2011 national naval medical center guide & yellow pages

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NATIONAL NAVAL MEDICAL CENTER GUIDE 1

Proudly, we present the commemorative issue of theNational Naval Medical Center Guide.

It is an honor and a pleasure to share with you the richhistory of the National Naval Medical Center. It is a noble

history, from the moment in November of 1940 when PresidentRoosevelt put shovel to earth, to September of this year when thehospital officially becomes the Walter Reed National Military MedicalCenter at Bethesda. Military and medical advancements have beenmade and we will continue to be the Flagship of hope, healing andhigher education.

The legacy of the incomparable strides made in Navy medicine,medical research and medical teaching and training, is engrainedin each and every brick of this fine edifice and our reputation willcontinue 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 gainedby 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 withdedication and professionalism always putting patient care first. Their capacity and willingness to helpothers 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-servicepartners and integrated clinics working together putting patient care and family support first. You will alsosee a multidisciplinary crew equipped with the best knowledge available, delivering care with compassionand safety.

The challenges will continue as we navigate through this opportunity to become an even greater beacon ofhope, but for those of you who enter through our doors have no doubt that you will receive the best carepossible for you and your family!

As we integrate our diverse and unique individual histories, we will reap the benefits of a strong, unitedand energetic entity focused on providing world class health care to our nation’s fightingforces, retirees, and their family members.

The mission for everyone associated with this exciting endeavor in military medicineand health care was clear Yesterday, is clear Today, and will remain the focal point

for Tomorrow.

Rear Admiral Matthew L. NathanNNMC Commander

Admiral’s Welcome Message

2 NATIONAL NAVAL MEDICAL CENTER GUIDE 2011

A 70 Year Journey

In this year’s NNMC Guide you will discover how NNMC got its start, more about our present expansionand what the future will hold. NNMC’s superlative reputation has made “Bethesda” a household wordwell beyond military medicine. To anyone in uniform, “I’m going to Bethesda”, meant only one thing; thespeaker 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 decadesto come. We hope this commemorative book will become an interesting reference for you as we look forwardtogether to a future of “fair winds and following seas.”

Vision: We are the epicenter of change in military medicine, leading the way toan 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.

The current NNMC Command Logo was unveiled in 2001. It features thehistoric Tower encircled by a gold band representing the building’s art-deco

style wrought-iron embellishments. The unfurled banner proudlyproclaims our leadership in Navy Medicine while the red, white and blueescutcheon symbolizes NNMC’s role as the President’s Hospital. Theshield is flanked by oak leaves, Navy medicine’s symbol, and laurelleaves, an ancient symbol of healing. Force readiness and family-centered care are embodied in the words of our Motto: “Serving You and

Our Nation’s Leaders.” The emblem features a navy blue bordersurrounded by an unbroken mooring line, honoring Navy’s seafaring

history, and its unwavering protection of our Nation.


YESTERDAYFrom the War of 1812 to NNMC 4 - 7Past Commanders 8The President’s Hospital 9NNMC’s Recent History 10 - 13USNS COMFORT 14 - 15

TODAYA Message from NNMC’s Chiefs of Staff 16 - 17BRAC Pioneers...A Joint Vision 18 - 19Joint Task Force CapMed 20 - 21Construction and Renovation 22 - 23The New “Buzz” Words: Integration and Transition 24 - 25Naval Support Activity Bethesda & Tenet Commands 26 - 29

Patient Services:Medical Home/Patient and Family-Centered Care 30 - 31Services List/Locations 32 - 33Care for Wounded Warriors Never Wavers 34 - 37National Intrepid Center of Excellence (NICoE) 38 - 39Executive Services 40A New Organizational Model and 2011 Annual Plan 41

TOMORROWFinding Your Way Around - Location Map 42 - 43Fort Belvoir Community Hospital 44

The Way Forward 45

Table of Contents*CreditsPage

Marketing/Communications Team

Editor-in-Chief/Writer:Dawn S. Marvin

Cover Design/Senior Designer:Regina R. Randolph

Contributing Graphic Designers:Miguel CajigalCatherine MyrickTobin Morelli

Editors/Researchers:Adrienne VillafanaOnike Decker

Photography:Various Talented NNMC PAOPhotojournalists over the years

Special Thanks to:Jan Herman andAndre SobocinskyOf BUMED’s Office ofMedical History forHistorical Photographs

Dr. Joe Lopreiato,for loan of NNMC Memorabilia

Comprint Military Publications9030 Comprint CourtGaithersburg, MD 20877301-921-2800www.dcmilitary.com

Publisher:John Rives

General Manager:Matt Dunigan

Account Executives:Ryan EbaughMike SperaJames Constantine

Graphic Designer:Kelly Guevara

Contents of the 2011 National Naval Medical Center Guide are not necessarily theofficial view of, nor endorsed by, the U.S. Government, the Defense Department (DoD) orComprint, Inc. Advertising in this publication does not constitute endorsement by the DoDor Comprint, Inc., or the products or services advertised. Everything advertised in this

publication shall be made available for purchase, use or patronagewithout regard to race, color, religion, sex, national origin, age,marital status, physical handicap, political affiliation or any othernon-merit factor of the purchaser, user or patron. Published byComprint Military Publications, a private firm in no way connectedwith the U.S. Navy, under exclusive written contract with theNational Naval Medical Center, Bethesda, Maryland.

* The phone numbers of departments are not printed in this book becausethey are now updated regularly in the Command’s Outlook System. Theexpanded descriptions of patient services normally found in the Guidewill be forthcoming in the early spring in a smaller, more convenientPatient Services Guide.


In 1812, thefirst navalmedicalfacility in theWashington,D.C. area wasestablishedin a rentedbuildingnear theWashingtonNavy Yard.The Bureau

of Medicine and Surgery (BUMED) was establishedin 1842, as the central administration for Navymedicine and was given the responsibility for allNavy hospitals and the care of Navy and MarineCorps patients in the US. Dr. William P.C. Barton, asurgeon in the U.S. Navy, became the first Chief ofthe Bureau (later known as Surgeon General).

In 1843, patients from the medical facility weretransferred to the Marine Barracks at 8th and IStreets. In 1866, during the Civil War, Congress

appropriated $115,000 for the construction of a 50-bed naval hospital at 921 Pennsylvania Avenue,SE, in Washington, D.C., between 9th and 10thStreets. Soon outdated, the Naval Hospital atPennsylvania Avenue was deemed “antiquated andinsufficient,” and in 1906, Congress appropriated$125,000 for a replacement.

Built behind the Old Naval Observatory at 23rdand E Streets NW, the “New Naval Hospital”included quarters for sick officers and nurses, acontagious disease building, and administrativeoffices. From that day to this, the originalNavy hospital on Pennsylvania Ave. came to beknown as the “Old Navy Hospital.” The “NewNaval Hospital”, along with the Naval MedicalSchool, became the Naval Medical Center in1935. To this day, these historic buildings are anintegral part of navy medicine, housing the currentlocation of BUMED and the offices of the SurgeonGeneral of the Navy.

Even in its conception and early history, NNMCwas an integral part of the expansion of militarymedicine and warrior care. President Franklin D.Roosevelt pushed the growth of modern militarymedicine into the future as he prepared for theinevitable American involvement in WWII. He

Since the infancy of our Nation, when drugs often did more harm than good and surgeries tookplace whenever and wherever possible, military medicine in the U.S. has grown to be in the forefrontof modern medicine and has led the way in innovative emergency quality care in remote anddangerous environments.

From the War of 1812 to NNMC

Old Navy Hospital Pennsylvania Ave.1866.

1908: The first Navy Nurses “The Sacred Twenty” werealso the first women accepted into the Navy.

New Naval Hospital/Naval Observatory now BUMED

“At all the watery margins they have been present. Not only on the deep sea, thebroad bay, the rapid river, but also up the narrow muddy bayou, and wherever theground was a little damp, they made their tracks.”

—President Abraham Lincoln, 1863 Referring to Union Navy Sailors.


knew that the very best medical care for ourreturning Sailors, Soldiers, Marines and Airmenwould be needed. December 7, 1941, “a day thatwould live in infamy…” proved him right.

