LRMC Attachment 10 - Workload Data 24Sep26.pdf

LRMC Attachment 10 – Workload Data

1. MTF Overview.

Landstuhl Regional Medical Center Dr. Hitzelberger Strasse 66849 Landstuhl

The main hospital is comprised of one (1) distinct building. The 3-story Tower, BLDG 3711 consists of 8 Operating Rooms (OR), Intensive Care Unit (ICU), Pre Procedure Unit (PPU), Ambulatory Procedure Unit (APU), Anesthesia, Labor and Delivery (L&D), Cardiac Cath-Lab, Laboratory, Emergency Department (ER). Radiology, Ultrasound, CAT-Scan, Sterile Processing Department (SPD).

Attached to the 3-story Tower the clinics and services include: Addiction Treatment Facility, Admissions & Dispositions, Allergy/Immunization, American Red Cross, Anesthesia Interventional Pain Management, Armed Services Blood Program, Army Public/Community Health Nursing, Army Wellness Center Landstuhl , Army Wounded Warrior Program Audiology Clinic, Behavioral Health, Brace Shop, Cardiology Clinic, Chaplain (Clinical Pastoral Division) ,Child and Adolescent Psychiatry Services ,Child, Adolescent & Family Behavioral Health Services ,Dermatology ,Ear, Nose & Throat (ENT),Endocrinology, Family Medicine Clinic, Gastroenterology Clinic, General Surgery Clinic, Hematology & Medical Oncology, Internal Medicine (Endocrinology/Infectious Disease/Rheumatology/Diabetic, Labor and Delivery, Mammography, Neonatal Intensive Care Unit, Neurology Clinic, Neurosurgery Clinic, Pediatric Clinic, Pulmonary Medicine Clinic, Telehealth Program Office, Traumatic Brain Injury Program, Warfighter Refractive Eye Surgery Program (WRESP),Women's Care Center emergency room, Obstetrical/gynecology, Ophthalmology /Optometry, Orthopedics, Pharmacy, Physical therapy.

The Command suite and other administrative support functions such as: Outpatient records, Outpatient pharmacy, Admissions and Dispositions, and Specialty care clinics are in outlying buildings on the same installation. Wounded Transient Detachment (WTD), Fisher House.

2. MTF Normal Operating Hours:

LRMC Location Days Hours 10C Med Surgery 3768 Mon - Sun 24/7 7D Inpatient Ward 3763 Mon - Sun 24/7 8D Inpatient Ward 3763 Mon - Sun 24/7 Cardiac Cath 3711 Mon - Sun 24/7 CT-Radiology 3711 Mon - Sun 24/7 Emergency Department 3711 Mon - Sun 24/7 Fisher House 93861 Mon - Sun 24/7 Fisher House 93841 Mon - Sun 24/7 Intensive Care Unit 3711 Mon - Sun 24/7 Labor & Delivery Department 3711 Mon - Sun 24/7 Laboratory 3711 Mon - Sun 24/7 Medical Transition Department 3752 Mon - Sun 24/7 Medical Transition Department 3754 Mon - Sun 24/7 Operating Rooms 3711 Mon - Sun 24/7

