Navy Medicine in the GWOT

1. Navy Medicinein the GWOT Role Challenges Transformation Initiatives 1 February 2006 Introductory remarks Introductory remarks

2. Since last SG Brief on 9/26/05: *NORTHCOM: OVERALL DECREASE OF 275 TOTAL PERSONNEL DUE TO DECREASE OF BUMED DEPLOYMENTS. There has been a decrease in deployments ISO Hurricane Katrina for example. *SOUTHCOM: OVERALL INCREASE of 27 TOTAL PERSONNEL DUE TO INCREASE OF BUMED DEPLOYMENTS. *EUCOM: OVERALL DECREASE of 58 TOTAL PERSONNEL DUE TO DECREASE OF BUMED AND FLEET DEPLOYMENTS. *CENTCOM: OVERALL INCREASE of 70 TOTAL PERSONNEL DUE TO INCREASE IN BUMED AND FLEET DEPLOYMENTS. THERE HAS BEEN A DECREASE IN RESERVE DEPLOYMENTS (I.E. EMF DALLAS). *PACOM: OVERALL INCREASE of 313 TOTAL PERSONNEL DUE TO INCREASE IN BUMED AND FLEET DEPLOYMENTS. RED - BUMED (Claimancy 18): DECREASE by 310 GREEN - MARFOR (Claimancy 27) Deployed: Same (No update on MARFORLANT Website since 9/14/05) BLUE � FLEET (Claimancies 60, 70 & 74) Deployed: Increase by 387. PURPLE � RESERVE (MTF-PRG 32; Ops PRGs 46, 9, 40) Deployed: Same. 177 personnel returned from EMF Dallas. Of the 177 personnel returning, several redirected to backfill at MTFs ISO Hurricane Katrina Total Deployed Naval Medical Forces: Overall increase by 77. Since last SG Brief on 9/26/05: *NORTHCOM: OVERALL DECREASE OF 275 TOTAL PERSONNEL DUE TO DECREASE OF BUMED DEPLOYMENTS. There has been a decrease in deployments ISO Hurricane Katrina for example. *SOUTHCOM: OVERALL INCREASE of 27 TOTAL PERSONNEL DUE TO INCREASE OF BUMED DEPLOYMENTS. *EUCOM: OVERALL DECREASE of 58 TOTAL PERSONNEL DUE TO DECREASE OF BUMED AND FLEET DEPLOYMENTS. *CENTCOM: OVERALL INCREASE of 70 TOTAL PERSONNEL DUE TO INCREASE IN BUMED AND FLEET DEPLOYMENTS. THERE HAS BEEN A DECREASE IN RESERVE DEPLOYMENTS (I.E. EMF DALLAS). *PACOM: OVERALL INCREASE of 313 TOTAL PERSONNEL DUE TO INCREASE IN BUMED AND FLEET DEPLOYMENTS. RED - BUMED (Claimancy 18): DECREASE by 310 GREEN - MARFOR (Claimancy 27) Deployed: Same (No update on MARFORLANT Website since 9/14/05) BLUE � FLEET (Claimancies 60, 70 & 74) Deployed: Increase by 387. PURPLE � RESERVE (MTF-PRG 32; Ops PRGs 46, 9, 40) Deployed: Same. 177 personnel returned from EMF Dallas. Of the 177 personnel returning, several redirected to backfill at MTFs ISO Hurricane Katrina Total Deployed Naval Medical Forces: Overall increase by 77.

3. USMC SupportOver 1,500 Medical Augmentation Program (MAP) requirements per year (CY 2005): 11th Marine Expeditionary Unit 13th Marine Expeditionary Unit 15th Marine Expeditionary Unit I Marine Expeditionary Force I Marine Expeditionary Force Headquarters Group 22nd Marine Expeditionary Unit 24th Marine Expeditionary Unit 26th Marine Expeditionary Unit 2nd Marine Expeditionary Brigade II MEF - Special Operations Training Group 31st Marine Expeditionary Unit 3rd Marine Expeditionary Brigade I MEF II MEF III MEF 4th MEBII Marine Expeditionary Force 4th Marine Expeditionary Brigade (AT) II Marine Expeditionary Force

4. PERS Individual Augments (IAs)Over 500 Navy Medicine individual augments per year (CY 2005): Iraq: Multinational Security Transition Command (MNSTICI) Civil Affairs Afghanistan: Embedded Training Teams Base Support Unit Military Transition Team Kuwait: Civil Affairs EMF Augments JTF-HOA: EMF Djibouti Laos, Viet Nam, Cambodia, Korea, etc.: Joint POW/MIA Accounting Command (JPAC) JTF-GTMO: Misc. Numbers of Sailors deployed with the Units: Organic to FMF/MARFOR: Approx 1300-1500 MNSTC-I: 29 Horn of Africa: 34 We have approximately 103 IA�s assigned to the FMF from CL 18 MAPS: 404Numbers of Sailors deployed with the Units: Organic to FMF/MARFOR: Approx 1300-1500 MNSTC-I: 29 Horn of Africa: 34 We have approximately 103 IA�s assigned to the FMF from CL 18 MAPS: 404