President Franklin D. Roosevelt Selectsthe Present Site

As the former Assistant Secretary of the Navyfrom 1913 to 1920, President Franklin DelanoRoosevelt (FDR) was very dedicated to the Navy,and particularly to Navy Medicine. He envisioneda Navy Medical Center complete with a vitaltraining college, research capacities, a laboratory,a pharmacy, a dental school, an extensive medicallibrary, and medical services and care second tonone in military medicine.

In 1937, Congress appropriated funds for theconstruction of a new Naval Medical Center. WhenPresident Roosevelt saw farmland with a spring-fed pond on the outskirts of the town of Bethesda,MD; it reminded him of the Biblical “Healing Poolof Bethesda”, and he felt it would be a perfect spotfor the medical center.

At the time there was pressure from bothmilitary and political sources to choose analternate site closer to the city. Some evensuggested the Navy hospital be built on thegrounds of the Walter Reed Army MedicalCenter, in order to foster medical cooperationbetween the two services. Ultimately, PresidentRoosevelt’s choice became the final location.He drew a sketch of the building on WhiteHouse Stationary, reminiscent of the StateCapitol Building in Lincoln, Nebraska, whichhe admired. This sketch became the templatefor the design of the new Naval Medical Center.Ground was broken on June 29, 1939, by RearAdmiral Percival S. Rossiter, MC, USN, theformer U.S. Surgeon General, and PresidentRoosevelt laid the cornerstone on Armistice Day,November 11, 1940.

At the laying ofthe Cornerstone,FDR stated, “thestriking architectureof this greatcenter (combines)practical usefulness(with) the harmonyof its lines andgives expressionto the thought thatart is not deadin our midst,”

and apparently the US Department of theInterior agreed, designating the originalTower a historical landmark in 1977, citingthe building’s significance as an outstandingexample of Art Deco architecture.

President Roosevelt delivering dedication speech. 1942

New Navy Hospital circa 1925

FDR with Rep. Carl Vinson, Chairman of the House NavalAffairs Committee; Senator David Walsh, Chairman of theSenate Naval Affairs Committee; and Rear Admiral P.S.Rossiter, Surgeon-General of the Navy, at the site of futureNaval Hospital.


Navy nurses during greensward maneuvers at the callof a Marine. 1944.

Dr. Janet Travell, personalphysician to PresidentKennedy, touring theNNMC facilities. 1961

1969 Vietnam. U.S. Marinescarrying out their wounded

10 miles northeast of An Hoa.

Wounded soldiers at NavalMedical Center. 1942

Temporary ‘Quonset’ typeWard WWII Wounded. 1945

The Original Center

With a final ribbon cutting on August 31, 1942,again officiated by President Roosevelt, the NavalMedical Center was comprised of a 500-bedHospital, the Medical School, the Dental Schooland the Medical Research Institute, and consistedof the Tower (building 1), the back of the tower(building 2), and two “wings” (buildings 3 and 5,and buildings 4 and 6).

Always standing ready to treat theNation’s Heroes

Nearing the end of World War II in 1945,temporary buildings were added to accommodate2,464 wounded American Sailors and Marines.With the start of the Korean War, the medicalcenter’s capacity once again rose, this time to1,167 beds in 1951, and during the VietnamWar, the bed capacity peaked at 1,122 beds in1968. Temporary buildings remained on thegrounds in one form or another to accommodateWar Wounded until 1979.

The Medical Center is Expanded

In August of 1960,a $5.6 million dollarexpansion project wasinitiated and consistedof two five-story wingsattached to the original

building. Completedin the summer of 1963, buildings 7 and 8provided space for 258 additional beds andreplaced some of the temporary ward buildings.

In January of 1973, the mission of the NavalMedical Center was modified to include theprovision: “provide coordinated dispensaryhealth care services as an integral elementof the Naval Regional Health Care System,


The launching of the“News” by Vice AdmiralRoss T. McIntire, thenSurgeon General ofthe U.S. Navy, was animportant step towardcreating solidarityamong Navy MedicalCenter personnel. “Thedecision to launch anewspaper (here) is awise one and the result,I am confident, will bebeneficial to all hands”he said. The Newswas the predecessor ofthe current Commandnewspaper; 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

Front page of the 1st issue of“The News.” Jan. 6, 1945

The caption fromthe back of this 1942

souvenir postcard: The United States NavalMedical Center in Bethesda, Md., twelve miles from

Washington, is practically a city in itself. It is hoped that eventually itwill become the Medical Center of the World, even surpassing that of Vienna.

including shore activities.” This change established theNational Naval Medical Center Region, and placed all navalhealth care facilities within the Naval District Washingtonunder the authority of the Commanding Officer of the NavalMedical Center. The new inpatient buildings and the NavalMedical Center were consolidated into one command to formthe National Naval Medical Center.

In 1975 another extensive renovation was needed whichincluded the construction of two new buildings: Building 9,a three-story outpatient structure and Building 10, a seven-story, 500-bed inpatient facility. Combined, the buildingscovered more than 880,000 square feet. In 1979 theremaining temporary buildings were finally razed to makeroom for a multi-level staff-parking garage.

The mission of NNMC changed again in 1982, when the Centerwas reorganized as the Naval Medical Command, National CapitalRegion (NMCNCR), but in January of 1989, NMCNCR once againbecame the National Naval Medical Center. In 2004, the NavalDental Center integrated with the National Naval Medical Centerinto one command, and in 2009 Naval Support Activity Bethesdawas established to oversee the 247-acre complex.


1935-1936: CAPT Ulys R. Webb, MC, USN.

1936-1938: RADM C.S. Butler, MC, USN.

1938-1941: RADM H.W. Smith, MC, USN.

1941-1942: RADM C.M. Oman, MC, USN.

1942-1944: RADM C.W.O. Bunker, MC, USN.

1944-1944: CAPT John Harper, MC, USN.

1944-1946: RADM W.M. Chambers, MC, USN.

1946-1948: RADM T.C. Anderson, MC, USN.

1948-1951: RADM M.D. Willcutts, MC, USN.

1951-1951: RADM C.A. Swanson, MC, USN.

1951-1952: RADM W.J.C. Agnew, MC, USN.

1952-1953: RADM B. Groesbeck, Jr., MC, USN.

1953-1955: RADM L.O. Stone, MC, USN.

1955-1956: RADM H.L. Pugh, MC, USN.

1956-1956: CAPT E.C. Kenney, MC, USN.

1956-1959: RADM T.F. Cooper, MC, USN.

1959-1960: RADM B.E. Bradley, MC, USN.

1960-1962: RADM F.P. Kreuz, MC, USN.

1962-1963: RADM R.B. Brown, MC, USN.

1963-1965: RADM C.C. Galloway, MC, USN.

1965-1966: RADM C.L. Andrews, MC, USN.

1966-1968: RADM G.M. Davis, MC, USN.

1968-1969: RADM R.O. Canada, MC, USN.

1969-1973: RADM F.P. Ballenger, MC, USN.

1973-1975: RADM R.G.W. Williams, MC, USN.

1975-1976: RADM D.E. Brown Jr., MC, USN.

1976-1981: RADM J.T. Horgan, MC, USN.

1981-1984: RADM Q.E. Crews, MC, USN.

1984-1985: COMO R.G. Shaffer, MC, USN.

1985-1987: RADM R.G. Shaffer, MC, USN.

1987-1988: RADM Donald L. Sturtz, MC, USN.

1988-1991: RADM Donald F. Hagen, MC, USN.

1991-1994: RADM Davis M. Lichtman, MC, USN.

1994-1997: RADM Richard I, Ridenour, MC, USN.

1997-1999: RADM Bonnie B. Potter, MC, USN.

1999-2002: RADM Kathleen L. Martin, NC, USN.

2002-2004: RADM Donald C. Arthur, MC, USN.

2004-2007: RADM Adam M. Robinson, MC, USN.

2007-2008: RADM Richard R. Jeffries, MC, USN.

2008-Current: RADM Matthew L. Nathan, MC, USN.