Radiology 3711 Mon - Sun 24/7 Sterile Processing Department 3711 Mon - Sun 24/7 Ultrasound 3711 Mon - Sun 24/7 10A Orthopedic 3768 Mon - Fri 0730 - 1630 10B Podiatry 3768 Mon - Fri 0730 - 1630 10D Allergy / Immunizations 3768 Mon - Fri 0730 - 1630 10F Orthopedics 3768 Mon - Fri 0730 - 1630 11A Optical Shopp 3769 Mon - Fri 0730 - 1630 11B Ophthalmology/ Optometry 3769 Mon - Fri 0730 - 1630 11D Dermatology 3769 Mon - Fri 0730 - 1630 11F Ophthalmology/Optometry 3769 Mon - Fri 0730 - 1630 12A Physical/Occupational Therapy 3770 Mon - Fri 0730 - 1630 12C Ear Nose Throat 3770 Mon - Fri 0730 - 1630 13B Gastrology 3771 Mon - Fri 0730 - 1630 13D Med Ward (VIP) 3771 Mon - Fri 0730 - 1630 14A General Surgery 3772 Mon - Fri 0730 - 1630 14B Plastic Surgery 3772 Mon - Fri 0730 - 1630 14C Chiropractic 3772 Mon - Fri 0730 - 1630 14D Sleep Lab 3772 Mon - Fri 0730 - 1630 15A Audiology/Speech Path 3766 Mon - Fri 0730 - 1630 15C Patient Rep 3766 Mon - Fri 0730 - 1630 15E DCCS/CSD Nursing 3766 Mon - Fri 0730 - 1630 1A Family Practice 3757 Mon - Fri 0730 - 1630 1B Family Practice 3757 Mon - Fri 0730 - 1630 1C Multi Behavioral Health 3757 Mon - Fri 0730 - 1630 1D Behavioral Health IOP 3757 Mon - Fri 0730 - 1630 1F Family Practice 3757 Mon - Fri 0730 - 1630 1F Women Health 3757 Mon - Fri 0730 - 1630 2C Child & Family Behavior Health 3758 Mon - Fri 0730 - 1630 3A Oncology 3759 Mon - Fri 0730 - 1630 3C New Introduction 3759 Mon - Fri 0730 - 1630 3E Oncology 3759 Mon - Fri 0730 - 1630 5A Internal Medicine Clinic 3761 Mon - Fri 0730 - 1630 5C Endocrine/Pulmonary/Resp Ther 3761 Mon - Fri 0730 - 1630 5D Cardiology 3761 Mon - Fri 0730 - 1630 6A Electrophysiology 3762 Mon - Fri 0730 - 1630 6B Nuclear Med 3762 Mon - Fri 0730 - 1630 6C Neurology 3762 Mon - Fri 0730 - 1630

6D Allergy/Immunization 3762 Mon - Fri 0730 - 1630 6F Magnetic Resonance Imaging Suite 3762 Mon - Fri 0730 - 1630 7B/E/F Obstetrician Gynecologist Department 3763 Mon - Fri 0730 - 1630 8B Urology/Perinatology 3764 Mon - Fri 0730 - 1630 9A Pediatrics 3767 Mon - Fri 0730 - 1630 9B Pharmacy 3767 Mon - Fri 0730 - 1630 9C Inpatient Psychiatry 3767 Mon - Fri 0730 - 1630 9D Pain/Spine/Neuro/Ortho 3767 Mon - Fri 0730 - 1630 9F Pediatrics 3767 Mon - Fri 0730 - 1630 Abdominal Pain Unit 3711 Mon - Fri 0730 - 1630 Post Anesthesia Care Unit 3711 Mon - Fri 0730 - 1630 Pre-Procedure Unit 3711 Mon - Fri 0730 - 1630 Primary Care Div 3790 Mon - Fri 0730 - 1630 Social Services 3802 Mon - Fri 0730 - 1630 Traumatic Brain Injury 3737 Mon - Fri 0730 - 1630 Wellness Center 3749 Mon - Fri 0730 - 1630 Dental Clinic 3701 Mon - Fri 0730 - 1600

3. Environmental Services Statistics:

Kilogram (KG) of Regulated Medical Waste Collected (See Attachment 8) Kilogram: LRMC RMW handling is managed through bins. Each bin (1 bin) weighs approximately 25 KG

Linen Handling (See Attachment 5 – Linen Distribution) Clean Linen Received (Kilogram): Estimated 260,000 KG per year Soiled Linen Shipped (Kilogram): Estimated 260,000 KG per year Clean Linen Distributed (Kilogram): Estimated 260,000 KG per year

Number of carts per day is approximately 30-40 carts Average cart weight: TARA weight of cart is 38KG, full carts vary from 50-150KG (excluding TARA)

Dispensers: Government provided product Toilet Paper Dispensers: 1500 Toilet Seat Cover Dispensers: 0 Paper Towel Dispensers: 2500 Soap Dispensers: 1500 Hand Sanitizer Dispensers: 2000

Regular Trash Estimate:

LRMC Kaserne (daily pick up on all BLDGs) = approximately 150 bags (33-gallon size).

