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UTC Plan: Specialty Team Approach

UTC Plan: Specialty Team Approach. to the DSG Joe Goodin (N931) 18 Aug 2009. Agenda. UTC Development UTC Alignment Team Approach Plan to get there Next Steps Course Corrections?. UTC Development Process. Mission Requirements for Validated Operational Platforms. UTC Capability

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UTC Plan: Specialty Team Approach

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  1. UTC Plan: Specialty Team Approach to the DSG Joe Goodin (N931) 18 Aug 2009

  2. Agenda • UTC Development • UTC Alignment • Team Approach • Plan to get there • Next Steps • Course Corrections?

  3. UTC Development Process Mission Requirements for Validated Operational Platforms UTC Capability Packages(Teams) “Brick and Mortar” Hospitals Mirrors AF Process

  4. UTC Development • Discrete Capabilities • Personnel; Equipment; or Combination of Both • Easily Tailored for Individual Missions/Contingencies • Building Block for Organizational Capabilities • Development Strategy • Meet COCOM requirements • Joint interoperability • Full range of medical services • Incremental, modular deployable platforms 9/7/2014 5:31 PM

  5. UTC Alignment Strategic Objective Immediate Deploy Wartime Surge Wartime Sustainment FHA/HCA/CS Trauma Surgical Triage Out Trauma Surgical Triage Medical Mental Health Ancillary Trauma Surgical Triage Medical Mental Health Dental Optometry Ancillary Surgical Triage Out Medical Immunization IH: Vector Mental Health Dental Education Optometry Dimension of Care Fleet/FMF Trauma, Surgical, Triage, Medical, Dental, Optometry Enduring Mission (incl. ERSS) UTCs would be aligned with Navy Medicine’s strategic objectives and configured to a dimension of care

  6. Specialty Team Approach Gen Surg Pharm Ortho Surg Lab Med Repair Prev Med Env Hlth Neuro Surg Dental Inf Dis EM Pri Care ENT Neurology Ocular GYN Vasc Surg Nephrology Urology Plastic Surg Xray Dental Fam Prac Immunization 9/7/2014 5:31 PM

  7. BOS Admin/C2 Anc Srvc Cas Recv Ortho Surg ICU ACW Gen Surg Ocular Dental Fam Prac Immunization Vector Env Hlth Occ Med Chem/Rad Bio Micro Rad Prev Med HCA/HA/DR UTC Capability Packages Team Approach EMF-10 HA/DR AUG (No HW Package) FDPMU

  8. UTC Team Example

  9. Billet File Mapping • Next step in Component UICs, more Granularity • UTC field requested in TFMMS • Big Chunks First, Overlay with Teams • Phase in over time – Mirrors platform build plan • Validate UTC capability teams with specialty leaders and clinical advisory groups • Need Arbitration Mechanism • Target completion: 30 Sept 2009 • Deployment with existing equipment assemblages possible within the next year. Based on operational requirements across the broad spectrum of operations and for all phases.

  10. CNA POM-12 Study • Similar process to MRR/POM-10 • Build capability for analysis within Navy Medicine • Integration between manpower capability teams and modular scalable hardware platforms • We can’t perpetuate Manpower/Equipment mismatch Only executable if N4 makes an investment in new assemblages

  11. Next Steps • Transition from IA sourcing to Team sourcing • Link to Personnel Status, PERSTEMPO, OPTEMPO • Link to Individual and Unit Medical Readiness • Link to Training Requirements and Status • Link to Mission Performance • SelRes Policy • Design Next Generation HW Capabilities • Based on throughput modeling • What is smallest surgical denominator? (ex: 1 OR or 1 ISO container with 2 ORs? • What teams required to round out capability?

  12. Challenges • Transition from IA sourcing to Team sourcing • Alignment: • Define spectrum of care for respective platforms • Validate dimensions of care for capability • Determine right mix of teams available for rotation • Specialty leader coordination • Training/education of teams to ensure readiness • Identify equipment requirements (outside of established deployable platform requirements) • Tough decisions; platforms/teams should not be created to protect specialty requirements on active duty but rather to meet the combat or HA/DR mission requirements

  13. Back-up

  14. AF UTCs • EMEDS (Expeditionary Medical Support) • Basic, EMEDS +10 beds, EMEDS +25 beds • SPEARR (Small Portable Expeditionary Aeromedical Rapid Response) • Consists of three forward elements EMEDS Basic: • PAM (Prevention and Aerospace Medicine Team) • Critical Care Team • Mobile Field Surgical Team • AF Workhorse: EMEDS +10; plug and play capability 9/7/2014 5:31 PM

