Naval Hospital Bremerton

Naval Hospital Bremerton (NHB) is a community-based acute care and obstetrical hospital, offering expert primary care, emergency care and a broad range of medical and surgical specialties, with 36 inpatient beds (with expansion capacity to 72+). The hospital is conveniently located off of Highway 3 in Kitsap County between Naval Base Kitsap (NBK) Bremerton and Puget Sound Naval Shipyard and NBK Bangor. NHB is parent command for three Naval Branch Health Clinics and the Puget Sound Family Medicine Residency Program. The three clinics are located at Puget Sound Naval Shipyard, NBK Bangor and Naval Station Everett. Also, under the NHB umbrella are Occupational Health, Industrial Hygiene, Preventive Medicine and the Substance Abuse Rehabilitation Program (SARP), located in the Health and Education Center, Building 2850, in NBK Bangor.

Naval Hospital Bremerton has a three-fold primary mission to support our warfighters, past and present, and their families by: Providing exceptional care anytime, anywhere; shape military medicine through training, research, and graduate medical education; and to prepare our forces for deployment. Naval Hospital Bremerton and its clinic's staff consist of over 1,400 dedicated military, civilian, contract and American Red Cross volunteer personnel.

Over the course of last year, Naval Hospital Bremerton had up to 10 percent of the active duty staff deployed supporting combat units in Iraq, Afghanistan, Kuwait and other locales such as Joint Task Force-Horn of Africa, as well as being engaged in humanitarian aid and disaster response missions (Pacific Partnership 2011; deployments to Latin American and Caribbean nations).

Naval Hospital Bremerton staff physicians are board-certified and all take part in continuing education to keep abreast of the latest changes in their fields. They are trained at some of the leading institutions in the United States including the University of Washington, Harvard Medical School and the Uniformed Services University of the Health Sciences. Many of our nurses hold advanced certifications and degrees, and we have the only certified Nurse Midwifes on the Kitsap Peninsula. Our health care professionals strive to maintain the highest standards of professionalism and excellence.

Naval Hospital Bremerton offers a variety of programs and services, providing our patients with the most effective and appropriate tools to maintain health and wellness for life. All services are centrally located at the main hospital with the exception of our health clinics and our drive-through satellite refill pharmacy, which is located nearby in the Jackson Park Navy Family Housing area.

As partners in the TRICARE West region, the Naval Hospital Bremerton's dedicated staff, along with the TriWest Healthcare Alliance, provides compassionate, timely, and quality care to the 88,000 eligible individuals residing within the Puget Sound (approx. 60,000 in the greater Kitsap County area alone). To ensure our patients receive optimum diagnosis and treatment, Naval Hospital Bremerton collaborates with local and national Military Treatment Facilities and civilian health care institutions in both a teaching and knowledge sharing capacity.

Brief Snapshot - A Day in the Life at Naval Hospital Bremerton
• 1330 medical outpatient visits
• 63 Emergency Room visits
• 190 dental outpatient visits
• 1850 prescriptions processed
• 9 surgery cases
• 2 babies delivered (Northwest Beginnings Family Birth Center delivered over 700 babies for an average of approx 58 per month in 2010)
• daily average census is 17

Naval Hospital Bremerton Medical Home Port Model
What is the Medical Home Port Model?
Navy Medicine primary care services will transition from an individual patient/provider model to a standardized primary care team model, which will provide better access, continuity, wellness, and disease management for patients.

By standardizing primary care services and enhancing access and continuity, we improve the partnership between the patient, his/her primary care provider and their primary care team, and where appropriate, the patient's family. That partnership focuses on sustaining and enhancing wellness in our patients as well as efficient delivery of comprehensive health care services, based on the needs of our patients. This effort aligns with civilian models of enhanced primary care known as Patient-Centered Medical Home (PCMH) which in Navy Medicine, is known as "Medical Home Port."

What is a Medical Home Port Team? By reorganizing our primary care clinics into smaller group practices, or "Medical Home Port Teams," your healthcare team will work together to assure your care is provided in a coordinated, comprehensive manner. Team Based Healthcare: You will have an entire team responsible for your healthcare.

In addition to your Primary Care Manager (PCM), a Registered Nurse (RN), and a Hospital Corpsman and/or Medical Assistant will be part of your healthcare team. Additional physicians/providers are also part of the team to fill in during absences. This team will partner with you to fulfill administrative requests & provide additional medical services.