Average curtain exchange: 150 – 200 curtains per day

Number of Interior Non-Standard Glass to be Cleaned: 1000 glass doors

4. Healthcare Statistics LRMC:

FY23 FY24 FY25

Annual Outpatient Clinic Visits (Encounters) 614,171 687,650 730,594 Average Annual Births 313 408 500 Annual Number of C-Sections 86 107 142 Annual ER Visits 40150 47450 35,528 Annual Inpatient Surgeries 4050 7300 6225 Average Length of stay 2.9 3.0 2.6 Annual Inpatient Days 8696 9234 8558 Annual Discharges 2953 3069 3268 Annual Radiology Procedures 139,511 125,392 136,056 Annual Prescriptions Filled 396,511 333,741 375,248 Staffed Beds (average per day) 58 61 83

5. Medical Transient Detachment (MTD)

Staffed Beds (average per day) 150 163 196

6. Fisher House

Staffed Beds (average per day) 9 9 9

Baumholder Health, Dental and Veterinary Clinic Description and Workload Data

BLDG 8741,8647,8758

55774 Baumholder, Germany

U.S. Army Health Clinic Baumholder provides quality ambulatory care for Soldiers and their Families while coordinating and facilitating inpatient and specialty care with our host nation and DoD partners. The clinic offers comprehensive medical care to all eligible health care beneficiaries. Priority is given to active-duty Soldiers and TRICARE Prime enrollees. Authorized medical care includes, but is not limited to, acute and chronic care of pediatric and adult patients, physical examinations, health-related career screening and immunizations, non-operative gynecological diagnosis and treatment, minor surgical procedures and surgical follow-up and newborn care. Baumholder Army Health Clinic also provides specialty care services to include behavioral medicine, pharmacy, optometry, radiology and physical therapy.

OUTLYING CLINICS Location

Days Hours

Baumholder Health Clinic 8741

Mon – Fri *Closed on the third Wed of each month for staff training. 0730-1630

Baumholder Dental Clinic 8647

Mon – Fri *Closed on the 3rd Wed of each month for staff training. 0730-1615

Baumholder Veterinary Clinic 8758

Mon - Wed and Fri 0830-1600 Thursdays Closed

Kilogram (KG) of Regulated Medical Waste Collected Kilogram: N/A due to Baumholder Government staff members handling RMW and the RMW contractor is picking the bins up at the clinic.

Linen Handling N/A due to Baumholder Government staff members handling clean and soiled linen pick up from LRMC.

Dispensers: Government provided product Toilet Paper Dispensers: Estimated 100 Toilet Seat Cover Dispensers: 0 Paper Towel Dispensers: Estimated 200 Soap Dispensers: Estimated 250 Hand Sanitizer Dispensers: 300

Number of Interior Non-Standard Glass to be Cleaned:

Count: Estimated 150 glass doors Estimated 8 staircase/railings

Regular Trash Estimate:

Baumholder (daily pick up from all BLDGs) = approximately 75 bags (33-gallon size).

Average curtain exchange: 58 curtains every 6 months

4.Healthcare Statistics Baumholder Health:

Annual Outpatient Clinic Visits (Encounters) 33,249 24,170 29,239

Healthcare Statistics Baumholder Dental:

FY24 FY25 FY26

Annual Outpatient Clinic Visits (Encounters) N/A 10,254 10,920

Healthcare Statistics Baumholder VET:

