It is hoped that eventually it will become the Medical Center of the World, even surpassing that of Vienna.
The mission of NNMC changed again in 1982, when the Center was reorganized as the Naval Medical Command, National Capital Region (NMCNCR), but in January of 1989, NMCNCR once again became the National Naval Medical Center. In 2004, the Naval Dental Center integrated with the National Naval Medical Center into one command, and in 2009 Naval Support Activity Bethesda was established to oversee the 247-acre complex.
The launching of the “News” by Vice Admiral Ross T. McIntire, then Surgeon General of the U.S. Navy, was an important step toward creating solidarity among Navy Medical Center personnel. “The decision to launch a newspaper (here) is a wise one and the result, I am confident, will be beneficial to all hands” he said. The News was the predecessor of the current Command newspaper; The Journal.
“I can imagine no more rewarding a career...any man who may be asked... what he did to make his life worthwhile...can respond with a good deal
of pride and satisfaction I served in the United States Navy.” – John F. Kennedy NATIONAL NAVAL MEDICAL CENTER GUIDE 7
List of Past Commanders 1935-1936: CAPT Ulys R. Webb, MC, USN.
1965-1966: RADM C.L. Andrews, MC, USN.
1936-1938: RADM C.S. Butler, MC, USN.
1966-1968: RADM G.M. Davis, MC, USN.
1938-1941: RADM H.W. Smith, MC, USN.
1968-1969: RADM R.O. Canada, MC, USN.
1941-1942: RADM C.M. Oman, MC, USN.
1969-1973: RADM F.P. Ballenger, MC, USN.
1942-1944: RADM C.W.O. Bunker, MC, USN.
1973-1975: RADM R.G.W. Williams, MC, USN.
1944-1944: CAPT John Harper, MC, USN.
1975-1976: RADM D.E. Brown Jr., MC, USN.
1944-1946: RADM W.M. Chambers, MC, USN.
1976-1981: RADM J.T. Horgan, MC, USN.
1946-1948: RADM T.C. Anderson, MC, USN.
1981-1984: RADM Q.E. Crews, MC, USN.
1948-1951: RADM M.D. Willcutts, MC, USN.
1984-1985: COMO R.G. Shaffer, MC, USN.
RADM C.A. Swanson, MC, USN.
1985-1987: RADM R.G. Shaffer, MC, USN.
1951-1951:
1951-1952: RADM W.J.C. Agnew, MC, USN.
1987-1988: RADM Donald L. Sturtz, MC, USN.
1952-1953: RADM B. Groesbeck, Jr., MC, USN.
1988-1991: RADM Donald F. Hagen, MC, USN.
1953-1955: RADM L.O. Stone, MC, USN.
1991-1994: RADM Davis M. Lichtman, MC, USN.
1955-1956: RADM H.L. Pugh, MC, USN.
1994-1997: RADM Richard I, Ridenour, MC, USN.
1956-1956: CAPT E.C. Kenney, MC, USN.
1997-1999: RADM Bonnie B. Potter, MC, USN.
1956-1959: RADM T.F. Cooper, MC, USN.
1999-2002: RADM Kathleen L. Martin, NC, USN.
1959-1960: RADM B.E. Bradley, MC, USN.
2002-2004: RADM Donald C. Arthur, MC, USN.
1960-1962: RADM F.P. Kreuz, MC, USN.
2004-2007: RADM Adam M. Robinson, MC, USN.
1962-1963: RADM R.B. Brown, MC, USN.
2007-2008: RADM Richard R. Jeffries, MC, USN.
1963-1965: RADM C.C. Galloway, MC, USN.
2008-Current: RADM Matthew L. Nathan, MC, USN.
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The President’s Hospital
S
ince 1942, the National Naval Medical Center has served, treated and cared for every President of the United States and their families. President Clinton attended to by LCDR S. Miranda, NC, USN (CAPT). 1997
President and Mrs. Ford in the President’s Suite at NNMC following the First Lady’s breast cancer surgery. 1974
President Barack Obama following a medical exam at NNMC. Obama gave a thumbs-up when asked about his health. 2009
President George W. Bush as he arrives at NNMC for his annual physical. 2004
President George Bush receiving ‘get well’ card from grandchildren Sam & Ellie LeBlond during observation at NNMC for irregular heartbeat. 1991
President Reagan with wife, Nancy, as they leave NNMC. 1981
Nancy Reagan kisses her husband, President Ronald Reagan upon arriving at NNMC. 1985
President Jimmy Carter underwent his first thorough physical at NNMC. 1978
President Nixon greets nurses who attended to him at NNMC due to Viral Pneumonia. 1973
President Dwight D. Eisenhower and CAPT F.P. Kreuz, MC, USN.
President Harry S. Truman with Admiral Radford at NNMC. 1947
Before entering NNMC for gallbladder surgery, President Lyndon B. Johnson meets with former President Dwight Eisenhower. 1965
On November 22, 1963, America’s 35th President John F. Kennedy was assassinated. Doctors and coroners at Parkland Memorial Hospital in Dallas intended to do the autopsy, but the Secret Service demanded that the President’s body be taken to “The President’s Hospital” for the autopsy, which was performed on the evening of November, 22, 1963.
NATIONAL NAVAL MEDICAL CENTER GUIDE 9
NNMC’s Recent History 2000–2010
T
he new millennium came fast, and the decade flew by. It seems like just a few years ago we were welcoming in the 21st century and worrying about the Y2K scare and all the computers in the Command crashing at the stroke of midnight….well it didn’t happen, but a lot did. While major milestones such as the BRAC announcement, patient care, OIF/OEF/OND and deployments continued to guide our decisions, many other events both big and small filled our days.
D
B
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F
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(A) 2000: RADM Kathleen Martin buries a Time Capsule at a staff picnic celebrating a “Transformation” to a Services/ Service Chiefs model. Newly formed directorates wore tee-shirts of differing colors; BOD wore “tie-dye” signifying the unity of all directorates. The Capsule included Commander’s Coins, the Journal, a document signed by the BOD, photographs and other mementos and is buried in front of the tower. (B) 2001: When WRAMC lost power, NNMC stepped in and accepted a number of its patients and Bldg. 10 lobby was converted into a triage area. (C) 2004: LCDR Chris Gillette (Ret.), speaks with Channel 13 reporter at Annual NNMC Mass Casualty Drill. (D) 2002: NNMC received the DoD’s first Positron Emission Tomography (PET) scan which allows a more accurate diagnosis. (E) 2004: NNMC, NIH and Suburban Hospital create the Bethesda Hospital’s Emergency Preparedness Partnership (BHEPP), which combines resources to respond to local, regional and national emergencies, the first such partnership in the country. (F) 2004: Cpl Laura Langdeau, a purple heart recipient injured during OIF is being treated with new state-of- the-art equipment which helps improve range of motion. (G) 2003: CAPT Laura Blair Salton Clark was one of seven astronauts who perished aboard the space shuttle Columbia. She was an experienced Naval Flight Surgeon and attended NNMC’s GME program for Pediatrics. At dedication of The Laurel Clark Memorial Auditorium. (Husband) CAPT Jon Clark, USN, (Ret.) (H) 2004: Forty volunteers from the Falls Church Quilters Guild presented a hand-made quilt that honors our deployed active duty.
10 NATIONAL NAVAL MEDICAL CENTER GUIDE 2011
A 2008
2007 (F)
(G)
B C
D
E
F
G
H
(A) 2006: CDC is recognized as a model for the nation by the National Association for Education of Young Children. Lynn Williams, Speech and Language Pathologist, teaches 2 year-old Christian Sutton education exercises. (B) 2005: NNMC earns the Global War on Terrorism Service Medal for its support with contingency operations during OIF/OEF. (C) 2007: NNMC sailors mentor local elementary school students during a weekly trip to Langdon Elementary School, in D.C. 2nd grader Jalynn White reads to LCDR. Willie Williams. (D) 2006: Country music singer Toby Keith received the DoN Superior Public Service Medal, after a performance for wounded service members from NNMC and WRAMC. (E) 2007: Capt. Joseph Pasternak, an ophthalmology surgeon at NNMC, uses the new LASIK IntraLase procedure, resulting in faster recovery. (F) 2005: Launch of the Graduate Education and Research (GEAR) Center, to support medical research and graduate education. (G) 2008: At Annual Volunteer Recognition Ceremony to honor nearly 200 volunteers, Shirley Adams, a volunteer in the Pastoral Care Department for 15 years was honored. (H) 2008: Lt. Gov. Anthony Brown, RADM. Richard Jeffries, resident Lance Cpl. Michael Stilson, Deputy Defense Secretary Gordon England and Navy Surgeon General VADM Adam Robinson at the celebration of renovation of Mercy Hall, wounded warrior’s outpatient lodging facility.
NATIONAL NAVAL MEDICAL CENTER GUIDE 11
2000–2010, continued A
B
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F
(A) 2008: July 3, President George W. Bush and joint military members break ground for the future Walter Reed National Military Medical Center Bethesda. (B) 2009: President Obama visits wounded warriors and their families, seven inpatients, 16 outpatients, 25 family members and personally recognized more than 90 hospital staff members. President Obama and Sgt. Alejandro Ramon. (C) 2009: Firefighters Louis Felton, Jonathan Lang and Jody Sealey awarded the DoD Heroism Award for saving the life of 2 year-old Coleson Petrucelli. Sealy rushed into the burning building and was forced to remove his protective gloves in order to cut through the netting over the child’s crib, while Lang and Felton kept the flames at bay. L to R: Navy Fire and Emergency Services Director Bill Killen (Ret.), Bethesda’s Fire Chief William Holzberger, Firefighters: Louis Felton, Jody Sealey and Jonathan Lang, CDR. John Lamberton and Regional Fire Chief Edward Stillwell. (D) 2008: It is not often we lose Active Duty Navy Medical personnel in combat, but on June 18, 2008, HM Marc A. Retmier was killed in a rocket attack in Afghanistan. We were reminded that medical active duty personnel bravely put themselves in harm’s way while caring for and saving others. HM Retmier worked in the Internal Medicine Clinic at NNMC and was a member of the USNS COMFORT platform. (E) 2009: Sailors, staff and patients were pleasantly surprised when Santa stopped by to spread holiday cheer during the Operation Christmas Miracle-Believe in Santa Tour. “The wounded warriors give so much; I wanted to be sure Christmas was going to be great for them and their families,” said Santa. (F) 2010: Members of the Navy Medicine Support Command Visual Information (NMSC- VI) Directorate received third place at an international video production competition in Baracciano, Italy. “Navy Medical Public Affairs, Telling Our Story,” was selected from 60 entries from 25 countries. Jeff Johnson, VI- Manager, accepts award.
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C
B
A D
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E2 G
F (A) 2010: Muriel “Mike” Jones is recognized for 60 years of GS at NNMC. (B) 2010: NSA Bethesda’s Morale, Welfare and Recreation Center hosts the annual Fall Festival. (C) 2010: COL Norvell V. Coots of WRAMC pops the cork of a non-alcoholic beverage to toast one year remaining until WRNMMCB opens. (D) 2010: Doctor/Inventor, CAPT Mark Johnston, (Ret.), Chief of gastroenterology, invented cryotherapy, which uses liquid nitrogen to freeze and kill cancerous and pre-cancerous cells in the esophagus. (E) 2010: FDR arrives at NNMC to commemorate the 70th Anniversary of the laying of the cornerstone. Mr Delmas Wood, FDR archivist and impersonator. (F) 2010: Chief of Naval Ops Adm. Gary Roughead joined NNMC staff and Ride 2 Recovery (R2R) cyclists at NICoE to commemorate R2R program, which helps speed up rehabilitation through cycling. (G) 2010: First Lady Michelle Obama and Fisher House Foundation Chairman Ken Fisher dedicate the three new Fisher Houses at NNMC.
