This is the accessible text file for GAO report number GAO-11-206 
entitled 'Defense Infrastructure: The Navy Needs Better Documentation 
to Support Its Proposed Military Treatment Facilities on Guam' which 
was released on April 5, 2011. 

This text file was formatted by the U.S. Government Accountability 
Office (GAO) to be accessible to users with visual impairments, as 
part of a longer term project to improve GAO products' accessibility. 
Every attempt has been made to maintain the structural and data 
integrity of the original printed product. Accessibility features, 
such as text descriptions of tables, consecutively numbered footnotes 
placed at the end of the file, and the text of agency comment letters, 
are provided but may not exactly duplicate the presentation or format 
of the printed version. The portable document format (PDF) file is an 
exact electronic replica of the printed version. We welcome your 
feedback. Please E-mail your comments regarding the contents or 
accessibility features of this document to Webmaster@gao.gov. 

This is a work of the U.S. government and is not subject to copyright 
protection in the United States. It may be reproduced and distributed 
in its entirety without further permission from GAO. Because this work 
may contain copyrighted images or other material, permission from the 
copyright holder may be necessary if you wish to reproduce this 
material separately. 

United States Government Accountability Office: 
GAO: 

Report to Congressional Committees: 

April 2011: 

Defense Infrastructure: 

The Navy Needs Better Documentation to Support Its Proposed Military 
Treatment Facilities on Guam: 

GAO-11-206: 

GAO Highlights: 

Highlights of GAO-11-206, a report to congressional committees. 

Why GAO Did This Study: 

The Navy determined that its current hospital on Guam does not meet 
modern facility standards. Moreover, the military population on Guam 
is expected to grow from 15,000 to over 39,000 due to DOD plans to 
move Marine Corps units from Okinawa, Japan to Guam and expand other 
on-island capabilities. The Navy plans to construct a new hospital and 
two outpatient clinics as part of its facility solution to replace the 
current hospital and accommodate additional health care requirements. 
This report (1) describes the Navy’s plans for developing its military 
treatment facility solution to meet the expected increases in the 
military population on Guam, and (2) examines the extent to which the 
Navy is assured that its proposed military treatment facility solution 
on Guam will sufficiently meet the requirements for the expected 
increase in military population. To address these objectives, GAO 
reviewed documentation including the Navy’s plans for its military 
treatment facility solution and interviewed key officials within the 
Military Health System. 

What GAO Found: 

To accommodate the additional inpatient and outpatient requirements 
resulting from the expected increase in military population to Guam, 
the Navy plans to expand inpatient and outpatient care in the 
replacement hospital and move primary outpatient and dental care to 
two new branch health clinics. Primary outpatient care generally 
includes caring for acute and chronic illnesses, disease prevention, 
screening, patient education and follow-up care from hospitalization. 
The replacement hospital will be located on the site of the current 
hospital, while one of the new branch health clinics will replace 
medical and dental clinics currently in operation on Naval Base Guam, 
and the other clinic will be located in North Finegayan on the site of 
a proposed Marine Corps base. According to Navy officials, the 
development of the requirements for the clinics allowed the Navy to 
retain the size and footprint of an initially planned version of the 
replacement hospital, which was already programmed and approved prior 
to the announcement of the proposed military buildup on Guam. The two 
outpatient primary care clinics are to be funded by the government of 
Japan as part of the agreement to realign Marine Corps units from 
Okinawa, Japan to Guam, and DOD will fund the new hospital. The Navy’s 
proposed military treatment facility solution on Guam expands on the 
health care services currently offered on Guam, but in instances when 
patients require care not offered on Guam, the Navy determined that it 
will continue to medically evacuate them to other military treatment 
facilities, such as Naval Hospital Okinawa, Tripler Army Medical 
Center in Hawaii, or Naval Medical Center San Diego. 

GAO found that the Navy’s documentation used to support its 
recommended military treatment facility solution for Guam does not 
clearly demonstrate how the Navy determined the size and configuration 
of the proposed branch health clinics, nor could Navy officials 
adequately explain their analyses or assumptions. Navy officials 
indicated that the Navy’s health care requirements analysis report was 
the basis for decisions regarding the size and configuration of the 
proposed military treatment facilities. The Navy’s health care 
requirements analysis report estimates the overall health care 
workload for the services the Navy intends to offer on Guam following 
the realignment, but does not show how this workload translates into 
the size and configuration of the Navy’s proposed facilities. 
Therefore, it is difficult for stakeholders to be fully assured that 
the facility solution will be the most cost-effective solution to meet 
beneficiary health care needs following the realignment. Without clear 
documentation of key analyses and identification of risks, the Navy 
cannot fully demonstrate that it is making the most cost-effective 
decisions with its proposed military treatment facility solution on 
Guam. 

What GAO Recommends: 

GAO recommends that Navy clearly document the basis for health care 
workload and staffing on Guam. In commenting, DOD generally concurred 
and said that more information on the branch health clinics’ planning 
has been developed by the Navy and is under review. 

View [hyperlink, http://www.gao.gov/products/GAO-11-206] or key 
components. For more information, contact Brian Lepore at (202) 512-
4523 or leporeb@gao.gov. 

[End of section] 

Contents: 

Letter: 

Background: 

The Navy Plans to Replace the Current Hospital and Construct Two New 
Branch Health Clinics to Meet Increased Health Care Demand on Guam: 

The Navy Did Not Fully Document Its Analyses Supporting Its Proposed 
Guam Military Treatment Facility Solution: 

Recommendation for Executive Action: 

Agency Comments and Our Evaluation: 

Appendix I: Scope and Methodology: 

Appendix II: Comments from the Department of Defense: 

Appendix III: GAO Contact and Staff Acknowledgments: 

Related GAO Products: 

Table: 

Table 1: Expected Change in Dedicated Hospital Space for Services at 
Naval Hospital Guam: 

Figures: 

Figure 1: Current Military Health System Organizational Structure: 

Figure 2: Timeline Leading up to the Development of the Navy's 
Military Treatment Facility Solution on Guam: 

Figure 3: Medical Treatment Facilities Post-Buildup on Guam: 

[End of section] 

United States Government Accountability Office: 
Washington, DC 20548: 

April 5, 2011: 

The Honorable J. Randy Forbes: 
Chairman: 
The Honorable Madeleine Z. Bordallo: 
Ranking Member: 
Subcommittee on Readiness: 
Committee on Armed Services: 
House of Representatives: 

The Honorable Joe Wilson: 
Chairman: 
The Honorable Susan A. Davis: 
Ranking Member: 
Subcommittee on Military Personnel: 
Committee on Armed Services: 
House of Representatives: 

The Navy currently operates a hospital, an outpatient clinic, and a 
dental clinic on Guam, a U.S. territory located in the western Pacific 
Ocean. These military treatment facilities provide health care 
services to servicemembers, their families, and others entitled to 
Department of Defense (DOD) health care. The hospital is centrally 
located on the island, while the outpatient clinic and dental clinic 
are located on Naval Base Guam in the southern part of the island. The 
Navy has determined that the current hospital is outdated and does not 
meet modern facility standards as it was constructed in 1954 using 
1940s design criteria. 

While the Navy was initially developing requirements for a replacement 
hospital on Guam, separately the United States and Japan began a 
series of sustained security consultations, referred to as the Defense 
Policy Review Initiative, which were aimed at reducing the burden of 
the U.S. military presence on Japanese communities and strengthening 
the U.S.-Japan security alliance. By 2006, these consultations 
established the framework for the future U.S. force structure in 
Japan, including the relocation of U.S. military units from Okinawa, 
Japan to Guam. DOD plans to move about 8,600 Marines and their 
estimated 9,000 dependent family members to Guam as part of the 
Defense Policy Review Initiative. As a result of this realignment from 
Japan to Guam and other DOD plans to expand the capabilities and 
presence of the Army, Navy, and the Air Force on Guam over the next 
several years, the military population on Guam is expected to grow by 
over 160 percent, from 15,000 to over 39,000 by 2020. DOD estimates 
the cost of developing facilities and infrastructure for the Marine 
Corps relocation to Guam to be approximately $10.27 billion. The 
government of Japan is anticipated to provide $6.09 billion, in U.S. 
fiscal year 2008 dollars, of this amount.[Footnote 1] Part of this 
funding will be used to enhance DOD's current infrastructure on Guam, 
including the construction of new military treatment facilities. In 
addition to the realignment, the other military services are planning 
to expand their operations and presence on Guam. For instance, the 
Navy plans to enhance its infrastructure, logistic capabilities, and 
waterfront facilities; the Air Force plans to develop a global 
intelligence, surveillance, and reconnaissance strike hub at Andersen 
Air Force Base; and the Army plans to place a ballistic missile 
defense task force on Guam. As a result of the realignment and DOD's 
other plans for Guam, the total DOD increase on the island is expected 
to cost (including costs to be covered by the government of Japan) 
over $13 billion. 