FY26

Annual Outpatient Clinic Visits (Encounters) 1,087

Kleber Health and Dental Clinic Description and Workload Data

Kleber Health and Dental Clinic Mannheimer Str. 3287 67657 Kaiserslautern

Located on Kleber Kaserne, Kaiserslautern, U.S. Army Health Clinic Kaiserslautern is a Primary Care Medical Home providing essential primary care and soldier readiness services for nearly 4,000 active-duty service members and eligible family members. The staff is committed to providing the best quality medical care possible to patients in a caring, family-like atmosphere. Services available for Soldier Readiness include HIV testing, lab services, vision and hearing screening, immunizations, physicals, and PHAs. Additionally, preventive health exams such as well-child, well-woman, annual physicals, and immunizations are also available. The clinic also offers radiology, laboratory, and pharmacy services for its patients. For services not offered, patients are referred to Landstuhl Regional Medical Center or a Host-Nation Provider.

OUTLYING CLINICS Location

Days Hours

Kleber Health Clinic 3287

Mon - Fri Closed the third Thursday of each month for training 0730-1630

Kleber Dental Clinic 3287

Mon - Fri 0730-1600

Kilogram: N/A due to Kleber Government staff members handling RMW and the RMW contractor is picking the bins up at the clinic.

Linen Handling N/A due to Kleber Government staff members handling clean and soiled linen pick up from LRMC.

Dispensers: Government provide products Toilet Paper Dispensers: Estimated 10 Toilet Seat Cover Dispensers: 0 Paper Towel Dispensers: Estimated 50 Soap Dispensers: Estimated 50 Hand Sanitizer Dispensers: Estimated 100

Regular Trash Estimate:

Daily average of approximately 5 bags (33-gallon size)

Average curtain exchange: 37 curtains every 6 months

Number of Interior Non-Standard Glass to be Cleaned: Estimated 100 glass doors

4.Healthcare Statistics Kleber Health:

Annual Outpatient Clinic Visits (Encounters) 16,763 12,462 13,973

Healthcare Statistics Kleber Dental:

FY24 FY25 FY26

Annual Outpatient Clinic Visits (Encounters) N/A 6,455 6,159

Pulaski Veterinary Clinic Description and Workload Data

Pulaski Veterinary Clinic 5th Avenue, BLDG 2928 67661 Kaiserslautern

VMCE is a veterinary role 3 facility, providing world class veterinary care and public health support to 300+ Military Working Dogs (MWDs) across EUCOM, CENTCOM, and AFRICOM and 8,200 Privately Owned Animals (POAs) in the Kaiserslautern Military Community (KMC), ensuring the Armed Forces are always medically ready and Families are supported and cared for. VMCE is the only facility to provide referral specialty level veterinary care to MWDs and POAs from all VTFs under Public Health Command Europe. This includes MWD MEDEVAC care, specialty diagnostics (radiographs, ultrasound, endoscopy), surgery, day and/or overnight hospitalization, and physical therapy.

OUTLYING CLINICS Location Days Hours

Pulaski Veterinary Clinic 2928 Mon - Wed and Fri 0730-1600 Thursdays 0730-1300

Kilogram: N/A due to Pulaski Government Staff members handling RMW and the RMW contractor is picking the bins up at the clinic.

Linen Handling N/A due to Pulaski Government Staff members handling clean and soiled linen pick up from LRMC.

Dispensers: Government provided product Toilet Paper Dispensers: Estimated 10 Toilet Seat Cover Dispensers: 0 Trash bag Dispensers (female toilet stalls): 6 Paper Towel Dispensers: Estimated 25 Soap Dispensers: Estimated 25 Hand Sanitizer Dispensers: Estimated 20

Regular Trash Estimate: Daily average of approximately 3 bags (33-gallon size)

Number of Interior Non-Standard Glass to be Cleaned: Approximately 35 glass doors

4.Healthcare Statistics: Pulaski Veterinary Clinic:

Annual Outpatient Clinic Visits (Encounters) 4,337 4,326 4,223 Annual Anesthesia Cases 202 250 232 Hospitalized Cases (including drop-off cases) 37 31 48

Wiesbaden Health and Dental Clinic Description and Workload Data

Wiesbaden Health,and Dental Clinic Flugplatz Erbenheim 1040 65205 Wiesbaden

Located on Clay – Caserne Wiesbaden. The Health and Dental Clinic Wiesbaden optimize the readiness, health, and resilience of the Soldiers, families, and retirees in their community. The dedicated staff provides a range of primary care and some specialty services. They constantly strive to improve the standard of professionalism and quality health care. They rely extensively on Landstuhl Regional Medical Center and a robust network of host nation providers and hospitals in Wiesbaden and Mainz to provide specialty care.