5. Expeditionary Medical Facilities (EMFs) JTF-GTMO (100+ AC personnel) Kuwait: Year 1: EMF Portsmouth (380 AC) Year 2: EMF Dallas (364 RC+16 AC) Year 3: EMF Camp Pendleton (380 AC) Djibouti (38 AC IAs) Georgia (14 AC IAs)

6. Reserve Support Operational � USMC/CENTCOM: FY 2003 (355), FY 2004 (70), FY 2005 (10) EMF Dallas (364) MTF Mobilization Backfill for Deployed AC: OIF I (1,800 RC) OIF II (324 RC) OIF/OEF 04-06 (324 RC) Reserve AT (5,000 validated requirements annually) ADSW (~7,000 days annually) ADT (~$500K annually) WATC, RSO&I (Korea), Cobra Gold, SOUTHCOM MEDRETES, Ulchi Focus Lens (Korea), JTF North

7. USNS MERCY (TAH-19) HUMANITARIAN RELIEF Staff performed a variety of roles Leadership Direct patient care both on board and ashore Corpsmen received a wealth of direct first responder and bedside care training from both USN and NGO nurses, Patients with tropical diseases. 284 patients (and 203 family members) were admitted and successfully discharged from the wards to home Pediatric patients represented 30% of all admissions During Operation Unified Assistance, NGO�s used for the first time. Approximately 40% of the embarked crew were NGO�s. 308 AC 100% Volunteer program. Used vacation /l eave of absence to justify time away from work. NON-Governmental Organizations (NGO) 214 Volunteer healthcare professionals from all over the country Most used vacation time to justify absence from their work centers Staff performed a variety of roles Leadership Direct patient care both on board and ashore Corpsmen received a wealth of direct first responder and bedside care training from both USN and NGO nurses, Patients with tropical diseases. 284 patients (and 203 family members) were admitted and successfully discharged from the wards to home Pediatric patients represented 30% of all admissions During Operation Unified Assistance, NGO�s used for the first time. Approximately 40% of the embarked crew were NGO�s. 308 AC 100% Volunteer program. Used vacation /l eave of absence to justify time away from work. NON-Governmental Organizations (NGO) 214 Volunteer healthcare professionals from all over the country Most used vacation time to justify absence from their work centers

8. USNS COMFORT (TAH-20) KATRINA/RITA RELIEF Hurricane Relief NON-Governmental Organizations (NGO) USNS Comfort (600 AC personnel) USS Bataan (84 AC personnel) USS Iwo Jima (84 AC personnel) Reserve ADT Support to Gulf region commands (34 RC personnel, 700 days) During 911 Comfort provided Hotel services for rescue workers. Very little treatment other then fatigue and superficial injuries. 67 Volunteer healthcare professionals from all over the country (25 from Tsunami Relief) COMFORT was ready to deploy in 2 1/2 days vice the required 5 days needed 245,000 pounds of supplies. In Mayport, Fla., Comfort loaded an additional 57 tons of medical supplies valued at $3 million. Augmented military medical personnel from 36 commands. 1/4 of them were assigned to other contingency platforms and this was their first time on sea duty. We worked very closely with the 14th Army Combat Support Hospital in New Orleans and the local Emergency Medical Service providers. 1556 patients were treated majority of them were primary care and trauma. Comfort was ready to deploy in half the required time. During 911 Comfort provided Hotel services for rescue workers. Very little treatment other then fatigue and superficial injuries. 67 Volunteer healthcare professionals from all over the country (25 from Tsunami Relief) COMFORT was ready to deploy in 2 1/2 days vice the required 5 days needed 245,000 pounds of supplies. In Mayport, Fla., Comfort loaded an additional 57 tons of medical supplies valued at $3 million. Augmented military medical personnel from 36 commands. 1/4 of them were assigned to other contingency platforms and this was their first time on sea duty. We worked very closely with the 14th Army Combat Support Hospital in New Orleans and the local Emergency Medical Service providers. 1556 patients were treated majority of them were primary care and trauma. Comfort was ready to deploy in half the required time.

9. Challenges Deployment equity High demand specialties Field Med Techs Gender limitations Reserves PBD 712

10. Transformation Initiatives Rating Merger Training pipeline restructuring Specialty consolidation Facility integration Mil to Civ conversion

11. Questions?