NATIONAL NAVAL MEDICAL CENTER GUIDE 13
USNS Comfort:
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Healing Missions During War and Peace
nitially built as an oil tanker in 1976 by the National Steel and Shipbuilding Company, the USNS COMFORT (T-AH-20) was commissioned as a U.S. Navy vessel in 1987 and converted into a hospital ship. The COMFORT’s primary mission is to provide mobile, flexible, and rapidly responsive medical support for wartime operations, disaster relief and humanitarian operations worldwide. At full capacity, the 894 foot full-service hospital ship has a staff of approximately 1,200 active duty Navy medical and hospital support personnel (mostly from NNMC) and 60 Navy civil service mariners who operate the ship. The impressive ship contains 12 fully equipped operating rooms, a 1,000-bed hospital facility, radiological services, a medical laboratory, a pharmacy, an optometry lab, CAT scan equipment and oxygenproducing capabilities. The ship also has a helicopter deck capable of landing large military helicopters, as well as side ports to take on patients at sea.
treatment for hundreds of relief workers for cuts, respiratory ailments, fractures and other minor injuries. The psychology and social service personnel provided over 500 mental health consultations helping relief workers to mentally prepare before they headed back to the disaster site. The crew provided food, showers and beds for more than 10,000 relief workers. While moored at Pier 92 in New York Harbor, the COMFORT was designated by the City of New York as the secure location for emergency helicopter landings for VIP personnel visiting ground zero, and safely conducted 16 launch and recoveries for U.S. Marine Corps Sh-60’s and U.S. Army Black Hawks, as well as New York Police Department H-1 aircrafts. Nearly two years after 9/11, crewmembers from the USNS COMFORT were awarded the Humanitarian Service Medal for their assistance in Operation Noble Eagle, the majority of which were Active Duty personnel assigned to NNMC.
1990/1: Operations Desert Shield and Desert Storm Approximately 1,400 NNMC medical personnel set sail for the coast of Saudi Arabia near Khafji, in close proximity to Kuwait, during this nine-month deployment. 1994: Operations Uphold Democracy and Sea Signal The COMFORT deployed to Port-au-Prince, Haiti and Kingston, Jamaica twice during 1994 to provide both combat surgical support for U.S. contingency operations, and health aid to approximately 35,000 Cuban and Haitian migrants. 2001 Operation Noble Eagle The mission, which started out with the hope of providing medical aid to possible survivors, ended up being a mission of humanitarian relief for thousands of ‘ground zero’ workers such as NYC fire fighters, rescue personnel and police. Designed to care for war-wounded service members, the hospital ship provided immediate
“In a matter of hours, the crew mobilized, got underway and changed their mission from trauma support to disaster relief”, said CAPT Charles Blankenship, COMFORT Commanding Officer, “...the ability to prepare for one mission, then immediately carry out another, demonstrated the mobility, flexibility and capability offered by this crew.”
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2005 Hurricanes Katrina and Rita The USNS COMFORT provided medical assistance to the Gulf Coast following the devastation of hurricanes Katrina and Rita. During a seven-week mission which included stays in both Pascagoula, MS and New Orleans, LA, the COMFORT’s medical crew provided treatment to nearly 1,500 residents and emergency workers. 2007 Partnership for the Americas The USNS COMFORT conducted a four-month humanitarian assistance mission to Latin America and the Caribbean and treated more than 98,000 people in 12 countries. For this unique mission, the ship was staffed by medical professionals from the U.S. Navy, Air Force, Coast Guard and Public Health Service as well as Canadian troops and civilian volunteers from a number of nonprofit organizations.
“Our presence during OIF was an intense two months; an experience I will never forget. Treating Iraqi civilians presented many challenges and stresses, especially when caring for children caught in the cross-fire. Our natural response was to help those in need of medical care, a response that we, as Navy Medicine Active Duty personnel, can be proud of.” - Theresa Lavoie, CDR NC USN (Ret.), Dept Head, Executive Health
2003 Operation Iraqi Freedom/Enduring Freedom In January, the USNS COMFORT set sail for the northern Arabian Gulf. During this six-month mission, the crew conducted more than 800 helicopter deck landings to bring aboard personnel, patients and cargo, and performed more than 500 surgeries, transfused nearly 600 units of blood, and treated over 700 patients, a third of which were Iraqi civilians, including children in need of medical care.
2009 Operation Continuing Promise In April, the hospital ship began a four-month deployment to Antigua, Colombia, Dominican Republic, El Salvador, Haiti, Nicaragua, and Panama. Each stop lasted 10 to 12 days, and brought medical, dental, veterinarian, educational and civic action programs both ashore and afloat. The humanitarian mission offered training for U.S. military personnel while providing valuable services to communities in need; and medical treatment for more than 100,000 patients including 1,657 surgeries. The crew also worked on sanitation initiatives, building new schools, community relations projects and public relations campaigns. 2010 Operation Unified Response Haiti On Jan 16, the USNS COMFORT began its race to
aid the people of Haiti after a devastating 7.0 earthquake. The crew treated thousands of injuries and performed numerous amputations due to victims’ limbs being crushed under rubble. The presence of the hospital ship proved to be a symbol of hope for the wounded Haitians.
January 8, 2003, Robert Lambe, 35, from Bermuda, clung to a piece of wood for 20 hours without a life jacket in the Atlantic Ocean while 50mph winds battered him and waves rolled him over again and again during the night. Lambe and two others had been on a 40-foot boat that capsized in the high seas. The two others were never found. Alerted by the Coast Guard, the USNS COMFORT, en route to the Indian Ocean, diverted its course to rescue the survivor.
NATIONAL NAVAL MEDICAL CENTER GUIDE 15
Message from the NNMC Chiefs of Staff
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t is an honor and a privilege for both of us to welcome you to the National Naval Medical Center (NNMC). For nearly seven decades, NNMC has been providing world-class, state-of-the-art patient and family centered health care to military members, their families, and many of our Nation’s leaders, including the President of the United States. National Naval Medical Center is known as the “Flagship of Navy Medicine” and “the President’s Hospital.” People come to Bethesda for many reasons: to heal, learn, teach, or stay fit and ready to serve our country. Whether you’re an enlisted service member, a retired military member, family member, a newly-reporting health care practitioner, or a student, you will be receiving the best medical care and/or educational experience available anywhere. We look forward to fulfilling your health care and/or educational needs. If you are a patient, please know that it is our honor to care for you and your family members’ medical needs, and to educate you about preventive health care and ways to maintain a healthy lifestyle. Our team of nearly 4,000 professionals and support staff are
ready and committed to delivering the finest and most advanced treatment possible. With the patient’s total health and wellness in mind, including the needs and concerns of family members, it is our primary objective to provide the best course of action for a fast and accurate diagnosis, a well laid plan for treatment, proper follow-up care and rehabilitation, when necessary. While working together as a close-knit team, our staff prides themselves in their commitment to excellence, a friendly and compassionate attitude, excellent customer service, and a focus on patient and family centered care. As our Nation continues to be involved in conflict, so does our heartfelt commitment to CDR Nancy Condon, NC, USN, Assistant Deputy Commander for Healthcare Operations (HCOPS)/Strategic Planning and Chief, HCOPS, confers with LTC Steven Roth, MSC, USA, Chief, TRICARE Operations and Patient Appointing Services/HCOPS
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care for, and support, our service members who have been injured on the battlefield. It is our distinct honor, responsibility and privilege to provide care to those that have given so much to preserve the rights and freedoms we all hold dear as Americans. We will continue to do everything in our power and focus our energy in order to care for their medical and personal needs, and the needs of their family members. We do this with great pride and the utmost respect. This is National Naval Medical Center’s final year as a separate, Navy Command. The evidence of change is everywhere as we work to meet the deadline of the Base Realignment and Closure mandate, to become fully aligned with Walter Reed Army Medical Center by September, 2011, and to form the Walter Reed National Military Medical Center Bethesda. It will be the first of its kind, world class tri-service military medical and referral center. This merger will bring together the two most powerful brand names in the history of military medicine into the largest, most sophisticated, uniformed
medical center in the world. It will be the place where “excellent service cultures” are forged into a “culture of excellence.” So once again, welcome to the National Naval Medical Center. We are dedicated to providing the finest patient and family centered medical treatment for our patients and their families, the very best educational experience for our students, and a team-oriented atmosphere for our staff members that is without equal in the Nation.
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BRAC Pioneers...A Joint Vision to Guide Us
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hen the Base Realignment and Closure (BRAC) recommendation became law on November 9th, 2005, a core group of driven and determined individuals, both civilians and active duty at Military Treatment Facilities (MTF) in the National Capital Area, started on an exciting journey together. They met regularly and became the first “change leaders” that this monumental endeavor required. Those early meetings, conferences and retreats set the stage for what the next 6 years would bring. MG Dr. Gar S. Graham, RDML Adam M. Robinson, Dr. Charles L. Rice, President, USU, MG Eric B. Schoomaker (now LTG, Surgeon General, U.S. Army)
“Andrews Air Force Base...has a TriService mission; we see Army, Air Force, Marines and Navy personnel. Our efforts must be cost and quality focused.” MG T.W. Travis, U.S. Army
MG Kenneth L. Farmer, Jr. (Ret.) and RDML Adam M. Robinson (now VADM, Surgeon General, U.S. Navy)
USU is very pleased to be part of this initiative. We support the training mission of our military health system. We are committed to the development of a world class health care system and to educating its providers and caregivers.” Charles L. Rice, M.D., President
Uniformed Services University of the Health Sciences
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When the three leading MTF Flag officers, MG Kenneth L. Farmer, Jr. (now retired); Brig. Gen. Thomas W. Travis (now Maj. Gen.); RDML Adam M. Robinson; and the President of USU, Charles L. Rice, M.D., signed the first Joint Vision Statement in 2006, we had their wisdom and guidance to begin to create the most far-reaching and exciting partnership in the history of military medicine.
“I have heard a number of people say that ‘this is a task that can’t be done.’ I disagree. We are moving ahead. As we (do), GME/Health Profession Education will be one of our top three priorities.” COL T. Fitzpatrick, U.S. Army
Director, Office of Integration 2005-2008
Since those early days, we have seen new hardworking groups of dedicated stakeholders such as The Program for Design team, the Office of Integration Committees, The Med-Cen Integration Teams and the Deputies for Integration and Transition lead us in moving the process forward. In 2007 we saw the formation of the Joint Task Force National Capital Region Medical Command and in 2008, the comprehensive Environmental Impact Study was released.
RADM David J. Smith, MC, Joint Staff Surgeon, is greeted by Dawn Marvin, Marketing/Communications, during tours of the BIJR. The kiosk housing documents relating to BRAC can be seen. (BIJR art designed by R. Randolph)
Designed in the form of a “Situation Room” with 3 large walls of murals, photographs, charts, and other forms of visual communications depicting the BRAC “journey” from 2005 to 2011, the room represents a timeline of BRAC CAPT Daniel Zinder, MC, USN events and explains the scale model of the accomplishments. future expansion. Much interesting and inspiring information can be found on the walls and in reference materials, photographs, handouts with additional data contained in the BIJR kiosk. Although there were integrated clinics and medical staff working together from all branches of the services before BRAC, “functional integration” of clinics really flourished in 2007 and 08. The “blended buildings” was used to represent that although still in various and separate locations, the NCA – MTFs were working together as a team.