In August 2009, we were requested to review and assess the proposed 
replacement of the naval hospital on Guam to determine whether the 
size and scope of the hospital will be sufficient to support the 
current and projected military mission requirements as well as the DOD 
beneficiary population on Guam. This report (1) describes the Navy's 
plans for developing its military treatment facility solution to meet 
the expected increases in the military population on Guam, and (2) 
examines the extent to which the Navy is assured that its proposed 
military treatment facility solution on Guam will sufficiently meet 
the requirements for the expected increase in military population. 

To describe the Navy's plans for its proposed military treatment 
facility solution of a replacement hospital and two branch health 
clinics that will account for the expected increases in military 
population on Guam, we obtained documents detailing the Navy's plans 
for its proposed facilities, such as budget justifications, economic 
analyses, health care requirements analyses, construction estimates, 
cost estimates, and facility designs. We reviewed DOD's Draft Guam 
Joint Military Master Plan and compared it with the Navy's military 
treatment facility requirements. We also obtained and reviewed the 
contract issued for the replacement hospital. To examine the extent to 
which the Navy is assured that its proposed military treatment 
facility solution will adequately meet the requirements for the 
expected increase in military population, we focused on the timeframe 
from which TRICARE Management Activity approved the Navy's initial 
replacement hospital proposal in 2004 prior to the announcement of the 
Defense Policy Review Initiative and planned military buildup on Guam 
through the final approval in 2008, which followed the announcement of 
the Defense Policy Review Initiative.[Footnote 2] We obtained and 
reviewed applicable legal and departmental guidance, including DOD 
instructions and directives, and compared them with the Navy's 
documented assumptions, methods, and economic cost analyses used to 
develop its proposed military treatment facilities requirements on 
Guam. To describe the Navy's plans for its proposed military treatment 
facility solution, and to examine the extent to which the Navy is 
assured that its proposed military treatment facility solution will 
adequately meet increased requirements, we also interviewed officials 
from the Navy Bureau of Medicine and Surgery, Navy Medicine West, 
Naval Hospital Guam, Headquarters Marine Corps, Marine Corp Forces 
Pacific, Naval Facilities Engineering Command Marianas, Naval 
Facilities Engineering Command Medical Facilities Design Office, 
Andersen Air Force Base 36th Medical Group, Joint Guam Program Office, 
and TRICARE Management Activity. Although we did not independently 
assess the data DOD used for planning purposes, we discussed its 
reliability with DOD officials and determined that the data were 
sufficiently reliable to meet the objectives of this engagement. 

We conducted this performance audit from February 2010 through March 
2011 in accordance with generally accepted government auditing 
standards. Those standards require that we plan and perform the audit 
to obtain sufficient, appropriate evidence to provide a reasonable 
basis for our findings and conclusions based on our audit objectives. 
We believe that the evidence obtained provides a reasonable basis for 
our findings and conclusions based on our audit objectives. 

Background: 

DOD operates one of the largest and most complex health care systems 
in the nation and has a dual health care mission--readiness and 
benefits. DOD's health care system is referred to as the Military 
Health System. The readiness mission provides medical services and 
support to the armed forces during military operations and involves 
deploying medical personnel and equipment as needed to support 
military forces throughout the world. The benefits mission provides 
medical services and support to members of the armed forces, their 
family members, and others eligible for DOD health care, such as 
retired service members and their families. DOD's health care mission 
is carried out through military hospitals and clinics throughout the 
United States and overseas, commonly referred to as military treatment 
facilities, as well as through civilian health care providers. 
Military treatment facilities comprise DOD's direct care system for 
providing health care to beneficiaries. 

The Assistant Secretary of Defense (Health Affairs) is responsible for 
ensuring the effective execution of DOD's health care mission and 
exercises authority, direction, and control over medical personnel 
authorizations and policy, facilities, funding, and other resources 
within DOD.[Footnote 3] The Director of TRICARE Management Activity, 
as seen in figure 1, reports to Health Affairs. TRICARE Management 
Activity develops and maintains the facilities planning, design, and 
construction criteria in support of DOD's health care mission, and 
serves as the focal point for all issues pertaining to the 
acquisition, sustainment, renewal, and modernization of the full range 
of facilities within the Military Health System. Figure 1 displays the 
organizational structure of the Military Health System. 

Figure 1: Current Military Health System Organizational Structure: 

[Refer to PDF for image: organizational structure] 

Top level: 
Secretary of Defense. 

Second level, reporting to the Secretary of Defense: 
* Under Secretary of Defense for Personnel and Readiness; 
- Assistant Secretary of Defense (Health Affairs); 
- Director, TRICARE Management Activity: 
-- TRICARE contractors; 
* Secretary of the Army; 
* Secretary of the Navy; 
* Secretary of the Air Force. 

Third level, reporting to the Secretary of the Army: 
* Army Chief of Staff; 
* Army Surgeon General; 
* Army Medical Command; 
* Regional commands; 
* Military treatment facilities. 

Third level, reporting to the Secretary of the Navy: 
* Commandant of the Marine Corps; 
* Chief of Naval Operations; 
* Navy Surgeon General; 
* Bureau of Medicine and Surgery; 
* Regional commands; 
* Military treatment facilities. 

Third level, reporting to the Secretary of the Air Force: 
* Air Force Chief of Staff; 
* Air Force Surgeon General; 
* Air Force Medical Operations Agency; 
* Air Force major commands; 
* Military treatment facilities. 

Source: GAO analysis of DOD data. 

[End of figure] 

TRICARE Management Activity is responsible for the acquisition of all 
military health care facilities worldwide, including the development 
and issuance of medical facility policy, programming, budgeting, 
design, and construction of all projects.[Footnote 4] Moreover, it is 
responsible for the development, issuance, and maintenance of health 
care facilities planning and technical criteria as well as the 
management of financial resources for all planning, design, and 
construction of projects. 

The Navy Bureau of Medicine and Surgery, the headquarters command for 
Navy Medicine, oversees the delivery of health care for the Navy and 
Marine Corps. It exercises direct control over naval hospitals, 
clinics, medical centers, dental centers, and preventative medicine 
units within the United States and overseas, and provides professional 
and technical guidance for the design, construction, staffing, and 
equipping of medical assets. Navy Medicine West is the regional 
command that helps manage and plan for the Navy's health care delivery 
and military treatment facilities in the Pacific region. Under Navy 
Medicine West's responsibility are all Navy military treatment 
facilities on the West coast, in Hawaii, Japan, and Guam. 

DOD's Unified Facilities Criteria 4-510-01 (Unified Facilities 
Criteria) provide mandatory design and construction criteria for 
facilities in DOD's medical military construction program.[Footnote 5] 
This subpart of the Unified Facilities Criteria is primarily focused 
on how military treatment facilities are to be designed and 
constructed, but also requires that the military services submit 
planning documentation as part of the pre-design considerations that 
TRICARE Management Activity uses to issue a design authorization and 
approve a proposed project for funding.[Footnote 6] This planning 
documentation includes a DD Form 1391 (Military Construction Project 
Data), project narrative, program for design, equipment planning, 
project books and an economic analysis. Design authorizations are 
issued to a design agent, which is designated by the Secretary of 
Defense as being responsible for the design and construction of 
proposed facilities.[Footnote 7] In the case of Guam, Naval Facilities 
Engineering Command is the designated design agent responsible for 
military construction. 

In addition to the above policy guidance and criteria for the planning 
of military treatment facilities, Office of Management and Budget 
guidance requires federal agencies to develop and implement internal 
controls to ensure, among other things, that programs achieve their 
desired objectives; and that programs operate and resources are used 
consistent with agency missions, in compliance with laws and 
regulations, and with minimal potential for waste, fraud, and 
mismanagement.[Footnote 8] Internal control, in its broadest sense, 
includes the plan of organization, policies, methods and procedures 
adopted by program management to meet its goals. 

In addition to the standards for internal control identified by Office 
of Management and Budget, GAO has also identified standards for 
internal controls, which include (among other things) control 
activities.[Footnote 9] Control activities include policies, 
procedures, techniques, and mechanisms that enforce management's 
directives, which can include a wide range of activities such as 
approvals, authorizations, verifications; and documentation, which 
should be readily available for examination. 

Medical Facilities on Guam: 

The current Naval Hospital Guam and its associated military treatment 
facilities, including a branch medical clinic and branch dental clinic 
on Naval Base Guam, help support the operational readiness of the 
United States and allied forces operating in the Pacific region. These 
facilities have been in operation for over 50 years. The naval 
hospital provides services for active duty servicemembers and their 
family members stationed on Guam. Transient active duty 
servicemembers, military retirees (transient and living on Guam) and 
their family members, National Guard members, and officials from other 
federal agencies also receive health care from the naval hospital. 

In addition to the Navy-operated military treatment facilities on 
Guam, the Air Force's 36th Medical Group located at Andersen Air Force 
Base operates a medical and dental clinic, renovated in 2006, that 
delivers primary medical and dental care to DOD beneficiaries in and 
around Andersen Air Force Base, which is on the northern part of the 
island. 

