Naval Operational Forces Afloat Medical Logistics Overview Rich

Naval Operational Forces Afloat Medical Logistics Overview Rich Schlegel Naval Medical Logistics Command Director, Operational Forces Support 05 -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.

Ø 2, 174. 6 Miles from Georgia to Maine Ø 20 Mi/day = 108. 5 days or 4 months Ø 15 Mi/day = 144. 5 days or 20 weeks Ø Re-supply every 75 to 100 miles or about once per week for the 16 to 20 week trip Ø Trail resupply Ø Flexibility in planning in case plans or demand change Ø Supplies expensive and depth unreliable Ø Bump Box Ø Shipped to hiker for specialized replacement or hard to get materiel at expected stops Ø Arrivals must be planned around hours of operation for local post office 2 FOR OFFICIAL USE ONLY

The Afloat Medical Logistics Environment Ø Medical logistician not typically assigned Ø Medical Department LCPO, Petty Officer and/or other designee (MAO) assigned medical supply duties Ø Utilization of “Big Navy” or Do. D supply channels Ø Supply Officer (“Suppo”) and staff are the Logistics SMEs Ø Need to understand the procedures and your responsibilities (No DMLSS-except for T-AHs) Ø Relational Supply (RSUPPLY) System Ø Primarily MILSTRIP Requisitioning Ø National Stock Number (NSN) based requisitioning, receipt and inventory management procedures Ø Money Value Only (MVO) documents for Fleet Prime Vendor Web Ordering Ø Sometimes lengthy supply chain based on operational schedule and AOR Ø Cargo follows the CRIF (Cargo Routing Information File) submitted by ship and maintained by Naval Supply Systems Command Logistics Operations (NAVSUP LOC) - CLASSIFIED Ø Mail Routing Instructions (MRI) - CLASSIFIED Ø Reliance upon CTF logistics planners and system Ø Optimization of in-theater medical warehousing assets 3

Authorized Medical / Dental Allowance List (AMAL/ADAL) Ø Provides for minimum range and depth to support approximately 60 days sustainment and contingency materiel requirements Ø Content Management Ø Owned by Commander, Fleet Forces Command Surgeon Ø Managed by Type Commander Surgeons Ø AMAL and ADAL Technical Data Management Ø Naval Medical Logistics Command Operational Forces Support Directorate (NMLC-04) Ø Issued monthly via SPAWAR via Navy Medicine ONLINE Ø Available at www. nmlc. med. navy. mil Ø Changes to Lists Ø AMAL or ADAL Review Chaired by TYCOM Surgeon Ø Individual Allowance Change Request (ACR) submitted through NMLC web and approved through fleet chain of command Ø NMLC initiated administrative change based on Class VIII commodity management efforts Ø Defense Medical Logistics Item Identification System (DMLIIS) 4

AMAL and ADAL Taxonomy Ship Class Platform Code PC 02 MCM 03 FFG 04 LCS 05 DDG-51 06 CG 07 LPD-4 08 LSD 36 -40 Code 09 LPD-17 Platform 01 LSD-41 Ship Class 10 LHA-6 15 DDG-1000 16 SSN/SSGN/SSBN 22 CVN 30 NECC 40 NCF 41 50 MSC T SHIPS MSO 51 T-AH DISASTER RELIEF 6 T-AH CONTINGENCY-THEATER HOSPITALIZATION LHA-1 13 JHSV LCC LHD-1 7 T-AH HUMANITARIAN ASSISTANCE 8 11 12 5

AMAL and ADAL Taxonomy Medical Capability Code GENERAL MEDICINE 00 BLOOD BANK 33 FORCE HEALTH PROTECTION 05 PHARMACY 34 PHYSICAL EXAMS 10 FIRST AID BOX 50 EQUIPMENT 15 MASS CASUALTY BOX 51 CRNA 20 BATTLE DRESSING STATION 52 OPERATING ROOM 21 MEDICAL OFFICER RESPONSE KIT 53 MINOR SURGERY 22 CRASH CART 54 ICU/WARD 23 CORPSMAN RESPONSE KIT 55 BMET REPAIR 25 PREVENTIVE MEDICINE 30 RADIOLOGY 31 LABORATORY 32 (This is a Partial List) 6

AMAL and ADAL Taxonomy Ship Class + Capability Descriptor AMAL or ADAL Number LHD (13) + Laboratory (32) AMAL # 1332 7

Medical Contingency Contracts Ø Ø Prime Vendor War Readiness Materiel Vendor Managed Inventory (VMI) Contracts Ø Ø Corporate Exigency Contracts (CEC) Ø Ø Ø Distributors Manufacturers Medical Equipment Corporate Exigency Contracts (ECEC) Accessing Sources of Supply Ø Ø 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 Ø Ø Fleet PV-Med Surg Fleet PV-Pharm DLA Depot DLA Electronic Catalog (ECAT) 8

The Medical Contingency File (MCF) Ø Ø A semi-annual submission by all services of non-equipment Class VIII materiel identifying timephased materiel requirements for operational unit contingency response NMLC-04 prepares the MCF file for all naval operational force TYCOMs Ø Ø Starts with the compiling of Assemblage (AMAL and ADAL) data. Ø NSN Ø Nomenclature Ø Quantity and Unit of issue Ø Price Ø Acquisition Advice Code (AAC) Ø 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) Ø Ø Ø 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. 9

