An examination was made of the extent to which the Department of Defense (DOD) should plan to provide space in its new and replacement medical facilities for retirees and dependents of retired and deceased members. This factor has important policy implications, because it will affect the cost of constructing and operating medical facilities in the future and the medical benefits available to military beneficiaries.
Matter for Congressional Consideration
|Congress should amend title 10, section 1087, U.S. Code, to allow for the sizing of military hospitals and clinics based on (1) life-cycle cost-effectiveness; (2) staff availability; (3) realistic workload projections; and (4) teaching and training requirements.||Please call 202/512-6100 for additional information.|
Recommendations for Executive Action
|Department of Defense||1. The Secretary of Defense, pending enactment of new legislation, should revise DOD Instruction 6015.16 as necessary based on the results of the review of the five and ten percent factors.|
|Department of Defense||2. The Secretary of Defense, pending enactment of new legislation, should consider, as part of the review, whether the five and ten percent factors are the most appropriate factors to apply to outpatient and inpatient facilities.|
|Department of Defense||3. The Secretary of Defense, pending enactment of new legislation, should direct the Secretaries of the Army, Navy, and Air Force to uniformly apply the size limitations required by law and DOD instructions to both inpatient and outpatient facilities when programing space in new hospitals and clinics.|
|Department of Defense||4. The Secretary of Defense, pending enactment of new legislation, should review the five and ten percent factors used in sizing military medical facilities, as suggested in the conference report on the military construction appropriations bill for fiscal year 1977, to determine if these percentages are still valid for meeting teaching and training requirements.|