The

Committee of the Chiefs of Military Medical Services in NATO

COMEDS

Outline

New Requirements New Requirements

COMEDS Structures COMEDS Structures

COMEDS Mission & Function COMEDS Mission & Function

Current Examples Current Examples

11

22

33

44

Medical in Cold War Era

Operational

Theatre

Health

Risk

Preparation

Timelines

National

Responsibility

“Driving Factors”

Economic SituationEconomic Situation

Impact of GlobalizationImpact of Globalization

Politics and StrategyPolitics and Strategy

Health EnvironmentHealth Environment

“Medical Transformation”

Highly Mobile Expeditionary Forces

Reduced Logistic Footprint

Remote Locations

Short Notice

Health Risk

Preventive Med

PreparationForce Protection

Multinational Integration

Logistics

Medical

Background: Log & Med ?

• Med Intel

• Force Prot

• Med CIS

• Med CIMIC

• Spec care

• Med Plans

• Med Intel

• Force Prot

• Med CIS

• Med CIMIC

• Spec care

• Med Plans

• Deployment...RSOM

• Medical Supplies

• Transportation Strat. Aeromedevac

• Deployment...RSOM

• Medical Supplies

• Transportation Strat. Aeromedevac

COMEDS History

19681968 EUROMED EUROMED

2005/062005/06 COMEDS Reorganization

COMEDS Reorganization

19931993 COMEDS COMEDS

1949

1960

1970

2000

1980

1990

??????

NORTH ATLANTIC COUNCIL

DPC NPG

NORTH ATLANTIC COUNCIL

DPC NPG

ACO ACT

I S

I S

I M SI M SFora and

Agencies

Fora and

Agencies

Fora and

Agencies

Fora and

Agencies

MILITARY COMMITEE

MILITARY COMMITEE

Civilian Committees

Civilian Committees

Military Command Structure

Sec GenSec Gen

COMEDS COMEDS

MILITARYCIVIL

COMEDS Structure

NATO NationsNATO Nations

MDMD

Other Observers

Other Observers

NCSNCS

Chairman

PfP CountriesPfP Countries

2626

2323

77

55

44

COMEDS Mission

Enhance the overall military medical posture of the Alliance by :

Advising the Military Committee Advising the Military Committee

Acting as coordinating body Acting as coordinating body

COMEDS Function

• Report to/guidance from Military Committee

• Principles : MC326/2, AJP 4.10, Series of STANAGS and Allied Medical Publications

• Liaison with all relevant organizations

• Act as facilitator:

• Consensus between national med positions

• Balance medical needs in military framework

Standardization(Doctrine)

Standardization(Doctrine)

EXPERT Panels

COMEDS Organization

BIOMEDAC

IER

MedNDS

FHTVS

MP

MedCIS

EM

MTMPM

MMMP SGPME

MedicalCBRN

MedicalCBRN

OperationsProcedures

OperationsProcedures

HealthCare

HealthCare

COMEDS

MILITARY COMMITTEE

Main Working Groups

LEADERSHIP

Liaison OfficerLiaison Officer

SecretarySecretaryMilitary Medical Steering Group

COMEDS Expert Panels

IER

NAVAL

MPM

MedCIS

MT

EM

MMMP

DS

MP

SGPME

FHTVS

BioMedAC

Military Preventive Medicine

Medical Training

Emergency Medicine

Medical Material and Military Pharmacy

Dental Service

Food Hygiene Technology Veterinary Services

Military Psychiatry

Medical Communication and Information Systems

Standing Group Partners Medical Experts

Biological Medical Advisory Council

Medical Naval

Medical Information Exchange Requirements Function( )

Organisation of Work

COMEDSCOMEDSLevel 1

Vision & Objectives1

MMSGMMSG Level 2 Requirements

2

Expert Panels

Working Groups Level 3 Requirements

=

Program of Work

3

Vision & Objectives

4 Main Themes 8 Objective areas

Operational Environment (OE)

Professional Medical Development (PD)

Societal Influences (SI)

Efficency (EF)

• medical policy & doctrine

• sustainability of forces

• relation mil – civ IOs

•deployability of forces

• availability of forces

• medical command & control

• medical information systems

• interoperability with partner nations

Policy & Doctrine

Military CommitteeMilitary CommitteePOLICYPOLICY DOCTRINEDOCTRINE

Advisory Committee

Advisory Committee

Standardization Board

Standardization Board

Working GroupsWorking Groups

Expert PanelsExpert Panels

Working GroupsWorking Groups

Expert PanelsExpert Panels

Delegated Tasking Authorities

NSA

Military CommitteeMilitary Committee

MCMedSBMCMedSB

COMEDSCOMEDS

MCLSBMCMSB

MCASB

Working Groups

Expert PanelsExpert Panels

“Two-fold approach” at COMEDS

: MEDICAL Policy

: MEDICAL Standardization

MedStdWGMedCBRNMilHCMMSOP

MCJSBMCJSB

MM Steering GroupMM Steering Group