The BRAC/Integration Journey Room On July 3, 2008, the same day as the President’s visit to officiate over the groundbreaking of the future hospital, NNMC unveiled the BRAC/ Integration Journey Room (BIJR). The room, located in the basement of Building 9, next to the Executive Dining Room, is a repository of information, and a symbolic tour of the voyage that started in COL Leon Moores speaks with LTG Eric Schoomaker, Surgeon September of General, Commander of the US 2005.
Honorable S. Ward Casscells, M.D., former Assistant Secretary of Defense for Health Affairs visiting the BIJR.
Army Medical Command.
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Joint Task Force:
Integrated Military Healthcare in the National Capital Region
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he Base Realignment and Closure (BRAC) is the change agent that directed
the integration of the Army and the Navy’s two most prominent hospitals: Walter Reed Army Medical Center (WRAMC), and the National Naval Medical Center (NNMC). Once made law, it was evident that military medicine in the National Capital Region (NCR) would never be quite the same, and the integration of these two premier military medical facilities could likely be the model for the future of military medicine.
In September of 2007, the Joint Task Force National Capital Region Medical (JTF CapMed) was established as a fully functional standing task force, located on the NNMC campus and reporting directly to the Secretary of Defense through the Deputy Secretary of Defense. The newly formed Command was charged with leading the way for the effective and efficient consolidation and realignment of military healthcare in the NCR. Vice Admiral John Mateczun was appointed to lead the mission. Having a single leader in charge, allows for proper focus on patient care by the hospital Commanders, and allows for BRAC planning by the JTF CapMed Commander. VADM Mateczun served as Joint Staff Surgeon, Commander of the Medical Center in San Diego, Chief Operating Officer for Navy Medicine as the Deputy Surgeon General, and also was the Director for the Military Health System Office of Transformation.
Vision: “The future Walter Reed National Military
Medical Center at Bethesda will be a world-class medical center at the hub of the nation’s premier regional healthcare system serving our military and our Nation.”
Mission: “We will deliver integrated healthcare in the NCR, ensure readiness, and execute the BRAC business plan to achieve the vision.”
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To accomplish this unified medical mission, the medical services of the Army, Navy, and Air Force in the NCR will integrate to ensure the best utilization of resources available. This will eliminate redundancies, enhance clinical care, promote health profession education and joint training, and enhance military medical research opportunities. This integration also furthers the growth of transformative efforts with government, community and private sector partners.
Defining the Principles and Priorities:
Our greatest commitment is to the health and well being of the men and women who serve our country. Our nation has seen its share of Soldiers, Sailors, Airmen and Marines injured while fighting for the welfare of others during Operations Iraqi and Enduring Freedom. As America’s primary reception site for returning casualties and trauma care, there is nothing more important to our mission than taking care of our wounded, ill and injured warriors and their families. Force Health Protection is an on-going, four-pronged approach which includes: • Casualty Care: Providing health care to returning or injured service personnel • Individual Medical Readiness: Maintaining a fit and ready force. • Deployment of Army, Navy and Air Force medical practitioners, often into harm’s way. • Family-Centered Care: Providing care to our other beneficiaries at home; families and retired.
Serving Our People: Our success depends on
the combined contributions of our active, reserve, civilian, and contract personnel and their families. Their personal readiness is essential to our mission. Our priority is caring for the caregivers. Our people are called to provide healthcare often under trying circumstances. It is a tough job and we have a covenant responsibility to care for them.
Interoperability and Leadership: Leadership is key
to service. We are currently in a unique situation to be able to draw leadership potential from all Services. Since each Service brings unique and critical capabilities to the team, we will have the “best of the best.” Yet, with interoperability; the fusion of working together on all levels, must come teamwork and trust. These are the keys to agile leadership and interoperability between the Services.
Regional Healthcare Delivery: Integrated planning
for the efficient and effective delivery of services on a regional basis is the key to quality and to mission success. We will use common business standards and clinical processes to maximize region-wide growth and potential.
Operational Control:
JTF CapMed has been granted Operational Control (OPCON) authority over Walter Reed Army Medical Center (WRAMC), National Naval Medical Center (NNMC) Bethesda, DeWitt Army Community Hospital (DACH) and the Joint Pathology Center (JPC), and will exercise OPCON over Walter Reed National Military Medical Center at Bethesda (WRNMMC), and Fort Belvoir Community Hospital (FBCH), once these Joint hospitals are established. OPCON is derived from the authorities of Combatant Command (COCOM), and grants authority to: - Organize and employ commands and forces - Assign tasks, designate objectives, and give
authoritative direction necessary to accomplish the mission - Provide authoritative direction over all aspects of military operations and joint training necessary to accomplish missions to the command. OPCON provides full authority to organize commands and forces, and employ those forces as the Commander considers necessary to accomplish assigned missions.
Civilian Workforce:
One of the most important parts of this integrated healthcare delivery system is the workforce. JTF CapMed is working diligently to ensure that civilian personnel at all three medical treatment facilities (NNMC, WRAMC, DACH ) are mapped to their preferred work location. Thus far, there is a 95 percent success rate on getting civilian personnel mapped to the locations of their choosing.
Our Pledge to YOU, Our Patients:
Military healthcare professionals are filling a wide range of roles – demonstrating courage, compassion, ingenuity, and excellence. The staff members of the JTF, and of the Military Health Care Treatment Facilities throughout the NCR, both military and civilian, pledge to you, active duty service members; your families; retired service members and all eligible beneficiaries, our sincerest commitment that you will receive the highest quality of care during this exciting evolution. We take full accountability for our decisions and actions and will meet our responsibilities to you with integrity and honor.
“In September of this year, the doors of the Walter Reed National Military Medical Center at Bethesda and the new Fort Belvoir Community Hospital will open to provide enhanced world class healthcare and support for our returning wounded, ill and injured and their families as well as the more than 500,000 beneficiaries in the National Capital Region. This historic project brings together best practices from the Military Services, highly experienced and motivated staff, and new and renovated facilities. It is the largest infrastructure investment ever made in the Military Health System. This project also brings the latest in technology and equipment to an integrated system of healthcare that will enhance both the effectiveness and efficiency of healthcare in the National Capital Region.” VADM John M. Mateczun,
Commander Joint Task Force National Capital Region Medical
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Construction and Renovation
T
he BRAC direction of 2005 initiated the largest single capital infrastructure development program ever undertaken in the military health system. With five new buildings constructed simultaneously, roads blocked, parking spaces limited, trucks, trailers and cranes dotting the NNMC horizon in every direction; we did not allow our commitment to world-class patient care be affected. Through a haze of bricks and mortar we established temporary workstations for our hospital personnel who were displaced during construction and renovation and prepared “swing space” accommodations for entire clinics before building and renovations could begin. Without skipping a beat, the dedicated staff at NNMC made certain that throughout this entire development, construction, renovation and implementation process, patient care was never compromised.
This huge project is accomplished by many building contractors, architectural firms and DoD and Navy oversight groups working together, including:
criteria, and standards on all medical projects from initiation to occupancy.
Clark/Balfour Beatty (CBB) Joint Venture Whiting-Turner Contracting Company Navy Medicine National Capital Area BRAC, Program Management Office The BRAC PMO manages construction and outfitting of spaces and ensures that the highest standards of medical care are met or exceed all Joint Commission standards; while making optimal use of resources and incorporating evidence-based design and proven world class concepts when construction plans are developed. "The establishment of the new National Military Medical Center is about much more than construction and renovation. It is about bringing together passionate and dedicated health care providers and administrators at one location in new and improved facilities to continue to provide a world-class standard of care for the benefit of those who have given so much to our Nation." David "Ollie" Oliveria
Deputy Chief of Staff for Facilities and BRAC Program Manager Navy Medicine National Capital Area (NAVMED NCA)
Naval Facilities Engineering Command — Medical Facilities Design Office (MFDO) “Technical Medical Experts” The Navy’s point of contact with OASD(HA) and technical expert for medical design and NAVFAC’s final decision making authority regarding technical guidance,
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Office-in-Charge of Construction Bethesda (OICC Bethesda) “BRAC Construction Executor”
OICC Bethesda stood up in June 2008 as an Echelon V command under NAVFAC Washington and is responsible for executing BRAC construction as well as PWO functions at NNMC Bethesda.
Major Projects Traffic Mitigation The traffic mitigation project includes five access gates, a vehicle inspection space and a new pass/ID office. Military Medical BRAC recommendations are funded through the Defense Health Program. When finished this BRAC project will cover TWO MILLION square feet of new construction and renovation and is expected to cost $2.6 billion against a net savings of $200 million a year starting in 2012.
America Garage – Patient Parking Garage and Central Utilities Plant
of Building 17, begun in Fall of 2010, the building is scheduled to be completed in August 2011.
The new patient parking garage is a 327,000 square feet, eight-story, garage contains 944 parking spaces and three elevators primarily for outpatient use. Also integrated into the design are three cooling towers and a generator to provide emergency electrical power to service the America Building.
Multi-use Parking Structure The 1,204-space multi-use, 405,000 square feet, 10-story parking structure is scheduled to be finished by September 2011.
Fisher Houses Three additional Fisher Houses have been built to add to the already existing two. Offering residence to families of wounded warriors and are funded by the Fisher House Foundation.
Renovations Renovations of existing buildings include 350,000 square feet of existing clinical spaces in Buildings 9 and 10, and 40,000 square feet spaces in Buildings 1 through 8, including 17 operating rooms and additional renovations in the emergency, pediatric, medical surgery, Physical Therapy/Occupation Therapy and the Warrior Care areas.
Evidence-Based Design America Building #19, Outpatient Clinics This new striking building houses most outpatient clinics and resources and includes radiation therapy and cancer treatment. The building is 515,000 square feet on seven floors. Construction began in July 2008 and was completed in the fall of 2010 on schedule.
Arrowhead Building # 9-A Inpatient Addition The new Inpatient addition to the existing Building 9 is approximately 162,000 square feet on four floors. The facility will house the emergency department, cardiology, interventional imaging, nuclear medicine, and two intensive care units. Construction began in August 2008 and is scheduled to finish early 2011.
EBD is about the physical environment in the hospital. The latest healthcare industry research suggests that lighting, sound and ergonomics can create a safe, family-friendly and therapeutic healing environment for patients. EBD was used in the planning of new rooms and spaces at both the future Fort Belvoir Community Hospital and the future Walter Reed National Military Medical Center Bethesda. The Healing Garden located in the new America building, with its pleasant mosaic tree mural, maximizes natural and morning light to create a soothing and healing environment which reduces stress and affects outcomes.
Building 62 This building will be a barracks constructed north of Building 11 and will include 153 twoperson suites with 306 individual ADA compliant bedrooms/bathrooms, a Dining Facility that will feed 1,500 daily and administrative spaces for the Joint Warrior Transition Unit, serving wounded warriors from the four military branches.
