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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 
Carewell (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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