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		Restructuring and Realignment of Military Medical Treatment Facilities
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 Restructuring and Realignment of Military Medical Treatment Facilities The Military Health System (MHS) is the most comprehensive military medical enterprise in the world. Its goal is to ensure a medically ready force to execute the National Defense Strategy, and a ready medical force to support our armed forces throughout the world. This report summarizes the Department’s decisions to align Military Treatment Facilities (MTFs) to increase the readiness of our operational and medical forces. (See section 703(d)(1) of the National Defense Authorization Act (NDAA) for Fiscal Year (FY) 2017 (Public Law 114–328)). These decisions have been reviewed and accepted by the Secretary of Defense, and reflect the Department’s underlying principle to improve the readiness of our force, while ensuring all beneficiaries have access to high-quality medical care. The decisions in this report were based on an initial screening of 343 MTFs identified as providing healthcare services in the United States. The report contains analysis that is independent of other initiatives that will have an impact on manpower. From the 343 MTFs initially assessed, 77 were identified for further assessment. The assessment was completed using agreed upon methods by Department senior leadership including: Use of comprehensive data on MTF performance.
    Government and independent commercial assessments of local market capabilities and capacities.
    Data call identifying MTF readiness and mission requirements.
    Input from Service and local medical facility leadership and staff.
    On-site assessments when required. The assessment identified: 50 MTFs for right-sizing, 21 with no change, and six deferred for further review. This report provides a strategic framework for MTF realignment and restructuring that will be supplemented by more detailed implementation plans that include a timeline for achieving the planned end state along with estimates of implementation costs and any savings that may result. The Department will continue to evaluate MTFs for additional changes in delivery patterns using the methods described in this report. The increased demand from the beneficiary population transitioning to local networks is the key driver of MTF implementation timelines. Most MTFs will need to follow a measured approach by transitioning beneficiary populations gradually to care from commercial providers. During the transition, some local markets may be challenged to absorb the additional MTF beneficiary demand. As demand grows, the expectation is that new entrants to the market will increase network capacity. However, this expectation will be carefully managed during the transition and, if during implementation, local networks are challenged to absorb demand, the Department will revise its implementation plan. Markets are expected to transition MTF eligibles to the network at different rates and, in certain markets, the transition could take several years. The below table outlines a complete list of the 50 MTFs designated for restructure. Some PDF files may not be 508 compliant, but will be made so soon. Read the Report to Congress NOTE: The COVID-19 pandemic impacted civilian providers and health care networks and Congress directed a hold on any actions to restructure military hospitals and clinics in the Fiscal Year 2023 National Defense Authorization Act. Therefore, information contained in this report should not be considered final and more information will be forthcoming from Congress and Department leaders. Service
            Military Treatment Facility
            Final RecommendationAir Force
            BARKSDALE Vol 1BARKSDALE Vol 2
            Transition 2nd Medical Group Barksdale outpatient facility to an Active Duty (AD) only and Occupational Health clinic (AD/OH). Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Air Force
            BRANDON COMM CLINIC (Sabal Park) Vol 1BRANDON COMM CLINIC (Sabal Park) Vol 2
            Sabal Park Clinic should close once all patients are transferred to the network.Air Force
            DOVER Vol 1DOVER Vol 2
            Transition the 436th Medical Group-Dover outpatient facility to an Active Duty only and Occupational Health clinic (AD/OH). Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Air Force
