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Naval Operational Forces Afloat Medical Logistics Overview. Rich Schlegel Naval Medical Logistics Command Director, Operational Forces Support 05-06 June 2012.
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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.
2,174.6 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
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
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)
AMAL and ADAL Taxonomy Ship Class + Capability Descriptor AMAL or ADAL Number LHD (13) + Laboratory (32) AMAL # 1332
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)
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.
Medical Contingency File Readiness Contracts As of February 2012
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
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
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
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
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”
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