Army Health System Command and Control Organizations

2010·5.5 MB·English

by  Department of the Army

FM 4-02.12

26 May 2010
Army Health System

Command and Control Organizations

DISTRIBUTION RESTRICTION: Approved for public release; distribution is unlimited.
Headquarters, Department of the Army
This publication is available at

Army Knowledge Online (www.us.army.mil) and

General Dennis J. Reimer Training and Doctrine

Digital Library at (www.train.army.mil).
*FM 4-02.12

Field Manual Headquarters
Department of the Army
No. 4-02.12
Washington, DC, 26 May 2010
Army Health System Command and
Control Organizations
Contents
Page
PREFACE ............................................................................................................. ix
Chapter 1 ARMY HEALTH SYSTEM IN ECHELONS ABOVE BRIGADE ........................ 1-1
Section I — Operational Environment ............................................................ 1-1
Threats ............................................................................................................... 1-1
Mitigation ............................................................................................................ 1-2
Operational Variables ......................................................................................... 1-3
Mission Variables ............................................................................................... 1-4
Section II — Introduction to the Army Health System in Echelons Above
Brigade .............................................................................................................. 1-4
System of Systems ............................................................................................. 1-4
Focus of the Army Health System ...................................................................... 1-5
Principles of the Army Health System ................................................................ 1-7
Army Medical Department Battlefield Rules ....................................................... 1-8
Health Threat ...................................................................................................... 1-9
Medical Intelligence ............................................................................................ 1-9
Section III — Medical Commander and the Command Surgeon ............... 1-10
Medical Commander ........................................................................................ 1-10
Command Surgeon .......................................................................................... 1-10
Standard of Care .............................................................................................. 1-13
Army Service Component Command Surgeon ................................................ 1-13
Corps Surgeon ................................................................................................. 1-14
Division Surgeon .............................................................................................. 1-15
Chapter 2 MEDICAL COMMAND (DEPLOYMENT SUPPORT) ........................................ 2-1
Section I — Headquarters and Headquarters Company, Medical
Command (Deployment Support) ................................................................... 2-1
Mission and Assignment .................................................................................... 2-1
Distribution Restriction: Approved for public release; distribution is unlimited.
*This publication supersedes FM 4-02.12 dated 2 February 2004.
i
Contents
Regional Focus ................................................................................................... 2-2
Capabilities and Limitations ................................................................................ 2-2
Organization and Functions ................................................................................ 2-3
Deputy Chief of Staff, Comptroller .................................................................... 2-25
Joint Augmentation ........................................................................................... 2-44
Section II — Medical Command (Deployment Support) (Operational
Command Post)............................................................................................... 2-45
Mission and Assignment ................................................................................... 2-45
Capabilities and Limitations .............................................................................. 2-45
Organization and Functions .............................................................................. 2-46
Section III — Medical Command (Deployment Support) (Main Command
Post) ................................................................................................................. 2-56
Mission and Assignment ................................................................................... 2-56
Capabilities and Limitations .............................................................................. 2-56
Organization and Functions .............................................................................. 2-57
Chapter 3 MEDICAL BRIGADE (SUPPORT) ..................................................................... 3-1
Section I — Headquarters and Headquarters Company, Medical Brigade
(Support) ............................................................................................................ 3-1
Mission and Assignment ..................................................................................... 3-1
Capabilities and Limitations ................................................................................ 3-1
Organization and Functions ................................................................................ 3-2
Coordination of Clinical Operations .................................................................. 3-22
Section II — Early Entry Module, Headquarters and Headquarters
