DTIC ADA495434: How Should Air Force Expeditionary Medical Capabilities Be Expressed

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How Should Air Force Expeditionary Medical Capabilities Be
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Expressed?
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How Should Air
Force Expeditionary
Medical Capabilities
Be Expressed?
Don Snyder, Edward W. Chan, James J. Burks,
Mahyar A. Amouzegar, Adam C. Resnick
Prepared for the United States Air Force
Approved for public release; distribution unlimited
PROJECT AIR FORCE
The research described in this report was sponsored by the United States
Air Force under Contract FA7014-06-C-0001. Further information may
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Library of Congress Cataloging-in-Publication Data
How should air force expeditionary medical capabilities be expressed? / Don Snyder
... [et al.].
p. cm.
Includes bibliographical references.
ISBN 978-0-8330-4574-4 (pbk. : alk. paper)
1. United States. Air Force—Medical care—Mathematical models.
I. Snyder, Don.
UG983.H69 2009
358.4'13450973—dc22
2008054263
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Preface
The Air Force seeks to organize and measure its expeditionary medi-
cal support in ways that are effective across the mission areas: deployed
military support, humanitarian relief, and civil support. The challenge
has been to find a metric of such deployed capabilities that is more
suitable than the current measure, beds. The RAND Corporation was
asked by the Air Force Surgeon General to devise such a metric and to
develop a framework for applying it across all Air Force medical mis-
sion areas to reshape Air Force medical deployment capabilities. This
monograph presents the results of that work.
The research was completed in fiscal year 2007 under a project
entitled “Presenting Expeditionary Medical Capabilities.” The work
was sponsored by the Air Force Surgeon General and conducted within
the Resource Management Program of RAND Project AIR FORCE.
The monograph is intended to help the Air Force Medical Service
better quantify, measure, organize, and present its ability to deploy
medical support resources. It should be of interest to those working in
medical planning and programming, medical logistics, modernization,
and the assessment of capabilities and risks, both inside and outside the
Air Force Medical Service, as well as to those involved in the mission of
Defense Support to Civil Authorities.
RAND Project AIR FORCE
RAND Project AIR FORCE (PAF), a division of the RAND Cor-
poration, is the U.S. Air Force’s federally funded research and devel-
iii
iv How Should Air Force Expeditionary Medical Capabilities Be Expressed?
opment center for studies and analyses. PAF provides the Air Force
with independent analyses of policy alternatives affecting the devel-
opment, employment, combat readiness, and support of current and
future aerospace forces. Research is conducted in four programs: Force
Modernization and Employment; Manpower, Personnel, and Train-
ing; Resource Management; and Strategy and Doctrine.
Additional information about PAF is available at
http://www.rand.org/paf/
Contents
Preface ............................................................................. iii
Figures .............................................................................vii
Summary .......................................................................... ix
Acknowledgments ..............................................................xiii
Abbreviations .....................................................................xv
CHAPTER ONE
Introduction ....................................................................... 1
CHAPTER TWO
Air Force Medical Deployment Missions .................................... 5
The Mission to Support the Warfighter ......................................... 8
The HUMRO Mission ...........................................................10
The DSCA Mission ...............................................................11
Comparing and Contrasting the HUMRO and DSCA Missions ..........14
CHAPTER THREE
A New Concept for Air Force Medical Deployment Capabilities .......15
General Characteristics of the Mission Areas ..................................15
Supporting the Warfighter .....................................................15
The HUMRO and DSCA Missions ..........................................15
Common Environmental Elements Across Air Force Medical Missions ...17
Patient Influx ....................................................................17
Patient Outflow .................................................................18
A New Paradigm for Deployable Medical Capabilities ...................... 20
Observations on the Legacy Measure: Beds ................................ 20
v
vi How Should Air Force Expeditionary Medical Capabilities Be Expressed?
A New Measure of Capability: The Medical STEP Rate ................. 22
Using the STEP Rate Concept to Balance Capabilities and
Requirements .............................................................. 23
Creating Unit Type Codes to Support Medical STEP Rates ............. 26
CHAPTER FOUR
Summary and Conclusions ....................................................31
APPENDIX
Current Air Force Medical Deployment Capabilities .....................33
Bibliography ......................................................................39
Figures
2.1. Environment Surrounding a Deployed Medical Facility ............... 6
3.1. Schematic Depiction of Medical STEP Rates and Related
Capacities ....................................................................25
vii