NAVY MEDICINE Vol. 89, No. 3 May-June 1998

32 Pages·1998·9.1 MB·English

by  U.S. Navy. Bureau of Medicine and Surgery

NAVY MEDICINE
May-June 1998
Hospital
Corps
1898-1998
A
Century
of
Tradition,
Valor,
and
Sacrifice
SurgeoaG.....rofaelfnJ NA VYMEDICINE
Chief, BUMED
VADM Harold M. KCJelli& MC. USN
Vol. 89, No. 3
Deputy Cllief, BUMED May-June 1998
RADM S. Todd Fisher. MSC, USN
Chief, Medical Corpl
RADM Bonnie B. Poaer, MC, USlfi Readiness Reengineering
1 First Fleet Hospital Training Set at Naval Hospital Camp Lejeune
Editor CAPT D. Arthur, MC, USN
Jan Kenneth Herman
5 Hardwiring Navy Medicine for Readiness
Aaistaat Edlter LCDR K. Magnusson, MSC, USN
Virginia M. NoviDsld
7 WhatAbouttheDollars?
Editorial Aulstut LCDR A. Whitmeyer, MSC, USN
Nancy R. Keesee
Features
til.,.....
N.4V1 UEDICIIIE. VGI ft No.3 (ISSN IBJ.IZII 9 Convalescent Leave Guidelines: Successful Application in
USPS 316-070) II ....... ...._..., 1111J
--f!l ... ,..., ..._ f!l ........ ...., General Surgery
(MED 0911), W. ....... DC 21J72..a0 ...... CDR HA. Brings, MC, USN
po~~~~p plid ll ........... DC
I'OS1MAS'ml: ................. ..,.. .... LT J.S. Amos, NC, USN
c-.
a-ofMediciM...t~ A1'1N:...,. CDR J.A. Perciballi, MC, USN
2300 E Sbee1 NW. W. ......... DC »372-5-
POI.JCV N...,~ .....G IIcillraUinfa el CAPT R. C. Dwyer, MC, USNR
lbeNftyM11dic31 ~ ............. .....
LCDR J.P. Flint, MC, USNR
-t~iC,ID. r-_eellllMa..p 1.0 atJHcadai.c.i.Jl.iel.., ld.il_nilii.ll_irJJ,. N.. ._f.J.,J.. ..·....·....·... .·. ..~... LCDR B. Au.ffarth, MC, USNR
do nat~ ......... Gllicinl ....... , .. CAPT C. Harris, MC, USNR
Dcpmna...a,a, .d.le Nrn.¥,J_ ..... ......... ....., ,. .. ......... .... ..,..
s.pry,. .
Trnde-_ ... far ....e &cFOall aely ...tdDMI 12 The U.S. Navy Hospital Corps: A Century of Tradition, Valor, and
.le.p.iW.C.I.II.a ........I I.E. ..b.y.. .... D.i.p.ln.l .I. l.f.!l.. ...l fMoJ
ardie a.-rJIMedic:iiiF ...tlqiRJ ~,_, Sacrifice
~rnaycillaratn~:tha......,.....,llr HMCS(FMF) MT Hacala, USNR
aane..., nil,..._.. ..... ._
DISniBt1I10N N, ~ • ..i t: I 1. .
Medial Derwl In Memoriam
dlnl Navy Ditlrillllriw Lill. 'l1le fallowilaa ..F •I F in
.......ued: - capyllr.cli Medial. o.Jnl,lllflllllll 27 RADM W.M. Lukash, MC, USN (Ret.)
Medial.,..._ ................ ....
Scrvic:c, .... ,._ Carpn oliclr, - capyllr .....
Cllbllld
-arclea-.IM_..fllnlollollcdn~l_..__.._. . . 28 Naval Medical Research and Development Command Highlights
r-.ded 10 N,~win ...
N.4V1 MEDICINE IS .......... ha ..........
r.ds by adlarily flldie a.-CIOIIilicille...t....., A Look Back
·-dlucewidtNfty~-Prinllinl ......
.._ P..35 n. Seaelary flldie Navy.. .... 29 Navy Medicine 1946
I '
dill tllis pablic:na .. • _, a 1M 1r dr el
--eeqaindbylnwfliiM.,..._fll. .. ..,
F..clst'arprinrillallliiJillllllt. ...l lnft._.. ......... .,
lbe Navy PliNK--........ Ncy c
I
Articles. ..................... ..,. . frrwnllnll
to die Edilur. N'"! ,..,._ a.-fiiMidicirlt ..
Sarpry,ATJN· MED09H,2300ESbeeiNW, W. ......
IIIII. DC 20372·5300 T.,._ (Aiea Celllll2) 'JIG. COVER: Wearing his full field kit and toting a stretcher, a Navy hospital
3244, 762-3241, DSN 762-3244, 762-3241 ~
bOa &a. dlefitld_..._. ............... corpsman posed for his World War II portrait at the Medical Field Service
............ lllbjlclto. .................... ... School, Camp Lejeune, NC. Story begins on page 12. The Abbott Collection,
Far Ale by die s.p. II 1 I f!IDII ~ •-· U.S.
