Post on 31-Dec-2015
description
Naval Operational Forces Afloat Medical Logistics Overview
Rich SchlegelNaval Medical Logistics Command
Director, Operational Forces Support05-06 June 2012
As the Navy Medicine center of logistics expertise, we design, execute, and administer individualized state-of-the-art solutions to meet customers’ medical
materiel and healthcare service needs.
FOR OFFICIAL USE ONLY2
2,174.6 Miles from Georgia to Maine 20 Mi/day = 108.5 days or 4 months 15 Mi/day = 144.5 days or 20 weeks
Re-supply every 75 to 100 miles or about once per week for the 16 to 20 week trip
Trail resupply Flexibility in planning in case plans or demand change Supplies expensive and depth unreliable
Bump Box Shipped to hiker for specialized replacement or hard to get materiel at expected stops Arrivals must be planned around hours of operation for local post office
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The Afloat Medical Logistics Environment
Medical logistician not typically assigned Medical Department LCPO, Petty Officer and/or other designee (MAO) assigned medical supply duties
Utilization of “Big Navy” or DoD supply channels Supply Officer (“Suppo”) and staff are the Logistics SMEs Need to understand the procedures and your responsibilities (No DMLSS-except for T-AHs) Relational Supply (RSUPPLY) System
Primarily MILSTRIP Requisitioning National Stock Number (NSN) based requisitioning, receipt and inventory management procedures
Money Value Only (MVO) documents for Fleet Prime Vendor Web Ordering Sometimes lengthy supply chain based on operational schedule and AOR
Cargo follows the CRIF (Cargo Routing Information File) submitted by ship and maintained by Naval Supply Systems Command Logistics Operations (NAVSUP LOC) - CLASSIFIED Mail Routing Instructions (MRI) - CLASSIFIED
Reliance upon CTF logistics planners and system Optimization of in-theater medical warehousing assets
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Authorized Medical / Dental Allowance List (AMAL/ADAL)
Provides for minimum range and depth to support approximately 60 days sustainment and contingency materiel requirements
Content Management Owned by Commander, Fleet Forces Command Surgeon Managed by Type Commander Surgeons
AMAL and ADAL Technical Data Management Naval Medical Logistics Command Operational Forces Support Directorate (NMLC-04) Issued monthly via SPAWAR via Navy Medicine ONLINE Available at www.nmlc.med.navy.mil
Changes to Lists AMAL or ADAL Review Chaired by TYCOM Surgeon Individual Allowance Change Request (ACR) submitted through NMLC web and approved through fleet chain of command NMLC initiated administrative change based on Class VIII commodity management efforts
Defense Medical Logistics Item Identification System (DMLIIS)
Ship Class Platform
CodePC 01
LSD-41 02
MCM 03
FFG 04
LCS 05
DDG-51 06
CG 07
LPD-4 08
LSD 36-40 09
LPD-17 10
LCC 11
LHA-1 12
Ship Class Platform
CodeLHD-1 13
LHA-6 15
DDG-1000 16
SSN/SSGN/SSBN 22
CVN 30
NECC 40
NCF 41
JHSV 50
MSC T SHIPS MSO 51
T-AH DISASTER RELIEF 6
T-AH CONTINGENCY-THEATER HOSPITALIZATION
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T-AH HUMANITARIAN ASSISTANCE 85
AMAL and ADAL Taxonomy
Medical Capability Code
GENERAL MEDICINE 00
FORCE HEALTH PROTECTION 05
PHYSICAL EXAMS 10
EQUIPMENT 15
CRNA 20
OPERATING ROOM 21
MINOR SURGERY 22
ICU/WARD 23
BMET REPAIR 25
PREVENTIVE MEDICINE 30
RADIOLOGY 31
LABORATORY 32
Medical Capability Code
BLOOD BANK 33
PHARMACY 34
FIRST AID BOX 50
MASS CASUALTY BOX 51
BATTLE DRESSING STATION 52
MEDICAL OFFICER RESPONSE KIT 53
CRASH CART 54
CORPSMAN RESPONSE KIT 55
(This is a Partial List)
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AMAL and ADAL Taxonomy
AMAL and ADAL Taxonomy
Ship Class + Capability Descriptor
AMAL or ADAL Number
LHD (13) + Laboratory (32)
AMAL # 1332
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Medical Contingency Contracts
Medical Contingency Contracts Prime Vendor War Readiness Materiel Vendor Managed Inventory (VMI) Contracts
Distributors Corporate Exigency Contracts (CEC)
Manufacturers Medical Equipment Corporate Exigency Contracts (ECEC)
Accessing Sources of Supply Contingency Automation Application (CAA) via Defense Medical
Materiel On-Line All MILSTRIP requisitions are “trapped” and run against these
contracts as a sourcing solution along with Fleet PV-Med Surg Fleet PV-Pharm DLA Depot DLA Electronic Catalog (ECAT)
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The Medical Contingency File (MCF)
A semi-annual submission by all services of non-equipment Class VIII materiel identifying time-phased materiel requirements for operational unit contingency response
NMLC-04 prepares the MCF file for all naval operational force TYCOMs Starts with the compiling of Assemblage (AMAL and ADAL) data.