            DYESS Vol 1
            DYESS Vol 2
            Transition the 7th Medical Group-Dyess outpatient facility to an Active Duty only and Occupational Health clinic (AD/OH). Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Air Force
            GOODFELLOW Vol 1GOODFELLOW Vol 2
            Transition the 17th Medical Group-Goodfellow outpatient facility to an Active Duty only and Occupational Health clinic (AD/OH). Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Air Force
            HANSCOM Vol 1HANSCOM Vol 2
            Transition the 66th Medical Squadron-Hanscom outpatient facility to an Active Duty only and Occupational Health clinic (AD/OH). Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Air Force
            LANGLEY Vol 1LANGLEY Vol 2
            Transition AF-H-633rd Medical Group-Langley to an ambulatory surgery center (ASC) and outpatient clinic. Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Air Force
            MACDILL Vol 1MACDILL Vol 2
            Transition the 6th Medical Group-MacDill outpatient facility to an Active Duty only and Occupational Health clinic (AD/OH). Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Air Force
            MAXWELL Vol 1MAXWELL Vol 2
            Transition the 42nd Medical Group-Maxwell outpatient facility to an Active Duty only and Occupational Health clinic (AD/OH). Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Air Force
            MCGUIRE Vol 1MCGUIRE Vol 2
            Transition the 87th Medical Group-McGuire outpatient facility to an Active Duty only and Occupational Health clinic (AD/OH). Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Air Force
            PATRICK Vol 1PATRICK Vol 2
            Transition the 45th Medical Group-Patrick outpatient facility to an Active Duty only and Occupational Health clinic (AD/OH). Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Air Force
            ROBINS Vol 1ROBINS Vol 2
            Transition the 78th Medical Group-Robins outpatient facility to an Active Duty only and Occupational Health clinic (AD/OH). Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Army
            BARQUIST-DETRICK Vol 1BARQUIST-DETRICK Vol 2
            Transition Barquist Army Health Clinic outpatient facility to an Active Duty only and Occupational Health clinic (AD/OH). Active Duty Family Members (ADFM) will be enrolled as necessary to round out the physician panels and maintain readiness. Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Army
            BLDG 36000-HOOD Vol 1BLDG 36000-HOOD Vol 2
            Building 36000 previously housed the Fort Hood Medical Home closed in 2018; presently has a sleep lab in support of Carl R Darnall Army Medical Center (CRDAMC). 703 decision supports this transition.Army
            FARRELLY-RILEY Vol 1FARRELLY-RILEY Vol 2
            Farrelly Health Clinic has already transitioned from an outpatient facility to Active Duty (AD) only (Soldier-Centered Medical Home). The 703 decision supports this transition.Army
            FILLMORE-NEW CUMBERLAND Vol 1FILLMORE-NEW CUMBERLAND Vol 2
            Transition Fillmore Army Health Clinic outpatient facility to an Active Duty only with Occupational Health clinic (AO/OH). Active Duty Family Members (ADFM) will be enrolled as necessary to round out the physician panels and maintain readiness. Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Army
            FOX-REDSTONE ARSENAL Vol 1FOX-REDSTONE ARSENAL Vol 2
            Transition Army Health Clinic Fox-Fedstone outpatient facility to an Active Duty only and Occupational Health clinic (AD/OH). Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Army
            IRWIN Vol 1
            IRWIN Vol 2
            Weed Army Community Hospital has already absorbed the workload of the Department of Behavioral Health at Fort Irwin. The 703 decision supports the closure of this facility.Army
            JOEL CLINIC-BRAGG Vol 1JOEL CLINIC-BRAGG Vol 2
            Transition Joel Health Clinic outpatient outpatient facility to an Active Duty only and Occupational Health clinic (AD/OH). Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Army
            KENNER-LEE Vol 1KENNER-LEE Vol 2
            Transition Kenner Army Health Clinic outpatient facility to an Active Duty only and Occupational Health clinic (AD/OH). Kenner AHC should maintain extended care hours to include weekend and holiday half-hours. Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Army
