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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

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