How do I get assigned to a Medical Home Team? If you are already enrolled in TRICARE Prime at Naval Hospital Bremerton, you do not need to do anything. Medical Home Port Teams are being implemented throughout the Primary Care Clinics at the Naval Hospital and our Branch Health Clinics and you will automatically be assigned.

How do I schedule an appointment with my Medical Home Port Team? You do not need to do anything different than you have in the past. Contact the TRICARE Regional Appointment Center (TRAC) at (800) 404-4506 to schedule an appointment.

Additional ways to reach your PCM and Team: If you have a question that doesn't require an appointment, you may contact the clinic directly to speak with your Medical Home Port Team. A representative from your team will contact you within two business days for non-urgent issues.

TRICARE Young Adult Program
TRICARE Management Activity (TMA) announced that the TRICARE Young Adult (TYA) opened for enrollment and TYA coverage on May 1, 2011.

Uniformed services dependents under 26, unmarried and not eligible for their own employer-sponsored health care coverage, may be qualified to purchase TYA, which offers TRICARE Standard coverage for monthly premiums of $186. A premium-based TRICARE Prime benefit will be available later this year.

Dependent eligibility for TRICARE previously ended at age 21, or age 23 for full-time college students. Similar to provisions in the 2010 Patient Protection and Affordable Care Act, TYA extends the opportunity for young adults to continue TRICARE health care coverage, as long as their sponsor is still eligible for TRICARE. Application and payment of three months of premiums can be dropped off at a TRICARE Service Center or sent by mail or faxed directly to the appropriate regional health care contractor. When the application is processed,

TRICARE coverage will begin the first day of the following month. Those eligible for TYA who have been saving receipts since Jan. 1, 2011, in anticipation of the new program, can pay all premiums back to January to purchase coverage retroactively.

Complete information and application forms are available at http://www.tricare.mil/tya.

AFTER HOURS ACCESS LINE AVAILABLE FOR URGENT ISSUES & ADVICE
An after-hours access line is available to beneficiaries enrolled to Naval Hospital Bremerton (or one of our health clinics) with questions, concerns and/or wanting to contact a provider. The access line is staffed 24 hours a day, however, during working hours patients are asked to call their clinic directly. After working hours the access line will provide information or contact a provider to assist patients (if needed).

The purpose of this service is to allow direct access to providers for urgent issues or urgent advice. It is not designed for routine matters such as medication refills or laboratory result follow up. The access line can be reached by calling: (360) 475-5700 (for Bremerton, Bangor, Puget Sound Naval Shipyard) or (425) 304-4060 (for Everett).

FAMILY NIGHTS, PRE-DEPLOYMENT/ INFO FAIRS? WE HAVE BRIEFERS AVAILABLE
Naval Hospital Bremerton has staff available to speak to your command or family group about Health Promotion activities, the TRICARE program, or any other health related topic you wish to discuss. Please contact NHB's Marketing coordinator Kendra Scroggs at 475-4408 if you are interested in having a hospital or TriWest rep speak to you.

Direct Healthcare Services
Naval Hospital Bremerton maintains five primary care portals: Family Medicine, Internal Medicine, Pediatrics, the Branch Health Clinic at Naval Base Kitsap Bangor and the Branch Health Clinic at Puget Sound Naval Shipyard (for active duty only).

Support Services
Support services include ancillary and consultative services. Ancillary services include laboratory, pharmacy, radiology, optometry, industrial hygiene, environmental health and radiation health departments. The laboratory department provides comprehensive diagnostic testing services in clinical and anatomic pathology and operates a blood bank and transfusion service.

The radiology department provides digital radiography studies as well as computed tomography (CT), a newly renovated mammography suite (that is the most advance of its' kind on the Kitsap Peninsula) and nuclear medicine services. NHB is also offering MRI services. The pharmacy includes a state-of-the-art robotics drug dispensing system for patient safety and efficiency and the optometry department operates an optical support unit, which fabricates eyeglasses for the Pacific Northwest region. Industrial hygiene, environmental health and radiation health departments support naval facilities and fleet units throughout the Pacific Northwest region. Naval Hospital Bremerton's level-three Emergency Department operates around the clock. The hospital's consultative services include Dermatology, Mental Health, General Surgery, Orthopedics, Chiropractic, Obstetrics/Gynecology, Ophthalmology, Optometry, Urology, ENT, Oral Surgery, Neurology, Pulmonology, Cardiology, Physical Therapy, Respiratory Therapy and Health Promotions and Patient Education.

