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HRD-82-130 1 (1982-09-30)

handle is hein.gao/gaobabmpw0001 and id is 1 raw text is: UNITED STATES GENERAL ACCOUNTING OFFICE WASHINGTON, D.C. 20548 HUMAN RESOURCES September 30, 1982 0IVISION B-209129 The Honorable Caspar W. WeinbergerIIII1111li The Secretary of Defense 119632 Attention: Director, GAO Affairs Dear Mr. Secretary: Subject: Better Planning and Funding Approach Needed for Military Medical Facilities Construction and Modernization Projects in Germany (GAO/HRD-82-130) During the past several months, we conducted a survey to assess the condition of military medical facilities in Europe-- primarily Army facilities in Germany--as well as plans for their renovation and replacement. This report summarizes the results of that work and is provided to you because of the recent increased emphasis being given to medical facility construction and moderni- zation in Europe. Army medical facilities in Germany generally are housed in buildings that date back to World War II and earlier. Locations of many facilities were dictated by the availability of existing buildings following World War II and most were not originally built as health care facilities. Most have functionally in- efficient layouts with obsolete wiring, and heating and plumbing systems. Efforts to undertake even the most basic modernization program have been constrained by funding limitations imposed on European construction. Collectively, the above factors have con- tributed to medical facilities that are old, deteriorated and often do not meet life safety code standards. The recent emphasis placed on European construction projects and the programming of significantly higher amounts of funds pro- vide the Army with an opportunity to correct the deficiencies, eliminate past inadequacies in facility geographic distribution, and consider construction alternatives. In addition, our review indicates that consolidation of facilities in some mlitary commu- nities appears to be a cost-effective way to improve quality of care. To take advantage of these opportunities, the Army needs (1) detailed information on the condition of existing facilities, (2) detailed economic justification for proposed projects, and (3) guidance as to the optimum size and location of medical facilities. (101050)

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