Naval Operational Forces Afloat Medical Logistics Overview

Rich SchlegelNaval Medical Logistics Command

Director, Operational Forces Support05-06 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.

FOR OFFICIAL USE ONLY2

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

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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

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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)

Ship Class Platform

CodePC 01

LSD-41 02

MCM 03

FFG 04

LCS 05

DDG-51 06

CG 07

LPD-4 08

LSD 36-40 09

LPD-17 10

LCC 11

LHA-1 12

Ship Class Platform

CodeLHD-1 13

LHA-6 15

DDG-1000 16

SSN/SSGN/SSBN 22

CVN 30

NECC 40

NCF 41

JHSV 50

MSC T SHIPS MSO 51

T-AH DISASTER RELIEF 6

T-AH CONTINGENCY-THEATER HOSPITALIZATION

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T-AH HUMANITARIAN ASSISTANCE 85

AMAL and ADAL Taxonomy

Medical Capability Code

GENERAL MEDICINE 00

FORCE HEALTH PROTECTION 05

PHYSICAL EXAMS 10

EQUIPMENT 15

CRNA 20

OPERATING ROOM 21

MINOR SURGERY 22

ICU/WARD 23

BMET REPAIR 25

PREVENTIVE MEDICINE 30

RADIOLOGY 31

LABORATORY 32

Medical Capability Code

BLOOD BANK 33

PHARMACY 34

FIRST AID BOX 50

MASS CASUALTY BOX 51

BATTLE DRESSING STATION 52

MEDICAL OFFICER RESPONSE KIT 53

CRASH CART 54

CORPSMAN RESPONSE KIT 55

(This is a Partial List)

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AMAL and ADAL Taxonomy

AMAL and ADAL Taxonomy

Ship Class + Capability Descriptor

AMAL or ADAL Number

LHD (13) + Laboratory (32)

AMAL # 1332

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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)

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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

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Category # of Items 2/11

# of Items 2/12

# of Items with

Coverage 2/11

# of Items with

Coverage 2/12

% with Covera

ge 2/11

% with Coverage

2/12

Pharmacy 853 801 (-52) 630 604 (-1) 74% 75% (+1%)

Medical-Surgical

1,667 1,336 (-330)

1,335 965 (-370) 80% 72% (-8%)

Dental 529 508(-21) 442 385 (-57) 84% 76% (-8%)

X-Ray 22 21 (-1) 16 7 (-9) 73% 33% (-40%)

Ophthalmic 674 670 (-4) 184 119 (-65) 27% 18% (-9%)

Laboratory 408 246 (-162) 256 164 (-92) 63% 67% (+4%)

Other Medical

246 321 (+75) 168 187 (+19) 68% 58% (-8%)

Non -Medical

348 179 (-169) 37 24 (-13) 11% 13% (+2%)

Total 4,747 4,082 (-665)

3,068 2,455 (-613) 64% 60% (-4%)

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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 CASREPsPhased/Planned Life Cycle Replacement (Ship BMET/ISIC/TYCOM Tracks)

Shipboard equipment configuration management drives spare parts, tech manuals, preventative maintenance

Procurement executed by NAVMEDLOGCOMNew Medical Support Equipment

BUMED OPN Funded through NAVMEDLOGCOM (3 Year $)Requirements approved by Commander U.S. Fleet Forces Command

COMFIFTHFLT

CTF-51ESG

CTF-54Theater ASW

CTF-53Logistics

CTF-56Expeditionary Combat

CTF-57Maritime Patrol

CTF-58ConsequenceManagement

CTF-59Crisis Response

CTF-52Mine Warfare

CTF-55Surface Warfare

CTF-50CSG

CTF-IMIraqi Maritime

CTF-IMIraqi Maritime

Fleet Organization Example

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•Administration

•Master-At-Arms

•Medical

•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

•ALSS Bahrain

•FLS Jebel Ali

•FLS Fujairah

•FLS Djibouti

•FLS Al Minhad

•Commodities

•Expediting / MATCONOFF

•Ordnance

•HAZMAT Offload

•Logistics Plans

•Comptroller/Supply

COMLOGFORNAVCENT (CTF 53)

•Information Technology Systems

•Network

•Hardware/Software

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Fleet Organization Example (Cont.)

Theater-wide management

…Through TACON of all logistics support assets:

- CLF ships- Logistics aircraft- Forward logistics sites

Logistics scheduling AND executionare central to mission success

COMUSNAVCENT N4

COMLOGFORNAVCENT / CTF-53 COMSEALOGCENTLogistics plans and policy

Theater logistics execution…

Logistics Relationships (CENTCOM/5th Fleet)

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CTF-53REPLENISHMENT 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 LOCATION18010 IRP-STV BAR CLFNC/NRCC DUB18020 RAS-F FIF TIP SAG19020 RAS-F MON KNW NAG19030 CONSL-F TIP DFR JEB21030 CONSL-S TIP CLFNC/NRCC JEB22010 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”

Promulgate RAS SOE Promulgate RAS SOE

CTF-53 XX1500Z CTF-53 XX1500Z

Scheduling Replenishment at Sea (RAS) Events

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RAS Sustainment Process

Consolidation Event (12 Jul)

N5

Surface Routers

RAS Event (16 Jul)

RAS Event (17 Jul)

RAS Event (19 Jul)

Air Routers

N3

N4Requirements: HULL/FILL; DECKLOAD; Provisions; Ships store stock; Ordnance

PV

Replenishment SOE: 30 Days Out

PV Orders 12 days prior to CONSL NOT RAS event

LEGEND

Scheduling

Electronic Data

Material

Approx one week prior

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Operational Forces Support Primary Points of ContactName Position Phone

(301)619-XXXX

DSN 343- XXXX

Email

Rich Schlegel Director 3075 Richard.Schlegel@med.navy.mil

LCDR Shikina Tellis Deputy Director 3034 Shikina.tellis@med.navy.mil

Mark Weldon Fleet Health Services Support (HSS) Management Analyst 3116 Mark.Weldon@med.navy.mil

Rick McManis Equipment Support and Management Supervisor 3079 Richard.Mcmanis@med.navy.mil

Deniz Mackey Biomedical Engineer 3093 Deniz.Mackey@med.navy.mil

Ross Mackey Biomedical Engineer 6269 Ross.Mackey@med.navy.mil

Mike Correll ILS - CVN 7003 Michael.Correll@med.navy.mil

HMC(SW) John McGilvery BMET 8790 John.McGilvery@med.navy.mil

Cliff Dunlap ILS – L Decks 7007 Clifford.Dunlap@med.navy.mil

LCDR Janine Espinal AMAL/ADAL Mgt Supervisor 9336 Janine.Espinal@med.navy.mil

Mike Schomer AMAL/ADAL Mgt 7228 Michael.Schomer@med.navy.mil

HM1 (FMF) Daniel Quick AMAL/ADAL Technician 7117 Daniel.Quick@med.navy.mil

Katrina Letman AMAL/ADAL Mgt-IDC Platforms 9564 Katrina.Letman@med.navy.mil

Katrina Letman AMAL/ADAL Mgt- Expeditionary Warfare and MSC Platforms 9564 Katrina.Letman@med.navy.mil

Noel Bondoc Procurement Support Supervisor 3364 Noel.Bondoc@med.navy.mil

Franklin Ohaegbu Procurement Support (Non Ship Outfitting) 3427 Franklin.ohaegbu@med.navy.mil

Valerie Taylor Ship Outfitting 3076 Valerie.Taylor2@med.navy.mil

Charles Teague SERP 3077 Charles.Teague@med.navy.mil

Holly Melear Hospital Ship Procurement 7227 Holly.Melear@med.navy.mil

LS2 Michael Kick Ship Outfitting 8252 Michael.Kick@med.navy.mil