            KIMBROUGH Vol 1KIMBROUGH Vol 2
            Kimbrough Ambulatory Care Center (KACC) transition to an outpatient only clinic.Army
            KIRK-ABERDEEN PRVNG GD Vol 1KIRK-ABERDEEN PRVNG GD Vol 2
            Transition Kirk Army Health Center outpatient facility to an Active Duty only and Occupational Health clinic (AD/OH). Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Army
            MCDONALD-EUSTIS Vol 1MCDONALD-EUSTIS Vol 2
            McDonald Army Health Clinic has already begun the transition from an ambulatory surgery center (ASC) to anoutpatient faci lity with significant specialty services. The 703 decision supports the transition.Army
            MONTEREY Vol 1
            MONTEREY Vol 2
            Army Health Clinic Monterey has already transitioned to a primarily Active Duty (AD) only clinic (currently 96 non-AD enrollees receiving care at AHC Monterey). The 703 decision supports the transition.Army
            MUNSON-LEAVENWORTH Vol 1MUNSON-LEAVENWORTH Vol 2
            Munson Army Health Clinic has already suspended surgical capabilities. The 703 decision is to transition from an ambulatory surgery center to an outpatient clinic.Army
            NORTH COLUMBUS-BENNING Vol 1NORTH COLUMBUS-BENNING Vol 2
            Community Based Medical Home North Columbus-Benning outpatient clinic to close.Army
            OKUBO-JBLM Vol 1
            OKUBO-JBLM Vol 2
            Soldier Centered Medical Home Okubo has already transitioned to an Active Duty (AD) only clinic. The 703 decision supports this transition.Army
            ROBINSON-CARSON Vol 1ROBINSON-CARSON Vol 2
            USAMEDDAC Fort Carson completed the transition of TMC ROBINSON-CARSON to an Active Duty only clinic on April 26, 2019. The 703 decision supports this transition.Army
            ROBINSON CLINIC-BRAGG Vol 1ROBINSON CLINIC-BRAGG Vol 2
            Transition Robinson Health Clinic outpatient facility to an Active Duty only and Occupational Health clinic (AD/OH). Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Army
            ROCK ISLAND ARSENAL Vol 1ROCK ISLAND ARSENAL Vol 2
            Transition Army Health Clinic Rock Island Arsenal outpatient facility to an Active Duty only with Occupational Health clinic (AO/OH). Active Duty Family Members (ADFM) will  be enrolled as necessary to round out the physician panels and maintain readiness. Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Army
            SOUTHCOM CLINIC-GORDON Vol 1SOUTHCOM CLINIC-GORDON Vol 2
            Transition Army Health Clinic SOUTHCOM's outpatient facility to an
            Active Duty only and Occupational Health clinic (AD/OH). Under the Secretarial Designee Status Request for Medical Care, Active Duty Foreign National Mission Partners assigned to perform duties at SOUTHCOM would continue to be eligible to receive healthcare services from the clinic while their dependents will be transitioned to network healthcare providers. Active Duty Family Members (ADFM) will be enrolled as necessary to round out the physician panels and maintain readiness. Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Army
            TRIPLER-SHAFTER Vol 1TRIPLER-SHAFTER Vol 2
            AMC Tripler should be recapitalized with the design location and capability dependent on further analysis of Hawaii market capabilities and military demand.Navy
            ALBANY Vol 1
            ALBANY Vol 2
            Transition Transition Naval Branch Health Clinic outpatient facility to an Active Duty only and Occupational Health clinic (AD/OH). Active Duty Family Members (ADFM) will be enrolled as necessary to round out the physician panels and maintain readiness. Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Navy
            BEAUFORT Vol 1BEAUFORT Vol 2
            Transition Naval Hospital Beaufort to an ambulatory surgery center (ASC) and outpatient clinic with medical holding bed capability located and sized to the requirement to assure appropriate care to those recruits that exceed the care capabilities of the recruit recovery unit.Navy
            BELLE CHASSE Vol 1BELLE CHASSE Vol 2
            Transition Naval Branch Health Clinic Belle Chasse outpatient facility to an Active Duty only and Occupational Health clinic (AD/OH). Active Duty Family Members (ADFM) will be enrolled as necessary to round out the physician panels and maintain readiness. Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Navy
            CAMP LEJEUNE Vol 1CAMP LEJEUNE Vol 2
            The 703 decision supports the Naval Medical Center Camp Lejeune's plan to enhance capabilities to become a Level II trauma center by demonstrating the ability to initiate definitive care for all injured patients and provide 24-hour immediate coverage by general surgeons, as well as coverage by the specialties of orthopedic surgery, neurosurgery, anesthesiology, emergency medicine, radiology, and
            critical care. Additional capabilities required for NMCCL to become a Level II trauma center may include meeting tertiary care needs such as cardiac surgery, hemodialysis, and microvascular surgery and providing trauma prevention and continuing education programs for staff.Navy
            COLTS NECK-EARLE Vol 1COLTS NECK-EARLE Vol 2
            Transition the Branch Health Clinic Colts Neck Earle outpatient facility to an Active Duty only and Occupational Health clinic (AD/OH). Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Navy
            CORPUS CHRISTI Vol 1CORPUS CHRISTI Vol 2
            Transition Branch Health Clinic Corpus Christi outpatient facility to an Active Duty only and Occupational Health clinic (AD/OH). Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Navy
            DAHLGREN Vol 1DAHLGREN Vol 2
            Transition Naval Branch Health Clinic Dahlgren outpatient facility to an Active Duty only and Occupational Health clinic (AD/OH). Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Navy
            GROTON Vol 1GROTON Vol 2
            Transition Naval Branch Health Clinic Groton outpatient facility to an Active Duty only and Occupational Health clinic (AD/OH). Active Duty Family Members (ADFM) will be enrolled as necessary to round out the physician panels and maintain readiness. Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Navy
            INDIAN HEAD Vol 1INDIAN HEAD Vol 2
            Transition Branch Health Clinic Indian Head outpatient facility to an Active Duty only and Occupational Health clinic (AD/OH). Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Navy
            LAKEHURST Vol 1LAKEHURST Vol 2
            Transition Naval Branch Health Clinic Lakehurst to an Occupational Health, Industrial Hygiene, and Preventive Medicine clinic. This is in  line with the planned and Navy approved clinic transition pre-dating 703 activities. Beneficiaries currently enrolled at NBHC Lakehurst are shifting to alternative military sites or the network.Navy
            MERIDIAN Vol 1MERIDIAN Vol 2
            Transition Naval Branch Health Clinic Meridian outpatient facility to an Active Duty only and Occupational Health clinic (AD/OH). Active Duty Family Members (ADFM) will be enrolled as necessary to round out the physician panels and maintain readiness. Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Navy
            MID-SOUTH Vol 1MID-SOUTH Vol 2
            Transition Branch Health Clinic Mid-South outpatient facility to an Active Duty only and Occupational Health clinic (AD/OH). Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Navy
            NEW ENGLAND Vol 1NEW ENGLAND Vol 2
            Transition Branch Health Clinic New England outpatient facility to an Active Duty only and Occupational Health clinic (AD/OH). Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Navy
            PATUXENT RIVER Vol 1PATUXENT RIVER Vol 2
            Transition Branch Health Clinic Patuxent River outpatient facility to an Active Duty only and Occupational Health clinic (AD/OH). Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Navy
            PORTSMOUTH Vol 1PORTSMOUTH Vol 2
            Transition Branch Health Clinic Portsmouth outpatient facility to an Active Duty only and Occupational Health clinic (AD/OH). Base support functions and pharmacy workload supporting all beneficiaries will be maintained.Navy
            RANCHO BERNARDO Vol 1RANCHO BERNARDO Vol 2
            The Medical Home Port Team transferred from Naval Branch Health Clinic (NBHC) Rancho Bernardo to NBHC Miramar on June 1, 2018. Operations at NBHC Rancho Bernardo stopped on June 1, 2018, including the Pharmacy, Lab, and Physical Therapy services. The 703 decision supports the transition.Navy
            SAN ONOFRE Vol 1SAN ONOFRE Vol 2
            Branch Health Clinic San Onofre is in the process of transitioning to an Active Duty (AD) only clinic. The 703 decision supports this transition.
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