A civilian hospital--Guam Memorial Hospital--as well as community 
health clinics are also on Guam. According to Navy planning documents, 
Military Health System beneficiaries typically do not use the services 
of Guam Memorial Hospital or the community health clinics, and will 
only be referred there by Naval Hospital Guam in the case of an 
emergency that occurred in closer proximity to Guam Memorial Hospital. 

Military Buildup: 

The United States and Japan held a series of sustained security 
consultations, referred to as the Defense Policy Review Initiative, 
which were aimed at reducing the burden of the U.S. military presence 
on Japanese communities and strengthening the U.S.-Japan security 
alliance. By 2006, these consultations established the framework for 
the future U.S. force structure in Japan, including the relocation of 
military units from Okinawa, Japan to Guam. An estimated 8,600 Marines 
and their estimated 9,000 dependents are expected to relocate from 
Okinawa, Japan to Guam. In addition, the United States plans to expand 
the capabilities and presence of the Army, Navy, and Air Force on Guam 
over the next several years. As such, the military population on Guam 
is expected to grow by over 160 percent, from 15,000 to over 39,000 by 
2020. 

The Deputy Secretary of Defense established the Joint Guam Program 
Office to facilitate, manage, and execute requirements associated with 
the relocation of U.S. Marine Corps assets from Okinawa, Japan to 
Guam. The Joint Guam Program Office is also expected to lead the 
coordinated planning efforts and synchronize the funding requirements 
between DOD components, and to work closely with other stakeholders, 
such as the government of Japan. The Joint Guam Program Office 
receives planning assistance from the Naval Facilities Engineering 
Command in conducting analyses and developing an acquisition strategy 
for infrastructure needed to support DOD operational requirements. The 
Naval Facilities Engineering Command executes contracts for 
construction and infrastructure projects including those funded by 
contributions from the government of Japan. 

The Navy Plans to Replace the Current Hospital and Construct Two New 
Branch Health Clinics to Meet Increased Health Care Demand on Guam: 

To accommodate the additional inpatient and outpatient requirements 
resulting from the expected increase in the military population on 
Guam, the Navy plans to expand inpatient and outpatient care in the 
replacement hospital and move primary outpatient and dental care to 
the two new branch health clinics.[Footnote 10] According to Navy 
officials, the development of the requirements for the clinics allowed 
the Navy to retain the size and footprint of the initially planned 
version of the replacement hospital, which was already programmed and 
approved by TRICARE Management Activity in 2004, prior to the 
announcement of the Defense Policy Review Initiative. The hospital 
will be funded through DOD military construction appropriations, while 
the two outpatient primary care clinics are to be funded through a 
special Department of the Treasury account established to hold funds 
contributed by the government of Japan as part of the agreement to 
realign military units from Japan to Guam. Although the Navy's 
proposed military treatment facility solution on Guam expands on the 
health care services currently offered on Guam, the Navy determined 
that patients requiring care not offered on Guam will continue to be 
medically evacuated to other military treatment facilities, such as 
Naval Hospital Okinawa, Tripler Army Medical Center in Hawaii, or 
Naval Medical Center San Diego. 

Plans for the Navy's Replacement Hospital on Guam Changed Following 
the Announcement of the Realignment: 

The Navy determined that to accommodate the additional inpatient and 
outpatient requirements for active duty and family member populations 
on Guam following the military buildup, it would need to construct 
three military treatment facilities consisting of a replacement 
hospital and two branch health clinics. However, prior to the 
announced realignment of troops from Okinawa, Japan to Guam, the Navy 
had already determined that the current hospital was outdated and did 
not meet modern facility standards such as efficient space 
configurations, and the building's structure does not meet modern 
seismic codes. Additionally, Navy planning documents show that from a 
functional perspective, the current hospital is poorly designed to 
provide efficient health care delivery. Navy officials said that 
preliminary planning efforts for replacing Naval Hospital Guam started 
in the 1990s, but it was not until early 2004 that planning began in 
earnest. By 2005, the Navy was in the process of designing a 
replacement hospital. The Navy's original plans for a replacement 
hospital were predicated on a beneficiary population of around 19,700 
and were to include all outpatient primary care, including dental 
care, within the hospital, while closing the current branch medical 
clinic and branch dental clinic on Naval Base Guam. 

When the military realignment was subsequently announced in 2006, Navy 
officials said all design plans were put on hold in accordance with 
direction from TRICARE Management Activity, and the Navy reassessed 
its health care requirements for Guam. An estimated 8,600 Marines and 
their estimated 9,000 dependents are expected to relocate from 
Okinawa, Japan to Guam. With the United States' additional plans to 
expand the capabilities and presence of the Army, Navy, and Air Force 
on Guam over the next several years, the military population on Guam 
is expected to grow by over 160 percent, from 15,000 to over 39,000 by 
2020. When other types of Military Health System beneficiaries, such 
as DOD civilians and military retirees are taken into account, the 
eligible beneficiary population for the naval hospital is expected to 
grow to about 46,000 people. 

The hospital will replace the current hospital with expanded inpatient 
and outpatient care, while the new branch health clinics are to 
provide primary outpatient and dental care. Figure 2 provides a 
timeline leading up to the Navy's recommended military treatment 
facility solution to meet the requirements of the expected increase in 
military population. 

Figure 2: Timeline Leading up to the Development of the Navy's 
Military Treatment Facility Solution on Guam: 

[Refer to PDF for image: timeline] 

March 2004: 
Navy develops plans for initial naval hospital replacement project. 
This included initial health care requirements assessment. Proposed 
cost is $191.2 million and size is approximately 296,666 gross square 
feet. 

September 2005: 
Replacement naval hospital project put on hold due to Defense Policy 
Initiative Review and potential changes in the future military 
population on Guam. 

May 2006: 
The United States and Japan reach an agreement to relocate Marine 
Corps units from Okinawa to Guam. 

February 2008: 
TRICARE Management Activity issues design authorization for 
replacement naval hospital.[A] Project programmed for $448 million 
from fiscal year 2010 to fiscal year 2012. 

December 2008 - January 2010: 
Hospital design based on the Navy's updated health care requirements 
resulting from the military buildup. 

September 2010: 
Naval Facilities and Engineering Command Pacific awards construction 
contract in the amount of $158.1 million. 

March 2010 - October 2010: 
Branch health clinic on Naval Base Guam designed based on updated 
requirements. Design funded by government of Japan. 

2011: 
Branch health clinic in North Finegayan expected to be designed based 
on updated requirements. Design to be funded by government of Japan. 

June 2013: 
Expected completion of branch health clinic on Naval Base Guam. 

October 2014: 
Expected completion of replacement hospital. 

Summer - Fall 2015: 
Expected completion of branch health clinic in North Finegayan. 

Source: GAO analysis of DOD data. 

[A] A design authorization refers to TRICARE Management Activity 
approval to proceed with the design of a proposed Military Health 
System facility project, including selection of an architecture and 
engineering firm. It usually designates the project, project fiscal 
year, project location, programmed amount, scope of the project (size 
in square feet), deviations from the submittal requirements in the 
Unified Facilities Criteria, and whether or not TRICARE Management 
Activity wishes to participate in selecting the architecture and 
engineering firm. 

[End of figure] 

The replacement hospital will be located on the site of the current 
hospital, while a new branch health clinic will replace the medical 
and dental clinics currently in operation on Naval Base Guam, and a 
new branch health clinic will be located in North Finegayan. In 
addition to these facilities, the Air Force 36th Medical Group 
operates a medical and dental clinic on Andersen Air Force Base, and 
Guam Memorial Hospital is the island's only civilian hospital. Figure 
3 shows the location of medical treatment facilities on Guam following 
the military buildup. 

Figure 3: Medical Treatment Facilities Post-Buildup on Guam: 

[REfer to PDF for image: map of Guam] 

The following are depicted on the map of Guam: 

Andersen Air Force Base Clinic: 
Branch Health Clinic: Naval Base Guam: 
Branch Health Clinic: North Finegayan: 
Guam Memorial Hospital: Civilian: 
Naval Hospital Guam: Agana: 

Source: GAO. 

Note: The replacement hospital and branch health clinics on Naval Base 
Guam and North Finegayan comprise the Navy's recommended military 
treatment facility solution. In addition, Andersen Air Force Base 
medical and dental clinic is also available to DOD beneficiaries. Guam 
Memorial Hospital is the island's only civilian hospital. 

[End of figure] 

The Navy determined that the branch health clinic in North Finegayan 
was needed to serve the Marine Corps beneficiaries that are to be 
housed at or near the proposed Marine Corps base. Moreover, the Navy 
determined that the need for expanded inpatient and outpatient 
capabilities at the replacement naval hospital displaced the primary 
care capacity to such a degree that it necessitated a need for a new 
branch health clinic on Naval Base Guam. The Navy expects to begin 
construction on the Naval Base Guam branch health clinic before the 
North Finegayan branch health clinic. According to Navy officials, the 
development of the clinics also allowed the Navy to maintain the size 
and footprint of the replacement hospital, the initial version of 
which had already been programmed and approved by TRICARE management 
activity. 

