Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank...

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Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer

Transcript of Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank...

Page 1: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Army Combat Developments and the Laboratory

SAFMLS 2010

COL Richard GonzalesLaboratory/Blood Bank

Combat Developer

Page 2: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Outline

• What is Combat Developments• What does a Combat Developer do?

• What have I done for you lately?

• What can you do?

• Force Design Update: Medical Detachment Blood Support

• How to reach me.

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Regulations

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Outlines the role of Armed Forces in the United States Code. It provides the legal basis for the roles, missions and organization of each of the services as well as the United States Department of Defense. Each of the five subtitles deals with a separate aspect or component of the armed services.

Title 10 of the United States Code

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As a Commanding General, TSG provides advice and assistance to the Chief of Staff, Army (CSA) and to the Secretary of the Army (SECARMY) on all health care matters pertaining to the U.S. Army and its military health care system. He or she is responsible for development, policy direction, organization and overall management of an integrated Army-wide health service system and is the medical materiel developer for the Army. These duties include formulating policy regulations on health service support, health hazard assessment and the establishment of health standards. TSG is assisted by a Deputy Surgeon General.

CHAPTER 305—THE ARMY STAFF, 3036, Chiefs of Branches

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Army Regulation 40–60

MEDICAL SERVICES POLICIES AND PROCEDURES FOR THE ACQUISITIONOF MEDICAL MATERIEL Headquarters Department of the Army Washington, DC 15 March 1983

Para 1-8g: The materiel developer, combat developer, trainer, tester, and logistician will coordinate all formal documents and decision processes generated during the MEDMAP with the Office of The Surgeon General (OTSG) before their submission to-

(1) Department of the Army (DA).

(2) MACOMs.

(3) Other external agencies and activities.

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Para 2–2. The Surgeon General (TSG). TSG, as the medical materiel developer for the Army, will a. Have the overall responsibility for the research, development, test, and evaluation (RDTE) and acquisition of medical materiel and related items.b. Delegate the authority for carrying out this responsibility to agencies primarily responsible for specific events within the materiel acquisition process.c. Coordinate the rationalization, standardization, and interoperability (RSI) considerations both with other Services as well as the North Atlantic Treaty Organization (NATO) and the American, British, Canadian, and Australian (ABCA) Armies throughout the medical materiel acquisition process.d. Review and approve all requirements documents authenticated by the-(1) Combat developer (AHS) and materiel developer (USAMRDC), or(2) Combat developer (AHS) and mission assignee agency (USAMMA) for NDIs and medical equipment sets (MESs).e. Submit requirements documents for major programs, designated acquisition programs, and DA IPR programs to HQDA for approval

Army Regulation 40–60

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2–6 a. Commanding General, US Army Health Services Command (CG, HSC).

CG, HSC, as the combat, doctrine, and training developer for the AMEDD, will Delegate authority to the AHS to carry out the responsibilities of combat developer, trainer, and operational or user tester for field medical materiel. (These activities will be performed within guidelines set by CG, TRADOC and Army health standards established by TSG. Details of this working relationship will be reflected in a memorandum of agreement between CG, TRADOC and CG, HSC.)

Army Regulation 40–60

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TRADOC Regulation 71-20

6 October 2009

Prescribes responsibilities and policy for the development of warfighting concepts, the conduct of experiments, and the determination of capability requirements. This regulation also prescribes responsibilities and policy for the implementation of the Joint Capabilities Integration and Development System (JCIDS), its execution, and how the U.S. Army Training and Doctrine Command (TRADOC) adheres to the Defense Acquisition System.

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Organization Structure

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Page 12: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Assistant CommanderAssistant Commander Force Integration & MCIC DirectorForce Integration & MCIC Director

COL Timothy JonesCOL Timothy Jones

Sr Enlisted AdvisorSr Enlisted AdvisorSGM Ella LaLoneSGM Ella LaLone

DeputyDeputy Mr. Hershell MoodyMr. Hershell Moody

US Army Medical Department BoardUS Army Medical Department Board(AMEDDBD)(AMEDDBD)

Directorate of Combat & DoctrineDirectorate of Combat & DoctrineDevelopment (DCDD)Development (DCDD)

Medical Evacuation ProponentMedical Evacuation ProponentDirectorate (MEPD)Directorate (MEPD)

Medical Capabilities Integration Center

Center for AMEDD Strategic StudiesCenter for AMEDD Strategic Studies

Combined Arms Center Combined Arms Center Liaison Officer at Fort LeavenworthLiaison Officer at Fort Leavenworth

LTC PazLTC Paz

Combined Arms Support Command Combined Arms Support Command Liaison Officer at Fort LeeLiaison Officer at Fort Lee

CW3 Wendel JohnsonCW3 Wendel Johnson

Borden InstituteBorden Institute

Future Force IntegrationFuture Force Integration Directorate Liaison OfficerDirectorate Liaison Officer

at Fort Blissat Fort BlissMAJ Marion JeffersonMAJ Marion Jefferson

Total AMEDD System ManagementTotal AMEDD System Management(TASM) / Knowledge Management (TASM) / Knowledge Management

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Develop, coordinate and integrate Force Management, Force Development, Force Integration, Force Sustainment, and Force Modernization processes within the AMEDD, TRADOC, HQDA, and other Services and agencies in building the medical arm of tomorrow’s Army.

MCIC Mission

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Chief Med NCOChief Med NCO

SGM PenaSGM Pena

Medical Information Medical Information

Systems DivisionSystems Division

LTC Daniel KralLTC Daniel Kral

Doctrine & Doctrine & Literature DivisionLiterature Division

Ms. Cecily PriceMs. Cecily Price

Concepts & Concepts & Requirements DivisionRequirements Division

COL William LaydenCOL William Layden

Deputy, DCDDDeputy, DCDD

Mr. Tim GordonMr. Tim Gordon

Organization & Organization & Personnel Systems Personnel Systems

DivisionDivision

Mr. Charles CahillMr. Charles Cahill

Directorate ofCombat & Doctrine

DevelopmentDirector, DCDDDirector, DCDD

COL Larry ConwayCOL Larry Conway

Medical Materiel & Medical Materiel & Systems DivisionSystems Division

COL Daniel ChapaCOL Daniel Chapa

Clinical Consultant Clinical Consultant

Dr. James KirkpatrickDr. James Kirkpatrick

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Develop concepts, organizations, materiel, and doctrine for Force Health Protection (FHP) to the Army across the operational continuum. Identify operational and clinical capability and requirement solutions across the TRADOC doctrine, training, leader, organization, materiel, personnel, and facilities (DOTML-PF) domains.

DCDD Mission

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Medical Information Systems DivisionMedical Information Systems Division

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Information Systems Information Systems

BranchBranch

Medical Information Systems Division

Division ChiefDivision ChiefLTC Daniel KralLTC Daniel Kral

Communication and Communication and OperationalOperational Architecture

BranchBranch

Operational ArchitectureOperational Architecture

BranchBranch

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Responsible for AMEDD information systems/technology and

communication requirements determination. Develop AMEDD

operational and system architecture. Prioritize/integrate

AMEDD IM/IT requirements into Army/DOD OA.

MISD Mission

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Medical Materiel & Systems DivisionMedical Materiel & Systems Division

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Identify requirements and represent the user in the development of medical materiel, non-medical materiel and technologically advanced systems needed to support the Army and joint users on the battlefield.Develop and provide input to medical logistics doctrine and organizational structures to support emerging war fighter and Army logistics concepts

MMSD Mission

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We are committed to providing responsive and relevant support, serving as the Soldiers’ representative in the DOTMLPF process as it relates to medical logistics concepts, business processes, system enablers and equipment solutions; ensuring our Soldiers’ survivability and enhancing their ability to provide premier Health Service Support and Force Health Protection.

