Preparing for the downsizing and closure of Letterman Army Medical Center: a case study
Related Experiment Video
Updated: Nov 7, 2026

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
Published on: August 5, 2020
1Letterman Army Medical Center, Presidio of San Francisco, CA 94129.
Abstract:
Letterman Army Medical Center (LAMC) began a phased downsizing in July 1991 which will lead to closure by June 30, 1994. An analysis of the downsizing and closure process has yielded information which can be valuable to medical treatment facility managers faced with similar challenges in the future. By review and analysis of documentation, this case study extracted and interpreted pertinent information from historical records and from personnel involved in planning for the downsizing and closure of LAMC. This study provides managers of military hospitals that are downsizing or closing with a summary of issues for planning, compiled by their relative importance, and a description of methods employed by LAMC for managing these issues.
Related Concept Videos
Discharge Summary Forms
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic illness...
SBAR I: Understanding the Concept
Standardized methods of communication have been developed to ensure that information is...
Cardiomyopathy VII: Pre and Post Operative Nursing Management
SBAR II: Application of SBAR
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities