Attachment_71_-_NEMSCOM_Command_Brief_(18_Sep18).pdf

Navy Expeditionary Medical Support Command Dedicated to Saving Lives

Navy Expeditionary Medical Support Command

Command Brief

18 SEP 18

• Welcome!

• Introductions

• Command Brief/New Contract Information

• Facility Tour

• Wrap-Up

Agenda

MISSION

We save lives by building and maintaining rapidly deployable medical platforms to support contingency operations, humanitarian assistance, and other real world events and exercises.

VISION

To be DoD’s primary choice for providing capabilities-based, technically advanced deployable medical systems of the highest quality in the most efficient manner.

Mission/Vision Statements

History

• 1979: Established as the Fleet Hospital Support Office in Port Hueneme, CA

• 1983: Relocated to Alameda, CA

• 1998: Relocated to Naval Weapons Station Yorktown-Cheatham Annex, VA

• 2005: Renamed Navy Expeditionary Medical Support Command

Demographics

• Officers (8): (3) different specialties (Corps)

• Enlisted (15): (6) different specialties (Ratings)

• Civil Service (46): 15 different specialties (Career Series)

• Defense Medical Logistics Standard Support (DMLSS) Contractor (1)

• Information Technology (IT) Contractor (1)

Command History & Demographics

NEMSCOM’s (Cheatham Annex) Facilities

• White Beach, Okinawa

• 66,400 sq ft facility

• FH-20 (500-bed) stored

• Camp Foster, Okinawa

• 75,300 sq ft facility – climate controlled

• FH-23 (500-bed) stored

• NAB Sasebo, Japan

• 96,000 sq ft facility

• No assets presently stored

• Could hold 2 150-Bed EMFs

• Camp Carroll, Korea

• 75,300 sq ft facility – climate controlled

• EMF-250A and EMF-250B stored

NAVY EXPEDITIONARY MEDICAL SUPPORT COMMAND

NAVAL WEAPONS STATION YORKTOWN – CHEATHAM ANNEX

• Clinical capabilities include:

– Combat Casualty Receiver

– Advanced Lab, Radiology, Pharmacy, Blood Bank

– ICU and Acute Care Services

– Operating Room (OR) Surgery - Each table is capable of accommodating nine surgeries per day, to include: Trauma, Abdominal / Vascular, Urological, Orthopedic, Obstetrics / Gynecology, Thoracic, Eye, Maxillofacial / Otolaryngology, and Neurosurgery

– Dentistry

– Preventive Medicine

• Base Operating Support (BOS) includes:

– Staff Housing

– Laundry Facilities

– Showers / Heads

– Food Service Facility

– Generators / HVAC / Internal Comms

– Waste Water Storage and Transport

– Potable Water

– Ambulances / Buses

– Civil Engineering Support Equipment (CESE)

– Public Works Maintenance Facilities

Fleet Hospital THREE, Al Jalibah, Iraq 2003

150-Bed (Modules 1, 2, & 3) ICU Beds 20 Acute Care Beds 130 Operating Tables 4 Staff 454

150-Bed Expeditionary Medical Facility

(EMF-150)

Fully Activated EMF

Pre-Positioned Material (61%)

Hazardous Material (HAZMAT) Push Block

(3%)

Medical Consumables (MEDS) Push Block

(33%)

Just-In-Time (JIT) Push Block (3%)

Information Technology (IT) Push Block

Optional Augment Push Blocks

Collective Protection (COLPRO) Block

Cold Weather Block

EMF-150 Composition

10-Bed Expeditionary Medical Unit (EMU-10)

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

• 0.5 acre footprint

• 2 OR tables, 4 ICU beds, 6 ACW beds

• Set up & operational in < 3 days

• No Base Operating Support (BOS)

• Base-X Tents

EMU-10 Composition

Fully Activated

EMU

Pre-Positioned Material (53%)

Medical Consumables (MEDS) Push Block

(43%)

Hazardous Materials (HAZMAT) Push Block

(2%)

Just-In-Time (JIT) Push Block (2%)

Information Technology (IT) Push Block

TRIDENT ARCH

• Annual exercise to perform lifecycle management on selected EMF/EMU.