MMSD Vision

Page 22: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Medical Materiel and Systems DivisionMedical Materiel and Systems Division

Administrative Assistant

Ms. Terry Rodriguez221-2069

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MMSD

Research emerging technologies, review literature and studies of medical-related ideas, equipment and programs for application within the AMEDD. Develop Army Concepts, Joint Concepts and best business practices for incorporation into Army doctrine, force structures and TTPs.

Log Concepts Branch Mission Statement

What Does This Mean to you…

• Single point of contact for medical equipment maintenance, technology research and developmental programs, as they relate to issues and concepts

• Infusion of Medical Logistics Doctrine into Other Army and Joint Concepts and Processes

Page 24: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

MMSD Logistics Concepts Projects

• Lead for Total Army Analysis & Force Design Updates

• Medical Logistics Integrated Concept Team

• Capability Needs Analysis• 670A/68A Maintenance MARC

Study

• Class VIII Planning Factors• Conducts Doctrine & Literature

Reviews • Medical Logistics Company

Force Design Update as necessary(FDU)

• Joint Experimentation Learning Demands

• Army Medical Equipment Maintenance Program in a Joint Operational Environment

• Tactical Power Generation & Distribution Requirements

• Oxygen on the Battlefield• Power Generation & Hospital

Layout Planning Tool (AutoDISE)• LOG C2 ICDT• Supply and Services and Materiel

Management• Logistics Enterprise

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MMSD

To advance & develop medical and non-medical logistics concepts supporting current and future forces through development of innovative logistics processes.

Logistics Systems Branch

Mission Statement

What Does This Mean to you…

• Development of Medical Logistics Concepts and Processes• Logistics Automation Integration (Medical and Non-Medical)

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MMSD LOG Systems Projects

• Medical Logistics Systems Concepts & Capabilities Requirements Management

• Theater Medical Logistics Automation Systems Concept

• Battle Command Sustainment Support System (BCS3)

• Net-Enabled Command Capability (NECC)

• Force XXI Battle Command Brigade and Below (FBCB2)

• Logistics Decision Support System (LDSS)

• Single Army Logistics Enterprise (SALE)

• AIS Hardware (MC4) Requirements

• Defense Medical Logistics Transformation

• Medical Communication for Combat Casualty Care (MC4)

• Defense Medical Logistics (DML) JIPT

• Army Sustainment Systems & Enterprise Architecture Integration

• Conducts Doctrine & Literature Reviews

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MMSD

• Represent the user as the Combat Developer in the Materiel Development and Acquisition process

• Describe the who, what, where, when, why, and how a piece of equipment is used by AMEDD Soldiers

To represent the user through the combat development process for all non-medical materiel programs, doctrine, organizational structures, materiel fielding and acquisition programs.

Non-Medical Materiel Branch

Mission Statement

What Does This Mean to you…

Page 28: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

MMSD Non-Medical Materiel Projects

• Ground Evacuation Platforms– Mine Resistant Ambush Protected Ambulance (MRAP-A)– Medium Troop Transport System Ambulance (MTTS-A)– Stryker Medical Evacuation Vehicle (MEV)– Up-Armored HMMWV CASEVAC Kits– Joint Light Tactical Vehicle (JLTV)– Ground Combat Vehicle– Family of Medium Tactical Vehicles (FMTV)

• Tracked Ambulance Modernization Program– M113 Replacement Program– Bradley Family of Vehicles

• AMEV XM11• AMTV

• Treatment Vehicles– Striker– AMTV

Page 29: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

MMSD Non-Medical Materiel Projects

• Collective Protection Systems• Chemically and Biological Protected System (CBPS)• Chemically Protected DEPMEDS (CP DEPMEDS)• CSS Support Items• Blue Force Tracking and Sensors/Jammers• Materiel Handling Equipment (MHE)• Family of Medium Tactical Vehicle-Load Handling Systems (FMTV-LHS)• Medical Shelters Program• Containers for Medical Applications• Integrated Concept Team (ICT) participation• Evacuation• Combat Casualty Care (CCC)• C4I• Force Protection

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MMSD Summary Projects & Initiatives

• Future Medical Shelter Systems• Medical Shelter Requirements• Force Design Updates• Regulatory Guidance Reviews• Medical Equipment Maintenance Architecture• Combat Medical Equipment Maintenance Support Doctrine• Medical Logistics Organization Development• MED LOG ICT• Facility Design & Maintenance• Medical Materiel Executive Agency/DLA

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MMSD Summary Projects & Initiatives

• Joint Medical Logistics Transformation• Medical Logistics Automation Systems• Medical Logistics Concepts• Single Army Logistics Enterprise• Ground Evacuation Platforms• Collective Protection Systems• Materiel Handling Equipment• Trucks and trailers• Blue Force Tracking and Sensors• AHS support items

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Organization and Personnel Systems Division (O&PSD)

Page 33: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Mission

Develop, coordinate and integrate Force Management, Force Development, Force Integration, Force Sustainment, and Force Modernization processes within the AMEDD, TRADOC, HQDA, and other Services and agencies in building the medical arm of tomorrow’s Army.

Functions

Establish, review, analyze, revise, and document: - AMEDD organizations - Tables of Organization and Equipment (TOE) - Basis of Issue Plans (BOIP). - Design, develop, and implement Manpower Requirements Criteria (MARC) studies

and staffing guides. - Design, develop, document, and coordinate the composition of medical

assemblages. - Coordinate Force Structure and manage AMEDD participation in Total

Army Analysis (TAA) process.

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Force Structure and Force Structure and Analysis BranchAnalysis Branch

Ms Monica Talamantez

Organization andPersonnel Systems

Division Division ChiefDivision ChiefMr Charles CahillMr Charles Cahill

Manpower Requirements Manpower Requirements Criteria (MARC) BranchCriteria (MARC) Branch

Mr. Rick DabbsMr. Rick Dabbs

Basis of Issue Plan (BOIP) & Basis of Issue Plan (BOIP) & Table of Organization & Table of Organization & Equipment (TOE) BranchEquipment (TOE) Branch

Mrs. Laura AshinhurstMrs. Laura Ashinhurst

Medical Materiel BranchMedical Materiel Branch

Mr. John LisenbeeMr. John Lisenbee

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Table of Organization & Equipment (TOE)/Basis of Issue Plan (BOIP) Branch

• As branch and specified proponent, AMEDDC&S is the combat developer and therefore, proponent for medical organizations.

• The TOE/BOIP Branch will develop:▪ Automated Unit Reference Sheets ▪ Force Design Update (FDU)

▪ Coordinate Pending Changes for TOE’s with U S Army Force Management Support Agency, (USAFMSA) Ft Belvoir▪ Approve Requirements Prior to Submission to Standardization, Analysis and Integration (SAI), Review Board, USAFMSA, Ft

Leavenworth▪ Have Direct Influence on:

- Design Process- FDU Process

Page 36: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Unit Reference Sheet (URS)

• Supports Concepts and Doctrinal Studies

• Depicts Proposed Organization

• Provides:

- Organization

- Mission

- Assignment

- Capabilities

- Basis of Allocation

- Personnel

- Major Equipment

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Table of Organization and Equipment (TOE)

• Developed by U.S. Army Force Management Support Agency (USAFMSA)

▪ Documents Minimum Mission Essential Wartime Personnel and

Equipment REQUIREMENTS (MMEWR) to Perform Assigned Doctrinal

Mission

▪ Used to Determine the Army’s Objective Force

▪ An Organizational Model

Types of Documents

▪ BASE TOE

▪ Intermediate TOE

▪ Objective TOE

▪ Modified TOE

Page 38: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

BASE TOE: An organizational design based on doctrine and equipment currently available. It

is the least modernized level for a TOE and represents the lowest common

collection of personnel and equipment requirements.