The Navy requested that since the proposed branch health clinics were 
required as a result of the military buildup, the government of Japan 
should fund the design and construction of the two facilities. The 
government of Japan agreed to fund the design and construction of the 
two clinics as part of its anticipated $6.09 billion to help develop 
facilities and infrastructure for the Marine Corps' relocation to 
Guam. The DD Form 1391 (Military Construction Project Data) prepared 
for each of the branch health clinics show the total cost to construct 
the two clinics to be currently estimated at about $226 million. 

The Navy's Military Treatment Facility Solution Provides Additional 
Capacity for Health Care Services Currently Offered on Guam: 

The planned hospital that will replace the current hospital is 
primarily focused on providing inpatient and specialty care, while the 
branch health clinics are to provide primary outpatient and dental 
care. Navy officials said that the footprint of the replacement 
hospital was based on the Navy's original 2004 design for a 
replacement hospital because the Navy did not want to change the 
overall size of the hospital since significant changes would have 
likely delayed construction. As such, the amount of primary care 
available in the hospital is expected to fall below that needed for 
the expanded beneficiary population. However, the majority of such 
care is now intended to be provided by the proposed branch health 
clinic on Naval Base Guam and the proposed branch health clinic in 
North Finegayan. 

The replacement hospital's configuration includes the following: 

Increased number of beds: Navy planning documents show that the number 
of inpatient beds will increase to 42 beds to accommodate the expected 
increase in the service member and family populations. The Navy's 
planning documents for the initial proposal of the replacement 
hospital show that the replacement hospital prior to the announcement 
of the military buildup was to house 30 inpatient beds. The Navy's 
updated planning documents for the replacement hospital developed in 
response to the buildup show that the Navy used its initial plans for 
30 beds as a minimum starting point and then developed requirements 
for an additional 10 beds. Navy planning documents also showed that 
two additional intensive care beds were added to the proposed hospital 
subsequent to an accident aboard the U.S.S. Frank P. Cable in December 
2006 which, according to the Navy, greatly taxed the capabilities of 
the current hospital. This resulted in a final requirement of 42 
inpatient beds in the proposed replacement hospital. 

Expanded services: Navy officials explained that the replacement 
hospital will further expand its current capabilities by providing 
more robust orthopedic services, mental health services, and 
obstetrics and gynecology services. In addition, the replacement 
hospital will add an onsite Magnetic Resonance Imaging capability. 
Table 1 below shows key changes, by square footage, for the services 
that are to be provided at the replacement naval hospital. The Navy 
believes that this configuration of space and services will best meet 
the health care needs of the increased military population following 
the buildup. 

Table 1: Expected Change in Dedicated Hospital Space for Services at 
Naval Hospital Guam: 

Department name: Urology; 
Square footage (SF): Current: 1,140 SF; 
Square footage (SF): Replacement: 4,256 SF; 
Percentage change in department space: 273%. 

Department name: Radiology; 
Square footage (SF): Current: 5,562; 
Square footage (SF): Replacement: 15,280; 
Percentage change in department space: 175%. 

Department name: Internal Medicine/Cardiology/Respiratory Therapy; 
Square footage (SF): Current: 2,519; 
Square footage (SF): Replacement: 6,321; 
Percentage change in department space: 151%. 

Department name: Ear, Nose, and Throat/Audiology; 
Square footage (SF): Current: 1,662; 
Square footage (SF): Replacement: 3,983; 
Percentage change in department space: 140%. 

Department name: Dermatology Clinic; 
Square footage (SF): Current: 946; 
Square footage (SF): Replacement: 1,904; 
Percentage change in department space: 101%. 

Department name: Mental Health; 
Square footage (SF): Current: 2,313; 
Square footage (SF): Replacement: 4,116; 
Percentage change in department space: 78%. 

Department name: Dental/Oral Surgery; 
Square footage (SF): Current: 2,115; 
Square footage (SF): Replacement: 3,255; 
Percentage change in department space: 54%. 

Department name: Laboratory; 
Square footage (SF): Current: 6,345; 
Square footage (SF): Replacement: 9,575; 
Percentage change in department space: 51%. 

Department name: Orthopedics/Podiatry/Chiropractic/Sports Medicine; 
Square footage (SF): Current: 3,926; 
Square footage (SF): Replacement: 5,152; 
Percentage change in department space: 31%. 

Department name: Pharmacy; 
Square footage (SF): Current: 3,815; 
Square footage (SF): Replacement: 4,638; 
Percentage change in department space: 22%. 

Department name: Obstetrics and Gynecology; 
Square footage (SF): Current: 7,570; 
Square footage (SF): Replacement: 8,042; 
Percentage change in department space: 6%. 

Department name: Preventative Medicine[A]; 
Square footage (SF): Current: 2,572; 
Square footage (SF): Replacement: 2,400; 
Percentage change in department space: -7%. 

Department name: Pediatrics[A]; 
Square footage (SF): Current: 6,383; 
Square footage (SF): Replacement: 5,762; 
Percentage change in department space: -10%. 

Department name: General and Specialty Surgical Clinics[A]; 
Square footage (SF): Current: 5,421; 
Square footage (SF): Replacement: 4,487; 
Percentage change in department space: -17%. 

Department name: Ophthalmology/Optometry[A]; 
Square footage (SF): Current: 8,023; 
Square footage (SF): Replacement: 5,222; 
Percentage change in department space: -35%. 

Department name: Physical Therapy[A]; 
Square footage (SF): Current: 5,017; 
Square footage (SF): Replacement: 3,138; 
Percentage change in department space: -37%. 

Department name: Primary Care/Family Practice[A]; 
Square footage (SF): Current: 12,170; 
Square footage (SF): Replacement: 1,679; 
Percentage change in department space: -86%. 

Source: DOD. 

[A] According to the Navy, decreases in some department space are due 
to increased efficiencies in the design of the replacement hospital, 
and several services, including primary care and family care, are to 
be provided at the proposed branch health clinics. 

[End of table] 

Navy planning documents show that the size of the replacement hospital 
will actually decrease from 306,000 square feet of the current 
hospital's size to 282,000 square feet. According to the Navy, the 
compact footprint of the replacement hospital will improve proximity 
between related departments and increase staff efficiency as patient 
travel distances and facility congestion will be reduced by organizing 
high traffic clinic and ancillary areas closer to main entrances 
thereby enhancing patient care and permitting the smaller size without 
compromising services. In addition, clinics and inpatient activities 
with lower patient volume will be located on the upper floors. 

Updated seismic design: Navy planning documents show that there are 
primary life safety issues as yet unresolved in the current facility 
related to seismic design deficiencies. Navy plans show that the 
replacement hospital will be up-to-date on all applicable seismic 
standards and codes. Since Guam is in a region where typhoons occur, 
the replacement facility will also be current on all standards and 
codes relating to the impact from heavy winds. 

Flexibilities: The replacement hospital will consist of "flexible 
rooms" which allow for the conversion of medical/surgical rooms into 
intensive care rooms and vice versa. The replacement hospital will 
also have the flexibility to convert doctors' offices into exam rooms 
and exam rooms into offices. Thus, in times of contingency or surge 
operations, the replacement hospital will have the flexibility to 
temporarily expand to up to 60 beds. 

The proposed branch health clinics are to provide a variety of 
outpatient services including the majority of primary care for the 
Navy's proposed military treatment facility solution on Guam. As 
demonstrated in table 1 above, the majority of the primary care has 
been removed from the replacement hospital--it decreased by 10,491 
square feet from 12,170 square feet to 1,679 square feet or by 86 
percent. The 48,599 square foot Naval Base Guam branch health clinic 
is expected to offer several outpatient services including primary 
care and family practice, a pharmacy, a dental clinic, mental health 
services, a physical therapy clinic, preventive medicine and acute 
care. The 64,078 square foot North Finegayan branch health clinic will 
be slightly larger than the Naval Base Guam branch clinic but will 
offer similar services including primary care and family practice, a 
pharmacy, a dental clinic, mental health services, a physical therapy 
clinic, and preventive medicine. The Navy has completed the design of 
the Naval Base Guam branch health clinic and expects to begin 
construction on it before the North Finegayan branch health clinic, 
although no construction contracts have been awarded at this time for 
either of the two branch health clinics. 

The Navy's proposed military treatment facility solution on Guam 
expands on the health care services currently offered on Guam, but in 
instances when patients require care not offered on Guam, the Navy 
determined that it will continue to medically evacuate them to other 
military treatment facilities, such as Naval Hospital Okinawa, Tripler 
Army Medical Center in Hawaii, or Naval Medical Center San Diego. 

