USAFSAM
BRAC PLAN
22 March 2010
Maj Donna Fox
“We’re Moving – Not Closing”
Departments of Epidemiology Laboratory
First to move – Immunodiagnostics
Sections of Immunodiagnostics
Phasing of personnel and instrumentation
Modular facility for testing
Preparations both at Brooks City-Base and at WrightPatterson AFB
Transition of testing
The effects of moving in relation to customer care –
minimal 
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Brooks City-Base Lab
Departments of the Epi Laboratory
Immunodiagnostics
Microbiology
Virology
Bacteriology
Parasitology
Molecular
Shipping/Receiving
Customer Service
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PHE FY 2009 WORKLOAD
Total Tests: 2,039,587
Immunodiagnostics Tests: 1,896,006
Other PHE Tests: 143,581
Other Tests
7%
IMMUNODIAGNOSTICS
93%
Immunodiagnostics
Largest department in the Epi Laboratory
Performs over 90% of patient workload
Chosen to relocate first due to size of
instrumentation and workload volume
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Sections of Immunodiagnostics
HIV
HEPATITIS
EIA
BIOPLEX
IFA
GC/CHLAMYDIA
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Sections of Immunodiagnostics
HIV
Automated testing performed on Siemens Centaur XP
analyzer: HIV Screens
Semi-Automated testing performed using BioRad
AutoBlot 3000: HIV Western Blots
Hepatitis
Automated testing performed on Siemens Centaur
Classics: HEPATITIS (A, B, C) PANELS
Reflex testing for HEPATITIS B positive results
Manual HBeAg/HBeAb ELISA testing
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Siemens Centaur Classic/XP
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BioRad AutoBlot 3000
Semi-Automated Western Blot analyzer
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Sections of Immunodiagnostics
Enzyme Immunoassay (EIA)
Tests performed on Trinity-Biotech DSX
analyzer: CMV G/M, H. Pylori, Lyme AB,
Rubeola, Mumps, Varicella
Tests performed on BioRad Bioplex
analyzer: ANA, EBV G/M, HSV I/II, Syphilis
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Trinity DSX and BioRad Bioplex
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Sections of Immunodiagnostics
Immunofluorescent Assay (IFA)
Confirmatory Western Blot methods
performed: CMV M and Lyme M
Manual tests performed: Auto-Antibody,
Coccidioides, FTA-ABS, Mycoplasma, Q
Fever G/M, Rickettsia, VDRL
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Sections of Immunodiagnostics
Miscellaneous Testing
Automated testing performed on Gen-Probe
Tigris analyzer: Gonorrhea/Chlamydia
Automated testing performed on Siemens
Centaur XP analyzer: Rubella G/M,
Toxoplasma, Thyroid AB
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Gen-Probe Tigris
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BRAC Personnel
Movement of military and civilian
personnel in 3 phases
Phase 1 – ADVON team of 6 military and 2 civilian
members PCSing in June 2010
Phase 2 – 3 military and 2 civilian members PCSing
in December 2010
Phase 3 – 2 civilian members PCSing in January
2011
TDY – 2 civilian personnel being sent TDY to
Wright-Patterson for validation studies on
instrumentation
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BRAC Analyzers
Movement of instrumentation in 2 phases
Phase 1 – July 2010

2 Bioplex analyzers (1 moved from BCB to WP and 1
new one from BioRad)
 2 Tigris analyzers – brand new from GenProbe
 4 Centaur analyzers – brand new from Siemens
Phase 2 – Jan 2011

1 Bioplex analyzers (BCB)
 1 Tigris analyzer (BCB)
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Modular Bldg (A.K.A.-Trailer)
Floor Plan - Immunodiagnostics
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Preparations while at BCB
Upfront plans completed prior to move
Interop CHCS test files
Contracts – Equipment (new and reagent rental,
Personnel, Supplies)
Accreditations (CAP, CDC, etc.)
OIs/SOPs, Policies, Procedures
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Preparation for Testing at WP
Moving trucks arrive 1 Jul 2010
Unpacking and Laboratory Set-up
Computer set-up/access
Vendors and analyzers
Validation
Vendors
Technical Supervisors
Initial testing scheduled to begin 1 Oct 2010
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Testing Samples
Transition of patient samples to WP
Timeline By Base
30% – 15 Oct 2010
50% - 15 Nov 2010
70 % - 15 Dec 2010
100% - 1 Jan 2011
Volunteers
Contact Annette Compton
CAP Inspection
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Streamlined Process
Dual-Operations
Full transition to Wright-Patterson
6 month process
Turn-Around Times
Maintained
Modular Bldg
18-month contract – 1 Jan 2012
Transition to new facility after everyone else
Instrumentation
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Summary
Breakdown of the Epi labs departments and
sections
Analyzers used for testing
Transition of personnel and equipment to
Wright-Patterson
Testing samples and streamlining the ability
to perform dual-operations
Your ADVON team members
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Questions?
United States School of Aerospace Medicine
Epidemiology Laboratory Service
(USAFSAM/PHE)
2730 Louis Bauer Drive
Brooks City-Base, TX 78235-5132
EPI Lab Customer Service Team
DSN: 240-8378
Commercial: 210.536.8378
Email: epilab.help@brooks.af.mil
Website: https://kx.afms.mil/epi/
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