List of Past Commanders


The President’s Hospital

President Harry S. Truman with President Harry S. Truman with Admiral Radford at NNMC. 1947Admiral Radford at NNMC. 1947

President Barack Obama President Barack Obama following a medical exam following a medical exam at NNMC. Obama gave a at NNMC. Obama gave a thumbs-up when asked thumbs-up when asked about his health. 2009about his health. 2009

President and Mrs. Ford in the President’sPresident and Mrs. Ford in the President’sPresident and Mrs. Ford in the President’sSuite at NNMC following the First Lady’sSuite at NNMC following the First Lady’sbreast cancer surgery. 1974breast cancer surgery. 1974

On November 22, 1963,On November 22, 1963,America’s 35th President JohnAmerica’s 35th President JohnF. Kennedy was assassinated.F. Kennedy was assassinated.Doctors and coroners atDoctors and coroners atParkland Memorial HospitalParkland Memorial Hospitalin Dallas intended to doin Dallas intended to dothe autopsy, but the Secretthe autopsy, but the SecretService demanded that theService demanded that thePresident’s body be taken toPresident’s body be taken to“The President’s Hospital”“The President’s Hospital”for the autopsy, which wasfor the autopsy, which wasperformed on the evening ofperformed on the evening ofNovember, 22, 1963.November, 22, 1963.

President Dwight D. Eisenhower and President Dwight D. Eisenhower and CAPT F.P. Kreuz, MC, USN.CAPT F.P. Kreuz, MC, USN.President Reagan with wife,President Reagan with wife,President Reagan with wife,

Nancy, as they leave NNMC. 1981Nancy, as they leave NNMC. 1981Nancy, as they leave NNMC. 1981

Nancy Reagan kisses her husband, Nancy Reagan kisses her husband, Nancy Reagan kisses her husband, President Ronald Reagan upon President Ronald Reagan upon arriving at NNMC. 1985arriving at NNMC. 1985

President George W. Bush President George W. Bush President George W. Bush President George W. Bush President George W. Bush as he arrives at NNMC for as he arrives at NNMC for as he arrives at NNMC for as he arrives at NNMC for his annual physical. 2004his annual physical. 2004his annual physical. 2004his annual physical. 2004

President George Bush receiving ‘get well’ cardPresident George Bush receiving ‘get well’ cardfrom grandchildren Sam & Ellie LeBlond duringfrom grandchildren Sam & Ellie LeBlond duringobservation at NNMC for irregular heartbeat. 1991observation at NNMC for irregular heartbeat. 1991observation at NNMC for irregular heartbeat. 1991

President Jimmy Carter President Jimmy Carter underwent his first underwent his first thorough physical at thorough physical at thorough physical at thorough physical at NNMC. 1978NNMC. 1978NNMC. 1978

President Clinton President Clinton attended to by LCDR attended to by LCDR S. Miranda, NC, USN S. Miranda, NC, USN (CAPT). 1997(CAPT). 1997

President Nixon greets nurses who attended to him President Nixon greets nurses who attended to him at NNMC due to Viral Pneumonia. 1973at NNMC due to Viral Pneumonia. 1973

Before entering NNMC for gallbladder surgery,Before entering NNMC for gallbladder surgery,President Lyndon B. Johnson meets withPresident Lyndon B. Johnson meets withformer President Dwight Eisenhower. 1965former President Dwight Eisenhower. 1965

Since 1942, the National Naval Medical Center has served, treated and cared for everyPresident of the United States and their families.

NNMC’s Recent History 2000–2010

The new millennium came fast, and the decade flew by. It seems like just a few years ago wewere welcoming in the 21st century and worrying about the Y2K scare and all the computers inthe Command crashing at the stroke of midnight….well it didn’t happen, but a lot did. While majormilestones 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.

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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” signifyingthe 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, NNMCstepped in and accepted a number of its patients and Bldg. 10 lobby was converted into a triage area. (C) 2004: LCDRChris Gillette (Ret.), speaks with Channel 13 reporter at Annual NNMC Mass Casualty Drill. (D) 2002: NNMC receivedthe 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), whichcombines 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-artequipment which helps improve range of motion. (G) 2003: CAPT Laura Blair Salton Clark was one of seven astronautswho perished aboard the space shuttle Columbia. She was an experienced Naval Flight Surgeon and attended NNMC’sGME 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 ourdeployed active duty.

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(A) 2006: CDC is recognized as a model for the nation by the National Association for Education of Young Children. LynnWilliams, Speech and Language Pathologist, teaches 2 year-old Christian Sutton education exercises. (B) 2005: NNMCearns 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, inD.C. 2nd grader Jalynn White reads to LCDR. Willie Williams. (D) 2006: Country music singer Toby Keith received theDoN 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, resultingin faster recovery. (F) 2005: Launch of the Graduate Education and Research (GEAR) Center, to support medical researchand graduate education. (G) 2008: At Annual Volunteer Recognition Ceremony to honor nearly 200 volunteers, ShirleyAdams, 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 GeneralVADM Adam Robinson at the celebration of renovation of Mercy Hall, wounded warrior’s outpatient lodging facility.

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(A) 2008: July 3, President George W. Bush and joint military members break ground for the future Walter ReedNational Military Medical Center Bethesda. (B) 2009: President Obama visits wounded warriors and their families, seveninpatients, 16 outpatients, 25 family members and personally recognized more than 90 hospital staff members. PresidentObama and Sgt. Alejandro Ramon. (C) 2009: Firefighters Louis Felton, Jonathan Lang and Jody Sealey awarded theDoD Heroism Award for saving the life of 2 year-old Coleson Petrucelli. Sealy rushed into the burning building and wasforced to remove his protective gloves in order to cut through the netting over the child’s crib, while Lang and Felton keptthe flames at bay. L to R: Navy Fire and Emergency Services Director Bill Killen (Ret.), Bethesda’s Fire Chief WilliamHolzberger, Firefighters: Louis Felton, Jody Sealey and Jonathan Lang, CDR. John Lamberton and Regional Fire ChiefEdward 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 personnelbravely put themselves in harm’s way while caring for and saving others. HM Retmier worked in the Internal MedicineClinic at NNMC and was a member of the USNS COMFORT platform. (E) 2009: Sailors, staff and patients were pleasantlysurprised 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) Directoratereceived 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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2000–2010, continued


(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 thecork 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 freezeand kill cancerous and pre-cancerous cells in the esophagus. (E) 2010: FDR arrives at NNMC to commemorate the70th 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 NICoEto commemorate R2R program, which helps speed up rehabilitation through cycling. (G) 2010: First Lady MichelleObama and Fisher House Foundation Chairman Ken Fisher dedicate the three new Fisher Houses at NNMC.

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“In a matter of hours, the crewmobilized, got underway andchanged their mission fromtrauma support to disasterrelief”, said CAPT CharlesBlankenship, COMFORT CommandingOfficer, “...the ability to preparefor one mission, then immediatelycarry out another, demonstratedthe mobility, flexibility andcapability offered by this crew.”

Initially built as an oil tanker in 1976 by theNational Steel and Shipbuilding Company, theUSNS COMFORT (T-AH-20) was commissionedas a U.S. Navy vessel in 1987 and converted into

a hospital ship. The COMFORT’s primary mission is toprovide mobile, flexible, and rapidly responsive medicalsupport for wartime operations, disaster relief andhumanitarian operations worldwide.

At full capacity, the 894 foot full-service hospitalship has a staff of approximately 1,200 active dutyNavy medical and hospital support personnel (mostlyfrom NNMC) and 60 Navy civil service mariners whooperate the ship. The impressive ship contains 12 fullyequipped operating rooms, a 1,000-bed hospital facility,radiological services, a medical laboratory, a pharmacy,an optometry lab, CAT scan equipment and oxygen-producing capabilities. The ship also has a helicopterdeck capable of landing large military helicopters, aswell as side ports to take on patients at sea.

1990/1: Operations Desert Shield and Desert StormApproximately 1,400 NNMC medical personnel setsail for the coast of Saudi Arabia near Khafji, in closeproximity to Kuwait, during this nine-month deployment.

1994: Operations Uphold Democracy and Sea SignalThe COMFORT deployed to Port-au-Prince, Haiti andKingston, Jamaica twice during 1994 to provide bothcombat surgical support for U.S. contingency operations,and health aid to approximately 35,000 Cuban andHaitian migrants.

