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.
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Naval Operational Forces Afloat Medical Logistics Overview Rich Schlegel Naval Medical Logistics Command Director, Operational Forces Support 05-06 June.
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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
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