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File: aaabf_51.txt
Page: 51
Total Pages: 51

CATEGORY: Manpower and Personnel
 
ISSUE ITEM #:
 
SUBJECT: Cross Leveling 
 
BACKGROUND: Some decisions were made early on that helped ensure SAC 
medical facilities would be able to continue to provide or arrange for 
the continuance of care in all primary care specialties. With the 
exception of Carswell (the lead unit for the Zweibrucken Contingency 
Hospital) we kept the executive staff in tact at all our facilities. 
This ensured a well experienced senior staff stayed behind to provide 
the leadership to reorganize and rebuild services after deployment and 
backfill by both other active duty medics and ARC medics. We also did 
not allow any facility to totally deploy an entire service or 
department. If filling an entire UTC would close down a service we 
would "frag" those AFSC to other SAC facilities to fill. 
 
DISCUSSION: This is one of our success stories. All SAC facilities 
maintained capabilities in ER, OR, and OB. Patients continued to be 
seen and treated in-house, saving contract and CHAMPUS funds, and 
eliminating the potential patient dissatisfaction. 
 
ACTION RECOMMENDED: Ensure the lesson learned is saved for future 
deployments. 
 
SUGGESTED OPR: 
 
 
 
 
 
 
 
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