2001 Operation Noble EagleThe mission, which started out with the hope ofproviding medical aid to possible survivors, ended upbeing a mission of humanitarian relief for thousands of‘ground zero’ workers such as NYC fire fighters, rescuepersonnel and police. Designed to care for war-woundedservice members, the hospital ship provided immediate

treatment for hundreds of relief workers for cuts,respiratory ailments, fractures and other minor injuries.The psychology and social service personnel providedover 500 mental health consultations helping reliefworkers to mentally prepare before they headed back tothe disaster site. The crew provided food, showers andbeds for more than 10,000 relief workers.

While moored at Pier 92 in New York Harbor, theCOMFORT was designated by the City of New York asthe secure location for emergency helicopter landingsfor VIP personnel visiting ground zero, and safelyconducted 16 launch and recoveries for U.S. MarineCorps Sh-60’s and U.S. Army Black Hawks, as well asNew York Police Department H-1 aircrafts.

Nearly two years after 9/11, crewmembers from the USNSCOMFORT were awarded the Humanitarian Service Medalfor their assistance in Operation Noble Eagle, the majorityof which were Active Duty personnel assigned to NNMC.

USNS Comfort: Healing Missions During War and Peace


2003 Operation Iraqi Freedom/Enduring FreedomIn January, the USNS COMFORT set sail for the northernArabian Gulf. During this six-month mission, the crewconducted more than 800 helicopter deck landings to bringaboard personnel, patients and cargo, and performed morethan 500 surgeries, transfused nearly 600 units of blood,and treated over 700 patients, a third of which were Iraqicivilians, including children in need of medical care.

“Our presence during OIF was an intense two months; anexperience I will never forget. Treating Iraqi civilians presentedmany challenges and stresses, especially when caring forchildren caught in the cross-fire. Our natural response wasto 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

2005 Hurricanes Katrina and RitaThe USNS COMFORT provided medical assistance tothe Gulf Coast following the devastation of hurricanesKatrina and Rita. During a seven-week mission whichincluded stays in both Pascagoula, MS and New Orleans,LA, the COMFORT’s medical crew provided treatmentto nearly 1,500 residents and emergency workers.

2007 Partnership for the AmericasThe USNS COMFORT conducted a four-monthhumanitarian assistance mission to Latin America andthe Caribbean and treated more than 98,000 peoplein 12 countries. For this unique mission, the ship wasstaffed by medical professionals from the U.S. Navy,Air Force, Coast Guard and Public Health Service aswell as Canadian troops and civilian volunteers froma number of nonprofit organizations.

2009 Operation Continuing PromiseIn April, the hospital ship began a four-month deploymentto Antigua, Colombia, Dominican Republic, El Salvador,Haiti, Nicaragua, and Panama. Each stop lasted 10 to12 days, and brought medical, dental, veterinarian,educational and civic action programs both ashore andafloat. The humanitarian mission offered training forU.S. military personnel while providing valuable servicesto communities in need; and medical treatment for morethan 100,000 patients including 1,657 surgeries. Thecrew also worked on sanitation initiatives, buildingnew schools, community relations projects and publicrelations campaigns.

2010 Operation Unified Response HaitiOn Jan 16, the USNS COMFORT began its race toaid the people of Haiti after a devastating 7.0earthquake. The crew treated thousands of injuriesand performed numerous amputations due tovictims’ limbs being crushed under rubble. Thepresence of the hospital ship proved to be a symbolof hope for the wounded Haitians.

January 8, 2003, Robert Lambe, 35, from Bermuda, clungto a piece of wood for 20 hours without a life jacket in theAtlantic Ocean while 50mph winds battered him and wavesrolled him over again and again during the night. Lambeand two others had been on a 40-foot boat that capsizedin the high seas. The two others were never found. Alertedby the Coast Guard, the USNS COMFORT, en route to theIndian Ocean, diverted its course to rescue the survivor.

of hope for the wounded Haitians.of hope for the wounded Haitians.of hope for the wounded Haitians.


It is an honor and a privilegefor both of us to welcomeyou to the National NavalMedical Center (NNMC). For

nearly seven decades, NNMChas been providing world-class,state-of-the-art patient and familycentered health care to militarymembers, their families, andmany of our Nation’s leaders,including the President of theUnited States. National NavalMedical Center is known as the“Flagship of Navy Medicine” and“the President’s Hospital.”

People come to Bethesda for manyreasons: to heal, learn, teach,or stay fit and ready to serveour country. Whether you’re anenlisted service member, a retiredmilitary member, family member,a newly-reporting health carepractitioner, or a student, you willbe receiving the best medical careand/or educational experienceavailable anywhere. We lookforward to fulfilling your healthcare and/or educational needs.If you are a patient, please knowthat it is our honor to care for youand your family members’ medicalneeds, and to educate you aboutpreventive health care and ways tomaintain a healthy lifestyle.

Our team of nearly 4,000professionals and support staff are

ready and committed to deliveringthe finest and most advancedtreatment possible. With thepatient’s total health and wellnessin mind, including the needs andconcerns of family members, it isour primary objective to providethe best course of action for a fastand accurate diagnosis, a welllaid plan for treatment, properfollow-up care and rehabilitation,when necessary. While workingtogether as a close-knit team,our staff prides themselves intheir commitment to excellence,a friendly and compassionateattitude, excellent customerservice, and a focus on patient andfamily centered care.

As our Nation continues to beinvolved in conflict, so does ourheartfelt commitment to

Message from the NNMC Chiefs of Staff

CDR Nancy Condon,NC, USN, AssistantDeputy Commander forHealthcare Operations(HCOPS)/StrategicPlanning and Chief,HCOPS, confers withLTC Steven Roth, MSC,USA, Chief, TRICAREOperations andPatient AppointingServices/HCOPS


care for, and support, our servicemembers who have been injuredon the battlefield. It is our distincthonor, responsibility and privilegeto provide care to those that havegiven so much to preserve the rightsand freedoms we all hold dear asAmericans. We will continue to doeverything in our power and focusour energy in order to care for theirmedical and personal needs, andthe needs of their family members.We do this with great pride and theutmost respect.

This is National Naval MedicalCenter’s final year as a separate,Navy Command. The evidenceof change is everywhere as wework to meet the deadline of theBase Realignment and Closuremandate, to become fully alignedwith Walter Reed Army MedicalCenter by September, 2011, andto form the Walter Reed NationalMilitary Medical Center Bethesda.It will be the first of its kind, worldclass tri-service military medicaland referral center. This mergerwill bring together the two mostpowerful brand names in the historyof military medicine into the largest,most sophisticated, uniformed

medical center in the world. It willbe the place where “excellent servicecultures” are forged into a “cultureof excellence.”

So once again, welcome to theNational Naval Medical Center. Weare dedicated to providing the finestpatient and family centered medicaltreatment for our patients and theirfamilies, the very best educationalexperience for our students, and ateam-oriented atmosphere for ourstaff members that is without equalin the Nation.


When the Base Realignment andClosure (BRAC) recommendationbecame law on November 9th, 2005,a core group of driven and determined

individuals, both civilians and active duty at MilitaryTreatment Facilities (MTF) in the National CapitalArea, started on an exciting journey together. Theymet regularly and became the first “change leaders”that this monumental endeavor required.

Those early meetings, conferences and retreats setthe stage for what the next 6 years would bring.

When the three leading MTF Flagofficers, MG Kenneth L. Farmer,Jr. (now retired); Brig. Gen.Thomas W. Travis (nowMaj. Gen.); RDML AdamM. Robinson; and thePresident of USU,Charles L. Rice,M.D., signed thefirst Joint Vision Statement in 2006, we had theirwisdom and guidance to begin to create the mostfar-reaching and exciting partnership in the historyof military medicine.

BRAC Pioneers...A Joint Vision to Guide Us

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)

MG Kenneth L. Farmer, Jr. (Ret.) and RDML Adam M.Robinson (now VADM, Surgeon General, U.S. Navy)

“Andrews Air Force Base...has a Tri-Service mission; we see Army, Air Force,Marines and Navy personnel. Our effortsmust be cost and quality focused.”