NSN Nomenclature Quantity and Unit of issue Price Acquisition Advice Code (AAC) Shelf life Code
The information is uploaded into the Industrial Preparedness System (IPSYS) at DLA-Troop Support (Formerly known as Defense Supply Center Philadelphia-DSCP)
Listing is provided to Vendors/Manufactures every 2 years allowing for competition.
DLA looks for new sources of supply in industry for redundancy to increase capacity of support
Establish contracts on items with greatest commercial sales or signs of increasing sales.
Medical Contingency File Readiness Contracts As of February 2012
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Category # of Items 2/11
# of Items 2/12
# of Items with
Coverage 2/11
# of Items with
Coverage 2/12
% with Covera
ge 2/11
% with Coverage
2/12
Pharmacy 853 801 (-52) 630 604 (-1) 74% 75% (+1%)
Medical-Surgical
1,667 1,336 (-330)
1,335 965 (-370) 80% 72% (-8%)
Dental 529 508(-21) 442 385 (-57) 84% 76% (-8%)
X-Ray 22 21 (-1) 16 7 (-9) 73% 33% (-40%)
Ophthalmic 674 670 (-4) 184 119 (-65) 27% 18% (-9%)
Laboratory 408 246 (-162) 256 164 (-92) 63% 67% (+4%)
Other Medical
246 321 (+75) 168 187 (+19) 68% 58% (-8%)
Non -Medical
348 179 (-169) 37 24 (-13) 11% 13% (+2%)
Total 4,747 4,082 (-665)
3,068 2,455 (-613) 64% 60% (-4%)
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Afloat Equipment Procurement Programs(Initial Issue vs Sustainment)
Shipboard Equipment Replacement program (SERP)Fleet OMN Funded to NAVMEDLOGCOM (1 Year $)
Commander, U.S. Fleet Forces Command Commander, U.S. Pacific Fleet
Requirements submitted through ISIC and TYCOM and approved by Commander, U.S. Fleet Forces Command and Commander, U.S. Pacific Fleet
Includes Equipment CASREPsPhased/Planned Life Cycle Replacement (Ship BMET/ISIC/TYCOM Tracks)
Shipboard equipment configuration management drives spare parts, tech manuals, preventative maintenance
Procurement executed by NAVMEDLOGCOMNew Medical Support Equipment
BUMED OPN Funded through NAVMEDLOGCOM (3 Year $)Requirements approved by Commander U.S. Fleet Forces Command
COMFIFTHFLT
CTF-51ESG
CTF-54Theater ASW
CTF-53Logistics
CTF-56Expeditionary Combat
CTF-57Maritime Patrol
CTF-58ConsequenceManagement
CTF-59Crisis Response
CTF-52Mine Warfare
CTF-55Surface Warfare
CTF-50CSG
CTF-IMIraqi Maritime
CTF-IMIraqi Maritime
Fleet Organization Example
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•Administration
•Master-At-Arms
•Medical
•CLF Ops
•MSC (non-CLF) Ops
•Replenishment
•Air Routing
•Force Protection
•NALCC (Naval Air Logistics Coord Center)
•MH-60 “Desert Hawks”
•C-130 / C-40
•ALSS Bahrain
•FLS Jebel Ali
•FLS Fujairah
•FLS Djibouti
•FLS Al Minhad
•Commodities
•Expediting / MATCONOFF
•Ordnance
•HAZMAT Offload
•Logistics Plans
•Comptroller/Supply
COMLOGFORNAVCENT (CTF 53)
•Information Technology Systems
•Network
•Hardware/Software
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Fleet Organization Example (Cont.)