While limited in some scope by the assigned personnel, Naval Hospital Bremerton offers a wide range of surgical interventions. A state-of-the-art six-room Operating Suite offers the latest in laparoscopic and arthroscopic surgery. Cesarean deliveries are completed in the dedicated room adjoining Northwest Beginnings, our Family Centered Obstetrical Center.

Alcohol treatment, on an outpatient basis, is provided in the Substance Abuse Rehabilitation Program (SARP) at the Health and Education building in Bangor. Industrial and occupational health services are provided for all employees located at Puget Sound Naval Shipyard, Naval Base Kitsap Bremerton, Naval Station Everett and the Intermediate Maintenance Facility located at Naval Base Kitsap Bangor.

There is also a Tobacco Cessation facilitator located at NHB, with available support at Health Promotion and SARP. Please call 475-4818 for more in-depth information, guidance and assistance.

Public health, preventive medicine and radiation health are provided for Naval and Marine Corps activities and other federal activities in the region.

Optical support is provided for all uniformed services in Washington, Idaho, Alaska and Oregon. Chiropractor services are available to active-duty servicemen and women within the physical therapy spaces. Biomedical equipment repair services are available for all sea service units in the Pacific Northwest.

Health and Wellness Stressed Year-round
NHB staff is also acutely aware of the needs of parents, ensuring the health of their children is cared for and the best way to do that is to offer up timely programs. Possibly the best example of such is the popular 'Back-to-school and Sports Physicals' program. Several hundred middle and high school students took advantage in late summer to get physically prepared for the upcoming school year and sport seasons by attending this program, which will be held again during several separate weeks in August. The program includes an immunization update, eye exam and height and weight check and it is held one-on-one with a staff member. The physicals are available for all school-age youths and teens enrolled in TRICARE Prime and seen at Naval Hospital, but who are unable to have appointments scheduled with their regular primary care manager.

Urgent medical advice has been implemented and is available after hours. A person does not have to drive in to the ER for assistance. The after-hours access line is available to beneficiaries enrolled at Naval Hospital Bremerton (or one of our health clinics) with questions, concerns and/or wanting to contact a provider. The access line is 475-5700 and is staffed 24 hours a day. However, during working hours patients are asked to call their clinic directly. After working hours the access line will provide information or contact a provider to assist patients (if needed). The purpose of this service is to allow direct access to providers for urgent issues or urgent advice. It is not designed for routine matters such as medication refills or laboratory result follow up.

Maternity Services
Naval Hospital Bremerton's Northwest
Beginnings Family Birth Center is the Navy's newest single-room maternity care provider. Each spacious room is designed to allow the family to remain in one room from admission to discharge. The Family Birth Center delivers over 700 babies per year and is supported by four Obstetrician/Gynecologists, three Certified Nurse Midwives and a Women's Health Nurse Practitioner in the OB/GYN clinic. Services are also provided by Family Physicians and Residents in the Naval Hospital Bremerton Family Care Center and Branch Health Clinic, Naval Base Kitsap Bangor and by five Pediatricians and nurses who specialize in maternal-newborn care. In addition to inpatient medical care, childbirth preparation classes, consultation with a Lactation Consultant and a Post Partum Care Clinic are readily available. Consultation and care for women and infants experiencing complications is primarily provided by Maternal Fetal Medicine and Neonatology specialists at Madigan Army Medical Center located at Ft. Lewis south of Tacoma

. Naval Hospital Bremerton was recently awarded the Department of Defense Military Health System Obstetrics Satisfaction award. While the award singles out the Labor and Delivery Ward for distinction among all military treatment facilities in the continental United States, it really recognizes multiple departments across the entire hospital that contributed to the overall customer satisfaction and patient comfort during obstetrician care while at Naval Hospital Bremerton.

Parking
The three-story parking garage, carved into the hillside below the front entrance to the hospital at the quarterdeck, boasts two undercover levels providing handicapped and regular parking with convenient access by elevator to the hospital. Outside patient parking is found on the second level and in a convenient lot close to the quarterdeck.

Active duty military receive primary healthcare by appointment and family members enrolled in TRICARE Prime are also cared for by appointment through Family Care by calling the TRICARE Regional Appointment Center at (800) 404-4506 from 8 a.m. to 6 p.m.