MG T.W. Travis, U.S. Army

USU is very pleased to be part of thisinitiative. We support the trainingmission of our military healthsystem. We are committed to thedevelopment of a world class healthcare system and to educating itsproviders and caregivers.”

Charles L. Rice, M.D., PresidentUniformed Services University of the Health Sciences

“I have heard a number of people saythat ‘this is a task that can’t be done.’I disagree. We are moving ahead. As we(do), GME/Health Profession Educationwill be one of our top three priorities.”

COL T. Fitzpatrick, U.S. ArmyDirector, Office of Integration 2005-2008


Since those early days, we have seen newhardworking groups of dedicated stakeholderssuch as The Program for Design team, the Office ofIntegration Committees, The Med-Cen IntegrationTeams and the Deputies for Integration andTransition lead us in moving the process forward.In 2007 we saw the formation of the Joint TaskForce National Capital Region Medical Commandand in 2008, the comprehensive EnvironmentalImpact Study was released.

The BRAC/Integration Journey RoomOn July 3, 2008, the same day as the President’svisit to officiate over the groundbreaking of the

future hospital,NNMC unveiledthe BRAC/IntegrationJourney Room(BIJR). Theroom, located inthe basement ofBuilding 9, nextto the ExecutiveDining Room, isa repository ofinformation, anda symbolic tourof the voyagethat started inSeptember of2005.

Designed inthe form of a“Situation Room”with 3 largewalls of murals,photographs,charts, and otherforms of visualcommunicationsdepicting theBRAC “journey”from 2005 to2011, the roomrepresents atimeline of BRACevents andaccomplishments.Much interestingand inspiring information can be found on theand inspiring information can be found on the and inspiring information can be found on the walls and in reference materials, photographs,handouts with additional data contained in theBIJR kiosk.

Although there were integrated clinics and medicalstaff working together from all branches of theservices before BRAC, “functional integration”of clinics really flourished in 2007 and 08. The“blended buildings” was used to represent thatalthough still in various and separate locations,the NCA – MTFs were working together as a team.

and inspiring information can be found on the and inspiring information can be found on the

CAPT Daniel Zinder, MC, USNexplains the scale model of the

future expansion.

COL Leon Moores speaks withLTG Eric Schoomaker, SurgeonGeneral, Commander of the USArmy Medical Command.

Honorable S. Ward Casscells, M.D., former AssistantSecretary of Defense for Health Affairs visiting the BIJR.

RADM David J. Smith, MC, Joint Staff Surgeon, is greetedby Dawn Marvin, Marketing/Communications, duringtours of the BIJR. The kiosk housing documents relatingto BRAC can be seen. (BIJR art designed by R. Randolph)


The Base Realignment and Closure(BRAC) is the change agent that directedthe integration of the Army and theNavy’s two most prominent hospitals:

Walter Reed Army Medical Center (WRAMC), andthe National Naval Medical Center (NNMC). Oncemade law, it was evident that military medicine inthe National Capital Region (NCR) would never bequite the same, and the integration of these twopremier military medical facilities could likely bethe model for the future of military medicine.

In September of 2007, the Joint TaskForce National Capital Region Medical(JTF CapMed) was established asa fully functional standing taskforce, located on the NNMCcampus and reporting directly tothe Secretary of Defense throughthe Deputy Secretary of Defense.The newly formed Commandwas charged with leading theway for the effective and efficientconsolidation and realignment ofmilitary healthcare in the NCR. ViceAdmiral John Mateczun was appointedto lead the mission. Having a single leaderin charge, allows for proper focus on patient careby the hospital Commanders, and allows for BRACplanning by the JTF CapMed Commander.

VADM Mateczun served as Joint Staff Surgeon,Commander of the Medical Center in San Diego, ChiefOperating Officer for Navy Medicine as the DeputySurgeon General, and also was the Director for theMilitary Health System Office of Transformation.

Vision: “The future Walter Reed National MilitaryMedical Center at Bethesda will be a world-classmedical center at the hub of the nation’s premierregional healthcare system serving our military andour Nation.”

Mission: “We will deliver integrated healthcare inthe NCR, ensure readiness, and execute the BRACbusiness plan to achieve the vision.”

To accomplish this unified medical mission, themedical services of the Army, Navy, and AirForce in the NCR will integrate to ensure thebest utilization of resources available. This willeliminate redundancies, enhance clinical care,promote health profession education and jointtraining, and enhance military medical researchopportunities. This integration also furthers thegrowth 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 andwomen who serve our country.

Our nation has seen its share ofSoldiers, Sailors, Airmen andMarines injured while fightingfor the welfare of others duringOperations Iraqi and EnduringFreedom. As America’s primaryreception site for returningcasualties and trauma care, there

is nothing more important to ourmission than taking care of our

wounded, ill and injured warriors andtheir families. Force Health Protection

is an on-going, four-pronged approach whichincludes:• 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 onthe combined contributions of our active, reserve,civilian, and contract personnel and their families.Their personal readiness is essential to ourmission. Our priority is caring for the caregivers.Our people are called to provide healthcare oftenunder trying circumstances. It is a tough job andwe have a covenant responsibility to care for them.

Joint Task Force:Integrated Military Healthcare in the National Capital Region


Interoperability andLeadership: Leadership is keyto service. We are currently ina unique situation to be able todraw leadership potential fromall Services. Since each Servicebrings unique and criticalcapabilities to the team, we willhave the “best of the best.” Yet,with interoperability; the fusionof working together on all levels,must come teamwork and trust.These are the keys to agileleadership and interoperabilitybetween the Services.

Regional HealthcareDelivery: Integrated planningfor the efficient and effectivedelivery of services on aregional basis is the key toquality and to mission success.We will use common businessstandards and clinical processesto maximize region-wide growthand potential.

Operational Control:JTF CapMed has been grantedOperational Control (OPCON)authority over Walter ReedArmy Medical Center (WRAMC),National Naval Medical Center(NNMC) Bethesda, DeWitt ArmyCommunity Hospital (DACH)and the Joint Pathology Center(JPC), and will exercise OPCONover Walter Reed NationalMilitary Medical Center atBethesda (WRNMMC), and FortBelvoir Community Hospital(FBCH), once these Jointhospitals are established.

OPCON is derived from theauthorities of CombatantCommand (COCOM), and grantsauthority to:

- Organize and employcommands and forces

- Assign tasks, designateobjectives, and give

authoritative directionnecessary to accomplishthe mission

- Provide authoritative directionover all aspects of militaryoperations and joint trainingnecessary to accomplishmissions to the command.

OPCON provides full authority toorganize commands and forces,and employ those forces as theCommander considers necessaryto accomplish assigned missions.

Civilian Workforce:One of the most importantparts of this integratedhealthcare delivery system isthe workforce. JTF CapMed isworking diligently to ensurethat civilian personnel at allthree medical treatment facilities(NNMC, WRAMC, DACH ) aremapped to their preferred worklocation. Thus far, there is a 95percent success rate on gettingcivilian personnel mapped to thelocations of their choosing.

Our Pledge to YOU,Our Patients:Military healthcare professionalsare filling a wide range ofroles – demonstrating courage,compassion, ingenuity, andexcellence. The staff membersof the JTF, and of the MilitaryHealth Care Treatment Facilitiesthroughout the NCR, bothmilitary and civilian, pledgeto you, active duty servicemembers; your families;retired service members andall eligible beneficiaries, oursincerest commitment thatyou will receive the highestquality of care during thisexciting evolution. We take fullaccountability for our decisionsand actions and will meet ourresponsibilities to you withintegrity and honor.

“In September of this year,the doors of the WalterReed National Military

Medical Center at Bethesdaand the new Fort BelvoirCommunity Hospital will

open to provide enhancedworld class healthcare and

support for our returningwounded, ill and injuredand their families as well

as the more than 500,000beneficiaries in the NationalCapital Region. This historicproject brings together bestpractices from the Military

Services, highly experiencedand motivated staff, and new

and renovated facilities. Itis the largest infrastructure

investment ever made in theMilitary Health System. Thisproject also brings the latestin technology and equipment

to an integrated system ofhealthcare that will enhance

both the effectiveness andefficiency of healthcare in the

National Capital Region.”