Company, Medical Brigade (Support) ........................................................... 3-26
Mission and Assignment ................................................................................... 3-26
Capabilities and Limitations .............................................................................. 3-26
Organization and Functions .............................................................................. 3-27
Section III — Expansion Module, Headquarters and Headquarters
Company, Medical Brigade (Support) ........................................................... 3-31
Mission and Assignment ................................................................................... 3-31
Capabilities and Limitations .............................................................................. 3-31
Organization and Functions .............................................................................. 3-32
Section IV — Campaign Module, Headquarters and Headquarters
Company, Medical Brigade (Support) ........................................................... 3-36
Mission and Assignment ................................................................................... 3-36
Capabilities and Limitations .............................................................................. 3-37
Organization and Functions .............................................................................. 3-37
Chapter 4 MEDICAL BATTALION (MULTIFUNCTIONAL) ................................................ 4-1
Section I — Headquarters and Headquarters Company, Medical
Battalion (Multifunctional) ................................................................................ 4-1
Mission and Assignment ..................................................................................... 4-1
Capabilities and Limitations ................................................................................ 4-2
Organization and Functions ................................................................................ 4-3
Section II — Headquarters and Headquarters Company, Medical
Battalion (Multifunctional), Early Entry Element ......................................... 4-20
Mission and Assignment ................................................................................... 4-20
Capabilities and Limitations .............................................................................. 4-20
ii FM 4-02.12 26 May 2010
Contents
Organization and Functions ............................................................................. 4-21
Section III — Headquarters and Headquarters Company, Medical
Battalion (Multifunctional), Campaign Support Element ........................... 4-26
Mission and Assignment .................................................................................. 4-26
Capabilities and Limitations .............................................................................. 4-26
Organization and Functions ............................................................................. 4-27
Chapter 5 ARMY HEALTH SYSTEM OPERATIONS ........................................................ 5-1
Section I — Operational Themes .................................................................... 5-1
Character of the Operation ................................................................................. 5-1
Section II — Army Medical Department Command and Control
Operations ......................................................................................................... 5-5
Section III — Offense ...................................................................................... 5-11
Offensive Operations ........................................................................................ 5-11
Army Health System Support to the Offense ................................................... 5-12
Section IV — Defense..................................................................................... 5-13
Defensive Operations ....................................................................................... 5-13
Army Health System Support to the Defense .................................................. 5-14
Section V — Stability Operations ................................................................. 5-14
Army Health System Support to Stability Operations ....................................... 5-15
Section VI — Civil Support Operations ........................................................ 5-15
Civil Support Operations .................................................................................. 5-15
Section VII — Expeditionary and Campaign-Quality Medical Operations 5-18
Expeditionary Medical Operations .................................................................... 5-19
campaign-Quality Medical Operations ............................................................. 5-20
Section VIII — Enemy Prisoner of War and/or Detainee Medical Care
Operations ....................................................................................................... 5-21
Appendix A ELIGIBILITY DETERMINATION FOR MEDICAL/DENTAL CARE .................. A-1
Appendix B COMMAND POST OPERATIONS ..................................................................... B-1
Appendix C MEDICAL UNITS WHICH MAY BE ASSIGNED OR ATTACHED TO A MEDICAL
COMMAND (DEPLOYMENT SUPPORT), MEDICAL BRIGADE (SUPPORT), OR
MEDICAL BATTALION (MULTIFUNCTIONAL) ............................................... C-1
Appendix D PLANNING CONSIDERATIONS FOR JOINT AND MULTINATIONAL
OPERATIONS .................................................................................................... D-1
GLOSSARY .......................................................................................... Glossary-1
REFERENCES .................................................................................. References-1
INDEX .......................................................................................................... Index-1

Figures
Figure 1-1. Threats and medical capabilities ........................................................................ 1-3
Figure 1-2. The Army Health System—a system of systems ............................................... 1-5
Figure 2-1. Medical command (deployment support) coordinating staff ............................... 2-4
Figure 2-2. Medical command (deployment support) special and personal staffs ............... 2-5
26 May 2010 FM 4-02.12 iii
Contents
Figure 4-1. The multifunctional medical battalion ................................................................. 4-2
Figure 5-1. Integrated Military Health System ...................................................................... 5-7
Figure 5-2. Army Medical Department command and control organizations for
support to the modular force ............................................................................ 5-10

Tables
Table 1-1. Health threat ........................................................................................................ 1-9
Table 2-1. Command section ................................................................................................ 2-5
Table 2-1. Command section (continued) ............................................................................. 2-6
Table 2-2. Chief of staff section ............................................................................................ 2-7
Table 2-3. Deputy chief of staff, personnel ........................................................................... 2-8
Table 2-4. Personnel management/actions ........................................................................ 2-10
Table 2-5. Deputy chief of staff, security/plans/operations ................................................. 2-11
Table 2-6. Current operations branch ................................................................................. 2-12
Table 2-7. Plans branch ...................................................................................................... 2-13
Table 2-8. Intelligence/operations branch G-2/G-3 ............................................................ 2-14
Table 2-9. Theater patient movement center ...................................................................... 2-16
Table 2-10. Deputy chief of staff, logistics .......................................................................... 2-17
Table 2-11. Medical logistics support section ..................................................................... 2-19
Table 2-12. Civil affairs section ........................................................................................... 2-22
Table 2-13. Deputy chief of staff, information management ............................................... 2-23
Table 2-14. Deputy chief of staff, comptroller ..................................................................... 2-26
Table 2-15. Clinical services ............................................................................................... 2-28
Table 2-16. Dental services ................................................................................................ 2-31
Table 2-17. Veterinary services .......................................................................................... 2-32
Table 2-18. Nutrition care services ..................................................................................... 2-32
Table 2-19. Chief nurse ...................................................................................................... 2-33
Table 2-20. Preventive medicine section ............................................................................ 2-34
Table 2-21. Inspector general section ................................................................................ 2-36
Table 2-22. Public affairs section ........................................................................................ 2-37
Table 2-23. Staff judge advocate ........................................................................................ 2-38
Table 2-24. Company headquarters ................................................................................... 2-40
Table 2-24. Company headquarters (continued) ................................................................ 2-41
Table 2-25. Unit ministry team ............................................................................................ 2-44
Table 2-26. Command section element (operational command post) ................................ 2-46
Table 2-26. Command section element (operational command post) (continued) ............ 2-47
Table 2-27. Chief of staff section element (operational command post) ............................ 2-47
Table 2-28. Deputy chief of staff, personnel section element (operational command
post) .................................................................................................................. 2-47
Table 2-29. Personnel management/actions element (operational command post) .......... 2-48
iv FM 4-02.12 26 May 2010
Contents
Table 2-30. Current operations branch element (operational command post) ................... 2-48
Table 2-31. Plans branch element (operational command post) ........................................ 2-49
Table 2-32. Intelligence/operations G-2/G-3 element (operational command post) ........... 2-49
Table 2-33. Theater patient movement center element (operational command post) ........ 2-50
Table 2-34. Deputy chief of staff, logistics section element (operational command
post) .................................................................................................................. 2-50
Table 2-35. Medical logistics support section element (operational command post) ......... 2-51
Table 2-36. Civil affairs section element (operational command post) ............................... 2-51
Table 2-37. Deputy chief of staff, information management element (operational
command post) ................................................................................................. 2-52
Table 2-38. Deputy chief of staff, comptroller element (operational command post) ......... 2-52
Table 2-39. Clinical services element (operational command post) ................................... 2-53
Table 2-40. Veterinary services element (operational command post) .............................. 2-53
Table 2-41. Preventive medicine element (operational command post) ............................. 2-54
Table 2-42. Inspector general section element (operational command post) ..................... 2-54
Table 2-43. Public affairs section element (operational command post) ............................ 2-54
Table 2-44. Staff judge advocate element (operational command post) ............................ 2-55
Table 2-45. Company headquarters element (operational command post) ....................... 2-55
Table 2-45. Company headquarters element (operational command post)
(continued) ........................................................................................................ 2-56
Table 2-46. Unit ministry team element (operational command post) ................................ 2-56
Table 2-47. Command section element (main command post) .......................................... 2-57
Table 2-47. Command section element (main command post) (continued) ....................... 2-58
Table 2-48. Chief of staff section element (main command post) ....................................... 2-58
Table 2-49. Deputy chief of staff, personnel element (main command post) ..................... 2-59
Table 2-50. Personnel management/actions element (main command post) .................... 2-59
Table 2-51. Deputy chief of staff, security/plans/operations G-2/G-3 element (main
command post) ................................................................................................. 2-60
Table 2-52. Current operations branch element (main command post) ............................. 2-60
Table 2-53. Plans branch element (main command post) .................................................. 2-60
Table 2-54. Intelligence/operations G-2/G-3 element (main command post) ..................... 2-61
Table 2-55. Theater patient movement center element (main command post) .................. 2-61
Table 2-56. Chief of staff, logistics element (main command post) .................................... 2-61
Table 2-56. Chief of staff, logistics element (main command post) (continued) ................. 2-62
Table 2-57. Medical logistics support section element (main command post) ................... 2-62
Table 2-58. Civil affairs section element (main command post) ......................................... 2-63
Table 2-59. Deputy chief of staff, information management element (main command
post) .................................................................................................................. 2-63
Table 2-60. Deputy chief of staff, comptroller element (main command post) ................... 2-64
Table 2-61. Clinical services element (main command post) ............................................. 2-64
Table 2-61. Clinical services element (main command post) (continued) .......................... 2-65
Table 2-62. Dental services element (main command post) ............................................... 2-65
Table 2-63. Nutrition care element (main command post) .................................................. 2-65
26 May 2010 FM 4-02.12 v
Contents
Table 2-64. Chief nurse element (main command post) .................................................... 2-66
Table 2-65. Preventive medicine section element (main command post) .......................... 2-66
Table 2-66. Inspector general section element (main command post) .............................. 2-66
Table 2-67. Public affairs section element (main command post) ...................................... 2-67
Table 2-68. Staff judge advocate element (main command post) ...................................... 2-67
Table 2-69. Company headquarters element (main command post) ................................. 2-68
Table 2-70. Unit ministry team element (main command post) .......................................... 2-69
Table 3-1. Command section ................................................................................................ 3-2
Table 3-2. S-1 section ........................................................................................................... 3-4
Table 3-3. S-2 section ........................................................................................................... 3-5
Table 3-4. S-3 section ........................................................................................................... 3-6
Table 3-5. S-3 operations branch ......................................................................................... 3-7
Table 3-6. S-3 plans branch .................................................................................................. 3-8
Table 3-7. Intratheater patient movement center .................................................................. 3-9
Table 3-8. S-4 section ......................................................................................................... 3-11
Table 3-9. S-4 logistics operations branch ......................................................................... 3-12
Table 3-10. S-4 logistics plans branch ................................................................................ 3-13
Table 3-11. S-6 section ....................................................................................................... 3-14
Table 3-12. S-9 section ....................................................................................................... 3-15
Table 3-13. Clinical operations section ............................................................................... 3-16
Table 3-14. Command judge advocate section .................................................................. 3-19
Table 3-15. Company headquarters ................................................................................... 3-20
Table 3-16. Unit ministry team ............................................................................................ 3-22
Table 3-17. S-1 section (early entry module) ...................................................................... 3-27
Table 3-18. S-2 section (early entry module) ...................................................................... 3-27
Table 3-19. S-3 section (early entry module) ...................................................................... 3-28
Table 3-20. S-3 operations branch (early entry module) .................................................... 3-28
Table 3-21. S-3 plans branch (early entry module) ............................................................ 3-29
Table 3-22. Intratheater patient movement center (early entry module) ............................ 3-29
Table 3-23. S-4 section (early entry module) ...................................................................... 3-29
Table 3-24. S-6 section (early entry module) ...................................................................... 3-30
Table 3-25. S-9 section (early entry module) ...................................................................... 3-30
Table 3-26. Clinical operations section (early entry module).............................................. 3-31
Table 3-27. Company headquarters (early entry module) .................................................. 3-31
Table 3-28. Command section (expansion module) ........................................................... 3-32
Table 3-29. S-2 section (expansion module) ...................................................................... 3-33
Table 3-30. S-3 section (expansion module) ...................................................................... 3-33
Table 3-31. S-3 operations branch (expansion module) .................................................... 3-33
Table 3-32. S-3 plans branch (expansion module) ............................................................. 3-34
Table 3-33. S-3 patient movement branch (expansion module) ........................................ 3-34
Table 3-34. S-4 section (expansion module) ...................................................................... 3-34
vi FM 4-02.12 26 May 2010
Contents
Table 3-35. S-4 logistics operations branch (expansion module) ....................................... 3-35
Table 3-36. S-4 logistics plans branch (expansion module) ............................................... 3-35
Table 3-37. S-6 section (expansion module) ...................................................................... 3-35
Table 3-38. Clinical operations section (expansion module) .............................................. 3-36
Table 3-39. Company headquarters (expansion module) ................................................... 3-36
Table 3-40. Command section (campaign module) ............................................................ 3-37
Table 3-41. S-1 section (campaign module) ....................................................................... 3-38
Table 3-42. S-2 section (campaign module) ....................................................................... 3-38
Table 3-43. S-3 operations branch (campaign module) ...................................................... 3-38
Table 3-44. S-3 plans branch (campaign module) .............................................................. 3-39
Table 3-45. S-3 patient movement branch (campaign module) .......................................... 3-39
Table 3-46. S-4 section (campaign module) ....................................................................... 3-39
Table 3-47. S-4 logistics plans branch (campaign module) ................................................ 3-40
Table 3-48. S-6 section (campaign module) ....................................................................... 3-40
Table 3-49. Clinical operations section (campaign module) ............................................... 3-40
Table 3-50. Command judge advocate section (campaign module) .................................. 3-41
Table 3-51. Company headquarters (campaign module) ................................................... 3-41
Table 3-52. Unit ministry team (campaign module) ............................................................ 3-42
Table 4-1. Battalion command section .................................................................................. 4-4
Table 4-2. S-1 section ........................................................................................................... 4-5
Table 4-3. S-2/S-3 section ..................................................................................................... 4-6
Table 4-4. S-4 section ........................................................................................................... 4-8
Table 4-5. Force health protection operations section .......................................................... 4-8
Table 4-6. Medical logistics section ....................................................................................... 4-9
Table 4-7. Medical operations section ................................................................................ 4-11
Table 4-8. Preventive medicine section .............................................................................. 4-13
Table 4-9. Mental health section ......................................................................................... 4-14
Table 4-10. S-6 section ....................................................................................................... 4-15
Table 4-11. Detachment headquarters ............................................................................... 4-16
Table 4-12. Battalion maintenance section ......................................................................... 4-18
Table 4-13. Unit ministry team ............................................................................................ 4-19
Table 4-14. Battalion command section (early entry element) ............................................ 4-21
Table 4-15. S-1 section (early entry element) ..................................................................... 4-21
Table 4-16. S-2/S-3 section (early entry element) .............................................................. 4-22
Table 4-17. S-4 section (early entry element) ..................................................................... 4-22
Table 4-18. Force health protection operations (early entry element) ................................ 4-23
Table 4-19. Medical logistics section (early entry element) ................................................ 4-23
Table 4-20. Medical operations section (early entry element) ............................................ 4-24
Table 4-21. Preventive medicine section (early entry element) .......................................... 4-24
Table 4-22. Mental health section (early entry element) ..................................................... 4-24
Table 4-23. S-6 section (early entry element) ..................................................................... 4-25
26 May 2010 FM 4-02.12 vii
Contents
Table 4-24. Detachment headquarters (early entry element) ............................................. 4-25
Table 4-25. Battalion maintenance section (early entry element) ...................................... 4-26
Table 4-26. Battalion command section (campaign support element) ............................... 4-27
Table 4-27. S-1 section (campaign support element) ......................................................... 4-27
Table 4-28. S-2/S-3 section (campaign support element) .................................................. 4-28
Table 4-29. S-4 section (campaign support element) ......................................................... 4-28
Table 4-30. Force health protection operations (campaign support element) .................... 4-28
Table 4-31. Medical logistics section (campaign support element) .................................... 4-29
Table 4-32. Medical operations section (campaign support element) ................................ 4-29
Table 4-33. Preventive medicine section (campaign support element) .............................. 4-30
Table 4-34. Mental health section (campaign support element) ........................................ 4-30
Table 4-35. S-6 section (campaign support element) ......................................................... 4-30
Table 4-36. Detachment headquarters (campaign support element) ................................. 4-31
Table 4-37. Battalion maintenance section (campaign support element) .......................... 4-31
Table 4-38. Unit ministry team (campaign support element) .............................................. 4-31
Table 5-1. Offensive operations—primary tasks, purposes, and key medical
considerations .................................................................................................. 5-12
Table 5-2. Defensive operations—primary tasks, purposes, and key medical
considerations .................................................................................................. 5-13
Table 5-3. Stability operations—primary tasks, purposes, and key medical
considerations .................................................................................................. 5-14
Table 5-4. Civil support operations—primary tasks, purposes, and key medical
considerations .................................................................................................. 5-16
Table A-1. Sample eligibility for medical/dental care support matrix .................................... A-2
Table A-1. Sample eligibility for medical/dental care support matrix (continued) ................. A-3
Table A-1. Sample eligibility for medical/dental care support matrix (continued) ................. A-4
Table A-1. Sample eligibility for medical/dental care support matrix (continued) ................. A-5
Table B-1. Sample report submission schedule ................................................................... B-2
Table C-1. Medical Reengineering Initiative units ................................................................ C-1
Table C-1. Medical Reengineering Initiative units (continued) ............................................. C-2
Table C-2. Medical Force 2000 units .................................................................................... C-3
Table C-2. Medical Force 2000 units (continued) ................................................................. C-4
Table C-3. Units designed to support the Modular Army ...................................................... C-5
viii FM 4-02.12 26 May 2010