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LO2 (A): Understand the COPD, OPLAN, and NATO Medical Planning

LO2 (A): Understand the COPD, OPLAN, and NATO Medical Planning . N-9-89 Joint Maritime Medical Staff Course (JMARMEDS) NATO School – Oberammergau Germany 10 December 2012. Overall Classification Of This Presentation: NATO UNCLASSIFIED.

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LO2 (A): Understand the COPD, OPLAN, and NATO Medical Planning

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  1. LO2 (A):Understand theCOPD, OPLAN, andNATO Medical Planning N-9-89 Joint Maritime Medical Staff Course (JMARMEDS) NATO School – Oberammergau Germany 10 December 2012 Overall Classification Of This Presentation: NATO UNCLASSIFIED

  2. Ayessa TolerLieutenant Commander (OF-3)U.S. Navy, Medical Service Corps Previous experience: Current position: CJ5 Plans Staff Officer and Medical Planner (PXX008) Naval Striking and Support Forces NATO (SFN), PRT Comm: +351-21-440-4434//NCN: 529-4434 Mobile: +39-366-574-9989 NATO Unclassified: a.toler2@sfn.nato.int • Fellow, American College of Healthcare Executives (ACHE) • Policy experience – as an Intern in the U.S. Chief of Naval Operations Medical Plans and Policy Branch (OPNAV N931D) from July 2010 – July 2011 • Land operations – as the Medical Plans Officer for Task Force Medical – South, Afghanistan from September 2009 – April 2010 • Maritime/Amphibious operations – as the Medical Plans Officer for the 31st U.S. Marine Expeditionary Unit (MEU) from April 2007 – July 2008

  3. Lesson Agenda • Overview of the NATO Operational Planning Process and the Comprehensive Operations Planning Directive (COPD) • Overview of NATO Medical Operations Planning Process

  4. Part 1: Overview of the NATO Operational Planning ProcessandComprehensive Operations Planning Directive(COPD) Reference/Source: Lieutenant Colonel Mehmet Salar, TUR-A NATO School – Joint Operations Department

  5. CurrentPlanning Efforts…

  6. COPDPlanning Phases

  7. The COPD

  8. COPD PlanningOccurs Within…

  9. What Will YouBe Planning For?

  10. NATOCrisis Response Planning Is… Simultaneous Planning Occurs From the Strategic to the Tactical Level

  11. Phase 1:

  12. Phase 2:

  13. Phase 3:

  14. Phase 4a:

  15. Phase 4a:

  16. Phase 4a:

  17. Phase 4a:

  18. Phase 4a:

  19. Phase 4b:

  20. Phase 5:

  21. Phase 6:

  22. Part 2: Overview of the NATO Operations Medical Planning Process Reference/Source: Colonel Toby Rowland GBR Army NATO HQ Supreme Allied Command Transformation Branch Head (Medical)

  23. Mission of MedicalOperations Planning To support the mission, through conservation of manpower, preservation of life and minimization of residual physical and mental disabilities • How is this mission statement achieved… • Commensurate to force strength • Must deploy with forces tasked to support • Must be a robust and comprehensive capability • Reference: AJP-4.10 (A)

  24. Operational PlanningProcessand Medical • Requires input from the medical staff at each point of the process • The Medical Operational Planning Process is continuously linked to the OPP • The output of Medical Planning delivered to the OPP is the Medical Support Plan Annex to the OPLAN • The Medical Plan needs to be coordinated on all levels • Reference: AJMedP-1

  25. Medical Support PlanAnnex Template What Should You Consider When Building Your Medical Support Plan? • Situation • Health Risk Assessment • Civil-Military Situation • Mission • Assumptions • Estimated Casualty Rates • Execution • Concept of Medical Support for each phase of the operation • Scheme of Maneuver • Tasks and Responsibilities • Per Afloat MTF • MEDEVAC • Appendices • Medical Intelligence Report • Eligibility Matrix • Medical Report Formats Reference: AJMedP-1