VADM John M. Mateczun,Commander

Joint Task ForceNational Capital Region Medical


Construction and Renovation

This huge project is accomplished by many buildingcontractors, architectural firms and DoD and Navyoversight groups working together, including:

Clark/Balfour Beatty (CBB) Joint VentureWhiting-Turner Contracting Company

Navy Medicine National Capital AreaBRAC, Program Management OfficeThe BRAC PMO manages construction and outfittingof spaces and ensures that the highest standards ofmedical care are met or exceed all Joint Commissionstandards; while making optimal use of resources andincorporating evidence-based design and proven worldclass concepts when construction plans are developed.

Naval Facilities Engineering Command —Medical Facilities Design Office (MFDO)“Technical Medical Experts” The Navy’s pointof contact with OASD(HA) and technical expertfor medical design and NAVFAC’s final decisionmaking authority regarding technical guidance,

criteria, and standards on all medical projects frominitiation to occupancy.

Office-in-Charge of Construction Bethesda(OICC Bethesda) “BRAC Construction Executor”OICC Bethesda stood up in June 2008 as an EchelonV command under NAVFAC Washington and isresponsible for executing BRAC construction as wellas PWO functions at NNMC Bethesda.

Major ProjectsTraffic Mitigation The traffic mitigation projectincludes five access gates, a vehicle inspection spaceand a new pass/ID office.

The BRAC direction of 2005 initiated the largest single capitalinfrastructure development program ever undertaken in themilitary health system. With five new buildings constructedsimultaneously, roads blocked, parking spaces limited, trucks,

trailers and cranes dotting the NNMC horizon in every direction; we didnot allow our commitment to world-class patient care be affected.

Through a haze of bricks and mortar we established temporaryworkstations for our hospital personnel who were displacedduring construction and renovation and prepared “swing space”accommodations for entire clinics before building and renovationscould begin.

Without skipping a beat, the dedicated staff at NNMC made certainthat throughout this entire development, construction, renovation andimplementation process, patient care was never compromised.

MilitaryMedical BRAC recommendations arefunded through the DefenseHealth Program.When finished this BRAC project will cover TWOMILLION square feet of new construction andrenovation and is expected to cost $2.6 billionagainst a net savings of $200million a yearstarting in 2012.

"The establishment of the newNational MilitaryMedical Center is about muchmore thanconstruction and renovation. It is about bringingtogether passionate and dedicated health careproviders and administrators at one location innew and improved facilities to continue to providea world-class standard of care for the benefit ofthose who have given somuch to our Nation."

David "Ollie" OliveriaDeputy Chief of Staff for Facilities and BRAC ProgramManager

Navy Medicine National Capital Area (NAVMED NCA)


America Garage – Patient Parking Garage and Central Utilities Plant 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.

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.

Building 62This building will be a barracks constructed north of Building 11 and will include 153 two-person 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 GarageThis complex is a consolidated Administrative/Fitness Facility and Parking Garage to be constructed and incorporated into the existing façade

of Building 17, begun in Fall of 2010, the building is scheduled to be completed in August 2011.

Multi-use Parking StructureThe 1,204-space multi-use, 405,000 square feet, 10-story parking structure is scheduled to be finished by September 2011.

Fisher HousesThree 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.

RenovationsRenovations 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 DesignEBD 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.

Guide Book.indd 23 12/22/2010 1:26:38 PM


During a “Building Team Spirit” picnic, staff from NNMC and WRAMC participated in integrated activities,

including a softball game and a 5k race.

Integration and Transition: The new “Buzz” words

Integration 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 We Heal

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 We Heal

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 We Heal

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 We Heal

United We HealWRNMMCBSeptember 2011

COMING SOON!

“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.

WE ARE IN THIS TOGETHER.”

CSM Rodolfo Delvalle, US Army

“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, ONE MISSION, ONE PURPOSE.”CMDCM Sherman Boss, US Navy

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.

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 topromote the time period between now and September 2011 was the contest goal.

“United We Heal.”Interim Motto Contest Winner



“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

“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

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

1. When did the original Walter Reed General Hospital officially open for patient care?

2. Who is the NNMC Clark Memorial Auditorium named after?

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?

5. What famous WWI general lived in a suite at WRAMC from 1941 until his death in 1948?

6. What structure did President George H. Bush dedicate at NNMC in1991?

7. Why was the WRAMC facility named after Major Walter Reed?

8. Who was the first and only (to date) Navy Nurse and Director of the Navy Nurse Corps to serve as Commander of NNMC?

Transition 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.

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.)

2010 - Learning about each other; NNMC Marketing/Communications Staffcreates a booth and brochures displaying the histories of both WRAMC andNNMC at Joint Training Day.



Naval Support Activity Bethesda

Armed Forces Radiobiology Research Institute (AFRRI)

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.

Naval Legal Service Office North Central, Bethesda Branch Office (NLSO)

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 Courts-Martial, and providing counsel for respondents

In 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



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

SERVICEWorld-class service is key to our success, rooted in our belief that it is an honor and a privilege to serve our members.

COMMITMENTCommitment is our dedication to getting the job done by providing our members with outstanding products and exceptional services.

INTEGRITYIntegrity 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 Navy-Marine 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 world-

class 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



Navy Medicine National Capital Area

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.

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.

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.

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.

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.

NAVY MEDICINE

NATIONAL CAPITAL ARE

ANSA, continued



United States Postal Service

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.

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 CommandNAVFAC 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 BankThe 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.

Navy College 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.

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 ReferralThe 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



What is the Medical Home?

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.

Medical 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 ApproachMH 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.

NNMC ONLINE Makes Patient Communication Easier!Improved communications is achieved RelayHealth or by NNMC ONLINE. This secure and user-

friendly 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.


Patient and Family – Centered Care (PFCC)PFCC is: “an approach to health care based on beneficial partnerships among health care providers, patients and families.”(Adapted from the Institute for Family Centered Care)

HM2 Dennis I. ArmatoMr. James N. CrislerDiagnostic Radiologic Technologist

Holly PertmerSocial Worker Breast Care Center

Dr. Sarita MobleyChief of Staff, Medical Home

Ms. Barbara EckmanSocial Worker, Child/AdolescentPsychiatry Service

HN3 Eric WickershamInpatient Surgical Nursing 5 East

Ms. Kristina N. DrewNurse, Inpatient Surgical Nursing 5 East

Ms. Kimberly QuintanillaNurse, Neonatal Intensive Care Unit

HM2 John W. SmithInpatient Recovery Ward

Dr. John ChandlerStaff Intensivist

7 West StaffPH-TBI Psychiatric Consultation and Liaison TeamNeonatal Intensive Care Unit (NICU) Nursing Staff Inpatient Internal Medicine Ward(5 Center) Team Intensive Care Unit (ICU) TeamPediatric Clinic TeamPsychological Health TraumaticBrain Injury Liaison Team

The 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.

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. 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.

Mutual Dignity & Respect: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.

THE TENETS OF PFCC:

PFCC

EX

CELLENCE




Addiction ServicesAdolescent MedicineAdult Outpatient Behavioral HealthAllergy/Immunology/Immunization Ambulatory Surgery and Procedures Anatomic & Clinical Pathology AnesthesiaBlood Bank Audiology/Speech Pathology Breast Care Cardiology Cardiothoracic SurgeryChild & Adolescent Behavioral Health Chiropractic ServicesClinical Nutrition Clinical Pharmacy Cochlear ImplantsColon Health Cosmetic Surgery Critical Care DermatologyDevelopmental PediatricsDiabetes Care Educational & Developmental Intervention Services (EDIS)Ear Nose Throat (ENT)Emergency (Emergency Medicine)Endocrinology Exceptional Family Member Program Gastroenterology General Dentistry General SurgeryGeriatric MedicineGynecologyHealth Promotion/Physical Fitness Assessment (PFA)Hearing ConservationHematology/Oncology Industrial HygieneInfection Prevention & Control ServicesInpatient MedicineInternational Travel Internal Medicine/Surgery Interventional RadiologyIn-vitro FertilizationLaboratory

Bldg - Floor

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Vicky Singer (In MRI, because of my Claustrophobia), was very understanding and went out of her way to make me comfortable. You have an excellent person working for you. - Anonymous