Medical Clinics
Naval Branch Health Clinic, Puget Sound Naval Shipyard
Naval Branch Health Clinic, PSNS is located in PSNS Building 940 and provides occupational healthcare for both military and civil service personnel who work at the shipyard, primary care for active duty members assigned aboard Naval Base Kitsap Bremerton and the Shipyard and medical support to fleet medical departments. Sick call hours are by appointment. Call 476-6872 to schedule. Physical examinations for active duty personnel are conducted weekdays by appointment and can be scheduled by calling 476-5994. CIA access is required.

Naval Branch Health
Clinic, Bangor
Naval Branch Health Clinic Bangor is located at 2050 Barb St. aboard Naval Base Kitsap Bangor. The clinic provides routine and acute medical and dental healthcare for active duty service members as well as occupational healthcare to both military and civil service personnel. NBHC Bangor also provides emergency ambulance service 24-hours-a-day on Naval Base Kitsap Bangor by calling 911 on base.

Dental Clinic
Dental Clinic
The Bremerton Dental Annex is located on the second deck of Building 506, 2240 Decatur Ave. Hours of operation are Monday through Friday, 7 a.m. to 3:30 p.m., with sick-call hours from 7 to 8 a.m. To schedule an appointment, please call 476-2211 or DSN 439-2211. Dental services, including periodontics and endodontics, are located within the Branch Health Clinic, Bangor. Hours of operation are Monday through Friday, 7 a.m. to 3:30 p.m., with sick-call hours from 7 to 9 a.m. To schedule an appointment, please call 315-4287 or DSN 322-4287. For after hours dental emergencies call 509-8086.

Family members and survivors of all active duty personnel, Selected Reserve and Individual Ready Reserve personnel are eligible for the TRICARE Dental Program with comprehensive worldwide coverage administered by United Concordia. Information can be obtained at http://www.ucci.com. Retired personnel and their families can obtain dental care under the TRICARE Retiree Dental Program through Delta Dental. Information can be obtained at http://www.ddpdelta.org.

Naval Dental Center Northwest
2240 Decatur Ave.
Bremerton, WA 98314-5245
476-3218
DSN 439-3218

The Naval Dental Center, Northwest, is a complex geographical dental command consisting of four branch dental clinics throughout the Puget Sound region. Located at Naval Base Kitsap, both Bangor and Bremerton, Naval Station Everett and Naval Air Station Whidbey Island, Naval Dental Center provides comprehensive dental care for nearly 26,000 Navy, Marine Corps and Coast Guard personnel. The mission of the center is dental health and readiness for active duty personnel. The headquarters is located at the Bremerton base, Building 506.

Family members and survivors of all active duty personnel, Selected Reserve and Individual Ready Reserve personnel are eligible for the TRICARE Dental Program with comprehensive worldwide coverage administered by United Concordia. Information can be obtained at http://www.ucci.com or (800) 332-3260. Retired personnel and their families can obtain dental care under the TRICARE Retiree Dental Program through Delta Dental. Information can be obtained at http://www.ddpdelta.org.

TRICARE
TRICARE policies and benefits are governed by public law. Changes to TRICARE programs are continuous and new benefits are added regularly as we continue to make TRICARE a better program for you. For the most recent information, visit http://www.tricare.mil.

TRICARE is the Department of Defense (DoD) health care program for active duty and retired members of the uniformed services, their families and survivors. TRICARE's primary objectives are to optimize the delivery of health care and services in military treatment facilities (MTFs) and attain the highest level of beneficiary satisfaction through the delivery of world-class health care benefits. Naval Hospital Bremerton and its Health Clinics in Everett, Bangor and at the Puget Sound Naval Shipyard are located in the TRICARE West Region.

TRICARE Information
There are three different plan options to the TRICARE program-TRICARE Prime, TRICARE Extra and TRICARE Standard. In-depth information on each option is available in your TRICARE Beneficiary Handbook. Additionally, Naval Hospital Bremerton conducts general TRICARE Overview (or orientation) briefings every other month. If you are interested in information on when these briefings occur, please call 475-4408 for details.

What to Do Upon Transfer
Upon transfer, please check with your local Military Treatment Facility or medical department representative to ensure you are properly enrolled. This especially is important even when you are transferring from one command to another in the same local area. Sailors assigned to ships or submarines that are transferring to shore commands (and vice versa) will need to have their enrollment changed and information updated. Make sure your records are up-to-date to ensure that there are no administrative delays when accessing care.