  26. NATO Standards of Medical Care • NATO Medical Support is a national responsibility • In practice it is increasingly a shared responsibility • Treatment outcome must equate to best medical practice • Standards need to be acceptable to all nations • Continuum of Care from injury to home base • Reference: MC 326/3, AJP-4.10(A), AMedP-11 (A)

  27. NATO Medical Care Role System • Standards of Medical Care are achieve through the Role System: • Role 1 medical support provides for routine primary health care, specialized first aid, triage, resuscitation and stabilization • Role 2 provides an intermediate capability for the reception and triage of casualties • Role 3 medical support is deployed hospitalization and the elements required to support it • Role 4 medical support provides the full spectrum of definitive medical care • Specific maritime levels of healthcare will be defined by the Maritime Medical Planning presentation • Reference: MC 326/3

  28. NATO Medical Policy and Doctrine NATO Standardization Agency (NSA) Public Web Site: http://nsa.nato.int/nsa/ MC 326/3 MC 551 Medical Policy AJP-4.10 Medical Support Medical Keystone Doctrine Allied Joint Medical Doctrine AJMedP-1 Medical Planning AJMedP-3 Medical Intelligence AJMedP-4 Force Health Protection AJMedP-5 Medical C4I AJMedP-6 CivMilMed Interface AJMedP-2 Medical Evacuation Supporting Medical Doctrine AMedP-3 Insect/Rodent Contr AMedP-6 Med Aspects NBC AMedP-5 Multiling Phrasebook AMedP-14 Heat, Cold, Altitude AMedP-7 Med CBRN CONOPS AMedP-12 Blood Brochure AMedP-18 Water Potability AMedP-8 CRE CBRN AMedP-13 Glossary Med Terms AMedP-20 Waste Management AMedP-11 Maritime Med AMedP-19 Animal Care AMedP-21 Health Surveillance AMedP-16 Med Capabilities AMedP-24 Emergency Care AMedP-23 Vaccination AMedP-17 Med Training Req AMedP-22 Trauma Care Training

  29. Medical Support Plan Considerations These Steps Will Occur During Phase 4 of the COPD Process • NATO Standards of Medical Care • NATO Medical Role System • NATO Continuum of Care • NATO Medical Policy and Doctrine • Now that you understand these considerations when building a Medical Support Plan Annex…Let’s go through basic medical planning steps!

  30. Step I – Initiation Joint Operations Planning Group (JOPG) CHIEF JOPG Cdr’s Planning Guidance CJ 5 PLANNERS CJ 2 PLANNERS CC LEGAD POLAD CJ 1 CC PIO CCs CJ 2 CJ 9 CJ 4 MED CJ 6 CJ 3

  31. Step II – Orientation Review of the Situation Strategic Background Geographical Conditions Information and Media Medical Intelligence Civil-Military Situation Opposing Forces Sit Comprehensive Approach Awareness

  32. Step III – Concept Development • For development of the medical concept the medical planner has to take into account multiple factors. • Some of them are: • Environment • Opposing Forces • Friendly Forces • Risk Assessment • Medical Logistics • Medical Capabilities • The list of factors not complete, but gives you an idea…

  33. Step III – Concept Development: Environment • Geography • Weather / Climate • Health Risks & Threats • Civilian Population • Host Nation Resources • Other stakeholders

  34. Step III – Concept Development: Medical Logistics • Equipment • Drugs • Blood Products • Oxygen

  35. Step III – Concept Development: Medical Capabilities • Summary of required capabilities and capacities • Medical Treatment Facilities • Evacuation Assets • Graphical Overlay: Concept of Medical Support • “Tentative Course of Action”

  36. Step IV – Plan Development

  37. Step V – Plan Review MED Support Plan JOPG Chief COMMANDER

  38. This Concludes The Lesson Questions/Comments Overall Classification Of This Presentation: NATO UNCLASSIFIED

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