Site_Visit_Slide_Presentation.pptx

Navy Expeditionary Medical Support Command

25 OCT 2013

Dedicated to Saving Lives

AGENDA

Welcome Introduction NEMSCOM Brief Tour of Facilities Wrap-up

NEMSCOM Mission Navy Medicine’s lead agent for the deployable medical systems: Expeditionary Medical Facilities (EMF) and Forward Deployable Preventative Medicine Units (FDPMU)

Responsibilities include… design and configuration management acquisition, assembly, pre-positioning, deployment and life-cycle maintenance activation and deactivation technical advisor

150-Bed Expeditionary Medical Facility (10 Bed + 40 Bed Augment + 100 Bed Augment)

Clinical capabilities include:

Combat casualty receiver Advanced Lab, Radiology, Pharmacy, Blood Bank ICU and Acute Care Services OR Surgery - Each table is capable of doing 9 surgeries /day, to include: trauma, abdominal/vascular, urological, orthopedic, OB/GYN, thoracic, eye, maxillofacial/otolaryngology, and neurosurgery Dentistry Preventative Medicine

Base Operating Support (BOS) includes:

Staff Housing Laundry facilities– Staff and Patient Showers/Heads Food Service Facility Generators/ HVACS / Internal Comms Waste water storage and transport Potable water Ambulances / Buses Civil Engineering Support Equipment (CESE) Public Works maintenance facilities

Unique to NAVY: BOS included Fleet Hospital THREE, Al Jalibah, Iraq 2003 150-Bed (Modules 1, 2 & 3)

150 Bed Expeditionary Medical Facility (10 Bed + 40 Bed + 100 Bed Augments)

ACUTE CARE WARD

ACUTE CARE WARD

ACUTE CARE WARD

OB/GYN

150- Bed (Modules 1, 2 & 3)

CMD & CTRL

CAS REC

X-RAY

PHARM LAB

SICK

CALL

STRESS CONTROL

AMBULATORY CLINIC

ADMIN

STORAGE

OR CSR

ORTHO PHY EYE DENTAL

THERAPY

ACUTE CARE WARD

ACUTE CARE WARD

ICU ICU ICU ICU OR PREP

50 Bed Expeditionary Medical Facility (10 Bed + 40 Bed Augment)

OR CSR

ICU ICU ICU ICU OR PREP

OB/GYN ACUTE CARE WARD

ACUTE CARE WARD

ORTHO PHY EYE DENTAL

THERAPY

50-Bed (Modules 1 & 2)

Full Theater Hospitalization capability reached with Module 2

CMD & CTRL

CAS REC

X-RAY

PHARM LAB

SICK

CALL

STRESS CONTROL

AMBULATORY CLINIC

ADMIN

STORAGE

10-Bed Expeditionary Medical Facility

CMD & CTRL

STRESS CONTROL

AMBULATORY CLINIC

ADMIN

STORAGE

OR PREP OR CSR

ICU

ACW

10-Bed (Module 1)

CAS REC

X-RAY

PHARM LAB

SICK

CALL

Module 1 can act as an independent 10-bed medical facility

EMF Augmentation Blocks In addition to pre-positioned assets, activated EMF receives “Just-in-Time” consumable materiel to support first 30 days of activation:

Subsistence Block (Procured from Army Just-in Time) Medical and Industrial Hazardous Materiel Block (HHS/FLC) Pharmaceutical and Medical-Surgical Consumable Blocks (HHS / NEMSCOM) IT Block (NEMSCOM) Security Force Block (NEMSCOM / Crane, IN) Office Supplies (NEMSCOM) Extreme Cold Weather Gear (Currently NEMSCOM)

Health and Human Services, Perry Point, MD

10-Bed Expeditionary Medical Unit

Approx 30 463L Air Pallets w/Consumables Transported in two C-17s or one C-5 Galaxy

Has no Base Operating Support.

Basis for capabilities based packaging. Create 10 bed but does not have base operating support. Airlift capability.

Forward Deployable Preventative Medicine Unit (FDPMU)

Primary Mission… “To provide Force Health Protection by rapidly assessing, preventing and controlling health threats in a theater of operations and enhancing organic Preventive Medicine assets.”

FDPMUs are composed of highly trained preventive medicine and occupational health scientist, microbiologist, epidemiologists, advanced laboratory and preventive medicine technicians.

Highly expeditionary and capabilities based packaged product.