Building 17 Complex: Administration/ Fitness Center/Parking Garage This complex is a consolidated Administrative/ Fitness Facility and Parking Garage to be constructed and incorporated into the existing façade NATIONAL NAVAL MEDICAL CENTER GUIDE 23 Guide Book.indd 23
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Integration and Transition: The new “Buzz” words United We Heal COMING United We Heal SOON! United We Heal United We Heal United We Heal United We Heal United We Heal
I
ntegration and Cultural integration refer to the “beliefs”, habits, assumptions, even the ways of thinking and conduct that we come with. Integrating those beliefs and merging those values and assumptions into one blended, enriched culture, where everybody works towards a common shared goal, culminating in a set of repeated behaviors, processes, procedures and values would be true integration. But first, we start by working together, playing together and learning about each other.
United We Heal
United We Heal United We Heal United We Heal United We Heal United We Heal United We Heal United We Heal United WeWeHeal United Heal United We Heal United We Heal United We Heal United We Heal United We Heal United We Heal United We Heal United We United WeHeal Heal United We Heal United We Heal United We Heal United We Heal United We Heal United We Heal United We Heal United WeWeHeal United Heal WRNMMCB United We Heal September 2011 United We Heal
During a “Building Team Spirit” picnic, staff from NNMC and WRAMC participated in integrated activities, including a softball game and a 5k race. 2009 NNMC Command Master Chief Sherman Boss greets WRAMC Senior Enlisted Leader, Sgt. Maj. Rudy Delvalle at the first Integrated Picnic. “This is a great effort, and I’m proud to be a part of it,” Delvalle said.
“We couldn’t fight without the Navy, We couldn’t fly without the Air Force, and We couldn’t win without the Army and the Marines on the ground.
“A global force, always strong, always faithful, above all! Coming together was the beginning; Working together is our future — Staying together is our promise.
ONE TEAM, WE ARE IN THIS ONE MISSION, TOGETHER.” ONE PURPOSE.”
CSM Rodolfo Delvalle, CMDCM Sherman Boss, US Army US Navy
“United We Heal.”
Interim Motto Contest Winner 2010: Pamela Porter, an employee in the Department of Psychology at WRAMC won the NNMC/WRAMC sponsored “Interim Motto” contest in which over 400 people submitted entries. An unofficial phrase to promote the time period between now and September 2011 was the contest goal.
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Integration is an exciting time for us to learn about each other. How many of these TRIVIA Answers do you know? (Answers at the bottom of
the page.)
3. Which former U.S. President died at Walter Reed? 4. How many NNMC staff members deployed on the USNS Comfort and other units serving in the Persian Gulf during Desert Shield/Desert Storm in 1990-91? 2010 - Learning about each other; NNMC Marketing/Communications Staff creates a booth and brochures displaying the histories of both WRAMC and NNMC at Joint Training Day.
5. What famous WWI general lived in a suite at WRAMC from 1941 until his death in 1948?
1. When did the original Walter Reed General Hospital officially open for patient care?
7. Why was the WRAMC facility named after Major Walter Reed?
2. Who is the NNMC Clark Memorial Auditorium named after?
T
6. What structure did President George H. Bush dedicate at NNMC in1991?
8. Who was the first and only (to date) Navy Nurse and Director of the Navy Nurse Corps to serve as Commander of NNMC?
ransition refers here to the physical and actual movement of staff and equipment from WRAMC to NNMC and FBCH, in a planned and orderly fashion. This does not happen overnight on September 15, 2011. From the early “functional” integration of separate clinics to one clinic chief overseeing two locations, to the gradual shift of services to the Bethesda and Fort Belvoir locations, transition has been a huge undertaking and continues to be the main focus of medical and administrative personnel. “The National Capitol Region Medicine team provides seamless care from aeromedical transport to the world class medical and rehabilitation facilities—our injured warriors and their loved ones deserve nothing less.” MG Gerard A. Caron, Commander, 79th Medical Wing, USAF
“Walter Reed Bethesda, All of us providing the best medicine in the world for the best patients in the world. One Team!” MG Carla Hawley-Bowland Medical Corps Commanding General Northern Regional Medical Command and Walter Reed Army Medical Center, Chief, Medical Corps 1. May 1, 1909 2. CAPT Laurel Clark, astronaut, attended Pediatrics postgraduate program at NNMC 1987-1988, and one of seven astronauts who perished aboard the space shuttle Columbia, February 2003 3. Dwight D. Eisenhower, 1969. 4. More than
1,400 military service members 5. John J. “Blackjack” Pershing 6. The first Fisher House 7. In honor of his research and work in controlling the spread of Yellow Fever by confirming that yellow fever is transmitted by mosquitoes 8. RADM K.L. Martin, 1999 - 2002
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Naval Support Activity Bethesda
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n March, 2008, the Secretary of Defense directed that the remaining medical installations managed through the Defense Health Program be transferred to the respective Service Shore Installation Enterprise. To this end, in August 2009, Commander, Navy Installations Command called for the establishment of Naval Support Activity (NSA) Bethesda. In May, 2010, NSA Bethesda welcomed its first Commanding Officer, Captain Michael P. Malanoski, Medical Corps, United States Navy.
NSA Bethesda is a multifunctional organization dedicated to providing responsive high-quality base operational support to enable tenants to accomplish their mission by enhancing their quality of life. NSA is a responsive civic partner by building and nurturing effective relationships with the local communities.
At Bethesda, we see our future as a culmination of many years of work that will improve efficiency and allow all the commands on the Bethesda campus to focus on their important work and not on the management of installation functions. The transition from National Naval Medical Center, the Installation, to Naval Support Activity Bethesda is greater than just a simple name change. The new organization will streamline operations to better support the future Walter Reed National Military Medical Center Bethesda, the Uniformed Services University of the Health Sciences, and more than 25 other tenant commands located here on the Bethesda campus and listed below with their guiding principles. NSA Bethesda will continue the tradition of providing superior facilities and service to its tenants enabling our tenant commands to focus their efforts on what they do best—healthcare, education, and research.
NSA Bethesda Tenant Commands Armed Forces Radiobiology Research Institute (AFRRI)
Naval Legal Service Office North Central, Bethesda Branch Office (NLSO)
AFRRI, a tri-service laboratory chartered in 1961, conducts research in the field of radiobiology and related matters essential to the operational and medical support of the U.S. Department of Defense and the military services. The institute collaborates with other governmental facilities, academic institutions, and civilian laboratories in the United States and other countries. Its findings have broad military and civilian applications.
NLSO North Central’s primary mission is to provide legal service to support fleet readiness. We serve shore activities, operational units, servicemembers, retirees, and family members in 28 States, the District of Columbia and Eastern Canada, with an area of responsibility stretching from the mid-Atlantic throughout New England, across the Great Lakes region, down to the mid-South. Functionally, the command’s primary legal service areas include legal assistance, defense representation at CourtsMartial, and providing counsel for respondents
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at administrative hearings and for Sailors and Marines facing physical evaluation boards.
Medical Inspector General’s Office Assess policy compliance/ effectiveness of Navy Medicine Commands and promote system wide improvements. Manage the Navy Medicine Hotline Program.
Naval Dosimetry Center Provides a centralized radiation dosimetry processing and consultation service to the Naval commands as part of the Navy’s Radiation Health Protection Program. Maintains a registry of ionizing radiation exposure data for Navy and Marine Corps personnel. Operates a facility for determining the internal human burden of radioactive material. Provides assistance in adjudication of U.S. Navy-related claims of radiation injury.
Naval Criminal Investigative Service The NCIS mission is to investigate and defeat criminal, terrorist, and foreign intelligence threats to the United States Navy and Marine Corps, wherever they operate, ashore or afloat.
Navy Exchange To provide quality goods and services at a savings and to support Navy quality of life programs.
Navy Federal Credit Union SERVICE
World-class service is key to our success, rooted in our belief that it is an honor and a privilege to serve our members.
COMMITMENT
Commitment is our dedication to getting the job done by providing our members with outstanding products and exceptional services.
INTEGRITY
Integrity is the standard by which we live. It shapes our relationships with our members, each other, our business partners and the communities in which we serve.
Navy-Marine Corps Relief Society The mission of the NavyMarine Corps Relief Society is to provide, in partnership with the Navy and Marine Corps, financial, educational, and other assistance to members of the Naval Services of the United States, eligible family members, and survivors when in need; and to receive ad manage funds to administer these programs.
“NSA Bethesda is proud to support NNMC as it transitions into the future WRNMMCB. The new hospital, along with USUHS, NiCOE, and the other medical commands that are tenants on NSA Bethesda make this the premier military medical installation in the MHS. When you add NIH, which is right across the street, we have a worldclass medical complex that is second to none. We are excited about this new chapter in the installation’s history, and see this as the culmination of President Roosevelt’s dream.” CAPT Michael P. Malanoski, Medical Corps, United States Navy
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NSA, continued N
AR
IO NAT
NA
MEDICI
EA
Y AV
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Navy Medicine National Capital Area
L CAPITAL
Serve as the Navy component to JTF Capital Medicine. Maintain Operational Control (OPCON) and Administrative Control (ADCON) of subordinate commands placed under TACON to JTF CAPMED.
Exercise command and fiscal oversight of subordinate commands assigned to the region. Ensure the delivery of efficient, effective and quality health care services within the region. Provide training oversight and personnel to support the full spectrum of Navy and Marine Corps combat and contingency operations. Ensure planning and preparation for disaster and emergency management within Navy subordinate commands in support of JTF Capital Medicine.
Personnel Support Detachment (PSD) To provide our customers with accurate, timely, and courteous service in the areas of pay, personnel and transportation support.
American Red Cross The American Red Cross has a long history of providing service to members of America’s military and their families during conflicts, peacekeeping and humanitarian operations. Founded by Clara Barton in the mid 1800’s, the American Red Cross Service to the Armed Forces has been committed to continuing her vision through emergency communications and quality of life services for military personnel and their families. In military treatment facilities around the world, Red Cross volunteers supplement and assist with programs relating to health, welfare and morale.
Navy Medicine Manpower Personnel Training & Education Command (NMMPT&E) To deliver the right number of personnel, at the right time, with the right skills, at the best value, supporting the multiple missions of Navy Medicine.
Naval Medical Support Command To exercise command and control over Navy Medicine Mission Specific Commands. To oversee and carry out the necessary courses of action to ensure the economical and effective delivery of Navy Medicine enterprise-wide support services as directed by Chief, Bureau of Medicine and Surgery. To exercise program executive office oversight of specified execution-level programs. The Visual Information Directorate plans, controls, staffs, manages and executes all aspects of Visual Information (VI) and Audiovisual (AV) programs in support of the Navy’s medical and dental imaging needs.
Dee Murphy was a dedicated NNMC Red Cross volunteer for over 25 years. She provided training and orientation to 47 American Red Cross volunteers. She gave tirelessly at NNMC until her passing in 2009 at age 89.
US Coast Guard Liaison We are the guardian of the Guardians. We deliver superior, responsive and comprehensive health, safety and family support services to beneficiaries and CG communities, supporting individual well-being and the full range of CG missions.
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United States Postal Service
Navy College
The Postal Service shall have as its basic function the obligation to provide postal services to bind the Nation together through the personal, educational, literary, and business correspondence of the people. It shall provide prompt, reliable, and efficient services to patrons in all areas and shall render postal services to all communities.
The Navy College provides Sailors with opportunities to earn college degrees through a variety of options. The program’s mission is to provide continual academic support to Sailors while they pursue a technical or college degree, regardless of their location or duty station.
Uniformed Services University of the Health Sciences The Uniformed Services University of the Health Sciences is the Nation’s federal health sciences university and is committed to excellence in military medicine and public health during peace and war. We provide the Nation with health professionals dedicated to career service in the Department of Defense and the United States Public Health Service and with scientists who serve the common good. We serve the uniformed services and the Nation as an outstanding academic health sciences center with a worldwide perspective for education, research, service, and consultation; we are unique in relating these activities to military medicine, disaster medicine, and military medical readiness.
Naval Facilities Engineering Command NAVFAC is the Systems Command that delivers and maintains quality, sustainable facilities, acquires and manages capabilities for the Navy’s expeditionary combat forces, provides contingency engineering response, and enables energy security and environmental stewardship.
Armed Services Blood Bank The Armed Services Blood Program (ASBP) plays a key role in providing quality blood products for Service members and their families in both peace and war. As a joint operation among the military services (Army, Navy, Air Force), the ASBP has many components working together to collect, process, store, distribute, and transfuse blood worldwide.
National Cancer Institute (NIH) The National Cancer Institute coordinates the National Cancer Program, which conducts and supports research, training, health information dissemination, and other programs with respect to the cause, diagnosis, prevention, and treatment of cancer, rehabilitation from cancer, and the continuing care of cancer patients and the families of cancer patients.
Navy Central HIV The NCHP oversees on behalf of the Bureau of Medicine and Surgery (BUMED) the administration and development of policies concerning HIV infection in the Department of the Navy (DON) in support of force readiness and personnel management.
Housing Referral The Department of the Navy Housing Welcome Center is available to meet all Active Duty housing needs! Personnel must first report to the Navy Housing Referral staff, who will assist them in locating housing On-Base, Off-Base or within the local area.
Additional tenants include: Veteran’s Affairs Human Resources Office–Washington USMC Liaison Medical Recruiters
WHAT DOES THE FUTURE HOLD IN NUMBERS? NSA’s Current Base Population (includes NNMC and all Compound Tenets): 8,000 The Projected NNMC Population Increase: 2,500 Total Base Population after September 2011: 10,500 NATIONAL NAVAL MEDICAL CENTER GUIDE 29
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What is the Medical Home?
M
edical Home (MH) is a term that refers to a new approach to healthcare delivery. It is based on the concept that the patient is always at the center of every decision made regarding their care. MH patients
receive closer, more personalized care coordinated with an entire team and have improved access to their primary care provider. Patients also have new medical and community resources at their disposal. It is our priority that a patient’s PCM remains the same as long as he/ she continues to work at NNMC. This provides improved continuity of care, and allows the patient and the PCM to develop a closer relationship and partnership.
The Team Approach
MH patients will have an entire team responsible for their healthcare which includes the PCM, a Registered Nurse (RN), a Licensed Practical Nurse (LPN), and/or a Hospital Corpsman. This team works together to fulfill administrative requests, book appointments directly and provide additional medical services. For urgent issues, a MH patient is able to call and schedule an appointment for that same day. For routine appointments and on-going (chronic) health issues, patients can speak to a team member and schedule a timely appointment with the PCM directly. A team member will also contact patients directly to ensure that healthcare needs are met. Specialist care and referrals are made easier because a MH team member will see that NNMC specialists’ appointments are made and will help schedule these services so that the process is made easier for the patient. If referred to the network, a team member will assist with the referral and ensure that the results and follow-up are reported directly to the PCM.
The basic concepts and tenets of Medical Home include Stable Primary Care Manager, Team Based Healthcare, Improved Access, Proactive Healthcare, Coordination with Medical and Surgical Specialists and Improved Communication and Information Systems.
NNMC ONLINE Makes Patient Communication Easier! Improved communications is achieved RelayHealth or by NNMC ONLINE. This secure and userfriendly internet-based Personal Health Record (PHR), allows the Internal Medicine/Medical Home patient to send and receive e-messages directly to and from their Primary Care Manager (PCM) and Primary Care Provider. Patients can request lab/radiological results, appointments, medication renewals, and receive specific, personalized information on how to manage their medical condition. Using PHR helps patients avoid playing phone tag with their Primary Care Team and results can be requested, sent and received quicker than regular mail and can also help avoid unnecessary office visits. 30 NATIONAL NAVAL MEDICAL CENTER GUIDE 2011 Guide Book.indd 30
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Patient and Family – Centered Care (PFCC) PFCC is: “an approach to health care based on beneficial partnerships among health care providers, patients and families.”
THE TENETS OF PFCC:
(Adapted from the Institute for Family Centered Care)
Mutual Dignity & Respect:
At NNMC you are an equal partner in your health care. You decide if a family member or friend accompanies you to your clinic visit or hospital stay. Your cultural background, values and beliefs are respected.
Health care practitioners listen to and honor patient and family perspectives, knowledge and desires. Attention is given to a patient’s emotional well-being, privacy and personal preferences.
Open and Honest Information Sharing: Health care practitioners communicate and share timely, complete and accurate information to enable patients and families to effectively participate in care and decision-making.
Active Participation: Patients and families are encouraged to participate in care and decision-making, to ask questions about their medical tests, treatment plan and medicines.
Collaboration (teamwork): Health care leaders collaborate with patients and families, developing the best treatment.
T
HM2 Dennis I. Armato Mr. James N. Crisler
HM2 John W. Smith
Diagnostic Radiologic Technologist
Dr. John Chandler
Holly Pertmer
Staff Intensivist
he Patient and Family-Centered Care Excellence Recognition Program
We acknowledge superior performers who make significant contributions in Patient and Family-Centered Care. The following people and departments have been recognized by their peers and supervisors in 2009-10 to earn this recognition.
Dr. Sarita Mobley
Chief of Staff, Medical Home
Ms. Barbara Eckman
Social Worker, Child/Adolescent Psychiatry Service
HN3 Eric Wickersham
Inpatient Surgical Nursing 5 East
Ms. Kristina N. Drew
Nurse, Inpatient Surgical Nursing 5 East
Ms. Kimberly Quintanilla
Nurse, Neonatal Intensive Care Unit
EL
C
C
E
Inpatient Recovery Ward
EX
Social Worker Breast Care Center
PFCC
LEN
7 West Staff PH-TBI Psychiatric Consultation and Liaison Team Neonatal Intensive Care Unit (NICU) Nursing Staff Inpatient Internal Medicine Ward (5 Center) Team Intensive Care Unit (ICU) Team Pediatric Clinic Team Psychological Health Traumatic Brain Injury Liaison Team NATIONAL NAVAL MEDICAL CENTER GUIDE 31
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Medical Services and Locations
Bldg - Floor
Addiction Services NEW 19 6 Adolescent Medicine 19 4 Adult Outpatient Behavioral Health 19 6 Allergy/Immunology/Immunization 19 4 Ambulatory Surgery and Procedures 9/10 3 Anatomic & Clinical Pathology 9 Basement Anesthesia 9-A/9 3/2 Blood Bank 9 3 Audiology/Speech Pathology 19 5 Breast Care 19 3 Cardiology 9 2 Cardiothoracic Surgery 9 2 Child & Adolescent Behavioral Health 19 4 Chiropractic Services 19 1 7 3 Clinical Nutrition 9/19 2/1 Clinical Pharmacy Cochlear Implants 19 5 Colon Health 9 1 Cosmetic Surgery 9 2 Critical Care 9-A 3,4 Dermatology 19 3 Developmental Pediatrics 19 4 Diabetes Care 19 2 Educational & Developmental Intervention Services (EDIS) 19 4 Ear Nose Throat (ENT) 19 5 Emergency (Emergency Medicine) 9-A 1 Endocrinology 19 5 Exceptional Family Member Program 19 4 Gastroenterology 9 1 General Dentistry 2 2 General Surgery 9 1 Geriatric Medicine 19 2 Gynecology 19 3 Health Promotion/Physical Fitness Assessment (PFA) 11 2 Hearing Conservation 7 2 Hematology/Oncology 19 3 Industrial Hygiene 17 3 Infection Prevention & Control Services 7 1 Inpatient Medicine 10 3,4,5,7 International Travel 19 4 Internal Medicine/Surgery 19 2 Interventional Radiology 3 2 In-vitro Fertilization NEW 10 2 Laboratory 19 1
I could not ask for better customer Technician Bowman in the pulmonary clinic (is) (and) efficient, good job, good department… service. I also, would like to thank friendly PA Cauchon for helping me with - B. P., Fairfax, VA my back problems. Vicky Singer (In MRI, because of my Claustrophobia), was Big Mike thank you for all your very understanding and went out of her way to make me assistance. Have a great day. comfortable. You have an excellent person working for you. - TSgt. M. R., Alexandria, VA - Anonymous
(ER Staff) Rufus, Nurse Joyner, “Mike” the nurse on rotation and Dr. Lang and Nurse Terry, provided courteous, competent, attentive care and guidance. Dr. Owens was thorough and gentle …and my never ending praise for Dr. Kim Gibson’s team of Rod Williams and Nurse Kassam. Bravo Zulu to all - M. P., Silver Spring, MD
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Bldg - Floor
Medical & Reproductive Genetics 9 2 Mother & Infant Care 10 6 Navy Central HIV Program 17 Neonatal Intensive Care Unit (NICU) 10 6 Nephrology 9 1 Neurology 19 6 Neurosurgery 9 1 Nuclear Medicine 9-A 1 Obstetrics & Gynecology 9 2 Occupational Health 7 2 Occupational Safety 7 2 Occupational Therapy 19 1 Oncology 19 3 Ophthalmology 8 1 Optometry 8 1 Orthopedics/Podiatry 19 2 Oral & Maxillofacial Surgery 9 2 Otolaryngology Surgery (ENT) 19 5 Partial Hospitalization NEW 8 4 Pediatric Medicine 19 4 Pediatrics Behavioral Health 19 4 Pediatrics: Inpatient NEW 10 3 Pediatrics: Neurodevelopmental 19 4 Pediatrics: Specialty Care 19 4 Physical Medicine & Rehabilitation 19 1 Physical Therapy 19 1 Plastic & Reconstructive Services (Pediatric & Adult) 9 2 Preventive Medicine & Environmental Health Services 7 2 Psychological Health/Traumatic Brain Injury (PH-TBI) 10 7 Pulmonary Medicine 9 1 Radiation Oncology 19 Basement Radiology 9 1 Refractive Surgery 8 1 Respiratory Services 9-A 3 Rheumatology 19 3 Social Work/Clinical Care Management 7 5 Substance Abuse 9 4 Surgical Services 9 1 Surgical Oncology 19 3 Transfusion Services 9 3 Transplant Services NEW 9 1 Urology 9 2 Vaccine Healthcare 19 4 Vascular Surgery 9 2
Bravo Zulu!! To ENS Thorkilosen and her professional attitude it was refreshing and uplifting to have her attend to my medical needs ….She is a fine example to her medical profession. - D. S., Woodbridge, VA
Dr. Michael Westerman of Internal Medicine, Geriatric Medicine. …is so understanding … As an older patient, it is difficult to find a doctor who understands all the problems we have… He is very patient and listens closely… he is cautious in prescribing medications… and a wonderful asset. - M.S., LaPlata, MD
Doctor Gilson’s professionalism, competence, and integrity have been instrumental to my health and well-being. He is a dedicated and trustworthy physician with a holistic and proactive approach that… maintains personalized attention. He …fostered a warm and supportive relationship… - B. R.