Medical Contingency File Readiness Contracts As of February 2012 Category # of Items 2/11 # of Items 2/12 # of Items with Coverage 2/11 # of Items with Coverage 2/12 % with Coverage 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%) 4, 747 4, 082 (-665) 3, 068 2, 455 (-613) 64% 60% (-4%) Total 10

Afloat Equipment Procurement Programs (Initial Issue vs Sustainment) ØShipboard ØFleet Equipment Replacement program (SERP) OMN Funded to NAVMEDLOGCOM (1 Year $) ØCommander, U. S. Fleet Forces Command ØCommander, U. S. Pacific Fleet ØRequirements submitted through ISIC and TYCOM and approved by Commander, U. S. Fleet Forces Commander, U. S. Pacific Fleet ØIncludes Equipment CASREPs ØPhased/Planned ØShipboard ØProcurement ØNew Life Cycle Replacement (Ship BMET/ISIC/TYCOM Tracks) equipment configuration management drives spare parts, tech manuals, preventative maintenance executed by NAVMEDLOGCOM Medical Support Equipment ØBUMED OPN Funded through NAVMEDLOGCOM (3 Year $) ØRequirements approved by Commander U. S. Fleet Forces Command 11

Fleet Organization Example COMFIFTHFLT CTF-IM Iraqi Maritime CTF-50 CSG CTF-51 ESG CTF-52 CTF-53 Mine Warfare Logistics CTF-54 Theater ASW CTF-55 CTF-56 Surface Warfare Expeditionary Combat CTF-57 Maritime Patrol CTF-58 Consequence Management CTF-IM Iraqi Maritime CTF-59 Crisis Response 12

Fleet Organization Example (Cont. ) COMLOGFORNAVCENT (CTF 53) Commodore N 00 Deputy N 01 Admin Officer Operations Officers N 1 N 3 Air Logistics Officer N 4 Requirements Officer N 5 Information Tech Officer N 6 • CLF Ops • MSC (non-CLF) Ops • Replenishment • Commodities • Air Routing • Force Protection • Administration • Master-At-Arms • Medical • ALSS Bahrain • Expediting / MATCONOFF • Information Technology Systems • NALCC (Naval Air Logistics Coord Center) • FLS Jebel Ali • Ordnance • Network • FLS Fujairah • HAZMAT Offload • Hardware/Software • FLS Djibouti • Logistics Plans • FLS Al Minhad • Comptroller/Supply • MH-60 “Desert Hawks” • C-130 / C-40 13

Logistics Relationships (CENTCOM/5 th Fleet) COMUSNAVCENT N 4 Logistics plans and policy COMLOGFORNAVCENT / CTF-53 COMSEALOGCENT Theater logistics execution… …Through TACON of all logistics support assets: - CLF ships - Logistics aircraft - Forward logistics sites Theater-wide management Logistics scheduling AND execution 14 are central to mission success

Scheduling Replenishment at Sea (RAS) Events Promulgate RAS SOE CTF-53 XX 1500 Z • Ships Submit RAS Requirements to TF Commander CTF-53 REPLENISHMENT 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 LOCATION 18010 IRP-STV BAR CLFNC/NRCC DUB 18020 RAS-F FIF TIP SAG 19020 RAS-F MON KNW NAG 19030 CONSL-F TIP DFR JEB 21030 CONSL-S TIP CLFNC/NRCC JEB 22010 RAS-FS AWR TIP CAG • 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” 15

RAS Sustainment Process N 3 Air Routers Surface Routers Replenishment SOE: 30 Days Out RAS Event (16 Jul) Approx one week prior RAS Event (17 Jul) Consolidation Event (12 Jul) RAS Event (19 Jul) Requirements: HULL/FILL; DECKLOAD; Provisions; Ships store stock; Ordnance N 4 PV N 5 PV Orders 12 days prior to CONSL NOT RAS event LEGEND Scheduling Electronic Data Material 16

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Operational Forces Support Primary Points of Contact Name Position Phone (301)619 -XXXX DSN 343 - XXXX Email Director 3075 Richard. Schlegel@med. navy. mil Deputy Director 3034 Shikina. tellis@med. navy. mil Mark Weldon Fleet Health Services Support (HSS) Management Analyst 3116 Mark. Weldon@med. navy. mil Rick Mc. Manis 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 ILS - CVN 7003 Michael. Correll@med. navy. mil BMET 8790 John. Mc. Gilvery@med. navy. mil ILS – L Decks 7007 Clifford. Dunlap@med. navy. mil AMAL/ADAL Mgt Supervisor 9336 Janine. Espinal@med. navy. mil AMAL/ADAL Mgt 7228 Michael. Schomer@med. navy. mil 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 Procurement Support Supervisor 3364 Noel. Bondoc@med. navy. mil Procurement Support (Non Ship Outfitting) 3427 Franklin. ohaegbu@med. navy. mil Ship Outfitting 3076 Valerie. Taylor 2@med. navy. mil SERP 3077 Charles. Teague@med. navy. mil Hospital Ship Procurement 7227 Holly. Melear@med. navy. mil Ship Outfitting 8252 Michael. Kick@med. navy. mil Rich Schlegel LCDR Shikina Tellis Mike Correll HMC(SW) John Mc. Gilvery Cliff Dunlap LCDR Janine Espinal Mike Schomer HM 1 (FMF) Daniel Quick Noel Bondoc Franklin Ohaegbu Valerie Taylor Charles Teague Holly Melear LS 2 Michael Kick 18