Intermediate TOE:An organizational design which applies one or more ICP’s to a BASE TOE to

produce a calculated enhanced capability.

These documents form the bridge between the BASE and Objective TOE’s and

provide the primary tool for programming, executing, standardizing, and

documenting the Force Structure during phased modernization.

Objective TOE: Provides a fully modernized, doctrinally sound organizational design.

Along with developmental acquisition plans sets the goal for planning and

Programming of the Army’s Force Structure.

Page 39: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Modification Tables of Organization and Equipment (MTOE)

Modeled on the TOE, but reflects AUTHORIZATIONS.

Apply to a specific unit

Portray resources AUTHORIZED

May include geographic, unique requirements

Used for resource programming and distribution.

Page 40: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

TOE = REQUIREMENTS

MTOE = AUTHORIZATIONS

Page 41: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

85 Days

TOE developer - cyclic revof TOE

TOE developerbuilds new TOE

35 Days

AOI Review• Proponent• TWVRMO• HRC• Other Developers

1 Day

15 Days

DIWG preparation(TOEdeveloper)

5 DaysTOE developerelectronically

transmits TOE pkgfor HQDA staffing/w

copy to RDD and impacted proponents

HQDA Staffing

36 Days

5 Days

TOE Developertransmits

approval toProponent,

OI, and RDD

224 - 253 Days New TOE 194 - 223 Days Cyclic Review

1-30 Days

1 Day

(AL 3)

DIWG• Chair• TOE developer• Proponent• TWVRMO• HRC• Other Agencies

OI/TOE Developer resolve issuesRDD Opns coords monthly approval IPR, COC, and brief.

Dir of FM approves

TOE.

RDDpublishesbriefingmatrix

1 DayTOE

developer coords to

change PPCin RDS

(PPC 2)

5 Days

Approval

4

1

1

25

6 7

8

9

10 1112

(AL 5) TOE developer appends DIWG changes at AL 5_______________RDD applieschanges at AL 3

Disapproval (AL 5) Deferral

4 Days

Application of changesFrom AOI staffing.

(AL 4)

3

TOE Development and Approval Process

Page 42: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Consolidated TOE Update (CTU)

Annual “Snapshot” of TOE records

Includes

– HQDA approved documents

– Documents at HQDA for approval

– AURS

– Related reference files

Distribution

– HQDA

– USAFMSA

– MACOM’s

Page 43: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Basis of Issue Plan (BOIP)Defined: A BOIP is a requirements document that states the planned placement of

quantities of new equipment and Associated Support Items Of Equipment and

Personnel (ASIOEP), as well as the reciprocal displacement of equipment and

personnel. Establishes the minimum wartime requirements, to include personnel, for

new or improved items of equipment for TOE organizations.

- Should include the institutional training base (AHS)

- BOIP Feeder data is prepared and submitted by the materiel developer

- BOIP developed by AMEDDC&S and Medical Team, USAFMSA - Belvoir

• Regulatory Guidance:

- AR 40-60, Policies and Procedures for the Acquisition of Medical Materiel (Mar 1983)

- AR 40-61, Medical Logistics Policies (Jan 2005)

- AR 71-32, Force Development and Documentation – Consolidated Policies

- DA Pam 700-60, Department of the Army Sets, Kits, Outfits, and Tools (SKOT)

• Required for equipment:

- costing more than $250,000 OR

- having significant maintenance requirements OR

- impacts Unit Status Report

Page 44: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Materiel DeveloperDevelops BOIPFD

RDD Opns/DeveloperScreenBOIPFD

11 Days

Standardor

Complex

REJECT

BOIP developer coord BOIP with: MACOM (TDA inputs) TWVRMO Proponent (CD) Personnel Proponent Other Developers TRADOC DCST TAPC PPC 5

BOIP Developercreates BOIP in coord w/SAID, other BOIP developers, SI, ARSTAF

45 Days 60 Days

20 Days

DocumentationIntegration

Work Group (DIWG). BOIP developer in coord

w/SI prepares briefing slide.

SAID recodes BOIP to PPC3

BOIP developer coord w/SI, finalizesBOIP pkg, and forwards to SAID

15 Days3 Days

BOIP developerelectronically

transmits BOIPpkg to HQDAwith info cy to

ADD and DAMO-FDF

36 Days

BOIP developertransmitsapproval toMat Dev, ADD, SI, and Proponent

1 Day

TOTAL: 170 - 199 Days

STANDARD

TOTAL: 200-229 Days

COMPLEX

Days = Calendar Days

1 - 30 Days

HQDA/SI coordination

RDD publishes approval matrix.

BOIP developercoordinates with SAID tochange PPCin RDS

AL 2

1 Day

Approval

9

131211

8 7 6

5*43

21

AL 4AL 3

7 Days

SI/BOIP Developer resolve issues. RDD Opns coords monthly approval IPR, COC, and briefing. Dir, FP approves BOIP.

10

BOIP Development and Approval Process

Page 45: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Manpower Requirements Criteria (MARC) Branch

MARC Defined:

HQDA approved standards for determining Minimum Mission Essential Wartime Requirements for Combat Support (CS) and Combat Service Support (CSS) functions in TOE.

Mission:To determine the Quantitative and Qualitative wartime manpower requirements needed

for the performance of the defined medical function in a theater of operations at varying

levels of work activity or services.

Organizational Relationships: USAFMSA for coordination, review and approvalMEDCOM & OTSG for staffing and/or coordinationAMEDD Center and School for staffing and/or coordinationAffected proponents

Page 46: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

MARC Developers:

• USAFMSA Fort Lee, Virginia – develops MARC for Combat Support and Combat Service Support Functions

• AMEDDC&S - Develops MARC for all medical functions including medical requirements in non- medical

TOEs

SCOPE: AMEDD MARC Branch is responsible for 36 specific functional areas

Food Insp Biomedical Combat Medic Ward Nursing

PAD Hosp Lab Spt Ortho Serv Radiology

Pharm Svc Vision Care CMS Hosp Med Sup

OT/PT PM Med Trt SQD/TM Dental Serv

MedLog Oper Room Mental Health Emerg Med Svc

Resp Care Air Evac Vet Animal Care GYN Serv

Litter Bearers Nutrition Care Podiatric Serv Urology Serv

ENT Serv Off/Enl Nurs Supv Aviation Med Int Med Serv

Hosp Surg Serv PT Holding Serv Ground Amb Spt Optical Fab

These studies address requirements for: 25 Enlisted MOS’s; 2 WO MOS’s and 53 Officer AOC’s

Page 47: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

MissionDraft and staff requirements documents; schedule and manage new builds, updates, and

modernization efforts for medical assemblages in coordination with DCDD clinical subject

matter experts in support of medical field treatment facilities, medical units, and both medical

and non-medical personnel performing a medical mission.

Regulatory Guidance:

- AR 71-32 – Force Development and Documentation – Consolidated Policies

- AR 40-60 – Policies and Procedures for the Acquisition of Medical Materiel

- DA Pam 700-60 – Department of the Army Sets, Kits, Outfits, and Special Tools

Charter:

- Improve delivery of medical care

- Reduce Force Health Protection foot print on battlefield

- Provide accurate mobility, power demand and survivability information

- Modernize existing medical equipment

Medical Materiel Branch

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Medical Materiel Branch

Guidelines:• Assemblage build is based on Minimum Mission Essential Wartime Requirements to support combat operations for 72 hrs.

• Review is not a mechanism for altering unit mission, organization, or personnel strength.

• Medical Equipment end items

• Documentation of new medical equipment capabilities not previously present requires DOTMLPF analysis.

Functionaries:• MMB AO lead – Meeting facilitator

• Clinical SME lead – Discussion leader (If necessary)

• DCDD SR Clinical Consultant – Clinical debate tie breaker.

• Clinical panelists – main body for input to update assemblage

• TOE/BOIP representative

• Other functional area SMEs - provide guidance and possible solutions and methods to meet Clinical panelists intent for

updating assemblage

Page 49: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

MissionForce Structure and Analysis Branch reviews, identifies and coordinates all Standard Requirements Code 08 organization Rules of Allocation (ROA) in conjunction with the Total Army Analysis (TAA) process, ensuring inclusion in future TAA processes. The FS&AB is the keeper of the official ROA and Card Catalog for medical echelon above brigade (EAB) TOE organizations in the U.S. Army.

Force Structure & Analysis Branch

Functions• Coordinate and/or participate in meetings to discuss the need to update a ROA. • Meet with SMEs to discuss ideas for modeling, data collection, etc.• Ensures all allocation rules are justifiable to the Organizational Integrators (OIs).• Coordinate and/or participate in meetings to discuss the redesign/update of a unit.• Meet with SMEs to discuss ideas for redesign/update of unit.• Transfer of Master Force database to worksheet format and scrubbing worksheets to ensure data has transferred correctly. • Provide information regarding the status of a unit (activation, conversion, inactivation) to Combat Developers, Medical Planners, etc so that money will not be spent on equipping units that are going out of the force and units that are soon to activate or convert will be equipped.• Keep TOE branch informed on those SRCs that are going out of the system so that they can request they be rolled to history.• Review the FORGE output to ensure the ROAs are calculating correctly and working with the SME to also ensure the resulting requirements are correct.

Page 50: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Functions (cont)

Force Structure & Analysis Branch

• Update/maintain audit trail of ROAs and unit changes.  • Provide Force Structure/TAA process briefs at all levels as required. • Obtains, reviews and applies Force Guidance (classified) to current TAA.

• Ensure the Card Catalog contains the latest information regarding Section I, ROA’s, doctrine, and terminology as well as the number of required and resourced units.  • Work unit requirement and resourcing issues with SMEs and OIs. • Develop and maintain crosswalk of SRCs to maintain audit trail of changes

• Update/maintain file system of classified documents and prepare for annual inspection.

Page 51: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

PHASE I : Requirements Generation

PHASE II : Resourcing Determination

Stack

Total Army Analysis (TAA) Process

Guidance

EXTERNAL

National Military Strategy

Strategic Planning Guidance

Scenarios and Vignettes

INTERNAL

Leadership Decisions

Execution Orders

Training & Doctrine Force Design Input

QuantitativeAnalysis

Modeling Directed Force

Rotational Analysis

Lessons Learned

Combatant Commander Input

Directed Force

Steady State

EnablingPartnersEnablingPartners

ReconstructionReconstruction

ConsequenceManagementConsequenceManagement

HomelandDefense

HomelandDefense

War on Terror /Irregular WarfareWar on Terror /

Irregular Warfare

ConventionalCampaigns

ConventionalCampaigns

Information OpsInformation Ops

Regional Regional DeterrenceDeterrence

Global Global DeterrenceDeterrence

Foreign Internal DefenseForeign Internal Defense

Active Partnering with USG AgenciesActive Partnering with USG Agencies

Train & EquipTrain & Equip

WMD EliminationWMD Elimination

InterdictionInterdiction

Surge

Stability OpsStability Ops

Major Combat / Strike

Major Combat / StrikeForward PresenceForward Presence

EnablingPartnersEnablingPartners

Transnational Transnational DeterrenceDeterrence

Info Ops

Force Planning

Requirements

Vice Chief of Staff Review & Approval

QualitativeAnalysis

Match Requirements to Structure

Rebalance capabilities across the

3 Components (AC/ARNG/USAR)

Influenced by QDR

Informed by Senior Leader Guidance

Informed by ARFORGEN

Informed by Current Operations

RecommendedForce

FeasibilityReview

Assess force supportability based on resources

• Manning • Equipping • Sustaining • Training

• Stationing

Prioritize & Adjust as required

ResourcedForce Approved by

Secretary ofThe Army andChief of Staff

Feedsthe Army’s

Program ObjectiveMemorandum

Page 52: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Doctrine & Literature DivisionDoctrine & Literature Division

Page 53: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Army and JointArmy and Joint

Literature BranchLiterature Branch

Doctrine and LiteratureDivision

Division ChiefDivision Chief

Ms Cecily PriceMs Cecily Price

Production SupportProduction Support

BranchBranch

Page 54: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Develop FHP doctrine for the Army and sister services. Assist in the development of joint FHP doctrine. Assist in the development of multinational medical doctrine. Integrate FHP doctrine into doctrinal products of other services and Army doctrine proponent centers and schools.

Doctrine and Literature Mission

Page 55: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Concepts and Requirements DivisionConcepts and Requirements Division

Page 56: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Chief Med NCOChief Med NCO

MSG KosiorekMSG Kosiorek

Force Protection BranchForce Protection Branch

LTC Guy DesmondLTC Guy Desmond

DeputyDeputy

Mr. Michael TorstrickMr. Michael Torstrick

Concepts and Requirements Division

Division ChiefDivision ChiefCOL William LaydenCOL William Layden

Force Provider BranchForce Provider Branch

LTC Richard KingLTC Richard King

AMEDD Warfighting and AMEDD Warfighting and Experimentation DivisionExperimentation Division

MAJ DoboszenskiMAJ Doboszenski

AMEDD Lessons Learned AMEDD Lessons Learned DivisionDivision

Mr Keith ParkerMr Keith Parker

Page 57: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

C&R Mission

To determine Force Health Protection Future Operational Capabilities and Requirements that support the Army across the operational continuum, from Stability, Security, Transition and Reconstruction Operations (SSTRO) to Major Combat Operations (MCO) , and identify solutions across the domains of Doctrine, Organization, Training, Materiel, Leadership and Education, Personnel and Facilities (DOTML-PF).

Page 58: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Force Protection BranchForce Protection Branch

Page 59: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

04/21/23 61

Force Protection Branch

Force Protection Branch

Page 60: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Force Protection Branch Mission

04/21/23 62

Develop concepts, doctrine, organizations, and materiel for Force Health Protection (FHP) to the Army across the operational continuum:

• Preventive Medicine• Environmental Health• Industrial Hygiene• Health Physics• Entomology• Audiology• Public Health• Health Surveillance

• Veterinary Services• Animal Care / Medicine• Food & Water Security• Zoonotic Surveillance

• Laboratory Sciences• Laboratories• Blood Products / Services• Medical Diagnostics

• Combat / Operational Stress Control• Behavioral Health• Clinical Psychology

• Religious Support• Nutrition Care

• Patient Nutrition• Rations• Field Kitchens

• Medical CBRN• Collective Protection• PPE / Prophylaxis• CBRN Consequence Management• CBRN Detection• CBRN Patient Management

Page 61: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Army Acquisition: The Fantasy

64

Need It

Name It

Get It

Page 62: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Directorate of Combat & Doctrine Development

JCIDS Capability Document Cell

Page 63: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

• What is the requirement?

• Where is it going to be used on the battlefield?

• What Army Medical unit is going to use the product?

Page 64: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

GATEKEEPER

MRMC ICDTs

ARCIC Others

Page 65: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Responsible for:

• Overseeing the necessary staffing

• Validating JCIDS capability documents

SPONSOR

Page 66: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Why do we staff capability documents:

• To call on expertise.

• To inform other organizations.

• To gain approval.

• To gain support.

STAFFING

Page 67: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Capability Document Staffing Process

CapabilityDocument

AMEDDC&SCG Memo

TRADOCStaffing

ArmyStaffing

JOINTStaffing

Page 68: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Responsible for:

• Format as per guidelines and procedures of the Chairman of the Joint Chiefs of Staff Instruction and Manual regarding JCIDS

• Ensure core concepts of requirements management are incorporated in all capability documents

WRITER

Page 69: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

• Adenovirus Vaccine• Alternative Antimalarial Drugs• Japanese Encephalitis Virus Vaccine• Paromomycin/Gentamicin Topical Cream in the

Treatment of Cutaneous Leishmaniasis• Medical Simulation Training Center Program• Intravenous Artesunate

Approved Capability Documents

Page 70: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Capability Documents in Formal Staffing

• Antimalarial Drug, Tafenoquine• Coliform Analyzer• Noise-Immune Stethoscope• Critical Care System for Trauma and Transport• Vaccines for the Prevention of Malaria• Human Immunodeficiency Virus Vaccine• Arthropod Vector Rapid Diagnostic Devices• Dengue Virus Tetravalent Vaccine

Page 71: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Capability Documents in Formal Staffing

• Vaccines for Severe Bacterial Diarrhea• Commercial-off-the-Shelf Medical Equipment• X-Ray Apparatus, Portable, Digital• Sterilizer, Steam, Field Portable

Page 72: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

75

Page 73: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Need ItWhen? Current Ops Future ForceWhat? MTOE Base TOETime? 6-18 mo 8-12 yr

Process?Accelerated Capabilities

DevelopmentJCIDS

Regulation? AR 71-9 TR 71-20Who? Commander ARCICAuthority? HQDA DCS TRADOC

How?Operational

Needs Statement

Capabilities Based

Assessment76

Page 74: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Operational NeedsStatement (ONS)

• Prepared by Commanders

• Two types:– Routine (more stuff)– Unique (new stuff)

• Document urgent operational needs

• AR 71-9, App. B• Three Pages• Nine Paragraphs:

1. Problem2. Justification3. System Characteristics4. Operational Concept5. Organizational Concept6. Procurement Objective7. Support Requirements8. Availability9. Recommendation

77

Page 75: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Joint Capabilities Integration & Development System (JCIDS)

78

MS B MS C

DOD Strategic Guidance

Family of Joint Future ConceptsCONOPSJoint Tasks

Technology Development

AoA

Concept Refinement1

MS A

DABJROC Demo

Demo

MS B

DABJROC

MS C

DABJROC

Increment 1

Increment 2

Feedback

ICD

CDD

CPD

IOC

2

2

3

3

1 - Concept Refinement Decision2 - Critical Design Review3 - Full Rate Production Decision

JCD – Joint Capabilities DocumentICD - Initial Capabilities DocumentCDD - Capability Development DocumentCPD - Capability Production Document

DCRDOTLPF ChangesFrom the Field

Ideas for non-Materiel Approaches (DOTMLPF Analysis)

Functional Area Analysis

Ideas for Materiel Approaches

Analysis of Materiel/non-Materiel Approaches

Integrated Architecture

Functional Needs Analysis PIA

JCD

Functional Solution Analysis

Page 76: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

The Challenge

79

FUN

DIN

GTEC

HN

OLO

GY

REQUIREMENT

Page 77: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Where to start?

80

Requirement drives development

Page 78: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

DOTMLPF Domains

81

Requirement drives development

Page 79: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

TRADOCPamphlet

525-3-0

Capstone

TRADOCPamphlet

525-3-x

OperationalConcepts

TRADOCPamphlet

525-x-x

FunctionalConcepts

TRADOCPamphlet

525-x-x

CCP

See (2-1)Battle Command (3-3)Strike (3-4)Protect (3-5)Move (3-6)Sustain (4-1)

Unit Protection (7-1)Distribution Operations (7-2)Airspace C2 (7-3)Space Ops (7-4)Global Missile Defense (7-5)Electronic Warfare (7-6)Intel., Surveillance Recon. (7-9)SeaBase (7-10)Aviation (7-15)Electromagnetic Spectrum (7-16)Network Transport and Services (7-17)Log C2 (7-18)WMD (7-19)

CharterCharter

Base CampsFEForensicsFusionHD&CSAFSBIED DefeatInfo/CyberManeuver SptMWDogsPersonnel IDSigned GeospatialSniperDefeatSupply Spt & Mat MgmtTASMC

Operational Maneuver (525-3-1)Tactical Maneuver (525-3-2)

ARCIC

CbtHlthSpt(1996)

TRADOCPamphlet

525-50

AMEDD

TRADOCPam 525-66(2008)Force Operating Capabilities

AC2DP(FY08)Priorities,Resourcing

Chartered ICDTs:

Army Concept System (see TRADOC Reg 71-20)

Page 80: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

The Warfighting Functions

The Warfighting Functions replace the BOS, align with the Joint Operational and Tactical Functions, and parallel the USMC Warfighting Functions.

The Warfighting Functions replace the BOS, align with the Joint Operational and Tactical Functions, and parallel the USMC Warfighting Functions.

The eight elements of combat power include the six warfighting functions—movement and maneuver, intelligence, fires, sustainment, command and control, and protection—multiplied by leadership and complemented by information.

The eight elements of combat power include the six warfighting functions—movement and maneuver, intelligence, fires, sustainment, command and control, and protection—multiplied by leadership and complemented by information.

83

A Blueprint for an Uncertain Future

Page 81: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

DOTMLPF Domains

85

Requirement drives development

Page 82: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

FAQ: What toys do I get?

86https://webtaads.belvoir.army.mil/

Page 83: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

What’s in the box?

87

Page 84: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

MTOE Changes

88

DA Form 2028

Page 85: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

https://secure-ll.amedd.army.mil/ll/IssueTracking/MatrixMain.aspx

Page 86: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Laboratory Sciences/BloodProject Status

• AML FDU – All sets reviewed– Concept paper being developed– CBRNE specific capabilities– Sub UICs– Preparing to deploy

• MDBS/BSD ROA– FDU Approved– Sets reviewed– Provided data for updated ROA

• CSH Lab/Blood Bank– Sets reviewed

• ID Team – Sets reviewed

• Pathology Augmentation Team– Sets reviewed

• Med Company Labs– Sets reviewed

• Blood Products DOTMLPF– RBCXL :Validated– Cryo Preserved Platelets: Validated– Freeze Dried Plasma: Validated

Blood Product DevelopmentRBCXL:

IPT activeWill need rewrite of APAs

Cryo Preserved Platelets: IPT activePhase 1 clinical studies ongoing

Freeze Dried Plasma: IPT activeSG’s most requested productPhase 1 clinical trials$30M plant facility construction

Freeze Dried RBCs: Congressionally funded, directing research to a military relevant product

•Pathogen Inactivation–IPT in development–Validated Requirement for Whole Blood and Components–Down select from two companies pending

•Rapid Blood Screening Assay –IPT active–Submitted to FDA for 510K approval

Page 87: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Laboratory Sciences/BloodProject Status (cont)