The Navy Did Not Fully Document Its Analyses Supporting Its Proposed 
Guam Military Treatment Facility Solution: 

The Navy's documentation used to support its recommended facility 
solution does not clearly demonstrate to stakeholders, including 
TRICARE Management Activity, how the Navy determined the size and 
configuration of the proposed branch health clinics. To account for 
the population increase and support the conclusions regarding the size 
and configuration of the recommended facility solution, the Navy 
developed its health care requirements analysis report for Guam. 
[Footnote 11] Navy officials indicated that the health care 
requirements analysis clearly justifies the need for a replacement 
hospital and two outpatient clinics. However, although the Navy's 
health care requirements analysis accounts for the expected increase 
in health care workload by multiplying the health care utilization 
rates observed in a base year for different types of beneficiaries and 
health care services by the anticipated beneficiary population, it 
does not show how this workload translates into the size and 
configuration of the Navy's proposed facilities because it omits 
documentation on the methods and criteria for how the Navy reached 
staffing decisions for its proposed facilities and does not show the 
workload expected to be performed at each facility. Since TRICARE 
Management Activity is responsible for the construction of all 
military health care facilities worldwide as provided for in the 
Unified Facilities Criteria, it needs reasonable assurance that the 
Navy's plans for its military treatment facility solution on Guam, 
including the proposed branch health clinics, meet Military Health 
System goals of having appropriately sized and configured facilities 
to meet the health care needs of military beneficiaries in a cost-
effective manner. Detailed and appropriate documentation is a key 
component of internal controls.[Footnote 12] In addition, 
documentation must be clear and readily available for examination for 
stakeholders to make effective decisions about programs or operations. 
Further, without clear documentation of key analyses, stakeholders 
lack reasonable assurance that the Navy's proposed military treatment 
facility on Guam will provide health care capacity sufficient to meet 
the expected increase in military population and whether the Navy is 
making the most cost-effective decisions. 

The Navy Only Partially Documented How It Determined the Size and 
Configuration of Its Proposed Guam Military Treatment Facilities: 

Generally, the combination of health care workload and staffing 
requirements are key considerations when determining the size and 
configuration of military treatment facilities according to the Navy's 
health care requirements analysis report. DOD space planning guidance 
shows that, among other things, workload and staffing are used to size 
and configure facilities to help ensure appropriate facility space 
[Footnote 13]. DOD Instruction 6015.17 describes the procedures to be 
used by the military departments to prepare project proposals for 
military treatment facilities.[Footnote 14] This instruction also 
identifies the types of documentation needed to support a project 
proposal. Navy officials provided the results of their health care 
requirements analysis as part of their response to DOD Instruction 
6015.17 when determining the size and configuration of their military 
treatment facilities on Guam. However, the Navy did not clearly 
document all the health care and staffing analyses that would support 
its conclusions for the size and configuration of its proposed 
military treatment facility solution. 

The Navy's Health Care Requirements Analysis Report Provided 
Projections for Health Care Workload, Staffing, and Bed Size for its 
Proposed Military Treatment Facilities on Guam Following the 
Realignment: 

We were told that many of the Navy's decisions regarding the size and 
configuration of its proposed military treatment facilities on Guam 
are justified and supported by its health care requirements analysis. 
The purpose of the health care requirements analysis was, in part, to 
develop the size and configuration of the Navy's proposed military 
treatment. The Navy's health care requirements analysis also provides 
an overview of the types of health care services currently offered on 
Guam. The health care analysis also estimates the overall health care 
workload for the services the Navy intends to offer on Guam following 
the realignment. The workload is categorized by the type of health 
care service and includes outpatient visits, inpatient bed-days, and 
ancillary workload (i.e., pharmacy prescriptions and laboratory and 
radiology procedures) required by the anticipated beneficiary 
population. In addition, workload estimates are organized into 
different beneficiary categories including active duty per military 
service, expected family members per military services, and retirees, 
among others. The health care requirements analysis uses the overall 
estimated workload to recommend the types of health care services to 
be provided at the replacement hospital, the number of staff needed to 
provide these services, as well as the overall bed requirements for 
the hospital. 

The Navy's Health Care Requirements Analysis Report Omitted Details 
That Help Support the Navy's Determination Regarding the Size and 
Configuration of Its Proposed Facilities on Guam: 

The Navy's health care requirements analysis report omits details that 
would help better document and support how the Navy determined the 
size and configuration of its recommended facility solution on Guam. 
Moreover, Navy officials could not adequately explain the reasons for 
the omissions nor how the analysis that was documented led logically 
to the conclusions arrived at for the Guam military health facility 
solution. For example, the Navy's analysis did not contain the break 
down of the forecasted health care workload by each proposed facility 
to clearly show the portions of the DOD beneficiary population that 
are expected to receive primary care at each clinic, or the number of 
outpatient visits and the ancillary workload that are expected to be 
provided at each clinic. Therefore, the health care requirements 
analysis does not show how the Navy determined the size of the 
proposed outpatient clinics, given that workload is a key component of 
facility space requirements. 

In addition, the Navy's health care requirements analysis did not 
include the Navy's reasoning for continuing to meet demands for 
certain specialty services not provided at the naval hospital, such as 
neonatal intensive care, by flying patients to other military 
treatment facilities in the region such as those in Okinawa, Japan; 
Honolulu, Hawaii; or San Diego, California. Forecasting the expected 
health care workload for just those specific health care services 
expected to be offered on Guam may suffice for the purposes of sizing 
military treatment facilities, however it does not show the total 
health care requirement for DOD beneficiaries on Guam, demonstrate how 
the total health care requirement will be met, or provide a business 
case justification for the mix of services to be offered at the 
proposed military treatment facilities on Guam as opposed to those 
offered off island. Navy officials told us that in deciding what 
health care services to provide on Guam, they held discussions with 
pertinent medical officials and considered factors such as the size of 
the beneficiary population, the expected workload, and the 
availability of staff. Nonetheless, the Navy's documentation provided 
to support these decisions shows that the Navy assumed no new 
inpatient services would be provided on Guam and only neurology would 
be added to outpatient care. However, this documentation does not 
easily allow for external stakeholder examination by TRICARE 
Management Activity and other stakeholders--a key aspect of internal 
controls--in that it does not clearly show why certain health care 
services were assumed to be included or excluded. 

The Navy reported the staffing requirements for its recommended 
facility solution in its health care requirements analysis, but the 
methods and criteria for how the Navy reached decisions are not 
clearly documented. DOD policy requires that manpower requirements 
generally (including staffing for military treatment facilities) be 
established at the minimum level necessary to accomplish mission and 
performance objectives.[Footnote 15] In the health care requirements 
analysis report, the Navy noted that they determined the additional 
staffing needs to meet health care requirements associated with the 
military buildup on Guam through a series of discussions with Navy 
headquarters, regional, and Guam medical commands. However, when we 
asked for additional information on how staffing requirements were 
determined for the proposed facilities, the Navy could not provide 
documentation or explain what was discussed at these meetings or the 
decision process leading up to their staffing requirement decisions 
other than stating that the limited number of available medical 
specialists was a key factor that influenced staffing requirements 
decisions for the proposed military treatment facilities on Guam. 

During the course of our review, we asked Navy officials to explain 
the assumptions used in health care requirements analysis as well as 
how the health care requirements analysis was used to determine the 
size of the replacement hospital and clinics. In some instances, the 
officials could not provide an explanation and said that they will 
request that future health care requirements analyses clearly 
illustrate all the steps and calculations used to determine facility 
requirements. In other instances, the Navy's explanations and 
additional supporting documentation did not match the results of the 
health care requirements analysis. For example, DOD space planning 
guidance notes that the annual number of births of the projected 
beneficiary population is used, among other things, to help determine 
the size and configuration of labor and delivery units. However, the 
Navy's health care requirements analysis used a different metric (the 
number of obstetrics inpatient visits). Existing documentation does 
not clearly demonstrate how the Navy determined the projected number 
of births or how the results of the health care requirements analysis 
report's number of obstetrics visits would translate to the size of 
the replacement hospital's labor and delivery units. Navy officials 
told us that the health care requirements analysis was still up-to-
date, though we found that the report does not currently reflect the 
design plans for the proposed clinic on Naval Base Guam. For example, 
the design plans of the proposed clinic on Naval Base Guam indicate a 
projected visit rate of 64,271 visits per year. It indicates that the 
number of visits was derived from the health care requirements 
analysis. However, the health care requirements analysis does not 
break down the workload per facility. Therefore it is unclear how this 
number is supported. In addition the design plans show that 65 staff 
members will be working at the Naval Base clinic, whereas the health 
care requirements analysis projects a need for 25 staff members. 

Since the Navy's health care requirements analysis is not sufficiently 
documented, specifically with regard to health care and staffing 
requirements, both the Navy and TRICARE Management Activity may not be 
sufficiently assured that (1) Navy's military treatment facility 
solution of the replacement hospital and two branch health clinics 
will be adequate to meet the demand of the military population on Guam 
and (2) result in the most cost-effective facility solution that will 
meet the expected increase in military population on Guam. 

TRICARE Management Activity Issued the Design Authorization for the 
Navy's Replacement Hospital but Not the Two Clinics Funded by the 
Government of Japan: 

TRICARE Management Activity is responsible for, among other things, 
the acquisition of all military health care facilities worldwide, 
including the planning, design, and construction of all military 
health care projects.[Footnote 16] The Unified Facilities Criteria 
also provide for a process for TRICARE Management Activity to approve 
the design of a proposed military treatment facility project. TRICARE 
Management Activity issued the design authorization of the Navy's 
replacement hospital in May 2008. However, according to TRICARE 
Management Activity officials, they were not responsible for issuing 
the design authorization for each clinic since the design and 
construction of the clinics is to be funded by the government of 
Japan, and TRICARE Management Activity stated that it is responsible 
only for projects which it funds. Since funding for the design and 
construction of the clinics is provided by the government of Japan, 
these officials said that the Joint Guam Program Office would lead the 
acquisition team and be responsible for ensuring compliance with the 
Unified Facilities Criteria. This would include issuing the design 
authorizations for the clinics. 

