MIL-HDBK-1191
1.3.2 Provide functional facilities at the most economical and
practicable life-cycle-cost.
1.3.3 Be aesthetically compatible with the local environs and meet
necessary environmental requirements including applicable federal, state,
and local environmental standards and criteria. Necessary coordination
shall be maintained with the state and local community in accordance with
the requirements of E.O. 12372 (reference 1c) as implemented by DoD
Directive 4165.61 (reference 1d).
1.4 Responsibilities. The Office of the Assistant Secretary of Defense
(Health Affairs), OASD(HA), Tricare Management Activity (TMA), Defense
Medical Facilities Office (DMFO) is responsible for medical facility
policy and planning, and is the office having primary responsibility for
preparing and maintaining healthcare facility criteria. The Medical
Military Construction Operations (MMCO) is responsible for programming
medical military construction projects and managing financial resources
for planning, design and construction. TMA/DMFO is also responsible to
review those portions of DoD Medical MILCON concept level designs
described in Section 02 of this document, and to certify these designs in
accordance with DoD Directives 5136.12 and 6015.17 (references 1e and
1l). The Design and Construction Agents may maintain supplementary
technical criteria and will execute design and construction following
established regulations and procedures unless otherwise directed by the
TMA/DMFO. Design Agents will produce designs for a complete and useable
facility within the approved programmed scope and programmed amount. The
Military Departments as the users are responsible for all medical
functional review and input during design. The Functional User's and the
Service's Design Agent's responsibilities often overlap but do not
supersede the respective medical and technical role of the other; the
design of each facility must be a collaborative partnership. Specific
responsibilities are addressed in various sections of this handbook.
1.4.1 Responsible Office. The Office of the Assistant Secretary of
Defense (Health Affairs), OASD(HA), TMA/DMFO is responsible for the
general administrative management of this entire document, and has
responsibility for the contents and development of criteria in
collaboration with the Healthcare Facilities Steering Committee (See
below).
1.4.2 Healthcare Facilities Steering Committee (HFSC). The HFSC acts as
the body responsible for the technical contents of this document. This
Committee is composed of members of TMA, the using Military Departments,
and the Service's design agents actively involved in the planning,
programming, design, and construction of facilities. All proposed MIL-
HDBK-1191 criteria updates and changes may be formally submitted to the
Committee for evaluation. DD Form 1426 is provided for this purpose at
the end of this MIL-HDBK-1191.
1.4.3 Waivers. TMA/DMFO has final authority to waive MIL-HDBK-1191
policy, procedures, or criteria including any deviations. Requests for
project specific waivers to any portion of this document must be
submitted in writing by the Design Agent, with full particulars and
justification, and must be fully coordinated with the using Military
Department.
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