EPRC

1. Equipment Program Review Committee,the BUMED Equipment Integration Group (M4) and the BUMED Capabilities Management Working Group (M6)Presented by Frank Boals

2. EPRC • The Equipment Program Review Committee is dictated to Commands via the Equipment Management Manual, NAVMED P5132, Section 3-3 FOR OFFICIAL USE ONLY

3. EPRC Purpose • The EPRC was designed to insure that the entire command equipment requirements were managed, including the not only the medical equipment, but also the furnishings and the information technology, and that a balance was achieved for funding priorities. • Article 3-3(3)(5)(c) • The equipment program should address all of the equipment, not just medical equipment requirements. FOR OFFICIAL USE ONLY

4. EPRC • The EPRC is required to have an equipment replacement plan for all of the equipment, for five years into the future, and to review/update that plan at least annually. • Based upon the guidance within the P5132, a data call for requirements, at any point in time, should only require a minimal amount of effort at the local command level to provide any requirements (IT, Medical, Furniture, etc.) for any time (next 6 months, next 2 years.) FOR OFFICIAL USE ONLY

5. Regional Prioritization of Submissions • The Regions are required to consolidate the command requirements lists, and provide a regional priority list to BUMED. • Instructions were not provided to the Regions on precisely how they should prioritize their requirements. FOR OFFICIAL USE ONLY

6. Equipment Integration Group • The Regional Priority Lists are Consolidated by NMLC for finalization by the EIG. • The instructions provided to NMLC are as follows: • Respect the Regional Priorities. • The implications: • If a region prioritizes an unjustified requirement, that requirement and every requirement below it on that regional list drops, when the regional lists are merged. These requirements fall to a priority that matches other unjustified requirements from other regions lists. FOR OFFICIAL USE ONLY

7. Where the Problems Occur • Originally, there were supposed to be three funding groups: • The Facilities Special Projects Board • The Equipment Integration Group • (The UnNamed Information Technology Group) • The BUMED reorganization left the third group un-formed for many years. FOR OFFICIAL USE ONLY

8. The Current Situation • M6 is developing the Navy Medicine (NAVMED) Information Management / Information Technology (IM/IT) Procurement Guidance and Governance Handbook • (This is expected to be the final process for which IM/IT requirements are submitted.) FOR OFFICIAL USE ONLY

9. EIG/CMWG Interface • At present, IM/IT requirements are being submitted via multiple channels, some both ways, some only via one channel. • Until the Final Guidance can be issued, any submission for IM/IT should be submitted via a Two Page Form via the Regional ISO, copy to the Regional Logistician and NMLC Clinical Engineering . • (Any entity on the list will correspond with the other parties, to verify it has been received. NAVMED 6700 forms will be accepted by IM/IT to initiate discussions.) FOR OFFICIAL USE ONLY

10. Medical Equipment Requirements • The vast majority of medical equipment with an acquisition cost over $25K includes significant software that requires Information Assurance consideration, and may require modifications to Authorities to Operate (ATO), DIACAP, Platform Information Technology designation with Vulnerability Analysis. • Some equipment may not be possible to secure for use in a military medical environment. FOR OFFICIAL USE ONLY

11. Medical Equipment Requirements • Medical Equipment Requirements will be briefed to the CMWG, but are not expected to be “approved” via this channel. Information security requirements will be discussed. • There will be a review guidance document developed by M6 and forwarded to command IT Departments, directing a more thorough review of the NAVMED 6700 forms, with guidance on specific areas for review. FOR OFFICIAL USE ONLY

12. Funding • The Equipment Integration Group remains the organization responsible for prioritizing all Replacement and Modernization, Other Procurement Funding.(OP(DHP)) • This group is responsible for merging the regional priorities with those generated elsewhere (IT, major programs, etc.) for allocation of funds. FOR OFFICIAL USE ONLY

13. Special Approvals • All Vehicles are Controlled by Navy Facilities Command, • POC is LCDR Wolfersburger at M4. • Audiovisual requirements require special review. However, most AV requirements are now IT requirements. • Communications (Telephones) will require special review, and commands should make sure they know specifically who owns Base or BUMED. Under any circumstances, it should be on the books with an annotation of owned vice leased. FOR OFFICIAL USE ONLY

14. Special Approvals • There are currently two Boards for which subject equipment must be reviewed: • Simulations equipment (manikins, and training simulators; this is not “simulation software” for designing solutions.) • Diagnostic Imaging and Radiotherapy equipment. FOR OFFICIAL USE ONLY

15. Current Centralized Efforts • Integrated Operating Rooms • Anesthesia • Pharmacy Automation • Laboratory • Dental Delivery Units • Real Time Locating & Associated Technologies FOR OFFICIAL USE ONLY

16. Summary • Processes are changing, You have to pay attention! • P5132 is aging, and additional requirements now exist. • Funding is going to become harder to obtain, • Prioritization processes are going to become more critical • Most equipment contains IT components, and a coordinated approach is now essential FOR OFFICIAL USE ONLY

17. Summary for IT • Until final guidance is provided, submissions will be handled when submitted via either channel, but it would be preferred if the appropriate channel was used for the initial submissions (Medical via NAVMED 6700, IT via the Military Health System submission form (the two pager ) FOR OFFICIAL USE ONLY