Gcnaw Prillita Ollice. W........, DC :am. Naval Historical Center.
NAV MED P-5011
First Fleet Hospital Training Set
At
Naval Hospital Camp Lejeune
CAPT Don Arthur, MC, USN
Naval Hospital Camp Lejeune, NC, in the Navy's doctrinal concept of hospital subset called a Navy Expedi
is one of six military medical overseas theater support. Designed to tionary Medical Support System
treatmentfaci Ii ties whose primary mis provide definitive care to maximize (NEMSS) can be deployed in support
sion is direct support to a fleet hospital. return to duty of combat personnel, of peacetime military missions, low
Fleet hospitals are primarily tasked these hospitals can be deployed and intensity conflicts, disaster relief, and
with providing comprehensive medical assembled in any global location or other humanitarian actions. These
support in the com bat zone to the fleet climate and be essentially self-support highly mobile facilities are configured
and the Fleet Marine Forces engaged in ing for 60 days. to meet the needs of the expected
combat. They complement and ex A secondary mission has recently mission and are better suited to hu
pand existent afloat medical capabi li emerged. By tailoring the size and manitarian care than casualty resusci
ties oft he fleet and play a critical role configuration, a small modular fleet tation and injury treatment.
May.June 1998
E_pkelon~~ofCqmbat--CasuaJ(JffCantl!
I I
SELF/BUDDY MEDICAL FLEET FIXED
CARE BATTALION HOSPITAL FACILITY
I.
~
INCREASING TREATMENT SOPHISTICATION
Figure 1
Concept of Operations occupies 22 acres. It takes an entire diothoracic surgeons, oral surgeons,
Battlefield care is traditionally de container ship to transport its 500 ISO critical care nurses, and many techn i
scribed using "echelons" of care (see containers weighing over 17,000tons. cian ratings. Several nonmedical of
Figure 1). Thefirstandmostbasiclevel When fully operational, 75,000 gallons ficer specialties and enlisted ratings
is selfo r buddy aid in the field. Second of water and 8,500 gallons of fuel are must also be acquired from other com
echelon care, provided to Marines in consumed each day! As these supplies mands.
the field by their medical battalions, is are consumed, they generate 75,000
resuscitative in nature and meant to gallons of sewage, 18,000 pounds of Traditional Training
stab iI ize the casualty unti I transported trash, and I ,000 pounds of medical Training fleet hospital personnel is a
to more definitive care. waste each day! That is quite a chal challenge. The Fleet Hospital Opera
At an echelon III facility such as a lenge for our engineers. tions and Training Command (FHOTC)
fleet hospital, definitive care can be The staff of nearly one thousand is has primary responsibility for ensuring
provided, returning Marines to combat composed of 73 8 medical personnel training through a two-phased training
duty without ever leaving the combat and 240 nonmedical staff, including plan. Phase I training (which all staff
zone. Other echelon III facilities in the many members of the assigned Con must complete) provides classroom
combat zone include the hospital ships struction Battalion (Seabees). Only435 instruction in fleet hospital concepts of
(TA H) and casualty receiving and treat of these staff, including the core staff operation. Topics include the Law of
ment ships (CRTS). For those whose and command elements, are stationed Armed Conflict, fleet hospital mis
injuries are too severe to anticipate at Naval Hospital Camp Lejeune. The sion and capabilities, casualty triage
immediate return to duty, their care can remaining staffa re stationed at 10 other and patient flow, field assembly, com
be continued at an echelon IV (over facilities. munications, sanitation, security, and
seas fixed medical facilities)orechelon Naval Hospital Camp Lejeune is not aeromedical evacuation.
V (CONUS) medical treatment facil designed to support all medical special Phase II training is field-based and
ity. ties required by a fully functional fleet provides a realistic representation of
Fleet Hospital Camp Lejeune is typi hospital, lacking, for example, emer the operational m iI ieu. On completion
cal of other 500-bed facilities. It is gency and family medicine specialists, ofthistraining, staffareableto config
composed of 430 tent sections and neurosurgeons, plastic surgeons, car- ure, assemble, and disassemble a fleet
2 NAVY MEDICINE
hospital facility, demonstrate safety other services. The facility will be self
I
and security procedures, establish and sufficient, with its own water, sewer, Fleet Hospital
operate a functional facility, and pro and power-generating facilities.
Clinical Services
vide medical care and base support
functions during a simulated (and very Training 0 b j ectives Critical Care Medicine
realistic) casualty exercise. We will train ourstaffas well as the Clinical Pharmacology
staff of other commands which sup Dennatology
New Training Concept port fleet hospital platforms. Camp Emergency Medicine
During Desert Shield/Storm and Lejeune's fleet hospital will be staffed Environmental Health
every fleet hospital deployment in by medical and other personnel from
Family Medicine
recent history, the same "Lesson this and I 0 other military treatment
General Dentistry
Learned" has been echoed: the staff facilities. Regardless oft he location of
General Surgery
were not adequately familiar with the their parent command, they will all
Internal Medicine
medical equipment in these field facili need trainingonthisequipmentand in
Neurology
ties. Unlike the equipment found in a field environment.