• Care of Supplies in Storage (COSIS) operation developed to mitigate program budget cuts; replace maintenance significant equipment at 6-year point; extends pre-positioned asset lifecycle to 12 years.

• TRIDENT ARCH 2016 (new shipping process)

– Evolution historically initiated pier-side at Cheatham Annex

– Conducted using commercial vehicles/cargo ship; TRANSCOM decision

– TRADE-OFF: Eliminated pier-side Material Handling Equipment (MHE) training opportunity for installation’s SEABEEs

• After 2020, COSIS operations will likely be suspended because entire EMFs will need to be returned to Cheatham Annex to be outfitted with new tentage.

• NEMSCOM received its first Role 2 Light Maneuver (R2LM) operational gear set in August 2017. NEMSCOM expects to receive (7) more R2LMs in the near future.

• Later this year, NEMSCOM expects to receive the Navy’s first fully containerized Role 2 Enhanced (R2E) deployable medical system.

Capabilities Based-Medical Treatment Facility (CB-MTF) Initiative

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.”

Preventive Medicine Microbiology

Chemical, Radiological Disease Vector

Logistics Support

• FDPMUs are supported by uniquely trained preventive medicine and occupational health scientists, microbiologists, epidemiologists, and advanced laboratory and preventive medicine technicians.

• Highly expeditionary and capabilities-based packaged product.

Forward Deployable Preventive Medicine Unit (FDPMU)

Fully Activated

FDPMU

Tier 1 Pre-Positioned Material (66%)

Medical Consumables (MEDS) Push Block

(28%)

Hazardous Material (HAZMAT) Push Block

(5%)

Just-In-Time (JIT) Push Block (1%)

FDPMU Composition

Navy Expeditionary Medical Support Command

New Contract Information

Requirements

Warehouse Services (Firm Fixed Price):

- Receiving/Stowage Services

- Re-Warehousing Services

- Inventory/Inventory Management Services

- Redistribution/Disposal Services

- Shelf Life Management Services

- Transportation Services

Equipment Maintenance (Firm Fixed Price):

- Test, Measurement & Diagnostic Equipment (TMDE) & other

Equipment turned over for daily use

- Biomedical/Scientific Equipment

- Civil Engineering Equipment

Production Services (IDIQ – Task Orders):

- Deployable Medical Systems (DEPMEDS) Download

- DEPMEDS Build

Container/Shelter Overhaul & Painting Services (IDIQ – Task Orders)

Database Systems

Hospital Information Management System (HIMS):

• Common Access Card (CAC) enabled login.

• Training available upon request.

• Several Uses:

Input Type Unit Characteristics (TUCHA) data, etc. for Civil Engineering Support Equipment (CESE), Containers/Shelters, intermediate containers.

View, review, and respond to discrepancy notices.

Request, obtain approval, and track purchases made by the Contractor.

Defense Medical Logistics Standard Support (DMLSS) System:

• 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)

Changes from Previous Contract

- Increase in the amount of shelf life material to be managed (Hazmat, Medical Surgical, Pharmaceutical, etc.).

- Potential for Hazmat to be managed offsite.

- Increase in the amount of types of maintenance to be performed on CESE Equipment (potential for some maintenance offsite).

- Requirements to place certifications, training, and time into the DMLSS system for personnel performing maintenance work.

- Contractor required to pay for training of all personnel.

- Addition of Container/Shelter overhaul requirements.

- Tri-Annual Wall to Wall inventory requirements with possible change to Annual periodicity.

- Movement and management of material into a single module of DMLSS.

Challenges/Items of note

- No current Automated Information Technology (AIT)/scanning capability. Receipts, inventories, etc. done the old fashion way.

- Fluctuations in production work. Warehouse/maintenance services centric.

- Extreme difficulty on rapidly bringing on any surge staffing. Proper staffing levels are critical to overall success.

- Quality Control is an important factor to ensuring success.

- Challenges with cross training (unionized staff).

- Database system change around 2020 from DMLSS to LogiCole.

Submit questions to the email address listed in the solicitation.