• MTBI Blood Assay Development – IPT in development

– Ongoing development of APAs for CDD

• Point of Care Diagnostics– IPT active

– Need clarification of operational requirements in specific assay development

• Common Analytical Laboratory System– IPT active

– MDD in late Jan

– CDD/CPD in development

– Impact on AMEDD labs

• Expanded Joint Technology Coordinating Group

– Ongoing review of FY 10 proposals($500M) this FY

– 6.1,6.2,6.4 research funding

– JBAIDS Program

– IPT Active

– Cross linkage of Infectious Disease markers with the PCR Platform

• CENTCOM Weekly Blood meeting– Address current operational issues– Preparation of Deploying units

• Request for Proposals Review– Rapid Blood Screening Assays– TBI clinical assays

• TATRC SME for Product Line Reviews– Blood Products– Cellular /Molecular Biology– Trauma and Resuscitation Technology– Regenerative Medicine

Page 88: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Current Effort

• Blood Detachment Force Design Update

• Capabilities Documents– Blood Products(FDP, CCP, RBCXL, Pathogen

Inactivation, Blood Pharming, Rapid Screening, ABO card)

– IT Systems(Lab IS, Blood, JWARN)– Laboratory Assays(ID POC, JBAIDS, mTBI)

• Admin review of MES sets

92

Page 89: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

ABO/Rh Card Features

Credit card sized

Single use

Plastic

Disposable

Page 90: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

H3RDD Instrument

95

Page 91: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Freeze Dried Plasma

96

Page 92: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

DOTMLPF Domains

97

Requirement drives development

Page 93: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Blood Detachment Force Design UpdateBlood Detachment Force Design Update

Page 94: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Mission: To provide collection, manufacturing, storage and distribution of blood and blood products to the Division, Corps and Theater Army medical units.

Capabilities:- Provides blood and blood products to Division, Corps and Theater Army medical units.- The receipt, re-icing and transshipment of 1,000 units of packed red blood cells in 24 hours from the US Air Force Blood Trans-shipment Center.- Refrigerated storage for 4,080 units of packed red blood cells (4 days of supply).- Distributes up to 33 boxes (990 units) of packed red blood cells to Division, Corps and Theater Army medical units, through three blood distribution teams, while not collecting and manufacturing blood. Deploy a forward distribution augmentation cell to the Forward Med Log Co when required.- Collects up to 432 units of whole blood every 24 hours and manufactures 432 units of packed red blood cells every 24 hours after an initial 24 hour delay, while not distributing blood.

Assignment (Echelon): To the Medical Battalion (Multifunctional), TOE 08485G000.

Sect 1, TOE BOA: One per 100,000 soldiers in the Theater; one per 150,000 joint service population in the Theater.

NOTE: For most current Rule of Allocation (ROA), see next slide. Presently the Section I of the TOE is updated only if there has been a cyclic review or FDU for that TOE.

THIS MATCHES WITH

IN SAMAS

Partial Match w/08485L000 Med Log Bn (Fwd)08695L000 Med Log Bn (Rear)

CURRENT RES FY08 FY09 FY10 FY11 FY12 FY13CP 1 4 5 5 5 5 5 OFF 2

CHANGE EXISTENCE CP 2 WO 0NEW WORKLOAD C2 CP 3 EN 281K DRIVER X WORKLOAD OTHER

X NO CHANGE MANUAL TOTAL 4 5 5 5 5 5 Total 30DO NOT MODEL TAA 08-13 HLS DETER OG OPS MCO TRANS GF TOTALRETIRE SRC REQ 3 4 7

- SHORT / + EXCESS -3 -2 -2 -2 -2 -2 -2 SAMAS Lock

08489A000, BLOOD SUPPORT DETACHMENTRULE TYPE

CTU # / STRENGTH

As of 3 April 2007

GTAIncrease

Page 95: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

SRC 08489A000, BLOOD SUPPORT DETACHMENT

ORGANIZATIONAL DIAGRAM

--------------- |BLOOD | | SUPPORT | | DETACHMENT | | | --------------- | --------------------------- | | |------------- ------------ ------------|DETACHMENT | |COLL/MFG | |STOR/DIST || HQS | | SEC | | SEC ||01 | |02 | |03 |------------- ------------ ------------

QTY LIN TYPE4 C18209 AN/TYQ-107(v)24 C18277 AN/TYQ-107(v)24 C18278 AN/UYQ-90(v)24 C18345 AN/TYQ-106(v)110 C27503 AN/TYQ-105(v)11 C27639 AN/TYQ-108(v)31 C78851 AN/UYQ-90(v)31 C84541 CON ASSY REF11 D60801 DNVT TA-10421 G74711 10kW Gen1 M23423 MES Blood Bnk 4 N96248 DAGR1 R44999 VRC-89F3 R68044 VRC-90F1 S01291 SHELTER 1S1 S01359 SHELTER 2S1 T33786 Trk FL1 T55957 MSRT5 T61494 HMMWV (Z00394)3 T61908 TRK 5T2 T95555 Trlr 5T4 T95992 Trlr 3/4T2 Z00306 TRK MTV1 Z17812 CP-2251V91 Z26923 FAX1 Z36683 Trlr Wtr1 Z39441 GCSS A V21 Z67207 100kW Gen

MAJOR EQUIPMENT

O-02W-0E-28Total=30

Page 96: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

MDBS Wire diagram

Page 97: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

O4 71E

E7 91K

O3 71E

E5 92Y

E5 68K

E4 68K

08489SC00

Collection, Storage &Distribution Team

HQ MDBS

08489SA00

Distribution Team

08489SB00

E5 68K

E4 68K

E3 68K

E4 68K

E3 68K

Collection, Manufacture&

Distribution Team

E6 68K

E3 68K

E4 68K

E4 68K

E3 68K

E4 68K E3 68K

Medical Detachment Blood Support, 08430S000

08489SD00

Page 98: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

CONUS Donor Base

Blood Support Detachment

II

BAS

CombatMedic

Casualty

ROLE III Blood Products:

All Blood Products

RBCs Group O, A, B

FFP Group AB, A, B, O

Platelets in theater (Pedigree donor)

FWB

X

x

BSB

II

I

II

II

II

II

++x

CSH

CSH

SBMC

I

SBMC

ASWBPL

BAS

FST

BDESURG

X

MDSC

MFMB

MFMB

MSC

BSMC

I

SUSTMASFAXP

ROLE II Blood Products:

Limited Blood Products

Group O RBC

AB Plasma

FWB (Untested)

Shipment of Blood

Origin at CONUS Mil Donor Ctrs

Armed Service Whole Blood Processing Center ships to OCONUS USAF EBTC

USAF EBTC supports USA BSD

USA BSD supports up to 12 MTFs in AO

BSD supports All US, Coalition and Allies units

X X

X

X X

BSDEBTC

(USAF)

ROLE I Blood Products:

NONE

TACTICALSTRATEGIC

Page 99: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

PURPOSE

• Reduce active component requirements and develop a responsive, adaptable modular unit.

REQUIREMENT

• Redesign the current 30 man Blood Support Detachment to an 18 man unit in order to:

• Meet the current operational missions

• Decrease personnel to meet Army force reductions

• Address operational necessity to provide blood support over a large geographic area utilizing multiple split based operational nodes.

• Provide technical expertise for in theater emergency blood collections

PURPOSE

• Reduce active component requirements and develop a responsive, adaptable modular unit.

REQUIREMENT

• Redesign the current 30 man Blood Support Detachment to an 18 man unit in order to:

• Meet the current operational missions

• Decrease personnel to meet Army force reductions

• Address operational necessity to provide blood support over a large geographic area utilizing multiple split based operational nodes.

• Provide technical expertise for in theater emergency blood collections

Medical Detachment, Blood Support – TOE 08430S000

Page 100: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Organizational Mission:

To provide collection, manufacturing, storage and distribution of blood and blood products to Brigade, Corps, and Echelons Above Corps (EAC) medical units and to other operations.

