HFPA/G9, Shaping U.S. Army Medical Command's World-Class Environment of Care
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Sustainment Management Division

The Sustainment Management Division (SMD) is responsible for the policy and oversight of sustainment activities of all MEDCOM facilities.  We ensure that Regional Medical Commands, Major Subordinate Command, and Medical Treatment Facilities have funds, personnel, and contracts in place and that facilities are provided the maintenance and repair activities necessary to keep the AMEDD inventory of facilities in good working order; to include regularly scheduled adjustments and inspections, preventive maintenance tasks, and emergency response and service calls for minor repairs. HRP accreditation is directly linked to maintenance operations.

The Joint Commission Staff Assistance Visits

SMD provides subject matter expertise in The Joint Commission (TJC) accreditation for facilities environment of care and safety. The SME will participate in mock surveys to aid Health Readiness Platforms (HRP) in preparation for TJC surveys. Assistance in responding to findings is also provided by SMD.

Training Program

The ACSFAC-HFPA education program provides a standard career development path for both military and civilian facility professionals. It aligns organizational goals with personal goals while providing guidance to supervisors/raters in how to help their staff grow in personal and professional development. The Training Program Director collaborates with the industry to develop training on the total project management team and methodology for Facility Life Cycle Management. The training program also provides training that develops and steers 70K9I students.

Energy Program

SMD works with the Defense Health Agency (DHA) on Federal Energy Management Program (FEMP) and Energy Conservation Investment Program (ECIP). The team also participates on DA level energy working committees, oversees MEDCOM Advance Metering Program, develops MEDCOM Energy policy, and tracks energy initiatives like commissioning, EPA Energy Star, and DOD & DA measures. Member of the Energy Program participates in the Senior Energy & Sustainability Council (SESC) working group.

Sustainability Program

The AMEDD Sustainability strategy was developed by SMD and details the way ahead for MEDCOM to continue the mission of providing top-notch healthcare while also being good stewards of the environment and tax payer dollars, and provides a roadmap for partnering with the community and ensuring the future availability of the earth’s resources.


The mission of the MEDCOM Environmental Program is to ensure healthcare operational compliance with Federal, State, and local environmental laws, regulations, Executive Orders, and overseas Foreign Governing Standards. The G9 Environmental office, located at Fort Sam Houston in San Antonio, TX is responsible for developing, resourcing and managing compliance and pollution prevention initiatives that support environmental program objectives. We provide policy and guidance that prevents environmental impact of our healthcare operations and supports MEDCOM progress toward meeting DoD and Army environmental and sustainability goals. Our collaborative efforts with HRP, Region and PHC environmental SMEs ensures overall program compliance at MEDCOM facilities world-wide. Our job: ensure the military healthcare mission while saving our planet's natural resources for generations to come.

Organization Inspection Program (OIP)/Facility Assessment and Assistance Support

Provides OIP inspections to RMCs & MSCs, provides FAAST assistance upon request, manages AFIP/WRAMC (medical) closures, maintains DA 40-61 and SB8-75-11 facilities portions. Works with OPS for OIP tasking and follow up of OIP findings.

Reliability Centered Maintenance (RCM) Program

Provides oversight and management for deployment of RCM at HRPs, serves as COR for contracts at four sites under RCM, assists MTFs on-site during stages of RCM implementation, and assists other site with equipment or system failures upon request. The program will be expanding to all HRPs over the next 5 years.