Wiesbaden Health Clinic 1040 Mon - Fri 0730-1630

Wiesbaden Dental Clinic 1040

Mon - Fri

0730-1630

Wiesbaden Veterinary Clinic 1038 Mon - Fri 0800-1530

Kilogram: N/A due to Wiesbaden Government staff members handling RMW and the RMW contractor is picking the bins up at the clinic.

Linen Handling N/A due to Wiesbaden Government staff members handling clean and soiled linen pick up from LRMC.

Dispensers: Government provided product Toilet Paper Dispensers: Estimated 20 Toilet Seat Cover Dispensers: Estimated 5 Paper Towel Dispensers: Estimated 110 Soap Dispensers: Estimated 110 Hand Sanitizer Dispensers: Estimated 120

Number of Interior Non-Standard Glass to be Cleaned: Estimated 200 glass doors

Regular Trash Estimate: Daily average of approximately 80 bags (33-gallon size)

Average curtain exchange: 127 curtains every 6 months

4.Healthcare Statistics Wiesbaden Health Clinic:

Annual Outpatient Clinic Visits (Encounters) 26,189 35,076 39,607

Healthcare Statistics Wiesbaden Dental Clinic:

Annual Outpatient Clinic Visits (Encounters) N/A 9,219 9,171

Wiesbaden Veterinary Treatment Facility Description and Workload Data

Wiesbaden Veterinary Treatment Facility BLDG 1038 Clay Kaserne 65205 Erbenheim, Germany

Veterinary Clinic located in USAG Wiesbaden Clay Kaserne. Provide world class veterinary care and public health support to Military Working Dogs and Privately Owned Animals, ensuring the Armed Forces are always medically ready and Families are supported and cared for.

2. MTF’s Normal Operating Hours:

Wiesbaden Veterinary Treatment Facility 1038

Mon - Thr 0800-1530 Every Friday 0800-1200 Last Working Day of Each Month

Closed

Kilogram: N/A due to Government contractor picking the bins up at the clinic.

Linen Handling N/A due to in house washer and dryer.

Dispensers: Government provided product Toilet Paper Dispensers: Estimated 4 Toilet Seat Cover Dispensers: 0 Paper Towel Dispensers: Estimated 15 Soap Dispensers: Estimated 15 Hand Sanitizer Dispensers: Estimated 15

Number of Interior Non-Standard Glass to be Cleaned: 4 glass doors

4.Healthcare Statistics: Wiesbaden Veterinary Treatment Facility:

Annual Outpatient Clinic Visits (Encounters) 1639 1847 2263

Rhine Ordnance Barracks Medical Center Description and Workload Data

Rhine Ordnance Barracks Medical Center 66877 Weilerbach/Kaiserslautern

Rhine Ordinance Medical Center (ROBMC) is the new Medical Center, located in Weilerbach, Germany. The hospital features 9 operating rooms, 120 exam rooms, and 68 beds with a surge capacity of 25 additional beds.

Clinic Location Days Hours Central Sterile (CMS) Building 2 Mon - Sun 24/7 Central Sterile (CMS) Building 2 Mon - Sun 24/7 Emergency & Ambulance Services Building 2 Mon - Sun 24/7 En-Route Patient Movement Squadron (ERPS) Building 2 Mon - Sun 24/7

Inpatient Medical Building 3 Mon - Sun 24/7 Inpatient Psychiatry Unit - 20 Beds Building 3 Mon - Sun 24/7 Intensive Care Unit (ICU) - 8 Beds Building 2 Mon - Sun 24/7 Labor & Delivery Unit Building 3 Mon - Sun 24/7 Neonatal Intensive Care Unit (NICU) Building 3 Mon - Sun 24/7 Radiology Building 2 Mon - Sun 24/7 Surgery - main Operation Room Building 2 Mon - Sun 24/7 Surgery - Main OR Building 2 Mon - Sun 24/7 Ambulatory Procedure Unit (APU) Building 2 Mon - Fri 0730- 1630 Dental Clinic Building 1 Mon - Fri 0730- 1630 Ear- Nose- Throat Building 1 Mon - Fri 0730- 1630 Flight Building 1 Mon - Fri 0730- 1630 Magnetic Resonance Imaging Suite Building 2 Mon - Fri 0730- 1630 Medical Specialties Clinic Building 1 Mon - Fri 0730- 1630 Neurology Clinic Building 1 Mon - Fri 0730- 1630 Nuclear Medicine Building 1 Mon - Fri 0730- 1630 Nutrition Service Building 3 Mon - Fri 0730- 1630 Ophthalmology Building 1 Mon - Fri 0730- 1630 Orthopedic Clinic Building 1 Mon - Fri 0730- 1630 Pain Management Center Building 1 Mon - Fri 0730- 1630 Physical Medicine & Rehabilitation Building 1 Mon - Fri 0730- 1630 Physical Therapy Building 1 Mon - Fri 0730- 1630 Post Anesthesia Care Unit (PACU) Building 2 Mon - Fri 0730- 1630 Post Partum Building 3 Mon - Fri 0730- 1630

Primary care Building 1 Mon - Fri 0730- 1630 Sleep Disorders Center Building 3 Mon - Fri 0730- 1630 Women's Imaging Suite Building 1 Mon - Fri 0730- 1630

Kilogram (KG) of Regulated Medical Waste Collected: Estimated bins per day are 20, each bin weighs approximately 25 KG, total of an average of 500 KG per day.

Linen Handling Clean Linen Received (Kilogram): Estimated 260,000 KG per year Soiled Linen Shipped (Kilogram): Estimated 260,000 KG per year Clean Linen Distributed (Kilogram): Estimated 260,000 KG per year

Dispensers: Government provided product Toilet Paper Dispensers: Estimated 3000 Toilet Seat Cover Dispensers: 0 Paper Towel Dispensers: Estimated 4000 Soap Dispensers: Estimated 3000 Hand Sanitizer Dispensers: Estimated 4000

Number of Interior Non-Standard Glass to be Cleaned:

Interior Non- Standard Glass and Mirror. The Contractor shall clean all interior glass including windows, glass inserts, doors, revolving doors, tempered glass, temporary barriers made from acrylic sheets, clear or dyed, also known as plexiglass, staircases/ railings, and mirror surfaces in accordance with AHE Practice Guidance for Healthcare Environmental Cleaning standards for the applicable Service Level location and in accordance with the HEC Visibly Clean definition. The atrium and the high-rise glass in the DFAC are excluded from the scope of this contract.

Building Description of Glass SQM KA & KD Outpatient and Administration Windows (inside only) 7,505 KB Diagnostics and Procedures Windows (inside only) 1,218 KC Bed tower and DFCA Windows (inside only) 836 KE & KF Facilities and Ambulance Garage Windows (inside only) 122 All Interior Windows (both sides) 1,500 All Glass Doors (both sides) 13,403 All Glass Railings (both sides) 123

Total 24,707

Floor Types:

Floor Types:

Epoxy Resin 3,242.72 m² Sealed Concrete 38,992.18 m² Linoleum 547.50 m² Rubber Floor 60,290.34 m² Carpet 3,923.24 m²

Terrazzo 1,616.41 m² Artificial Stone Tiles 681.76 m² Ceramic Tile 3,317.78 m²

4.Healthcare Statistics ROBMC: Currently not available.