Theater-wide management
…Through TACON of all logistics support assets:
- CLF ships- Logistics aircraft- Forward logistics sites
Logistics scheduling AND executionare central to mission success
COMUSNAVCENT N4
COMLOGFORNAVCENT / CTF-53 COMSEALOGCENTLogistics plans and policy
Theater logistics execution…
Logistics Relationships (CENTCOM/5th Fleet)
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CTF-53REPLENISHMENT SOE
5. REPLENISHMENT SCHEDULE OF EVENTS:READ IN FIVE COLUMNS, UNODIR PDR IS OCE.(A INDICATES ADDITION; C INDICATES CHANGE)EVENT SVC-CARGO CUS PDR LOCATION18010 IRP-STV BAR CLFNC/NRCC DUB18020 RAS-F FIF TIP SAG19020 RAS-F MON KNW NAG19030 CONSL-F TIP DFR JEB21030 CONSL-S TIP CLFNC/NRCC JEB22010 RAS-FS AWR TIP CAG
•Ships Submit RAS Requirements to TF Commander
•TF Commander Consolidates Requirements and Submits to CTF-53
•Optimize UNREPs; Cluster Events Same Day & General Location
•Submit Changes to TF Commander
•OPS Officer’s Negotiate Exact RDVU POSIT / TIME with CLF Ship
•Take Advantage of “RAS of Opportunity”
Promulgate RAS SOE Promulgate RAS SOE
CTF-53 XX1500Z CTF-53 XX1500Z
Scheduling Replenishment at Sea (RAS) Events
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RAS Sustainment Process
Consolidation Event (12 Jul)
N5
Surface Routers
RAS Event (16 Jul)
RAS Event (17 Jul)
RAS Event (19 Jul)
Air Routers
N3
N4Requirements: HULL/FILL; DECKLOAD; Provisions; Ships store stock; Ordnance
PV
Replenishment SOE: 30 Days Out
PV Orders 12 days prior to CONSL NOT RAS event
LEGEND
Scheduling
Electronic Data
Material
Approx one week prior
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Operational Forces Support Primary Points of ContactName Position Phone
(301)619-XXXX
DSN 343- XXXX
Rich Schlegel Director 3075 Richard.Schlegel@med.navy.mil
LCDR Shikina Tellis Deputy Director 3034 Shikina.tellis@med.navy.mil
Mark Weldon Fleet Health Services Support (HSS) Management Analyst 3116 Mark.Weldon@med.navy.mil
Rick McManis Equipment Support and Management Supervisor 3079 Richard.Mcmanis@med.navy.mil
Deniz Mackey Biomedical Engineer 3093 Deniz.Mackey@med.navy.mil
Ross Mackey Biomedical Engineer 6269 Ross.Mackey@med.navy.mil
Mike Correll ILS - CVN 7003 Michael.Correll@med.navy.mil
HMC(SW) John McGilvery BMET 8790 John.McGilvery@med.navy.mil
Cliff Dunlap ILS – L Decks 7007 Clifford.Dunlap@med.navy.mil
LCDR Janine Espinal AMAL/ADAL Mgt Supervisor 9336 Janine.Espinal@med.navy.mil
Mike Schomer AMAL/ADAL Mgt 7228 Michael.Schomer@med.navy.mil
HM1 (FMF) Daniel Quick AMAL/ADAL Technician 7117 Daniel.Quick@med.navy.mil
Katrina Letman AMAL/ADAL Mgt-IDC Platforms 9564 Katrina.Letman@med.navy.mil
Katrina Letman AMAL/ADAL Mgt- Expeditionary Warfare and MSC Platforms 9564 Katrina.Letman@med.navy.mil
Noel Bondoc Procurement Support Supervisor 3364 Noel.Bondoc@med.navy.mil
Franklin Ohaegbu Procurement Support (Non Ship Outfitting) 3427 Franklin.ohaegbu@med.navy.mil
Valerie Taylor Ship Outfitting 3076 Valerie.Taylor2@med.navy.mil
Charles Teague SERP 3077 Charles.Teague@med.navy.mil
Holly Melear Hospital Ship Procurement 7227 Holly.Melear@med.navy.mil
LS2 Michael Kick Ship Outfitting 8252 Michael.Kick@med.navy.mil