Naval Operational Forces Afloat Medical Logistics Overview

1. 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.

2. 2,174.6 Miles from Georgia to Maine • 20 Mi/day = 108.5 days or 4 months • 15 Mi/day = 144.5 days or 20 weeks • Re-supply every 75 to 100 miles or about once per week for the 16 to 20 week trip • Trail resupply • Flexibility in planning in case plans or demand change • Supplies expensive and depth unreliable • Bump Box • Shipped to hiker for specialized replacement or hard to get materiel at expected stops • Arrivals must be planned around hours of operation for local post office FOR OFFICIAL USE ONLY

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

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

5. AMAL and ADAL Taxonomy

6. AMAL and ADAL Taxonomy

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

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

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

10. Medical Contingency File Readiness Contracts As of February 2012

11. Afloat Equipment Procurement Programs(Initial Issue vs Sustainment) • Shipboard Equipment Replacement program (SERP) • Fleet OMN Funded to NAVMEDLOGCOM (1 Year $) • Commander, U.S. Fleet Forces Command • Commander, U.S. Pacific Fleet • Requirements submitted through ISIC and TYCOM and approved by Commander, U.S. Fleet Forces Command and Commander, U.S. Pacific Fleet • Includes Equipment CASREPs • Phased/Planned Life Cycle Replacement (Ship BMET/ISIC/TYCOM Tracks) • Shipboard equipment configuration management drives spare parts, tech manuals, preventative maintenance • Procurement executed by NAVMEDLOGCOM • New Medical Support Equipment • BUMED OPN Funded through NAVMEDLOGCOM (3 Year $) • Requirements approved by Commander U.S. Fleet Forces Command

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

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

14. Logistics Relationships (CENTCOM/5th Fleet) COMUSNAVCENT N4 COMLOGFORNAVCENT / CTF-53 COMSEALOGCENT Logistics plans and policy Theater logistics execution… …Through TACON of all logistics support assets: - CLF ships - Logistics aircraft - Forward logistics sites Logistics scheduling AND execution are central to mission success Theater-wide management

15. Scheduling Replenishment at Sea (RAS) Events Promulgate RAS SOE CTF-53 XX1500Z 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 • Ships Submit RAS Requirements to TF Commander • 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”

16. RAS Sustainment Process N3 N4 LEGEND Scheduling Electronic Data Material PV N5 Surface Routers Replenishment SOE: 30 Days Out Air Routers 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 PV Orders 12 days prior to CONSL NOT RAS event