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Achieving Excellence in Casualty Care
T
oday, military medicine is performing around the world, on land, at sea and in the air, saving lives and safely transporting patients to military emergency care within minutes of the initial injury and on to a stateside military treatment facility within 22 hours. Our patients are transported from theater to Andrews Air Force Base by the Medical Evacuation (Med Evac) and the Critical Care Air Transport Team (CCATT). The CCATT’s mission is to operate an intensive care unit in an aircraft cabin during flight, adding critical care capability to the U.S. Air Force Aeromedical Evacuation System. CCATT patients have received initial stabilization, but are still critically ill or wounded. They require evacuation from a less capable, to a more capable hospital and evacuation from the combat zone. Medical training in casualty care with highly technological and state-of-the-art means of rescue and resuscitation is surpassing anything thought possible just a few decades ago. Hands-on courses in advanced training in field medical techniques while dealing with extreme “simulated” combat scenarios has prepared Army,
Navy and Air Force practitioners to care for the most important patients they will ever serve. An integrated healthcare system supports the individual service member who is returning to the force or transitioning to the civilian workplace. Creating healing environments that encompass both the inpatient and outpatient experience is integral to the renewal of psychological, physical, and spiritual wellness. Within a framework of Patient/ Family Centered Care, a dedicated team of healthcare professionals and coordinators facilitate a speedy recovery and return of Soldiers, Airmen, Sailors and Marines to productive activities of daily living through cutting edge technology, evidence-based design, innovation, and partnerships with volunteer agencies. Many of our wounded heroes transition to the U.S. Department of Veterans Affairs (VA) for rehabilitative care. To help this process, the VA created a program called “Seamless Transition,” that assigns a VA representative to ensure a smooth evolution of medical services. NNMC is one of the few facilities with a representative from this program.
Thousands of children from across the country write to the Marines and soldiers who are cared for at NNMC.
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2003: RADM Donald Arthur, NNMC Commander, receives on behalf of the entire staff of NNMC, a Meritorious Unit Commendation from the Honorable Gordon England, Secretary of the Navy, citing the hospital staff for their “outstanding” medical care to injured Sailors and Marines in OEF and OIF.
“This is probably the humblest and proudest experience I’ve had since I’ve been Secretary. I am here among heroes who have been on our Nation’s battlefields, and I’m here with all the heroes in this hospital.” The Honorable Gordon England, 2003
Trauma Team — The Multi–Disciplinary Approach An organized multi-disciplinary team approach to the care of the injured patient is essential to returning our wounded warriors to optimal health. The trauma service team is led by surgeons who have completed specialty training and have many years of experience in the care of wounded patients. U.S. Navy Activated Reserve Medical Service Corps surgeons, Lt. Cmdr. Steve Madison (left), Cmdr. William O’Connor (center), and Lt. George Nanos (right), work together at NNMC, to apply bandages to the leg of a U.S. Marine wounded in action during OIF.
“The National Naval Medical Center is honored to care for our wounded Marines, Soldiers, Sailors, Airmen and we will do everything in our power to return these wounded warriors to a full and active life and will assist their families during this difficult period.” – Rear Admiral Matthew L. Nathan, Commanding Officer NNMC
Players from the Chicago White Sox visit with Lance Cpl. Gregory P. Lewis at NNMC. Lewis was recently wounded in Afghanistan. The players met with patients and their families at the hospital, giving them signed shirts and baseball caps and thanking them for their service. NATIONAL NAVAL MEDICAL CENTER GUIDE 35 Guide Book.indd 35
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Treating Our Wounded, continued While embedded with the 4th Infantry Division in 2006, ABC reporter Bob Woodruff suffered a TBI when an improvised explosive device (IED) struck his tank near Taji, Iraq. He sustained severe trauma to his head and extensive shrapnel wounds and was treated at NNMC.“All of us injured in
the war, whether they are military or journalists, get the best treatment on Earth at [NNMC],” Woodruff said during
an interview in 2010. Among others, Woodruff visited with Marine Sgt. Jordy O’Neil (and visitor), who received the Purple Heart for injuries he sustained in Afghanistan. Woodruff also visited many of the doctors and nurses that provided care for his own injuries over the past four years.
Penetrating Head Injuries NNMC receives and cares for wounded warriors from all the military services who suffer a penetrating head injury. Our aggressive use of brain imaging and the treatment of arterial vasospasm have lead to improved survival and recovery in many of these patients. 2004, Staff Sgt Jessica Clements was severely wounded by a roadside bomb near Baghdad. Damage to her head was so severe that Army Lt. Col. Jeff Poffenbarger, a neurosurgeon with the 31st Combat Support Hospital, made a quick decision to remove a large portion of Jessica’s skull, a move that ultimately saved her life. Clements spent a month in a coma at WRAMC. She was moved to NNMC where Col. Rocco Armonda, Neurosurgery Clinic, reattached the removed portion of her skull. Clements and fiancé Greg Ramos became engaged while she was recovering at NNMC. 2006 – U.S. President George W. Bush awards the Purple Heart to U.S. Marine Corps Cpl. Edgardo Velazquez of Bronx, N.Y., as his wife Loureann (L) and nurse, Roselin Imarti look on at NNMC.
“It’s a brave lot here in Bethesda; people who are willing to sacrifice for something greater than themselves.” – President George Bush, 2003
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Amputee Care The high energy delivered by modern weapons can cause extensive soft-tissue injury and result in wound complications that require a longer time to heal. Battlefield wounds are initially left open because of the high risk of infection. A staged approach to amputation surgery is used to obtain wound closure and a residual limb that can provide the best function. At NNMC we care for our wounded warriors until their acute wounds are healed and arrangements for rehabilitation are made at one of our state of the art military Amputee Centers.
Former Marine Corps Commandant Gen. Michael Hagee with Marine Cpl. Tim Jeffers, a double amputee still on active duty. Empowering Our Wounded Ill and Injured (WII)
Wounded Warrior Care and Transition (WWCT) empowers WII and transitioning service members and their families by: • Providing Recovery Care Coordinators to help WII service members and their families develop and use a Comprehensive Recovery Plan and receive the non-medical support they need to create the lives they want.
• Restructuring the Disability Evaluation System for an equitable and efficient adjudication of benefits from the DoD and VA. • Informing service members, veterans, and families through the National Resource Directory and eBenefits websites. • Utilizing the Transition Assistance Program to give all service members the tools they need to succeed at home when they have completed their service to our nation.
The winds may not always blow my way, but I’ve learned to stand in the storm, adjust my sails and move forward. – Anon
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The National Intrepid Center of Excellence
T
he concept of the National Intrepid Center of Excellence (NICoE) grew from the need to understand the signature wounds from the Afghanistan and Iraq wars: Traumatic Brain Injury (TBI) and Psychological Health (PH) conditions. The Intrepid Fallen Heroes Fund (IFHF) led the fundraising effort for the Center, securing $65 million in private donations and overseeing
the construction and equipping of the facility. The 72,000 square foot, two-story facility was officially transferred to the Department of Defense in a dedication ceremony attended by more than 1,000 people. The NICoE was later transferred from TRICARE Management Activity’s Defense Centers of Excellence for PH and TBI to the Department of the Navy for further alignment under NNMC.
Purpose
Dr. Robert M. Gates, Secretary of Defense June, 6, 2008: “(There is) a contract between the US and the men and women who serve in our military...When a young American...serves, he or she does so with the expectations that they and their families will be cared for should something happen on the battlefield. (NICoE) will be a living reminder that (we) honor that contract with those who have sacrificed so much...”
The NICoE is dedicated to advancing the clinical care, diagnosis, research, and education of service members experiencing combat related TBI and PH conditions. Treatment plans are developed in a family-focused, collaborative environment while promoting physical, psychological and spiritual healing. The NICoE also focuses on family education and reintegration support serving as a research hub utilizing the most current technical and clinical resources to initiate pilot studies designed to advance medical science in TBI and PH, as well as its commitment to longterm follow-up contact. The NICoE is led by a skilled interdisciplinary team that harnesses the latest advances in science, therapy, telehealth, education, research and technology while providing compassionate, family-centered care for service members and their loved ones throughout the recovery process.
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Treatment and Advanced Technology for Warrior Care The primary patient population of the NICoE is active duty service members with TBI and PH conditions who are not responding to conventional therapy. Patients come to the Center with their families for two weeks where they stay in a Fisher House on the Bethesda campus. Service members return to their duty station and referring MTF upon the completion of their time at NICoE with a personalized treatment plan. While the NICoE follows-up with all patients and providers, the Center’s ultimate goal is to help those eligible service members return to active duty. The NICoE features cutting-edge technology, such as the CAREN (Computer Assisted Rehabilitation Environment), one of only seven such machines
in the world which features a motion platform, embedded treadmill, and virtual environments for evaluating and rehabilitating a patient’s vision, reaction time, gait and multitasking ability. The Center utilizes some of the most advanced imaging technologies in the world, including a Positron Emission Tomography-Computed Tomography (PET-CT), Magnetic Resonance Imaging (MRI), and Magnetoencephalography (MEG), enabling providers to view brain scans and images in multiple dimensions.
The Future The NICoE seeks to be a national leader in advancing world-class PH and TBI treatment, research and education in a supportive, healing environment. With its dedicated staff, the Center is an instrument of hope, healing, discovery, and learning for service members recovering from TBI and PH conditions.
2010: 500 wounded warriors and their families helped to officially dedicate NICoE alongside Chairman Richard Santulli, General James Cartwright-Vice Chairman of the Joint Chiefs of Staff and Honorary Chairman-Arnold Fisher.
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Executive Health Serving Our Nation’s Leaders
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he National Naval Medical Center has the honor of serving our Nation’s leaders. We understand that our Government and Military leaders face
numerous time, privacy, and security demands required of their positions. To help meet those demands we offer the Executive Health Clinic, a comprehensive healthcare program, equipped and dedicated to providing personalized care. Executive Health is responsible for providing all of a patient’s health care needs and/or arranging care with other qualified professionals. This includes coordination of preventive and specialty care, treatment of acute and chronic illness and case management services.
We Serve: • Members of the President’s Cabinet • Members of the U.S. Congress • The U.S. Supreme Court Justices • Active Duty and Retired Flag/General Officers and their beneficiaries • Current Senior Executive Services (SES) that are retired military • Secretary, Deputy Secretary and Assistant Secretary of the Military and Department of Defense • Foreign Dignitaries, Foreign Military Flag/ General Officers on orders or with letters of Secretarial Designation • Medal of Honor recipients
At Executive Health we work hard to provide patients with high quality, personalized care that respects their time and needs. We believe that the relationship between patient and physician is built around trust. To establish this relationship,
All information regarding one’s examination is discussed openly and honestly in a secure environment. It is our mission to deliver a full and comprehensive report to address any and all health care concerns.
patients meet with their assigned Primary Care
Our excellent staff will follow-up with patients to
Manager (PCM) to assess their specific health
address any further health concerns and questions.
needs and concerns. Together, the patient and PCM
We are here to honor and respect our patients and
develop a plan of care focusing on information and
their families’ viewpoints, regardless of values,
care to help the patient stay healthy.
beliefs, or cultural backgrounds.
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A New Organizational Model In September of 2010, NNMC officially instituted a new Organizational Model which replaces the 14-member “Board of Directors”. The new model is comprised of a Commander, two Chiefs of Staff, a Command Senior Enlisted Leader, four Assistant Chiefs of Staff, 10 Deputy Commanders and a Civilian Representative.
