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Emerging Expeditionary Missions. RDML William M Roberts, MC, USN Director, Medical Resources, Plans and Policy Division Chief of Naval Operations (N931) 06 Oct 09. Agenda. Current Capabilities Evolving Demand Signals CENTCOM Realignment Strategy HCA/DR Sphere of Influence.
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Emerging Expeditionary Missions RDML William M Roberts, MC, USN Director, Medical Resources, Plans and Policy Division Chief of Naval Operations (N931) 06 Oct 09
Agenda • Current Capabilities • Evolving Demand Signals • CENTCOM Realignment Strategy • HCA/DR Sphere of Influence
Capabilities (Combat Casualty Care; HCA/DR; GWOT Homeland Security) ISSUES • Demand Signal • Flexibility/Scalability • Expeditionary Resuscitation Surgical System (ERSS) OPPORTUNITIES • Transformational Configuration • UTC Development/Strategy • Future T-AH Design CHALLENGES • OPTEMPO • OPLAN Alignment • Training • H1/N1 (ISO NORTHCOM) • Counterinsurgency
Evolving Demand Signals ISSUES Requirements Determination/Mission Validation Afghanistan Build Up Anti-Piracy Ops/AFRICOM Theater Security Cooperation Pre-Deployment Training OPPORTUNITIES Synchronized & Strategic Realignment Transformational Configuration UTC Deployment Forward Resuscitative Care Initiatives Consolidated Training CHALLENGES Mission Creep AOA/IOA (Sustained Requirements) Stress on Force IMR Staffing “nontraditional missions” 3
CENTCOM Realignment Strategy ISSUES USMC operational footprint EMF Kuwait Workload Current COCOM requirements Transfer of Command Authority (Kandahar: NATO Role 3) Bastion Augmentation OPPORTUNITIES Decreased workload at EMF Kuwait Robust & accessible Kuwaiti healthcare system CJCS/CNO endorsed BUMED strategy CHALLENGES Timeline for Navy Medicine down ramp in IOA Army’s enduring non-combat mission in Kuwait COCOM support Increase in combat casualties in Kandahar and Bastion 4
HCA/DR Sphere of Influence ISSUES Proposed Increase in HA Deployment Length (RFI) Platforms of Choice Current Focus OPPORTUNITIES Supports Maritime Strategic Imperatives Directly supports CCDR Theater Security Cooperation efforts Joint staffing/collaboration CHALLENGES Increased Demand Signal Future T-AH Design Level of Effort Capacity building vs episodic appearances 5
Combat Casualty Care Humanitarian Assistance GWOT Homeland Security Expeditionary Medical CapabilitiesAdapting to Change in Demand Signal (QDR) Transforming Configuration Flexibility – Agility - Modularity 150-Bed EMF 50-Bed EMF 10-Bed EMF Capabilities In Use 10-Bed EMF: HOA 500-Bed Fleet Hospital Redefining Medical Capabilities to Provide Flexible/Scalable Options
EMF Build Plan • Phase out FH500 and EMF273 by the end of FY11 • EMF10, EMF50, ACW100, and FDPMU are basic building blocks • POM-12 Initiatives: • Integration between manpower capability teams and modular scalable hardware platforms • We can’t perpetuate Manpower/Equipment mismatch • 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?