Slide 1 by CS91lK

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									                     Health Service Augmentation
   CONUS MTF
                           Program (HSAP)                                          OCONUS MTF



                                    Navy Medicine
                         World Class Care…Anytime, Anywhere


    Hospital Ships             Aircraft Carriers   Casualty Receiving Ships   Blood Banks/Products




Expeditionary Medicine        Fleet Marine Force     Preventive Medicine      Fleet Surgical Support




                                                                                                       1
                          Outline
• Background
• Definition
• Alignment to JOPES
• Process & Development
• Navy Medicine Team Approach
• Transition Plan
• Current Actions
• Next Steps
• Challenges


                                    12/7/2011 11:45 PM
                                                         2
                Background
              CNA POM-12 Study
• Similar process to MRR/POM-10
• Build capability for analysis within Navy
  Medicine
• Integration between manpower capability
  teams and modular scalable hardware
  platforms
• We can’t perpetuate Manpower/Equipment
  mismatch


                                              3
                        Unit Type Codes (UTC)
                                Defined
Unit Type Codes: Alphanumeric five character code that contains
  passenger and cargo information for generic types of units.
   – Dozens of individual units can be within an individual UIC
     and share the same UTC.
       • For Example: FNOAT applies to a Navy generic orthopaedics
   – The UTCs are an integral part of the Type Unit
     Characteristics (TUCHA) file
       • TUCHA data contains: the generic name, the applicable
         reference document for that unit, unit equipment, the number
         of different Cargo Category Codes (CCCs) associated with the
         unit, and the number of authorized unit personnel.


                                                           12/7/2011 11:45 PM
                                                                                4
                               UTC Alignment to JOPES
         JOPES: Joint Operation                 JOPES                Output: Time-Phased
      Planning & Execution System                                  Force and Deployment Data
                                                                            (TPFDD)


                                    Four Supporting Data Files

 Defense Readiness &               Geographic             Type Unit                Type Unit
  Reporting System                  Location            Characteristics           Equipment
      (DRRS/N)                     (GEOLOC)               (TUCHA)                Detail (TUDET)


Contains personnel,               Depicts              Contains                 Describes
equipment, and training           locations            passenger &              individual items of
data on every DOD unit            associated           cargo information        equipment or
(Active and Reserve)              with the             for generic types        Cargo Category
depicts unit readiness for        movement of          of units.                Code (CCC)
deployment by UIC.                forces

                                                  GENERIC UNIT = UTC
                        Each generic type is designated by a five-character alphanumeric Unit Type
                        Code (UTC). Example: FNJ5T where FN = Navy shows function and capacity
                                                                                                     5
                                   UTC Process


                                                       Component
                                                      Commanders
                                                        Medical
      Future Forces UTCs                                Planners
                               NOLSC     JOPES

      Current Forces UTCs
                                                      Lateral Service
                                                         Scenario
                                                         Planning
                            TRAI
MAN         EQUIP
                             N




  Navy Medicine (N931,                     DISA   Medical Planners
     BUMED M3/5F)


                                                                        6
                             UTC Development
RANGE OF CAPABILITY FOR THE OPERATIONAL ENVIRONMENT
Strategic     Immediate       Wartime            Wartime
Objective                                                         FHA/HCA/CS
                Deploy         Surge           Sustainment
                 Trauma         Trauma             Trauma              Surgical
                 Surgical       Surgical           Surgical           Triage Out
  Dimension
   of Care




                Triage Out       Triage             Triage             Medical
                                Medical            Medical          Immunization
                              Mental Health      Mental Health        IH: Vector
                                Ancillary           Dental          Mental Health
                                                  Optometry             Dental
                                                   Ancillary          Education
                                                                     Optometry

                               Trauma, Surgical, Triage, Medical, Dental, Optometry
              Fleet/FMF                       Enduring Mission           (incl. ERSS)




 UTCs align with Navy Medicine’s strategic objectives and configured to a
                          dimension of care


                                                                                        7
                             UTC Development
• Discrete Generic Capabilities
   •Personnel; Equipment; or Combination of Both
   •Easily Tailored for Individual Missions/Contingencies
   •Building Block for Organizational Capabilities
• Development Strategy
   •Meet COCOM requirements
   •Joint interoperability
   •Full range of medical services
   •Incremental, modular deployable platforms




                                                            12/7/2011 11:45 PM
                                                                                 8
               Navy Medicine
              A Team Approach


   Lab        Pharm        Gen Surg      Ortho Surg

Neuro Surg   Med Repair    Prev Med        Env Hlth

  Inf Dis       EM         Pri Care        Dental

Neurology      Ocular        GYN            ENT

Nephrology    Urology     Plastic Surg    Vasc Surg
   Xray        Dental      Fam Prac      Immunization




                                                      12/7/2011 11:45 PM
                                                                           9
                          Team Approach
                  HCA/HA/DR UTC Capability Packages
                        BOS      Admin/C2   Anc Srvc    Cas Recv
  EMF-10
                        ICU       ACW       Gen Surg   Ortho Surg




   HA/DR               Ocular     Dental    Fam Prac   Immunization
    AUG
(No HW Package)




                       Occ Med   Chem/Rad   Env Hlth      Vector
  FDPMU
                      Prev Med     Rad       Micro         Bio


                                                                      10
UTC Team Example




                   11
                        UTC Transition Plan
                                                               500-Bed EMF
                                                               273-Bed EMF
                                                               250-Bed EMF
                6 EMF Configurations                           150-Bed EMF
                                                               50-Bed EMF
                                                               10-Bed EMF
                                        ROS + CORE
                3 T-AH Configurations    250 AUG
                                         500 AUG