COMMANDER: RADM Matthew L. Nathan, MC, USN CHIEF OF STAFF: COL C. Callahan
CHIEF OF STAFF: CAPT D. Bitonti
COMMAND SENIOR ENLISTED LEADER: CMDCM S. Boss ASSISTANT CHIEFS OF STAFF (Alpha Order) EXECUTIVE COMMITTEE OF THE MEDICAL STAFF:
PUBLIC HEALTH: CDR D. Harman
RESOURCES:
SPECIAL ASSISTANTS:
CAPT J. Pickel
CAPT S. Miranda Deputy Asst. Chief of Staff: CDR V. Wooden
CDR C. Sears
DEPUTY COMMANDERS (Alpha Order) ADMINISTRATION:
Deputy Commander: CAPT A. Swap Asst. Deputy Com: CDR C. Irwin
EDUCATION, TRAINING AND RESEARCH:
Deputy Commander: COL M. Nace Asst. Deputy Com: COL B. Belson
BEHAVIORAL HEALTH:
Deputy Commander: CAPT J. Ralph Asst. Deputy Com: CDR J. West
CLINICAL SUPPORT:
Deputy Commander: COL J. Spain Asst. Deputy Com: LCDR S. Hussey
DENTISTRY:
Deputy Commander: CAPT L. Hartzell
NATIONAL INTREPID CENTER OF EXCELLENCE:
Deputy Commander: CAPT T. Beeman
NURSING:
HEALTHCARE OPERATIONS AND STRATEGIC PLANNING: Deputy Commander: Mrs. C. Chun Asst. Deputy Com: CDR N. Condon
MEDICINE:
Deputy Commander: Dr. P. Florentino Asst. Deputy Com: CDR R. Perdue Asst. Deputy Com: CDR E. Sawyer
Deputy Commander: COL E. Forster Asst. Deputy Com: CAPT A. Beadle
SURGERY:
Deputy Commander: CAPT M. Kobelja Asst. Deputy Com: CDR R. Howard Asst. Deputy Com: CDR E. Quattrone
CIVILIAN REPRESENTATIVE: Ms. C. DeBinder
The 2011 NNMC Annual Plan - Quality, Readiness, Access, Integration/Transition We continue to focus on four strategic goals identified in 2008. The goals represent an awareness of our rapidly changing environment and send the important message of on-going commitment to: • Deliver comprehensive world-class healthcare
• Stand ready to meet our mission anywhere, anytime
• Ensure that Active-Duty and Prime enrollees get to the right provider, at the right time and at the right place
• Advance integration by defining, aligning and marketing our present and future medical center.
These goals are put into effect by Annual Plan Objective teams, comprised of Active Duty and civilian staff members, representing all ranks and grades. The teams are very aware that they do not succeed alone. ALL staff members at NNMC contribute daily to the success of our Annual Plan. NATIONAL NAVAL MEDICAL CENTER GUIDE 41 Guide Book.indd 41
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Finding Your Way Around
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he FUTURE Walter Reed National Military Medical Center Bethesda will have new and unique signage throughout the facility that directs patients and staff to their destinations. With over 2 million square feet of space; getting around our facility can be challenging. The new way-finding system will blend different areas into zones, making navigating much easier. Each zone will be identified by a unique color and symbolic icon. Evidenced-based design indicates that nature and natural imagery and surroundings promote a healing and soothing environment.
Building 1 will become the President Zone and feature the White House as the icon. NNMC has long been known as “The President’s Hospital”; the White House icon symbolizes the President’s role as Commander and Chief of the Armed Forces as well as the leader of our nation. Building 10 Zone is represented by the Great American Bald Eagle. The eagle has been a symbol of the U.S. since 1782, when the Great Seal, our national emblem, was adopted by Congress. The bald eagle was chosen to be on the Great Seal because of its long life, strength and majestic looks. Also minted on the backs of our gold coins, silver dollar, half dollar and quarter, the eagle with outspread wings is a symbol that represents freedom, living on the tops of lofty mountains and soaring upward into the boundless skies. Building 9, Building 55 (the patient parking garage), and the new Building 9B, will form the Arrowhead Zone. A tribute to the U.S. National Parks Service founded in 1952 which oversees nearly 400 natural, cultural, and recreational sites. The zone will feature scenery from our national parks which are a preserved, protected, and shared legacy to our country. Buildings 2, 4, 6, 7 and 8 will form the Liberty Zone and feature the Statue of Liberty as the zone icon. “Lady Liberty” was a gift of friendship from the people of France to the people of the United States and is a universal symbol of freedom, democracy, and diversity. The poem The New Colossus, by Emma Lazarus calls the statue “The Mother of Exiles” and includes the famous words…"Give me your tired, your poor, your huddled masses yearning to breathe free…” The Liberty Zone represents a tribute to America’s diversity and the contributions of immigrants to our nation. Buildings 3 and 5, fully renovated are now the primary entrance point for patients and visitors. Named the Heroes Zone, the icon for this area features a 5 point star as a symbol of heroism and valor, with a larger star echoing the design of the Medal of Honor, used in all branches of the military. The America Zone includes the new parking garage and the new Building 19. This zone’s imagery of mountains and rivers represents various landscapes in America to celebrate scenery from all 50 states. With the majority of all outpatient clinics, the America Zone will be the primary destination of the largest number of patients.
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h
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Radiology
B row n D ri v e
Pharmacy (2nd deck)
Nephrology
( Pa t ien t / V i s it o r Par k i n g)
ARROWHEAD GARAG E
9
Surgery
Patient Relations and Customer Service Center
9
ARROWH EAD BUILDING
9A
NEW BUILDING
Emergency Room
A r ro wh e ad Z on e
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Gastroenterology
R
Medical Service Account Office
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6
4
8
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Pass & I.D.
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ELEVATOR
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FUTURE WALKWAY
12.1.10
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PATHWAY BETWEEN ARROWHEAD AND AMERICA ZONES PEDESTRIAN ENTRANCE / EXIT
L E G E N D
Brown Dr ive
( Pat i ent Par k i ng )
A ME R ICA GA R A GE
NEW BUILDING
H eroes Z one
5
19
W rth
AME R ICA BU IL DIN G
NEW BUILDING
3
No A m eric a Z one
Healing Garden
LIBE RTY G ARAGE
L i b er t y Z o ne
Security
7
Dunkin’ Donuts/ Subway
Navy Federal S Credit Union T R E U.S. Post Office E T
M A I N
1
THE TOWER
P res i d ent Z o ne
FIRST DECK
Ro
h
rt
W
r Road lme
Guide Book.indd 43
Pa
S.
Locations of the New Hospital Buildings and Zones
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Chapel
Fort Belvoir:
T
Building a Culture of Excellence! Commitment to World-Class Healthcare
he new community hospital at Fort Belvoir network providing world- class medical service to the nation’s wounded, active duty service members, retirees and family members.
This new hospital is just one piece of the realignment outlined in BRAC Law 2005, and is designed to increase hospital and outpatient care to all service members and veterans in the National Capital Region. This new, state-of-the-art, 120-bed facility will have seven levels and approximately 1.3 million square feet of space that includes: • An intensive care unit • Behavioral health inpatient unit • Cancer Center • Emergency center • Additional operating rooms • Improved diagnostics centers
“The Fort Belvoir Community Hospital is a healthcare destination where a culture of excellence meets evidence-based design for the benefit of all those entrusted to our care.”
Additionally, clinic space has been dedicated to outpatient services with additional space planned for future outpatient expansion.
– COL Susan Annicelli,
DeWitt Health Care Network Commander, U.S. Army
The greater capacity and enhanced specialty care brings the services closer to the beneficiaries and reduces the need to travel to the treatment centers in the North.
Enhanced Services:
120 Inpatient Beds:
Emergency Service
Behavioral Health - 12 OB (5 LDR + 18 bassinets) - 18 Level II Nursery - 6 ICU - 10 Medical - 38 Surgery - 26 Pediatric - 10
Dermatology Ambulatory Surgery Urology Women’s Health Center Cardiology ENT
10 Operating Rooms New Services: Adult Oncology Services (Cancer Care) Adult Chemotherapy Infusion Radiation Oncology/Linear Accelerators Intensive Care Unit Inpatient Behavioral Health Inpatient Pediatric Breast Center Nuclear Medicine
Ophthalmology Health Professions Education
Laser Eye Center Dental Clinic Services/Oral Surgery Aquatics Therapy Chiropractic Services Pain Clinic Rheumatology Vascular Cardiac Catheter Lab Neurology
Endocrinology Pulmonary Clinic Patient Resource Library Infectious Disease Clinic Interventional Radiology Department of Veterans Affairs Health Clinic Executive Medicine Clinic Residential Substance Abuse Treatment Facility Multidisciplinary Interventional Services
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The Way Forward
A
s we look to the future, it’s important to remember the original objectives of the 2005 Base Realignment and Closure. The reasons for this decision were simple:
COST SAVINGS:
Located a mere 6.5 miles from each other, NNMC and WRAMC offer many duplicate services. Currently operating at less than full capacity, a long-term cost savings is realized by combining them into one fully utilized, world-class military healthcare complex.
BETTER GME:
Merging the two medical centers will better serve graduate education and training capabilities of the Uniformed Services University of the Health Sciences, will maximize research opportunities with NIH, and will fully integrate a military platform for education and research.
IMPROVED ACCESS:
Although the number of patients currently served at military treatment facilities in the NCA will remain the same, a unified medical health care system will help to improve access for our beneficiaries – particularly those in the rapidly growing Northern Virginia area who will gain a larger community hospital at Fort Belvoir.
There is no bigger, farther reaching single event in the history of military medicine than we are witnessing today; yet while we are busy focusing on a number of finite measurable tasks, let us not forget the inner task ahead of us. The proposed advantages listed here will only become a reality if the commitment of the people who work here remains steadfast. We can build the buildings, paint the walls, put up the signs, and open the doors...but it is the people who come through those doors to work every morning that will make this great adventure a success. “The only limit to our realization of tomorrow will be our doubts of today. Let us move forward with strong and active faith.” — Franklin Delano Roosevelt, 32nd President of the U.S., “Founder” of National Naval Medical Center
WALTER REED BETHESDA VAN G
U AR D O
E N I C I ED M Y R A F MILIT
The dictionary definition of “Vanguard” is: 1) The leading position, people or front line of a movement or cultural trend. 2) The military divisions of an Army or Navy that lead the advance troops into battle.