Conversely, officials from the Joint Guam Program Office said that 
projects to be constructed with government of Japan funding should 
follow procedures outlined in the Unified Facilities Criteria. In 
addition, these officials noted that the design authorizations for the 
clinics were provided by Naval Facilities Engineering Command 
headquarters, which is the design agent for military construction on 
Guam. However, the Unified Facilities Criteria indicate that TRICARE 
Management Activity is to provide design authorizations to the design 
agent. Moreover, the design agent is not to pursue any level of design 
beyond what is authorized by TRICARE Management Activity. In the case 
of the clinics, the design agent, Naval Facilities Engineering 
Command, issued its own design authorization, thereby calling into 
question whether the policies and procedures of the Unified Facilities 
Criteria were followed. 

Although TRICARE Management Activity did not issue the design 
authorizations for the clinics, the activity's officials said they 
reviewed the requirements for the clinics based on results of the 
Navy's health care requirements analysis. However, as stated earlier, 
the Navy's health care requirements analysis did not fully document 
key analyses such as the forecasted workload for each of the proposed 
clinics and the methods and criteria for how the Navy reached the 
staffing decisions, raising questions about the basis for TRICARE 
Management Activity's review. Conclusions: 

The Navy determined that to accommodate the additional inpatient and 
outpatient requirements of the increased military population on Guam 
following the military buildup, it would need to construct three 
military treatment facilities consisting of a replacement hospital and 
two branch health clinics. However, the Navy's health care 
requirements analysis report does not clearly document the analyses 
and assumptions used by the Navy to determine its military treatment 
facility requirements, including forecasting health care demand and 
determining health care workload and staffing requirements nor could 
Navy officials adequately explain their analyses or assumptions. Such 
documentation facilitates external stakeholder examination and can 
lead to reasonable assurance of the adequacy of facilities to meet 
mission requirements. Without such documentation, the Navy cannot 
fully demonstrate to TRICARE Management Activity and other 
stakeholders that its conclusions about the size and configuration of 
its military treatment facility solution result in the most cost-
effective solution in meeting the health care needs of the expected 
increase in military population on Guam. 

Recommendation for Executive Action: 

In order to ensure that the Navy's proposed branch health clinics on 
Guam are properly reviewed and are consistent with Military Health 
System goals of having appropriately sized and configured facilities 
to meet the health care needs of military beneficiaries in a cost- 
effective manner, we are recommending that the Secretary of Defense 
direct the Secretary of the Navy to provide clearly documented 
analyses to TRICARE Management Activity as part of DOD's process for 
issuing design authorizations for military treatment facilities. These 
analyses should, at a minimum, provide details of the basis for its 
health care workload and staffing requirements on Guam. These 
documented analyses should also include the specific health care 
requirements to be met at each of the branch health clinics, and the 
methods and criteria for how staffing decisions for each facility were 
made. 

Agency Comments and Our Evaluation: 

In written comments to a draft of this report, the Assistant Secretary 
of Defense (Health Affairs) agreed with our recommendation to have the 
Secretary of Defense direct the Secretary of the Navy to provide 
additional analyses to ensure that the Navy's proposed branch health 
clinics on Guam are properly reviewed and are consistent with the 
Military Health System goals of having appropriately sized and 
configured facilities to meet the health care needs of military 
beneficiaries in a cost-effective manner. DOD notes that since the 
draft report was issued, the Navy Bureau of Medicine and Surgery has 
already provided additional information to the Office of the Assistant 
Secretary of Defense (Health Affairs) related to the planning for the 
two branch health clinics. In addition, the Office of the Assistant 
Secretary of Defense (Health Affairs) is reviewing this information 
and will validate the Navy analysis within the next 30 days to ensure 
the branch health clinics have been appropriately sized and located to 
meet the beneficiary health care needs. The Assistant Secretary of 
Defense (Health Affairs) also noted that the insights gained from this 
audit will be applied to future health care planning efforts for other 
Military Treatment Facilities throughout DOD. 

DOD's comments also included input from the Navy Bureau of Medicine 
and Surgery to the Office of the Assistant Secretary of Defense 
(Health Affairs). The Bureau countered that the replacement hospital 
augmented by two new clinics is a highly efficient solution and that 
their documentation supported that conclusion. They also note that the 
Navy concept of care for Guam is clearly documented in the health care 
requirements analysis report dated February 2007, which provides the 
foundation for the Medical Facilities Master Planning Study, detailing 
the proposed facility solutions. As stated in our report, we believe 
that the Navy's documentation used to support its recommended military 
treatment facility solution for Guam does not clearly demonstrate how 
the Navy determined the size and configuration of the proposed branch 
health clinics. The Bureau noted that its Medical Facilities Master 
Planning Study draws specific planning methods and data sources from 
the health care requirements analysis. The Medical Facilities Master 
Planning Study states that the health care requirements analysis 
provides documentation of beneficiary health care requirements and 
resulting facility space needs. However, as we note in our report, the 
health care requirements analysis does not show how these requirements 
translate into the size and configuration of the Navy's proposed 
facilities because it omits documentation on the methods and criteria 
for how the Navy reached staffing decisions for its proposed 
facilities. Further, the Navy's documentation, including the Medical 
Facilities Master Planning Study, did not contain the break down of 
the forecasted health care workload by each proposed facility to 
clearly show the portions of the DOD beneficiary population that are 
expected to receive primary care at each clinic, or the number of 
outpatient visits and the ancillary workload that are expected to be 
provided at each clinic, thus the need for our recommendation. 

DOD also provided technical and clarifying comments, which we 
incorporated as appropriate into this report. DOD's comments are 
reprinted in their entirety in appendix II. 

We are sending copies of this report to the appropriate congressional 
committees. We are also sending copies to the Secretary of Defense; 
the Secretaries of the Army, the Navy, and the Air Force; the 
Commandant of the Marine Corps; and the Director of the Office of 
Management and Budget. This report also is available at no charge on 
our Web site at [hyperlink, http://www.gao.gov]. 

If you or your staff have any questions, about this report, please 
contact me at (202) 512-4523 or leporeb@gao.gov. Contact points for 
our Offices of Congressional Relations and Public Affairs may be found 
on the last page of this report. GAO staff who made major 
contributions to this report are listed in appendix III. 

Signed by: 

Brian J. Lepore: 
Director, Defense Capabilities and Management: 

[End of section] 

Appendix I: Scope and Methodology: 

Our objectives were to (1) describe the Navy's plans for developing a 
military treatment facility solution to meet the expected increases in 
the military population on Guam, and (2) examine the extent to which 
the Navy is assured that its proposed military treatment facility 
solution on Guam will adequately meet the requirements for the 
expected increase in military population. 

To describe the Navy's plans for its proposed military treatment 
facility solution for Guam following the realignment, consisting of a 
replacement hospital and two branch health clinics, we reviewed Navy 
planning documents and interviewed relevant Department of Defense 
(DOD) officials. These planning documents included studies and 
analyses prior to the announced realignment of Marine Corps units from 
Okinawa, Japan to Guam, and were used by the Navy to determine the 
condition of existing naval military treatment facilities, and to 
select potential sites for the new facilities. We also reviewed the 
Navy's 2007 Final Report on Health Care Requirements Analysis for Guam 
Navy Medical and Dental Facilities, which updated and reassessed prior 
Navy analyses to reflect the military population increases resulting 
from the proposed realignment. In addition, we obtained and reviewed 
the DD Form 1391 (Military Construction Project Data) for the 
replacement hospital and each branch health clinic. We also obtained 
and reviewed the Navy's final design of the replacement hospital prior 
to construction and compared it with the replacement hospital 
construction contract issued by Naval Facilities Engineering Command. 
Further, we reviewed DOD's Draft Guam Joint Military Master Plan and 
compared it with the Navy's military treatment facility requirements. 
To corroborate the information obtained in these Navy planning 
documents we interviewed relevant officials from the Navy Bureau of 
Medicine and Surgery, Navy Medicine West, Naval Hospital Guam, 
Headquarters Marine Corps, Marine Corp Forces Pacific, Naval 
Facilities Engineering Command Marianas, Naval Facilities Engineering 
Command Medical Facilities Design Office, Andersen Air Force Base 36th 
Medical Group, Joint Guam Program Office, and TRICARE Management 
Activity. 

To examine the extent to which the Navy is assured that its proposed 
military treatment facility solution on Guam will adequately meet the 
requirements for the expected increase in military population, we 
obtained and reviewed applicable legal and departmental guidance, 
including DOD instructions and directives, and compared them with the 
Navy's documented assumptions, methods, and economic cost analyses 
used to develop its proposed military treatment facilities 
requirements on Guam. We reviewed DOD Instruction 1100.4, Guidance for 
Manpower Management, and compared this guidance with the documentation 
provided to us by the Navy to support its staffing decisions for the 
replacement hospital and proposed branch health clinics. To determine 
the extent to which the Navy's conclusions regarding the size and 
configuration of its proposed military treatment facilities on Guam 
were clearly documented to allow for external stakeholder examination, 
we reviewed internal control standards as described in the GAO report 
Internal Control: Standards for Internal Control in the Federal 
Government.[Footnote 17] We also reviewed Office of Management and 
Budget guidance that defines management responsibilities for internal 
controls for executive branch agencies.[Footnote 18] The primary Navy 
document we reviewed was the Navy's 2007 Final Report on Health Care 
Requirements Analysis for Guam Navy Medical and Dental Facilities. The 
Health Care Requirements Analysis was developed to support the Navy's 
decisions concerning its proposed military treatment facility solution 
and its purpose was to determine the projected facility 
characteristics required to support the health care needs of Military 
Health System beneficiaries on Guam following the proposed military 
buildup. As part of this review, we attempted to replicate and 
reproduce key calculations presented in the documentation so as to 
verify the planning assumptions used by the Navy and substantiate the 
Navy's conclusions about the size and configuration of the facilities 
that comprise its facility solution. 

We also reviewed information used in the Navy's economic analyses that 
was submitted to TRICARE Management Activity for approval of the 
replacement hospital. We did not independently assess the data DOD 
used for planning purposes; however, we discussed its reliability with 
DOD officials and determined that the data were sufficiently reliable 
to meet the objectives of this review. Additionally, to corroborate 
the information above, we interviewed relevant DOD officials from the 
Navy Bureau of Medicine Surgery, Navy Medicine West, Naval Hospital 
Guam, Headquarters Marine Corps, Marine Corp Forces Pacific, Naval 
Facilities Engineering Command Marianas, Naval Facilities Engineering 
Command Medical Facilities Design Office, Andersen Air Force Base 36th 
Medical Group, Joint Guam Program Office, and TRICARE Management 
Activity. 

We conducted this performance audit from February 2010 through March 
2011 in accordance with generally accepted government auditing 
standards. Those standards require that we plan and perform the audit 
to obtain sufficient, appropriate evidence to provide a reasonable 
basis for our findings and conclusions based on our audit objectives. 
We believe that the evidence obtained provides a reasonable basis for 
our findings and conclusions based on our audit objectives. 

[End of section] 

Appendix II: Comments from the Department of Defense: 

The Assistant Secretary of Defense: 
Health Affairs: 
1200 Defense Pentagon: 
Washington, DC 20301-1200: 

March 24, 2011: 

Mr. Brian J. Lepore: 
Managing Director: 
Defense Capabilities and Management: 
U.S. Government Accountability Office: 
441 G Street, NW: 
Washington, DC 20548: 

Dear Mr. Lepore: 

This is the Department of Defense (DoD) response to the Government 
Accountability Office (GAO) Draft Report, "GAO-11-206, "Defense 
Infrastructure: The Navy Needs Better Documentation to Support Its 
Proposed Military Treatment Facilities on Guam," dated February 16, 
2011 (GAO # 351440). Thank you for the opportunity to review the draft 
report and provide comments. This engagement has been both informative 
and valuable. We acknowledge there were shortcomings in providing GAO 
the documentation to support the proposed branch health clinics. 

I concur with comment regarding the recommendation to have the 
Secretary of Defense direct the Secretary of the Navy to provide 
additional analyses. Since the draft report was issued, the Navy 
Bureau of Medicine and Surgery (BUMED) has already provided additional 
information to the Office of the Assistant Secretary of Defense 
(Health Affairs) (OASD(HA)) related to the planning for the two branch 
health clinics. OASD(HA) is reviewing this information and will 
validate the Navy analysis within the next 30 days to ensure the 
branch health clinics have been appropriately sized and located to 
meet the beneficiary health care needs. If additional information is 
required, OASD(HA) will coordinate directly with BUMED. 

The insights gained from this interaction will be applied to future 
health care planning efforts for other Military Treatment Facilities 
throughout DoD. We thank you for your careful review and analyses of 
these requirements. 

Our points of contact are Mr. Clayton Boenecke (Functional) who can be 
reached at (703)681-4329, or via Clayton.Boenecke@tma.osd.mil. Mr. 
Gunther Zimmerman (Audit Liaison) may be reached at (703) 681-4360, or 
via e-mail at Gunther.Zimmerman@tma.osd.mil. 

Sincerely, 

Signed by: 

[Illegible] for: 
Jonathan Woodson, M.D. 

Attachment: Navy Bureau of Medicine Comments to the Government 
Accountability Office Recommendations. 

[End of letter] 

Government Accountability Office Draft Report Dated February 16, 2011: 
GAO-11-206 (GAO Code 351440): 

"Defense Infrastructure: The Navy Needs Better Documentation To 
Support Its Proposed Military Facilities On Guam" 

Navy Bureau Of Medicine Comments To The Government Accountability 
Office Recommendations: 

Recommendation: In order to ensure that they Navy's proposed branch 
health clinics on Guam are properly reviewed and are consistent with 
the Military Health System goals of having appropriately sized and 
configured facilities to meet the health care needs of military 
beneficiaries in a cost effective manner, we are recommending that the 
Secretary of Defense direct the Secretary of the Navy to provide 
clearly documented analyses to TRICARE Management Activity (TMA) as 
part of Department of Defense (DoD) process for issuing design 
authorizations for Military Treatment Facilities. These analyses 
should, at a minimum, provide details of the basis for its health care 
workload and staffing requirements on Guam. These documented analyses 
should also include the specific health care requirements to be met at 
each of the branch health clinics, and the methods and criteria for 
how staffing decisions for each facility were made. 

DoD Response: Navy Bureau of Medicine and Surgery Input to Office of 
the Assistant Secretary of Defense (Health Affairs)/TMA Portfolio 
Planning and Management Division (PPMD). 

The Navy concept of care for Guam supports an integrated health care 
delivery system with primary care medical/dental clinics operating at 
the major DoD installations on the island. These branch clinics are 
conveniently located near military family housing and other quality of 
life services, while the Naval Hospital serves as the central island-
wide hub for inpatient and specialty care, advanced diagnostic 
imaging, emergency medicine, and hospital services. Navy planning 
studies and project documentation provided to TMA PPMD clearly 
validated the plan to construct two new primary care medical/dental 
clinics properly sized and staffed to deliver required primary care 
and dental services to beneficiaries at Naval Station Apra Harbor and 
future Marine Corps Base Finegayan. 

Navy planning documentation submitted to TMA PPMD adheres to the high 
standards for health facility planning identified by Defense Health 
Program guidance and instructions. The Navy concept of care for Guam 
is clearly documented in the Health Care Requirements Analysis (HCRA) 
prepared by Altarum in February 2007, which provides the foundation 
for the Medical Facilities Master Planning Study, detailing the 
proposed facility solutions. The study draws together specific 
planning methods and data sources from HCRA in relation to the 
location and facility scope of the hospital and clinics. HCRA 
population forecasts drive primary care clinic requirements in 
relation to expected population distribution and alignment with Guam 
installations. The requirements are expressed by space plans developed 
using the DoD Space and Equipment Planning System to define clinical, 
ancillary, and support spaces by department to create a Program for 
Design (PFD), which incorporates staffing. The HCRA provider staffing 
reflects expected primary care and dental provider empanelment ratios 
in relation to projected clinic beneficiaries. Navy coordinated with
TMA PPMD officials to re-verify the submitted studies and 
documentation, as approved by TMA, fully addressed TMA requirements, 
including the final clinic PFD and DD 1391 project forms. Defense 
Health Program Military Construction funding of the robust replacement 
hospital augmented by two new clinics is a highly efficient solution 
that ensures convenient patient access to care, while mitigating 
traffic impacts on Guam. The Government of Japan (GOJ) funding of the 
two clinics will accrue beneficial cost avoidance by eliminating any 
GOJ need to build a separate hospital. 

[End of section] 

Appendix III: GAO Contact and Staff Acknowledgments: 

GAO Contact: 

Brian Lepore, (202) 512-4523 or leporeb@gao.gov: 

Acknowledgments: 

In addition to the contact named above, Harold Reich, Assistant 
Director; Grace Coleman; Josh Margraf; Heather May; John Van Schaik; 
Kyle Stetler; and Michael Willems made key contributions to this 
report. 

[End of section] 

Related GAO Products: 

Military Personnel: Enhanced Collaboration and Process Improvements 
Needed for Determining Military Treatment Facility Medical Personnel 
Requirements. [hyperlink, http://www.gao.gov/products/GAO-10-696]. 
Washington D.C.: July 29, 2010. 

Defense Infrastructure: Guam Needs Timely Information from DOD to Meet 
Challenges in Planning and Financing Off-Base Projects and Programs to 
Support a Larger Military Presence. [hyperlink, 
http://www.gao.gov/products/GAO-10-90R]. Washington, D.C.: November 
13, 2009. 