Driven by component areas. 5 areas and is also capabilities based according to deployment requirement.

The FDPMU rapidly assesses and identifies health hazards and recommends protective or control measures to reduce the threat to deployed personnel.

Its capabilities include laboratory analysis and rapid health hazard assessments of nuclear, biological, chemical detection and identification, disease vector surveillance and control, and medical surveillance of endemic diseases.

As you can see, NEMSCOM designs have always been driven by the mission, therefore they are capability based. The issue is the we have always been Based on the previous slides

Logistics Support

Preventive Medicine

Microbiology

Chemical, Radiological

Disease Vector

EMF Program Material

New 150 EMF Lifecycle

Design Build Maintain Requirements: OPNAV N931 Number of Platforms Configuration / Capability Concept of Operations

Production: NEMSCOM Acquisition/Assembly/Life Cycle support Contractor supported Maintain:

Every 6 Years Care of Supplies in Storage (COSIS) Operations performed COSIS process approx 12 months Every 12 Years Pre-positioned assets rotate Assets brought back to Cheatham for Integrated Logistics Overhaul (ILO) ILO process takes approx 18 months EMF Design Development: NEMSCOM

EMF Activation Plan Customized EMF Design

Phases of COSIS Cost Savings of COSIS NEMSCOM has organic capabilities to design and deploy any specialized EMF.

Currently our capabilities require us to utilize assets from an existing 150 EMF (war reserve hospital) to customize for requirement.

Current DEPMEDs Movement Requirements Unit C-130 (# of Sorties) 6 pallet pos

C-5A (# of Sorties) 36 pallet pos C-17 (# of Sorties) 18 pallet pos 80’ Rail Car (# of Cars) 4 per Car M-871/M-872 Semi’s (# of Trailers) 871-30’/873-40’

NORWAY

BOGEN BAY

Currently Available Pre-positioned

CHEATHAM ANNEX

NEMSCOM

Undergoing ILO

KOREA

CAMP CARROLL/ Camp Mujuk

OKINAWA

WHITE BEACH

150F Deployed

MPS-3

USNS Dahl

MPS-2

USNS Sisler

OKINAWA

CAMP FOSTER

NORWAY

FRIGAARD

Currently Available

150J 150C

Vacant

10F

EMF Pre-positioned Locations After Giant Trident Arch

150H

EMF

Djibouti

DJIBOUTI

CAMP LEMONIER

150D 10D

EMF

Kuwait

EMF

Khandahar 10B 150I 250B

SASEBO

Currently Available 150E 250A 10G 150G

CAC enabled login DMLSS is a mandated BUMED logistic database. As such, it the official database of record for NEMSCOM .

Training in a training database is available upon request.

DMLSS is built to serve the needs of a hospital environment, which cause some challenges.

Several modules:

Equipment Maintenance Module (MA) Inventory Management Module (IM) Assemblage Management Module (AM)

DMLSS

DMLSS is a mandated BUMED logistic database.

Official database of record for NEMSCOM.

Tracks equipment maintenance in the Equipment Maintenance Module (MA).

Separates general stock in Inventory Management Module (IM) from assigned hospital material that is in Assemblage Management Module (AM).

System is backed up daily.

Training base is available for training so the live database is not touched.

Training is available upon request.

DMLSS allows you to tailor users access read and write.

DMLSS is built to serve the needs of a hospital environment, which cause some challenges.

DMLSS is used by all branches of the Armed Forces.

Suggested changes are reviewed by the service managers and sent in for implementation of the system. Changes are not always made or made quickly.

In our current business process kits are handled in HMIS database.

Limited scanning capability in DMLSS and the command does not have wireless.

DMLSS

Voluntary Protection Program… Shooting for the Stars CAPT McCue Commanding Officer

SAFETY

SAFETY

NEMSCOM is working toward Attaining OSHA's Voluntary Protection Program (VPP) Star Status.

This initiative requires NEMSCOM and the contractor to agree to cooperate in an effort to implement best safety and health management practices to ensure employees, contractors and visitors are provided a safe and healthful work environment.

VPP engages at the deck-plate level with labor and management in OSH program improvements that are behavioral and performance based.

Achieving VPP STAR is a team effort by all hands and will not happen over night.

VPP is right for NEMSCOM and right for Navy Medicine.

Additional information regarding this program may be found at www.vppcx.org.

Submit questions to the email address listed in the solicitation.

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