Keep Records Up to Date in DEERS
One of the systems that the military health system uses to verify eligibility is the DEERS program. DEERS is a computerized database of military sponsors, families and others worldwide who are entitled under the law to TRICARE benefits. DEERS registration is required for TRICARE eligibility. Active duty and retired service members are automatically registered in DEERS, but they must take action to register their family members and ensure they're correctly entered into the database. Mistakes in the DEERS database can cause problems with TRICARE claims, so it is critical to maintain your DEERS information. Failure to update DEERS can result in misdirected communication, delayed enrollment and claims payment and other difficulties. Some common times to update DEERS include:

• Activation, reenlistment, separation, retirement and moves or changes of address
• Birth/Adoption
• Death of spouse or child
• Full-time student over age 21
• Marriage/Divorce
• Moves/address changes for spouse or children

More TRICARE Programs
For information on the following programs, please access the pertinent website or contact your Medical Department Representative:
• TRICARE Dental Program (800) 866-8499, http://www.ucci.com
• TRICARE Retiree Dental Program (888) 838-8737, http://www.trdp.org
• TRICARE for Life, http://www.tricare.mil/tfl
• TRICARE Mail Order Pharmacy Program (866) 363-8667, http://www.express-scripts. com/tricare
• TRICARE Retail Pharmacy Program (866) 363-8779, http://www.tricare.mil/pharmacy

For More Information
If you need more information about your medical benefits, please contact one of the following points of contact:
• Your Medical Department Representative
• Your local Branch Health Clinic or Naval Hospital Bremerton (see numbers below)
• TriWest (see number below)
• Or visit the TRICARE Service Center

Naval Hospital
Bremerton Information
Naval Hospital Bremerton
One Boone Road
Bremerton, WA 98312-1898
(800) 422-1383/475-4000, DSN 494-4000
http://www.med.navy.mil/sites/nhbrem

American Red Cross
The American Red Cross Emergency Services serving military personnel is there to reach your family in times of emergency, 24 hours a day, 365 days a year. For service members assigned to CONUS, Alaska, Hawaii military installations, call toll-free at (877) 272-7337.

The American Red Cross Bremerton office is located at 811 Pacific Ave., Bremerton, WA 98377 (377-3761) or by visiting their website at: http://www.westsoundredcross.org. The American Red Cross is there for you to help prevent, prepare for and cope with emergencies. It's a fact of military life; families are frequently separated due to deployments and relocation. No matter how strong the family ties, moves and separations often put a strain on relationships. ARC can help with immediate personal and family concerns. All Red Cross social services are provided free of charge.

Emergency Communication
In the event of an actual emergency, critical accident, illness or death in a service member's immediate family, the Red Cross should be called at once. The Red Cross is equipped to verify the situation and relay an emergency leave request, if necessary, to proper military authorities. It is then up to the Commanding Officer to decide whether or not to grant leave. Other services offered are Health and Welfare Inquiries; Information, Referral and Advocacy; Humanitarian Reassignment and Hardship Discharge; Discharge Review and Correction of Military Records for Veterans; and Emergency Financial Assistance.

The Red Cross is here to assist you in the case of emergencies 24 hours a day. The American Red Cross provides many services that focus on Health, Safety and Community Services for military families. The following are classes offered (please call the office for class updated schedule and costs): Baby sitting training; Family Care giving; Adult CPR with First Aid; Standard First Aid Review; Standard First Aid with Infant and Child CPR; Adult CPR; Infant and Child CPR; First Aid/CPR/AED Instructor; Fundamentals of Instructor Training; Pet First Aid for Dogs and Cats.

A true indication of how Naval Hospital Bremerton is a true member of the community is showcased with their partnership with the American Red Cross, which is opened Monday through Friday, 8 a.m. to 4 p.m. ARC volunteers at Naval Hospital Bremerton are an integral part of the overall team effort to improve the health of the people we serve. The program has expanded this past year where ARC volunteers, on average, now contribute approximately 1,000 hours a month of vital, quality service in helping to execute the hospital's readiness mission. There are approximately 65 ARC volunteers do donate their time and effort as part of the NHB team on a regular basis. For those interested in volunteer work and for more information, please call 475-4341.  read more...

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