NATIONAL NAVAL MEDICAL CENTER GUIDE 45 Guide Book.indd 45
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Our multi-million dollar renovation is well underway and we can’t wait to show off our new look! Stop by our Leasing Center and let us show you what we have to offer. We know you will be glad you did! APARTMENT HOME AMENITIES • Newly designed open floor plans • Amazing Kitchens with shaker style maple cabinets and breakfast bar • Energy Star Kenmore appliances • Full size washer and dryer • Plush wall to wall carpeting • New panoramic-view energy efficient windows • Entertainment size balconies and patios • High efficiency heat pumps - you control your comfort • Spacious walk-in closets • Custom color paint - you select the color and one wall is on us! • National award winning service team
www.EncoreWheatonStation.com
COMMUNITY AMENITIES • Great location - 2 blocks from Wheaton Metro Station • Verizon FiOS and Comcast Cable available • Beautiful park like setting • Resident community facility with: - Fitness Center - Cyber Café - Relaxing Zen Garden and activity area - No Amenity Fee • Resident controlled building access • Ample free parking & reserved parking • Pet friendly • Walk to shopping • Online rent payment
1-866-576-9490
10905 Amherst Avenue | Silver Spring, MD 20902
301-949-0030 Fax: 301-949-0033
10540 Connecticut Ave. Kensington, MD 20895
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in the Kensington Shopping Center
“Prompt Medical Care when You Need It”
HOURS: Weekdays: 9AM to 9PM Weekends: 9AM to 6PM 7 Days A Week • Including Holidays Always a Physician On-Site No Appointment Needed
www.fastrackmd.com
Receive $500 off 1st full month Rent plus added specials!! “Where convienience, comfort and health are called home! The Geogian Apartments offers a wide range of Apartments homes to fit your needs. Living here may change your quality of life! Call and make an appointment so that we can help you get settled into your new home!!” * * * * * * * * * *
GOVERNMENT AND MILITARY DISCOUNTS ROOFTOP SUNDECK & POOL WITH DRAMATIC VIEWS STATE OF THE ART HEALTH AND FITNESS CLUB EXECUTIVE BUSINESS CENTER - COMMUNITY ENTERTAINMENT AND PARTY ROOM OFFERING FULLY RENOVATED AND TRADITONAL APARTMENTS HOMES! FLOOR TO CEILING WINDOWS 24 HOUR MAINTENANCE – 24 HOUR CONCIERGE TWO BLOCKS FROM THE SILVER SPRING METRO PRIVATE PARKING WITH CONTROLLED ACCESS – ZIP CARS OFFERING STUDIO, ONE AND TWO BEDROOM APARTMENTS
Now leasing: Studio
1 BR
2 BR
8750 Georgia Avenue Silver Spring, MD 20910 www.GeorgianAptsSilverSpring.com email - georgian@greystar.com
Call a leasing specialist today for Military incentives
46 NATIONAL NAVAL MEDICAL CENTER GUIDE 2011
877.831.2789
Committed to Your Comfort
Be sure to ask for the “National Naval Medical Center” rate. Green Features • 3 Blocks to Friendship Heights Metro (redline) • LEED Gold Certified hotel • 100% wind energy • Smoke-free hotel • Water conservation efforts • Bicycle racks & preferred hybrid vehicle parking • In-room recycling
Guest Room/ Hotel Features • Complimentary high speed internet • 32” flat panel LCD HDTV • Seasonal outdoor pool • 24 hour fitness center • The Bistro – offering breakfast, lunch & dinner • In-room refrigerator • Business center
Courtyard by Marriott Chevy Chase - “It’s a New Stay” 5520 Wisconsin Avenue | Chevy Chase, MD 20815 Main: 301.656.1500| Fax: 301.656.0638
Follow us on Twitter https://twitter.com/CourtyardCC • Become a fan of ours on facebook http://tinyurl.com/nnmts8 BG14185NN
marriott.com/wasvy
El Mariachi Restaurant TEX-MEX & SOUTH AMERICAN CUISINE
Enjoy truly delicious Tex-Mex & South American Cuisine
MWR LEISURE TRAVEL
Bldg. 2 MWR ITT..............................................................301-295-0434 Around the corner from Main Street of the hospital. Discounted tickets for movies and area attractions, MWR activity information, Sign up for Adventure Bound and Liberty Trips, MWR Happenings Newsletter, Vacations
MWR Fitness Center
Bldg. 147
Cardio, Strength & Conditioning, Group Fitness Classes, Sports, Personal Training Fitness Center........................................................301-295-2450 Managers..........................................................301-295-0031/32 Schedules........................... www.quickscores.com/comfortzone
Liberty Zone
“An unusually good, moderately priced Latin restaurant that serves both Tex-mex...interesting South American dishes”
—Mark & Gail Barnett, The Washington Post
Great Fajitas, Fish & Poultry Dishes Outstanding Vegetarian Entrees Available for Lunch and Dinner Banquet Facilities Hail & Farewells Business Luncheons & Dinners Any Occasion
(301) 738-7177 RITCHIE CENTER 765-C Rockville Pike, Rockville, MD
Bldg. 11
OPEN 7 DAYS
Main Entrance
Reasonable Prices Sunday Brunch • 11an-2:30pm
the Barracks and Wounded Warriors. Large Screen HDTV, Movies, Video Games - XBOX, Wii, Pool, Computers, Snacks
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Entertainment for Single E1-E6, Enlisted GEO-Bachelors in
Mon-Thu 11;00am-10pm • Fri & Sat 11:30am-11pm • Sun 11:30am-11pm
and More. Liberty Zone Front Desk.......................................301-295-4727 Liberty Program Manager.....................301-319-8431/295-0256
Child Development Center
Bldg. 26
Information & Waiting List..........................301-295-0014/0167 Administrator........................................................301-295-5475
Bethesda Naval Bowling Center
Bldg. 56
Front Desk.............................................................301-295-2034 Bowling Center Manager......................................301-295-2060 Bowling Parties.....................bowlingparty@mwrbethesda.com
MWR Business Offices
Bldg. 11
MWR Director......................................................301-295-3577 Admin. Officer......................................................301-295-0956 Accounting............................................................301-295-1279 Unit Fund Allocations...........................................301-295-1238 Marketing..............................................................301-295-1046 Personnel......................................................301-295-0936/1622 Commercial Sponsorship......................................301-319-4220
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www.elmariachirestaurant.com Visit all our fine restaurant locations at www.mariachirestaurants.com
Zagat Rated
• 106 Non-Smoking Rooms, w/AC, Kitchenettes and Private Baths • Walk to NEX Gas Station and QuickMart • Now Pet Friendly (Designated Rooms Only) • Now welcoming ALL active duty military, DoD civilians & family members, contractors, national guardsmen, retirees, reservists, & U.S. Public Health employees
Naval Support Activity
8901 Wisconsin Ave., Bldg. #52 • Bethesda, MD 20814-5000
Phone: (301) 654-1795 Fax: (301) 654-9373 E-Mail: navylodge-bethesda@nexweb.org
Patuxent Naval Station (301)737-2400 Annapolis(410)757-7900 Washington DC (202)563-6950
T EX
Outd
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MEX
oor Patio
SILVER SPRING
8701 Ramsey Ave. Silver Spring, MD 20910 (301) 588-4872
GERMANTOWN
19725-A Germantown Rd. Germantown, MD 20874 (301) 515-7480
ROCKVILLE
1488 Rockville Pike Rockville, MD 20852 (240) 221-2636
www.miranchotexmexrestaurant.com BG14370NN
You Will Love Coming Home to
99 Security Deposit for Approved Applicants! 1,2 & 3 BR Apartments, Secured Entrances! Fireplaces! Huge Closets and Additional Storage! Full Size Washer & Dryer in Every Unit!! Beautiful Pool, Fitness Center, Tennis Courts! Close to Shopping, Transportation and Schools! Very Pet Friendly!! 18832 Bent Willow Circle 301-540-0080 Germantown, MD 20874 $
Government, Military & Healthcare Providers qualify for our preferred Employer Discount of
5% off
All Rentals
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NATIONAL NAVAL MEDICAL CENTER GUIDE 49
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Darcars appreciates your service to our country
$500
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Military Rebates Available
Conveniently Located 2 1/2 miles north of I-495 & Less than 3 miles to NNMC
Included Amenities
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Pre-wired for cable & high-speed internet Newly redesigned kitchen & appliances Hardwood floors w/inlay Ceramic tiled bath 2" Plantation blinds Cherry finish kitchen cabinetry Self-cleaning ranges Side-by-side refrigerator Garbage disposal Stainless steel sinks Microwave Dishwasher Full-size washer & dryer Private entry patio w/additional storage
11460 Connecticut Avenue Kensington, MD 20895 www.rcptownhomes.com
Oversized 2 & 3 Story
Rental Townhomes on Beautifully Landscaped Grounds • 2½ & 3½ Baths • 3, 4 & 5 Bedrooms • 1,400 to 2,100 sq. ft.
301-949-4466
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Apartments . . . . . . . . . . . . . . . . . . . 1-4
Insurance . . . . . . . . . . . . . . . . . . . . . 10
Assisted Living . . . . . . . . . . . . . . . . . .4
Lawyers . . . . . . . . . . . . . . . . . . . . . . 10
Attorneys . . . . . . . . . . . . . . . . . . . . . . 4
Long Term Care . . . . . . . . . . . . . . . .11
Auto Dealers . . . . . . . . . . . . . . . . . .5-6
Packaging & Shipping . . . . . . . . . . . .11
Auto Repair & Service . . . . . . . . . . . .6 Barber Shops . . . . . . . . . . . . . . . . . . . 6 Bowling . . . . . . . . . . . . . . . . . . . . . . . 6 Boxes . . . . . . . . . . . . . . . . . . . . . . . . .6 Car Pool Services . . . . . . . . . . . . . . . 6
Pizza . . . . . . . . . . . . . . . . . . . . . . . . 11 Real Estate Sales - Residential . 11-13 Recreation . . . . . . . . . . . . . . . . . . . . 13 Restaurants . . . . . . . . . . . . . . . . . . . 13
Child Care . . . . . . . . . . . . . . . . . . . . . 6
Schools - Academic/Private . . . . . . .14
Credit Unions . . . . . . . . . . . . . . . . . . . 7
Storage . . . . . . . . . . . . . . . . . . . .14-15
Dentists-General . . . . . . . . . . . . . . . . 7
Theaters . . . . . . . . . . . . . . . . . . . . . .15
Entertainment . . . . . . . . . . . . . . . . . . .7
Ticket Sales - Entertainment . . . . . . .15
Hotels/Motels . . . . . . . . . . . . . . . . . 7-9
Transportation Services . . . . . . . . . . 15
Housing . . . . . . . . . . . . . . . . . . . . 9-10
Urgent Care . . . . . . . . . . . . . . . . .15-16
The appearance of advertisements in this publication, including inserts or supplements, does not constitute endorsement by the Department of Defense, the Department of the Navy, or Comprint Military Publications of the products or services advertised. Everything advertised in this publication shall be made available for purchase, use, or patronage without regard to race, color, religion, sex, national origin, age, marital status, physical handicap, political affiliation, or any other non-merit factor of the purchaser, user, or patron. All housing advertised in this publication is subject to the Federal Fair Housing Act of 1968 and to the Federal Civil Rights Act of 1966. These two laws make it illegal to discriminate or to advertise “any preference, limitation, discrimination, based on race, color, religion, sex, or national origin.” This publisher will not knowingly accept any advertisement for real estate which is in violation of the law. Our readers are informed all dwellings advertised in this publication are available on an equal opportunity basis.
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Conveniently Located 2 1/2 miles north of I-495 & Less than 3 miles to NNMC
Included Amenities
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q q q q q q q q q q q q q q
Pre-wired for cable & high-speed internet Newly redesigned kitchen & appliances Hardwood floors w/inlay Ceramic tiled bath 2" Plantation blinds Cherry finish kitchen cabinetry Self-cleaning ranges Side-by-side refrigerator Garbage disposal Stainless steel sinks Microwave Dishwasher Full-size washer & dryer Private entry patio w/additional storage
11460 Connecticut Avenue Kensington, MD 20895 www.rcptownhomes.com
Oversized 2 & 3 Story
Rental Townhomes on Beautifully Landscaped Grounds • 2½ & 3½ Baths • 3, 4 & 5 Bedrooms • 1,400 to 2,100 sq. ft.
301-949-4466