                                                         2 FLT HOSP
                    FHAT Teams
                                                       Assistance Teams
25 Unique UTC
   Platforms                               OCC MED
                                          CHEM/RAD
                                        ENVIRON HLTH
                                           VECTOR
                9 Basic and Advanced
                                          PREVMED
                    FDPMU team
                                        RADIOLOGICAL
                                          MICROBIO         Fleet Surgical Team
                                         BIOCHEMIST            CRTS Center
                                          LOGISTICS            CV Augment
                                                             NMCB Augment
                                                                  Blood:
                5 Surgical Augments                         Blood Bank Center
                                                          Whole Blood Proc Lab
                                                           Blood Donor Center
                                        Okinawa NH
                 Theatre Augments        Guam NH
                                         Yoko NH
                                                                                 12
                                   Current Action - Build Plan
        OR: 32
        ICU: 365
        ACW: 1362                                                          text
                                            Korea                Okinawa              MPSRON
Beds    ECW: 592
                    OR: 30
                    ICU: 357    OR:30
 2250
        250         ACW: 1172   ICU: 334
                    ECW: 440    ACW: 1168

 2000                           ECW: 344
                                            OR:32
        250         150                     ICU: 343

                                150         ACW: 1084   OR: 32
 1750
        273         250                     ECW: 96     ICU: 320           OR: 32
                                150                                        ICU: 320
                                                        ACW: 1080                        OR: 32          OR: 32
 1500                                                                      ACW: 980      ICU: 320        ICU: 320
                                             150
        273         250         250                                                      ACW: 880        ACW: 880
                                                         150
                                             150
 1250                                                                       150
                                                         150
        273         273         250          150                                         150             150
                                                                            150
                                                         150
 1000                                        150                                         150             150
                                                                            150
                    273         273          150
                                                         150
                                                                                         150             150
                                                                            150
  750   500                                              150
                                                                                         150             150
                    273         273         250                             150
                                                         150
                                                                                         150             150
  500                                                                       150
                                            250         250                              150             150
                                                                            150
  250   500         500         500                                                      150             150
                                            273         250                250           150             150
   0
         2008       2009        2010        2011         2012              2013           2014           2015

                                                                                                    Fiscal Year 13
                  Current Actions

• UTC field requested in TFMMS
• Big chunks first, overlay with Teams second
• Validate UTC capability teams with specialty
  leaders and clinical advisory groups
• Need Arbitration Mechanism
• Target completion: 30 Sept 2009
• Deployment with existing equipment
  assemblages possible within the next year; also,
  may create future Just in Time equipment
  opportunity

                                                     14
                           Next Steps
• Transition from IA sourcing to Team sourcing
• Link to Personnel Status, PERSTEMPO,
  OPTEMPO
• Link to Individual and Unit Medical Readiness
• Link to Training Requirements and Status
• Link to Mission Performance
• SelRes Policy
• Design Next Generation HW Capabilities
  – Based on throughput modeling
  – What is smallest surgical denominator?
     (ex: 1 OR or 1 ISO container with 2 ORs?
  – What teams required to round out capability?
                                                   15
                         Challenges

• Transition from IA sourcing to Team sourcing
• Alignment:
  –   Define spectrum of care for respective platforms
  –   Validate dimensions of care for capability
  –   Determine right mix of teams available for rotation
  –   Specialty leader coordination
• Training/education of teams to ensure readiness
• Identify equipment requirements (outside of
  established deployable platform requirements)
• Tough decisions; platforms/teams should not be
  created to protect specialty requirements on
  active duty but rather to meet the combat or
  HA/DR mission requirements                                16
Questions?




             17
Back Up




          18
                       EMF Configurations
                           EMF-50                          EMF-150
                           Mod 1,2                         Mod 1,2,3

EMF-10


           EMF-10                    40ACW      EMF-50                 100ACW
            Mod 1                     AUG       Mod 1,2                (Heavy)




                  EMF-250
                 Mod 1,2,3,4


                                                 EMF-500               EMF-116

                                                EMF-500 disabled after taken out.
EMF-10   40ACW         100ACW         100ACW
Mod 1     AUG            (Lite)       (Heavy)

                                                                             19
   Fleet Augments & Theater Hospitals
• Fleet Augments (personnel)
  –   Fleet Surgical Team (16)
  –   Armed Services Blood Bank Center (26)
  –   Armed Services Whole Blood Proc Lab (20)
  –   Blood Donor Center (17)
  –   CRTS Unit (84)
  –   CV Augment (1)
  –   NMCB Augment (3)

• Theater Hospital Augments (personnel)
  – Okinawa NH (377)
  – Guam NH (328)
  – Yokosuka NH (173)



                                                 20
                   T-AH Hospital Ship

• Core (Reduced Operating Status + Core)
   – No medical surge capability (324 personnel)

• 250 Augment
   – (4 OR / 50 ICU / 200 ACW) (502 PAX)

• 500 Augment
   – (6 OR / 75 ICU / 320 ACW / 105 MCW) (131 PAX)

• Humanitarian Assistance / Disaster Relief Package
   – (3 OR / 6 ICU / 62 ACW / 22 MCW) (217 personnel)

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                            FDPMU
• Basic (13 personnel)
   –   Occupational Medicine
   –   Chemical / Radiological
   –   Environmental Health Assessment
   –   Environmental Health
   –   Vector
   –   Preventive Medicine
   –   Microbiology Logistics


• Advanced (15 personnel) Basic team with the addition of:
   – Radiological
   – Biochemist


                                                             22

								
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