Technician Bowman in the pulmonary clinic (is) friendly (and) efficient, good job, good department… - B. P., Fairfax, VA

(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

NEW

NEW

I could not ask for better customer service. I also, would like to thank PA Cauchon for helping me with my back problems. Big Mike thank you for all your assistance. Have a great day. - TSgt. M. R., Alexandria, VA

Medical Services and Locations



Medical & Reproductive GeneticsMother & Infant CareNavy Central HIV Program Neonatal Intensive Care Unit (NICU)Nephrology Neurology NeurosurgeryNuclear MedicineObstetrics & GynecologyOccupational Health Occupational SafetyOccupational TherapyOncologyOphthalmologyOptometry Orthopedics/Podiatry Oral & Maxillofacial SurgeryOtolaryngology Surgery (ENT)Partial HospitalizationPediatric MedicinePediatrics Behavioral HealthPediatrics: Inpatient Pediatrics: Neurodevelopmental Pediatrics: Specialty Care Physical Medicine & RehabilitationPhysical TherapyPlastic & Reconstructive Services (Pediatric & Adult)Preventive Medicine & Environmental Health ServicesPsychological Health/Traumatic Brain Injury (PH-TBI)Pulmonary MedicineRadiation OncologyRadiologyRefractive SurgeryRespiratory Services RheumatologySocial Work/Clinical Care Management Substance AbuseSurgical ServicesSurgical OncologyTransfusion ServicesTransplant ServicesUrologyVaccine Healthcare Vascular Surgery

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9 2 10 6 17 10 6 9 1 19 6 9 1 9-A 1 9 2 7 2 7 2 19 1 19 3 8 1 8 1 19 2 9 2 19 5 8 4 19 4 19 4 10 3 19 4 19 4 19 1 19 1 9 2 7 2 10 7 9 1 19 Basement 9 1 8 1 9-A 3 19 3 7 5 9 4 9 1 19 3 9 3 9 1 9 2 19 4 9 2

NEW

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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.

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



Achieving Excellence in Casualty Care

Today, 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.



“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.

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.

“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

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.

Trauma Team —The Multi–Disciplinary ApproachAn 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.



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 InjuriesNNMC 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.

Treating Our Wounded, continued

“It’s a brave lot here in Bethesda; people who are willing to sacrifice for something greater than themselves.”

– President George Bush, 2003

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.



The winds may not always blow my way, but I’ve learned to stand in the storm,

adjust my sails and move forward. – Anon

Amputee CareThe 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.

Empowering Our Wounded Ill and Injured (WII)Wounded Warrior Care and Transition (WWCT) empowers WII and transitioning service members and their families by:

• ProvidingRecoveryCareCoordinatorstohelpWII 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.

• RestructuringtheDisabilityEvaluationSystemfor an equitable and efficient adjudication of benefits from the DoD and VA.

• Informingservicemembers,veterans,andfamilies through the National Resource Directory and eBenefits websites.

• UtilizingtheTransitionAssistanceProgramtogive all service members the tools they need to succeed at home when they have completed their service to our nation.

Former Marine Corps Commandant Gen. Michael Hagee with Marine Cpl. Tim Jeffers, a double amputee still on active duty.



The National Intrepid Center of Excellence

The 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.

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...”

PurposeThe 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 long-term 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.



Treatment and Advanced Technology for Warrior CareThe 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 FutureThe 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.



The 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.

Executive Health Serving Our Nation’s Leaders

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, patients meet with their assigned Primary Care Manager (PCM) to assess their specific health needs and concerns. Together, the patient and PCM develop a plan of care focusing on information and care to help the patient stay healthy.

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.

Our excellent staff will follow-up with patients to address any further health concerns and questions. We are here to honor and respect our patients and their families’ viewpoints, regardless of values, beliefs, or cultural backgrounds.

We Serve:• Membersof

the President’s Cabinet

• MembersoftheU.S. Congress

• TheU.S.SupremeCourtJustices

• ActiveDutyandRetiredFlag/GeneralOfficersand their beneficiaries

• CurrentSeniorExecutiveServices(SES)thatare retired military

• Secretary,DeputySecretaryandAssistantSecretary of the Military and

Department of Defense

• ForeignDignitaries,ForeignMilitaryFlag/General Officers on orders or with letters of Secretarial Designation

• MedalofHonorrecipients



A New Organizational ModelIn 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, USNCHIEF 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 COMMITTEEOF THE MEDICAL STAFF:

CDR C. Sears

PUBLIC HEALTH:CDR D. Harman

RESOURCES:CAPT J. Pickel

SPECIAL ASSISTANTS:CAPT S. Miranda

Deputy Asst. Chief of Staff:CDR V. Wooden

DEPUTY COMMANDERS (Alpha Order)

CIVILIAN REPRESENTATIVE:Ms. C. DeBinder

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:

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.

The 2011 NNMC Annual Plan - Quality, Readiness, Access, Integration/Transition

• Delivercomprehensive world-class healthcare

• EnsurethatActive-DutyandPrimeenrollees get to the right provider, at the right time and at the right place

• Standreadytomeetourmissionanywhere, anytime

• Advanceintegrationbydefining,aligning and marketing our present and future medical center.

ADMINISTRATION:Deputy Commander: CAPT A. SwapAsst. Deputy Com: CDR C. Irwin

BEHAVIORAL HEALTH:Deputy Commander: CAPT J. Ralph

Asst. Deputy Com: CDR J. West

CLINICAL SUPPORT:Deputy Commander: COL J. SpainAsst. Deputy Com: LCDR S. Hussey

DENTISTRY:Deputy Commander: CAPT L. Hartzell

EDUCATION, TRAININGAND RESEARCH:

Deputy Commander: COL M. NaceAsst. Deputy Com: COL B. Belson

HEALTHCARE OPERATIONSAND STRATEGIC PLANNING:Deputy Commander: Mrs. C. ChunAsst. Deputy Com: CDR N. Condon

MEDICINE:Deputy Commander: Dr. P. FlorentinoAsst. Deputy Com: CDR R. PerdueAsst. Deputy Com: CDR E. Sawyer

NATIONAL INTREPIDCENTER OF EXCELLENCE:

Deputy Commander: CAPT T. Beeman

NURSING:Deputy Commander: COL E. ForsterAsst. Deputy Com: CAPT A. Beadle

SURGERY:Deputy Commander: CAPT M. Kobelja

Asst. Deputy Com: CDR R. HowardAsst. Deputy Com: CDR E. Quattrone



Finding Your Way Around

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.

The 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.



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Locations of the New Hospital Buildings and Zones


“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.”

– COL Susan Annicelli, DeWitt Health Care Network Commander, U.S. Army


The 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

Additionally, clinic space has been dedicated to outpatient services with additional space planned for future outpatient expansion.

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.

Fort Belvoir: Building a Culture of Excellence!Commitment to World-Class Healthcare

Emergency Service

Dermatology

Ambulatory Surgery

Urology

Women’s Health Center

Cardiology

ENT

Ophthalmology

Health Professions Education

Enhanced Services:

Behavioral Health - 12OB (5 LDR + 18 bassinets) - 18Level II Nursery - 6ICU - 10Medical - 38Surgery - 26Pediatric - 10

120 Inpatient Beds:

Adult Oncology Services (Cancer Care)Adult Chemotherapy InfusionRadiation Oncology/Linear AcceleratorsIntensive Care UnitInpatient Behavioral HealthInpatient PediatricBreast CenterNuclear Medicine

New Services:

10 Operating Rooms

Laser Eye CenterDental Clinic Services/Oral SurgeryAquatics TherapyChiropractic ServicesPain ClinicRheumatologyVascularCardiac Catheter LabNeurology

EndocrinologyPulmonary ClinicPatient Resource LibraryInfectious Disease ClinicInterventional RadiologyDepartment of Veterans Affairs Health ClinicExecutive Medicine ClinicResidential Substance Abuse Treatment FacilityMultidisciplinary Interventional Services



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.

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.

WALTER REEDBETHESDA

The Way Forward

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:

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

A

VANGUARD OF MILITARY MEDICINE


BG16633N

N “Prompt Medical Carewhen You Need It”

www.fastrackmd.com

301-949-0030Fax: 301-949-0033

10540 Connecticut Ave.Kensington, MD 20895

in the Kensington Shopping Center

HOURS: Weekdays: 9AM to 9PMWeekends: 9AM to 6PM

7 Days A Week • Including Holidays

Always a Physician On-SiteNo Appointment Needed

* 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

“Where convienience, comfort and health are called home! The Geogian Apartments offers awide 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!!”

Receive $500 off 1st fullmonthRentplus added specials!!

Now leasing: Studio 1 BR 2 BR

8750 Georgia Avenue Silver Spring, MD 20910www.GeorgianAptsSilverSpring.comemail - [email protected]

Call a leasing specialist today for Military incentives

877.831.2789

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NOur multi-million dollar renovation is well underway and we can’t waitto 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

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

10905 Amherst Avenue | Silver Spring, MD 20902

www.EncoreWheatonStation.com1-866-576-9490


Be sure to ask for the“National Naval Medical Center” rate.

Courtyard by Marriott Chevy Chase - “It’s a New Stay”5520 Wisconsin Avenue | Chevy Chase, MD 20815

Main: 301.656.1500| Fax: 301.656.0638Follow us on Twitter https://twitter.com/CourtyardCC • Become a fan of ours on facebook http://tinyurl.com/nnmts8

marriott.com/wasvy

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 LCDHDTV• Seasonal outdoor pool• 24 hour fitness center• The Bistro – offering breakfast, lunch & dinner• In-room refrigerator• Business center

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Committed to Your Comfort

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El Mariachi RestaurantTEX-MEX & SOUTHAMERICAN CUISINE

Enjoy truly delicious Tex-Mex& South American Cuisine

“An unusually good, moderately priced Latin restaurantthat serves both Tex-mex...interesting South Americandishes”

—Mark & Gail Barnett, The Washington PostZagat Rated

Great Fajitas, Fish & Poultry DishesOutstanding Vegetarian EntreesAvailable for Lunch and Dinner

Banquet FacilitiesHail & Farewells

Business Luncheons & DinnersAny Occasion

(301) 738-7177RITCHIE CENTER

765-C Rockville Pike, Rockville, MD

OPEN 7 DAYSReasonable Prices

Sunday Brunch • 11an-2:30pmMon-Thu 11;00am-10pm • Fri & Sat 11:30am-11pm • Sun 11:30am-11pm

www.elmariachirestaurant.comVisit all our fine restaurant locationsat www.mariachirestaurants.com

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MWR LEISURE TRAVEL Bldg. 2

MWR ITT..............................................................301-295-0434Around the corner from Main Street of the hospital.Discounted tickets for movies and area attractions, MWRactivity information, Sign up for Adventure Bound and LibertyTrips, 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 Bldg. 11

Main Entrance

Entertainment for Single E1-E6, Enlisted GEO-Bachelors in

the Barracks and Wounded Warriors. Large Screen HDTV,

Movies, Video Games - XBOX, Wii, Pool, Computers, Snacks

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 [email protected]

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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Naval Support Activity8901Wisconsin Ave.,Bldg. #52 • Bethesda,MD 20814-5000Phone: (301) 654-1795 Fax: (301) 654-9373E-Mail: [email protected]

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• 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 Healthemployees

Patuxent Naval Station (301)737-2400Annapolis(410)757-7900Washington DC (202)563-6950

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www.miranchotexmexrestaurant.com

SILVER SPRING8701 Ramsey Ave.

Silver Spring, MD 20910(301) 588-4872

GERMANTOWN19725-A Germantown Rd.Germantown, MD 20874

(301) 515-7480

ROCKVILLE1488 Rockville PikeRockville, MD 20852

(240) 221-2636

TEXMEX

Outdoor Patio

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Government,Military & Healthcare

Providers qualifyfor our preferred

Employer Discount of5% off

All Rentals

301-540-008018832 Bent Willow CircleGermantown, MD 20874

$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!!

You Will Love Coming Home to


50 National Naval Medical Center Guide 2011

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Darcars appreciates your service to our country

$500 Military RebatesAvailable


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Conveniently Located2 1/2 miles north of I-495 &Less than 3 miles to NNMC

Included Amenities

Oversized 2 & 3 Story

Rental Townhomeson Beautifully Landscaped Grounds

q Pre-wired for cable & high-speed internetq Newly redesigned kitchen & appliancesq Hardwood floors w/inlayq Ceramic tiled bathq 2" Plantation blindsq Cherry finish kitchen cabinetryq Self-cleaning rangesq Side-by-side refrigeratorq Garbage disposalq Stainless steel sinksq Microwaveq Dishwasherq Full-size washer & dryerq Private entry patio w/additional storage

11460 Connecticut AvenueKensington, MD 20895www.rcptownhomes.com 301-949-4466

• 2½ & 3½ Baths • 3, 4 & 5 Bedrooms• 1,400 to 2,100 sq. ft.

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2011 COMPRINT MILITARY PUBLICATIONS - NNMC PAGE 1

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 Mil-itary 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, na-tional 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 Feder-al 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, re-ligion, 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 publi-cation are available on an equal opportunity basis.

Apartments . . . . . . . . . . . . . . . . . . . 1-4

Assisted Living . . . . . . . . . . . . . . . . . .4

Attorneys . . . . . . . . . . . . . . . . . . . . . . 4

Auto Dealers . . . . . . . . . . . . . . . . . .5-6

Auto Repair & Service . . . . . . . . . . . .6

Barber Shops . . . . . . . . . . . . . . . . . . . 6

Bowling . . . . . . . . . . . . . . . . . . . . . . . 6

Boxes . . . . . . . . . . . . . . . . . . . . . . . . .6

Car Pool Services . . . . . . . . . . . . . . . 6

Child Care . . . . . . . . . . . . . . . . . . . . . 6

Credit Unions . . . . . . . . . . . . . . . . . . . 7

Dentists-General . . . . . . . . . . . . . . . . 7

Entertainment . . . . . . . . . . . . . . . . . . .7

Hotels/Motels . . . . . . . . . . . . . . . . . 7-9

Housing . . . . . . . . . . . . . . . . . . . . 9-10

Insurance . . . . . . . . . . . . . . . . . . . . . 10

Lawyers . . . . . . . . . . . . . . . . . . . . . . 10

Long Term Care . . . . . . . . . . . . . . . .11

Packaging & Shipping . . . . . . . . . . . .11

Pizza . . . . . . . . . . . . . . . . . . . . . . . . 11

Real Estate Sales - Residential . 11-13

Recreation . . . . . . . . . . . . . . . . . . . . 13

Restaurants . . . . . . . . . . . . . . . . . . . 13

Schools - Academic/Private . . . . . . .14

Storage . . . . . . . . . . . . . . . . . . . .14-15

Theaters . . . . . . . . . . . . . . . . . . . . . .15

Ticket Sales - Entertainment . . . . . . .15

Transportation Services . . . . . . . . . . 15

Urgent Care . . . . . . . . . . . . . . . . .15-16

MilitaryShoppers’ HHHH

HH HHHHHH

HHHH

guideMilitaryShoppers’NNMC 2011

2 PAGE 2011 COMPRINT MILITARY PUBLICATIONS - NNMC

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Conveniently Located2 1/2 miles north of I-495 &Less than 3 miles to NNMC

Included Amenities

Oversized 2 & 3 Story

Rental Townhomeson Beautifully Landscaped Grounds

q Pre-wired for cable & high-speed internetq Newly redesigned kitchen & appliancesq Hardwood floors w/inlayq Ceramic tiled bathq 2" Plantation blindsq Cherry finish kitchen cabinetryq Self-cleaning rangesq Side-by-side refrigeratorq Garbage disposalq Stainless steel sinksq Microwaveq Dishwasherq Full-size washer & dryerq Private entry patio w/additional storage

11460 Connecticut AvenueKensington, MD 20895www.rcptownhomes.com 301-949-4466

• 2½ & 3½ Baths • 3, 4 & 5 Bedrooms• 1,400 to 2,100 sq. ft.

2011 national naval medical center guide & yellow pages

Documents

medical teaching

medical research

medical advancements

patient care

years nnmc guide

clear today

flagship of navy medicine

world class health care