Facts

• The Blood Support Detachment is the sole Army unit responsible for collection, processing and distribution of blood products within an operational environment.

• The Blood Support Detachment is a critical component of the Armed Service Blood Program Distribution System.

• The current configuration of the BSD is too large and non-modular to support missions of differing size.

• As currently designed, the Blood Support Detachment:• Support up to 12 different Medical Treatment Facilities• Receive and process up to 4080 units of processed red blood cells.• Is dependent on existing logistics transportation assets for distribution

Medical Detachment, Blood Support – TOE 08430S000

Page 101: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Background and Discussion• The current Blood Support Detachment (BSD) units were developed over ten years ago using a Force XXI model.

• Recent combat experience has confirmed the necessity for a mobile, adaptable and responsive blood distribution system.

• In contrast, the Force Health Protection tenet and a requirement to provide a reliable source of blood products for combat care has not changed.

• These organizational and equipment changes improve the transportability and deployment capability of the BSD, providing commanders with the capability to provide blood support in any level of conflict or

support operations through its modular structure.

• There is an identified need to update the Blood Support Detachments in terms of flexibility, modularity, multi-functionality, and its relationship to supported units and the surgeons responsible to commanders for combat casualty care. • The current configuration of the BSD is non-modular to support missions of differing size. There is a

need to ensure that commanders can have the necessary blood support in any size operation.

Medical Detachment, Blood Support – TOE 08430S000

Page 102: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Current Capability

Mission:To provide collection, manufacturing, storage and distribution of blood and blood products to Division, Corps, and Echelons Above Corps (EAC) medical units and to other operations.

Dependencies• Appropriate division, corps, and EAC elements for health service support; supplemental transportation; finance, human resources support; religious and legal services, and technical intelligence for captured medical materiel.• Dependent upon division, corps, and EAC transportation assets to provide unit distribution and signal assets for bandwidth communications. This unit requires augmentation in an NBC environment for decontamination.• Logistics Support Company, TOE 08497A000, for food service support.• Medical Logistics Company, TOE 08488A000, and Logistics Support Company, TOE 08497A000, for medical equipment maintenance support.• HHD, Medical Logistics Bn, TOE 08496A000, for communications and power generator maintenance support.

Medical Detachment, Blood Support – TOE 08430S000

Page 103: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Required Capability

• Receive and store up to 4,080 refrigerated and/or frozen blood products from CONUS or other US MTFs, and further distribute these blood products to supported medical treatment facilities and medical units.

• Collect and process, test and distribute 100 units of emergency whole blood and up to 8

Apheresis platelets per day by technically qualified personnel when not distributing blood.

• Provide consultation with commanders from company to theater level regarding blood support.

• Provide blood in multiple locations simultaneously under split based operations

Medical Detachment, Blood Support – TOE 08430S000

Page 104: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Cost Analysis

Medical Detachment, Blood Support – TOE 08430S000

Page 105: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

08430S000 08489A000   DELTA DELTA

GR AOC/MOS QUANTITY COST QUANTITY COST QUANTITY COST TITLE

O4 71E67 1 89,640 1 89,640 0 0 COMMANDER

O3 71E67 1 76,907 1 76,907 0 0 CHIEF LAB SERVICE

E7 68K40 1 44,601 1 44,601 0 0 DETACHMENT SERGEANT

E6 68K30 1 37,601 2 75,202 1 37,601 MED LAB NCO

E5 68J20 0 0 1 33,138 1 33,138 MEDICAL LOG SGT

E5 68K20 2 66,276 3 99,414 1 33,138 MEDICAL LAB SERGEANT

E4 68J10 0 0 2 54,610 2 54,610 MEDICAL LOG SP

E4 68K10 6 163,830 6 163,830 0 0 MED LAB SPECIALIST

E3 68J10 0 0 1 21,421 1 21,421 MEDICAL LOG SP

E3 68K10 5 107,105 7 149,947 2 42,842 MED LAB SPECIALIST

  17 585,960 25 808,710 - 8 -222,750

Personnel - Medical

Medical Detachment, Blood Support – TOE 08430S000

Page 106: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

08430S000 08489A000   DELTA DELTA

LIN QUANTITY COST QUANTITY COST QUANTITY COST TITLE

C19151 2 79,970 1 39,985 1 +39985 CENTRIFUGE APHERESIS:

M23423 2 315,353

1 302,321 1 +13,032 MEDICAL EQUIPMENT SET BLOOD BANK PROCESSING DET: LABORATORY

R61868 2 14,913

2 22,395 0 -7,482 REFRIGERATOR MECHANICAL COMMERCIAL: BLOOD BANK

R64126 12 105,134 12 136,053 0 -30,919 REFRIGERATOR SOLID STATE BIO:

S01291 1 178,001 1 178,001 0 0 SHELTER: TACTICAL EXPANDABLE ONESIDE

S01359 2 446,438 2 446,438 0 0 SHELTER: TACTICAL EXPANDABLE TWOSIDE

T47745 1 40,677 1 40,677 0 0 TENT: EXTENDABLE MODULAR 64LX20WMEDICAL FOREST GREEN TYPE II

T60464 3 4,912 2 3,275 1 +1637 SINK UNIT SURGICAL SCRUB AND UTENSIL HOSPITAL FIELD: 110V 60C AC

PROPOSED 1,185,398 CURRENT 1,169,145 +16,253

  TOTAL MEDICAL PERSONNEL & EQUIPMENT    

  PROPOSED 1,771,358 CURRENT 1,977,855 DELTA -206,497

Equipment - Medical

Medical Detachment, Blood Support – TOE 08430S000

Page 107: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Personnel – Non-Medical

08430S000 08489A000      

GR MOSLN QUANTITY COST QUANTITY COST DELTA DELTA TITLE

E5 92Y20 1 33,138 1 33,138 0 0 SUPPLY SGT

E4 42A10 0 0 1 27,305 1 27,305 HUMAN RESOURCE SPC

E4 91B10 0 0 1 27,305 1 27,305 WHEELED VEH MECH

E4 91C10 0 0 1 27,305 1 27,305 UTILITIES EQUIP REP

E3 92G10 0 0 1 21,421 1 21,421 COOK

  1 33,138 5 136,474 -4 -103,336

Medical Detachment, Blood Support – TOE 08430S000

Page 108: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Equipment – Non-medical

08430S000 08489A000   DELTA DELTA

LIN QUANTITY COST QUANTITY COST QUANTITY COST TITLE

A79381 1 405 1 405 0 0 ANTENNA GROUP: OE-254()/GRC

B83002 1 9286 0 0 1 9286 BED CARGO HMMT-LHS

C13825 0 0 4 21828 -4 -21828 CONTAINER CARGO: REUSEABLE W/O -MECHANICAL RESTRAINT SYSTEM

C18209 3 15939 4 21252 -1 -5313 COMPUTER SET: DIGITAL AN/TYQ-107(V)2

C18277 0 0 4 25806 -4 -25806 COMPUTER SET: DIGITAL AN/TYQ-107(V)1

C18278 3 16950 4 22600 -1 -5650 COMPUTER SYSTEM: DIGITAL AN/UYQ-90(V)2

C18345 3 15756 4 21008 -1 -5252 COMPUTER SET: DIGITAL AN/TYQ-106(V)1

C27503 7 17934 10 25620 -3 -7686 COMPUTER SYSTEM: DIGITAL AN/TYQ-105(V)1

C27639 1 7210 1 7210 0 0 COMPUTER SYSTEM: DIGITAL AN/TYQ-108(V)3

C27707 1 5000 1 5000 0 0 COMPUTER SYSTEM: DIGITAL AN/TYQ-109(V)1

C27775 0 0 1 7000 -1 -7000 COMPUTER SYSTEM: DIGITAL AN/TYQ-109(V)2

C68719 9 909 7 707 2 202 CABLE TELEPHONE: WD-1/TT DR-8 1/2 KM

C78851 1 8500 1 8500 0 0 COMPUTER SYSTEM: DIGITAL AN/UYQ-90(V)3

C89480 56 81144 49 71001 7 10143 CAMOUFLAGE NET SYSTEM RADAR SCATTERING: AN/USQ-159

D34883 2 57544 4 115088 -2 -57544 DOLLY SET LIFT TRANSPORTABLE SHELTER: 7 1/2 TON

E03826 2 1710 2 1710 0 0 ELECTRONIC TEST SET: TS-4348/UV

F31204 1 15515 1 15515 0 0 FACSIMILE SET: AN/UXC-10

Medical Detachment, Blood Support – TOE 08430S000

Page 109: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Equipment – Non-medical