Defense Infrastructure: DOD Needs to Provide Updated Labor 
Requirements to Help Guam Adequately Develop Its Labor Force for the 
Military Buildup. [hyperlink, http://www.gao.gov/products/GAO-10-72]. 
Washington, D.C.: October 14, 2009. 

Defense Infrastructure: Planning Challenges Could Increase Risks for 
DOD in Providing Utility Services When Needed to Support the Military 
Buildup on Guam. [hyperlink, http://www.gao.gov/products/GAO-09-653]. 
Washington, D.C.: June 30, 2009. 

Defense Infrastructure: High-Level Leadership Needed to Help Guam 
Address Challenges Caused by DOD-Related Growth. [hyperlink, 
http://www.gao.gov/products/GAO-09-500R]. Washington, D.C.: April 9, 
2009. 

GAO Cost Estimating and Assessment Guide: Best Practices for 
Developing and Managing Capital Program Costs. [hyperlink, 
http://www.gao.gov/products/GAO-09-3SP]. Washington, D.C.: March 2, 
2009. 

Defense Infrastructure: Opportunity to Improve the Timeliness of 
Future Overseas Planning Reports and Factors Affecting the Master 
Planning Effort for the Military Buildup on Guam. [hyperlink, 
http://www.gao.gov/products/GAO-08-1005]. Washington, D.C.: September 
17, 2008. 

Defense Infrastructure: High-Level Leadership Needed to Help 
Communities Address Challenges Caused by DOD-Related Growth. 
[hyperlink, http://www.gao.gov/products/GAO-08-665]. Washington, D.C.: 
June 17, 2008. 

Defense Infrastructure: Planning Efforts for the Proposed Military 
Buildup on Guam Are in Their Initial Stages, with Many Challenges Yet 
to Be Addressed. [hyperlink, http://www.gao.gov/products/GAO-08-722T]. 
Washington, D.C.: May 1, 2008. 

Defense Health Care: DOD Needs to Address the Expected Benefits, 
Costs, and Risks for Its Newly Approved Medical Command Structure. 
[hyperlink, http://www.gao.gov/products/GAO-08-122]. Washington, D.C.: 
October 12, 2007. 

Internal Control Standards: Internal Control Management and Evaluation 
Tool. [hyperlink, http://www.gao.gov/products/GAO-01-1008G]. 
Washington, D.C.: August 1, 2001. 

Internal Control: Standards for Internal Control in the Federal 
Government. [hyperlink, 
http://www.gao.gov/products/GAO/AIMD-00-21.3.1]. Washington, D.C.: 
November 1, 1999. 

[End of section] 

Footnotes: 

[1] The government of Japan is expected to contribute $740 million in 
financing for the development and construction of utility 
infrastructure to be used by the Marine Corps and which is to be 
repaid by the United States. Japan will also contribute $2.55 billion 
in financing, of which $2.1 billion would be repaid by the United 
States for the development and construction of family housing for 
Marine Corps dependents. In addition, the government of Japan is also 
expected to provide $2.8 billion in direct cash contributions to 
develop facilities and infrastructure to enable the relocation of the 
Marines, which is not planned to be repaid. 

[2] TRICARE Management Activity is a DOD field activity of the Under 
Secretary of Defense (Personal and Readiness) and operates under the 
authority, direction, and control of the Assistant Secretary of 
Defense (Health Affairs). 

[3] For purposes of this report, the Assistant Secretary of Defense 
(Health Affairs) will be referred to as Health Affairs. 

[4] For purposes of consistency in this report, we refer to military 
health care facilities as military treatment facilities. Military 
health care facilities refer to buildings or portions of buildings in 
which medical, dental, psychiatric, nursing, obstetrical, or surgical 
care is provided. These facilities include, but are not limited to, 
hospitals, nursing homes, limited care facilities, clinics and dental 
offices, and ambulatory care centers, whether permanent or movable. 

[5] Under Secretary of Defense (Acquisition, Technology, and 
Logistics) memorandum, Department of Defense Unified Facilities 
Criteria (May 29, 2002). This memorandum states that the Unified 
Facilities Criteria are to be used by the Military Departments for the 
planning, design, construction, sustainment, restoration, and 
modernization of facilities, regardless of funding source. 

[6] DOD, Unified Facilities Criteria 4-510-01, Unified Facilities 
Criteria: Medical Military Facilities (Feb. 18, 2009, incorporating 
change 3 Nov. 19, 2009). A design authorization refers to TRICARE 
Management Activity approval to proceed with the design of a proposed 
Military Health System facility project, including selection of an 
architecture and engineering firm. It usually designates the project, 
project fiscal year, project location, programmed amount, scope of the 
project (size in square feet), deviations from the submittal 
requirements in the Unified Facilities Criteria, and whether or not 
TRICARE Management Activity wishes to participate in selecting the 
architecture and engineering firm. 

[7] Design agents for military treatment facilities are responsible 
for the design of projects following receipt of a design authorization 
from TRICARE Management Activity. 

[8] Office of Management and Budget, Circular A-123, Management 
Accountability and Control, revised December 21, 2004. 

[9] GAO, Internal Control: Standards for Internal Control in the 
Federal Government, [hyperlink, 
http://www.gao.gov/products/GAO/AIMD-00-21.3.1] (Washington, D.C.: 
Nov. 1999). 

[10] Primary outpatient care generally includes caring for acute and 
chronic illnesses, disease prevention, screening, patient education, 
and health promotion. 

[11] Navy Facilities and Engineering Command, Healthcare Requirements 
Analysis for Guam Navy and Dental Facilities Final Report (Washington, 
D.C.: April 2007). The purpose of a health care requirements analysis 
is to provide an assessment of the total demand for health care 
services generated by the population of eligible beneficiaries in the 
region served regardless of where they receive care. The health care 
requirements analysis also describes the product lines and staffing 
necessary to meet demand. The workload and staffing assessment in the 
health care requirements analysis allows the estimation of key 
facility spaces required in the military treatment facility. 

[12] GAO, Internal Control: Standards for Internal Control in the 
Federal Government. [hyperlink, 
http://www.gao.gov/products/GAO/AIMD-00-21.3.1] (Washington, D.C.: 
Nov. 1999). 

[13] DOD, DOD Space Planning Criteria for Health Facilities. 
(Washington, D.C.: Jan. 28, 2002). 

[14] DOD Instruction 6015.17, Planning and Acquisition of Military 
Health Facilities (Mar. 17, 1983). 

[15] DOD Directive 1100.4, Guidance for Manpower Management (Feb. 12, 
2005). 

[16] DOD, Unified Facilities Criteria 4-510-01, Unified Facilities 
Criteria: Medical Military Facilities. 

[17] [hyperlink, http://www.gao.gov/products/GAO/AIMD-00-21.3.1]. 

[18] OMB Circular No. A-123. 

[End of section] 

GAO's Mission: 

The Government Accountability Office, the audit, evaluation and 
investigative arm of Congress, exists to support Congress in meeting 
its constitutional responsibilities and to help improve the performance 
and accountability of the federal government for the American people. 
GAO examines the use of public funds; evaluates federal programs and 
policies; and provides analyses, recommendations, and other assistance 
to help Congress make informed oversight, policy, and funding 
decisions. GAO's commitment to good government is reflected in its core 
values of accountability, integrity, and reliability. 

Obtaining Copies of GAO Reports and Testimony: 

The fastest and easiest way to obtain copies of GAO documents at no 
cost is through GAO's Web site [hyperlink, http://www.gao.gov]. Each 
weekday, GAO posts newly released reports, testimony, and 
correspondence on its Web site. To have GAO e-mail you a list of newly 
posted products every afternoon, go to [hyperlink, http://www.gao.gov] 
and select "E-mail Updates." 

Order by Phone: 

The price of each GAO publication reflects GAO’s actual cost of
production and distribution and depends on the number of pages in the
publication and whether the publication is printed in color or black and
white. Pricing and ordering information is posted on GAO’s Web site, 
[hyperlink, http://www.gao.gov/ordering.htm]. 

Place orders by calling (202) 512-6000, toll free (866) 801-7077, or
TDD (202) 512-2537. 

Orders may be paid for using American Express, Discover Card,
MasterCard, Visa, check, or money order. Call for additional 
information. 

To Report Fraud, Waste, and Abuse in Federal Programs: 

Contact: 

Web site: [hyperlink, http://www.gao.gov/fraudnet/fraudnet.htm]: 
E-mail: fraudnet@gao.gov: 
Automated answering system: (800) 424-5454 or (202) 512-7470: 

Congressional Relations: 

Ralph Dawn, Managing Director, dawnr@gao.gov: 
(202) 512-4400: 
U.S. Government Accountability Office: 
441 G Street NW, Room 7125: 
Washington, D.C. 20548: 

Public Affairs: 

Chuck Young, Managing Director, youngc1@gao.gov: 
(202) 512-4800: 
U.S. Government Accountability Office: 
441 G Street NW, Room 7149: 
Washington, D.C. 20548: