CURRENT SITUATION (CONTINUED): care and contains 10 Dental Treatment Rooms, sterilization, administrative and logistical support areas within the 6,840 gross square feet building. The adjacent facilities surrounding the dental clinic prohibit placing an addition onto the clinic. IMPACT IF NOT PROVIDED: If this project is not provided then the EBE will be unsupported for medical and dental services Relocated military beneficiaries and their dependents will be redirected to the Vilseck facilities (which will be incapable of supporting the demand) and to the Wuerzburg hospital (located over 1 hour away) for primary care. Costs for medical care will increase as beneficiaries are redirected to the German economy for their primary care, despite the availability of medical manpower assets. ADDITIONAL: The EBE relocation is expected to begin in fiscal year 2006 necessitating this project be funded in 2004 to allow time for construction. NATO SECURITY INVESTMENT: This project is not eligible for NATO infrastructure support, nor is it expected to become eligible in the foreseeable future. JOINT USE CERTIFICATION: The Director, Defense Medical Facilities Office has reviewed this project for joint use potential. Joint use construction is recommended. B. Equipment associated with this project which will be provided from other appropriations: Appr 12,585 JAN 2004 MAR 2004 MAR 2006 Cost 608 Homeport for Atlantic Fleet submarines. Performs refitting, maintenance, training, replenishment, and ordinance support mission for the command. Hosts other commands located on the basc. Provides training and other support to the following activities: Submarine Support Facility, Submarine Squadron Two, Submarine Medical Center (Hospital), Naval Undersea Medical Institute, Submarine School, Submarine Development Squadron 12 and Submarine Medical Research Laboratory. 10. Description of Proposed Construction: Construct a two-story dental clinic facility of reinforced concrete foundation and floor slab with structural steel frame, masonry walls, and standing seam metal roof. Primary facilities include dental treatment rooms to accommodate authorized provider staff, prosthetic laboratory, oral surgery recovery rooms, dental surgery suite, x-ray, and required administrative and staff support areas. Supporting facilities will include utilities, sidewalks, patient/staff parking, and sprinklers. Project design will comply with Uniform Federal Accessibility Standards/Americans with Disability Act Accessibility Guidelines. Project will also comply with Interim DoD Antiterrorism/Force Protection Construction Standards. Operations and Maintenance manuals will be provided. Air conditioning: 250 KW. PROJECT: Project provides an adequately sized and configured Dental Clinic to consolidate and replace the two existing, space-constrained facilities. Existing facilities will be returned to base for other use. (CURRENT MISSION) REQUIREMENT: An efficient and functionally-configured, consolidated dental treatment facility for active-duty personnel is needed to eliminate the current splitting of dental operations into two severely space-constrained buildings of opportunity. Consolidation will significantly improve existing operations by providing active-duty beneficiaries enhanced access to quality dental care, appointment availability and will rectify the current shortfall in dental treatment spaces by collocating all dental treatment support activities into a single integrated work environment. CURRENT SITUATION: The Branch Dental Clinic performs its mission in a severely crowded and dysfunctional environment of care that is separated into two aging buildings of opportunity converted in the 1960's. Appointment availability is hampered by the lack of Dental Treatment rooms due to space constraints. The clinic staff is forced to work around other critical space deficiencies including the under-sized x-ray processing, clean and soiled utility room spaces, and the complete lack of dedicated space for oral surgery patient recovery. Operations and maintenance costs drain clinic resources because the facility has out lived its useful life. These deficiencies and roof leaks hamper the rall ability of the elinie staff to deliver quality dental service rappropriate environment of care. DD FORM 1391. JUL 1999 PREVIOUS EDITION IS OBSOLETE 015 IMPACT IF NOT PROVIDED Inadequate and dysfunctional facilities will continue to impede the provision of appropriate and efficient dental care services to assigned active-duty beneficiaries. The separation of dental support areas in Bldg 148 from the primary clinic operations in Bldg. 341 will continue to hamper timely and cost effective accomplishment of the mission while increasing overall costs of operation by reliance on dysfunctional facilities that require staff to relay between buildings to accomplish tasks normally accomplished in a single integrated and efficient facility. JOINT USE CERTIFICATION: The Director, Defense Medical Facilities Office has reviewed this project for joint use. Joint use is recommended. B. Equipment associated with this project which will be provided from other appropriations: APR 2002 65% AUG 2002 AUG 2003 330 390 720 654 66 NOV 2003 FEB 2004 FEB 2006 DD FORM 1391C, JUL 1999 FOR OFFICIAL USE ONLY |