  15. Navy Rotary and Fixed Wing Transport Capability CH-46: 5k lbs Payload L 45’8” W 7’3” H 16’ 8.5” CH-53: 30K lbs Payload L 99’ 1.5” H 27’ 9” MV-22B: 15K lbs Payload L 57’4” H 22’ C-130: 45K lbs Payload L 97’ 9” H 38’3” ISO CONTAINER 255” x 96” Ht 102” 13.4K LB with medical supplies 10 BED EMU = 30 463L pallets 463L Pallet 88” x 108” 10K LB capacity w nets to 96” high 15

  16. Link to UTC’s

  17. List of UTC’s Readiness

  18. Micro Six Factors Prev Med Rad * Chem Logistics Disease Vector FDPMU Capabilities Components – Weight and Cube… (Sub-comp of Chem) Support # Available as augmentees only * Chem Comp IHO dual-hatted º Primary assignment to DV Comp

  19. Requirements • MRR Validated Requirements • Based on the Analytic Agenda and OA-06 • Navy/Marine Corps Force Structure (Level 1 and 2) • Theater Hospitalization (TH) • Ashore – EMFs (~2000 beds) • Afloat – TAHs ( ~450 beds) • HA/DR Missions • 4 HA/DR Missions within the time frame of OA-06 • POM-10 • Throughput and capacity modeling for TH with TML+ • Based on USMC Level 1 and 2 casualty streams for MRR/OA-06 scenarios • Showed 1 OR – 4 ICU – 28 ACW bed ratios • Provided the basis for transitioning from EMF-250 to EMF-150 • EMF-150 interim solution to a more efficient, modular, and scalable platform

  20. UTC/TUCHA Data Advertises Service provided capabilities to the COCOMs • Current File • Current on the shelf capability packages • FH500 • FH273 • EMF250 • EMF150 • Used for planning current operations • Updated Quarterly • Futures File • Notional capability packages • EMF150 • EMF50 • EMF10 • ACW100 • ACW80 • Used for modeling future requirements • Updated twice a year • EMF50 • ACW100 • EMF10 • FDPMU • EMF130 • EMF32 • EMF64 • EMF128 • BOS128

  21. EMF Build Plan OR: 32 ICU: 365 ACW: 1362 ECW: 592 OR: 30 ICU: 357 ACW: 1172 ECW: 440 OR:30 ICU: 334 ACW: 1168 ECW: 344 OR:32 ICU: 343 ACW: 1084 ECW: 96 OR: 32 ICU: 320 ACW: 1080 OR: 32 ICU: 320 ACW: 980 OR: 32 ICU: 320 ACW: 880 OR: 32 ICU: 320 ACW: 880 ICU + ACW + ECW Beds Fiscal Year

  22. EMF-150 EMF-50 EMF-10 Module 1 40ACW AUG 40ACW AUG EMF-50 100ACW (Heavy) EMF-10 Module 2 100ACW (Heavy) Module 3 EMF-250 100ACW (Lite) Module 4 EMF-150 100ACW (Lite) Level 3 UTC Modularity Module 1+2 Module 1+2+3 Module 1+2+3+4

  23. BOS Admin/C2 Anc Srvc Cas Recv Ortho Surg ICU ACW Gen Surg BOS + Admin + Lab Pharm Xray Med Repair Prev Med Env Hlth Dental Inf Dis ER Pri Care Gen Surg Vasc Surg ENT Neuro Surg Nephrology Neurology Urology Gen Surg Occular Plastic Surg GYN GenSurg 20 Bed ACW Add’l ICU 20 Bed ACW 20 Bed ACW 20 Bed ACW 20 Bed ACW 20 Bed ACW Psych Level 3 UTC Capability PackagesTeam Approach EMF-10 40 BED AUG 100ACW

  24. FHP/AF Strategic Goals Action Plan • Monitoring EMF and TAH Requirements vs. Plan vs. Built as a metric • Collective Protectioning Build and Test by FY12 • Developed approach for: • EMF Build Plan • UTC Modularity • UTC Mapping into TFMMS • Vetted Requirements and Plans with the COCOMs • Transition to Agile Capabilities • Refine Metrics • Plan for HCA/HA/DR “Soft Power” Support

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