0830S000 08489A000   DELTA DELTA

LIN QUANTITY COST QUANTITY COST QUANTITY COST TITLE

F55485 4 25032 0 0 4 25032 DISTRIBUTION SYSTEM ELEC: 120V 3PH 40AMP

F55553 0 0 2 10212 -2 -10212 DISTRIBUTION SYSTEM ELEC: 120V 1PH 60AMP

F55621 3 17397 0 0 3 17397 FEEDER SYSTEM ELECTRICAL: 3PH 100 AMP

F55689 0 0 1 11502 -1 -11502 FEEDER SYSTEM ELECTRICAL: 3PH 200 AMP

G18358 1 9922 0 0 1 9922 GENERATOR SET 3KW 50/60HZ SKID MOUNTED

G35851 3 85563 0 0 3 85563 GENERATOR SET DIESEL ENGINE TRAILER MOUNTED 30KW 50/60HTZ

G17528 0 0 1 81942 -1 -81942 GENERATOR SET: DIESEL ENGINE TRAILER PU-807A

H00586 4 45448 4 45448 0 0 HEATER: DUCT TYPE PORTABLE 1200-00 BTUS

J00697 3 11559 3 11559 0 0 JOINT CHMCL AGENT: DETECTOR

M09009 3 7959 3 7959 0 0 MACHINE GUN 5.56 MILLIMETER: M249

M12986 18 5814 30 9690 -12 -3876 MASK CHEMICL BIOLOGICL JOINT SERVICE GENERAL PURPOSE: FIELD M50

N05482 14 84000 8 48000 6 36000 NIGHT VISION: GOGGLE

N96248 4 18395 4 18395 0 0 NAVIGATION SET: SATELLITE SIGNALS AN/PSN-13

P40750 1 1669 1 1669 0 0 POWER SUPPLY: PP-6224/U

P98152 1 386 1 386 0 0 PISTOL 9MM AUTOMATIC: M9

R20684 3 5850 1 1950 2 3900 RADIAC SET: AN/VDR-2

R30925 3 8934 1 2978 2 5956 RADIAC SET: AN/PDR-75

Medical Detachment, Blood Support – TOE 08430S000

Page 110: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

0830S000 08489A000   DELTA DELTA

LIN QUANTITY COST QUANTITY COST QUANTITY COST TITLE

R31061 3 1893 1 631 2 1262 RADIAC SET: AN/UDR-13

R44999 1 11128 1 11128 0 0 RADIO SET: AN/VRC-89F(C)

R59160 4 233 5 291 -1 -58 REELING MACHINE CABLE HAND: RL-39

R68044 3 22245 3 22245 0 0 RADIO SET: AN/VRC-90F(C)

R95035 17 8551 29 14587 -12 -6036 RIFLE 5.56 MILLIMETER: M16A2

S45729 2 1168 2 1168 0 0 SIGHT BORE OPTICAL: M150

T28688 0 0 1 1566 -1 -1566 TOOL KIT: GENERAL MECHANIC'S

T33786 1 93202 1 93202 0 0 TRACTOR WHEELED IND: DED 4X4 W/FORKLIFT AND CRANE ATT (HMMH)

T37588 3 312000 4 416000 -1 -104000 TRUCK UTILITY EXPANDED CAPACITY ENHANCED: M1152A1

T56383 1 107000 1 107000 0 0 TRUCK UTILITY EXPANDED CAPACITY ENHANCED 4X4: M1165A1

T61908 3 552999 3 552999 0 0 TRUCK CARGO: MTV W/E

T62350 1 7000 1 7000 0 0 TEST KIT MASK PROTECTIVE: M41

T92889 0 0 1 12990 -1 -12990 MAINTENANCE SUPPORT DEVICE:

T93761 1 46731 0 0 1 46731 TRAILER HMMT-LHS

T95555 0 0 2 251316 -2 -251316 TRAILER CARGO: MTV W/DROPSIDES M1095

T95992 4 35816 4 35816 0 0 LIGHT TACTICAL TRAILER: 3/4 TON

T96496 1 125000 0 0 1 125000 TRUCK HMMT-LHS

Equipment – Non-medical

Medical Detachment, Blood Support – TOE 08430S000

Page 111: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

08430S000 08489A000   DELTA DELTA

LIN QUANTITY COST QUANTITY COST QUANTITY COST TITLE

U89185 4 14552 1 3638 3 10914 UTILITY RECEPTACLE:

V31211 4 1812 4 1812 0 0 TELEPHONE SET: TA-312/PT

W51362 0 0 1 5313 -1 -5313 TOOL KIT SERVICE REFRIGERATION UNIT: GENERAL MAINTENANCE

Z00206 1 0 1 0 0 0 MULTI-TEMPERATURE REFRIGERATED CONTAINER SYSTEM: MTRCS

Z00384 5 9600 5 9600 0 0 COMPUTER SYSTEM DIGITAL: AN/PYQ-10(C)

Z00916 5 92000 5 92000 0 0 BTUH 60000 ENVIRONMENTAL CONTROL UNIT:

Z01313 3 2700 3 2700 0 0 PROCESSOR GROUP SIGNAL DATA: (CAISI 2.0)

Z17303 3 76728 1 25576 2 51152 COMPUTER SYSTEM DIGITAL: AN/TYQ-44

Z36683 2 248000 1 124000 1 124000 TRAILER TANK WATER (CAMEL): 800 GAL 5 TON W/E

Z39781 0 0 1 1024 -1 -1024 ARMY H RESURCES: WRKSTATION

PROPOSED 2,352,088 CURRENT 2,415,542 -63,454

               

TOTAL NON-MEDICAL PERSONNEL & EQUIPMENT

  PROPOSED 2,385,226 CURRENT 2,552,016 DELTA -166,790

TOTAL MEDICAL and NON-MEDICAL PERSONNEL EQUIPMENT

PROPOSED 4,156,584 CURRENT 4,529,871 DELTA -373,287

Equipment – Non-medical

Medical Detachment, Blood Support – TOE 08430S000

Page 112: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.

Point of Contact

Directorate of Combat & Doctrine DevelopmentAMEDD Center & SchoolATTN: MCCS-FCC-P1400 East Grayson StreetFort Sam Houston, TX 78234

COL Richard GonzalesAMEDD Combat Developer(210) 221-1757DSN 471-1757NIPR: [email protected]: richard [email protected]

Page 113: Army Combat Developments and the Laboratory SAFMLS 2010 COL Richard Gonzales Laboratory/Blood Bank Combat Developer.