Neurosurgery
most fixed hospitals, field equipment is Fleet hospital clinical services in
more austere and compact, occasion clude those listed in Figure 2. Each of Nursing Specialties
ally lacking some convenience fea these specialty areas has its own train Nursing Specialties
tures. Most hospital-based medical ing requirements. In contrast to fixed Nutrition Management
equipment is so specialized in design facility operation, one ofthe fleet hos Obstetrics & Gynecology
that intensive training is needed to use pital training challenges is to use the Ophthalmology
it effectively. The same is true of the same or similarequipmentfor several
Optometry
equipment in the fleet hospital inven specialties. This creates an additional
Oral Surgery
tory. requirement to have the right equip
Orthopedic Surgery
Phase I and Phase II training pre ment available when needed. Equip
Otolaryngology
pares the staff to effectively set up a ment fam iI iarity and competence is the
Pediatrics
field facility and perform the functions goal of training. Curricula are being
Physical Therapy
tested by the casualty exercise. How developed by our reserve and active
ever, since medical equipment famil duty education specialists to standard Plastic Surgery
iarization is not part oft his traditional ize the training in each area. These Podiatry
training, another training medium has curricula will be exported toothertrain Preventive Medicine
been designed. ing sets as they are developed. Psychiatry
The new Fleet Hospital Training Set Training will involve actual patient
Psychology
is the response to this need. This 100- care, including casualty management,
Urology i
bed fleet hospital facility, constructed as part ofo ngoing military exercises. i
on the grounds oft he Naval Hospital, Several exercises are already sched
wi II be fully fitted with all the medical uled with local Marine Corps and Army
Figure 2
supplies and equipment used during units. Field units will funnel "casual
deployments. The Deployable Medi ties" who have already received ech
cal Systems (DEPMEDS) equipment elon I or II field management. They will mirror an operational setting and to
is not only used by fleet hospitals but be treated and medically regulated facilitate training and patient flow
also by the medical battalions and many through the fleet hospital training facil since the facility will be used for actual
echelon II and III Army and Air Force ity-just as they would in combat. As patient care. The casualty receiving
field medical platforms. They all can the Marines do so well, we will train area in the right tent section will be the
benefit from the training offered here. as we fight. most frequently used patient access
Each clinical and support area will point. Since orthopedic injuries will be
be fully functional, includinganoper The Facility most common, a special orthopedic
ating room, surgical ward and recovery The various components ofthe train treatment area has been established
area, full radiology and laboratory ser ingfacilityaredepicted inFigure3. The adjacentto the casualty receiving area.
vices, blood bank, pharmacy, and many layout has been carefully designed to Laboratory and X-ray services are lo-
May-June 1998 3
section. These provide general utility
functions for the staff, including toilet,
Naval Hospital Camp Lejeune
shower, and other personal hygiene
facilities. Not depicted in the diagram
are the maze of power, sewer, and
GENERATORS water lines running above and below
ground supplying the vital utilities
I
SURGICAL which bring life to this facility.
SUPPLY
The choice of location was quite
I I
f- intentional. The proximity to the fixed
OPERATING I--- XRAY
ROOM 1---- !Ciljl C~ll f- CSR* m i Ii tary treatment facility Uust a hun
r"-trl~- I I dred yards from the emergency depart
-< m '-----
ment) was chosen to be most conve
MUM*~ ANCILLARY I- nient for hospital staff to maximize
SERVICES 1-- LAB training opportunities, as well as expe
ANESTHESIA
dite maintenance and repair of the
PREPARATION
AREA equipment and tentage, and simplify
patient flow. Readiness is our primary
mission.
ACUTE
CARE
WARD
Reserve Integration
PHARMACY
We are fortunate to have many
affi Ii ated reserve units with extensive
SURGICAL CASUALTY experience in fleet hospital operations,
RECOVERY COMMAND SUITE RECIEVING including Desert Shield/Storm deploy
AREA
PATIENT ment. Reserve personnel ofa ll offi~.;~r
ADMINISTRATION
corps and enlisted ratings will have
INTENSIVE OPERATIONS =
CARE UNIT DEPARTMENT *CSR Central Sterile Resupply assigned duties with the Fleet Hospital
*MUM =Mobile Utility Module
Training Set, including initial set up and
curriculum development, as well as
Figure 3 ongoing training.
Special Thanks to ...
cated next along the treatment con patient moves to the recovery ward The concept of a Fleet Hospital
tinuum to provide a smooth path for after surgery. Postoperative patients Training Set was born in the minds of
evaluation of patients bound for the are moved through the acute care ward those who care about our readiness
surgical suite. to the nearby surgical recovery area and who take seriously the lessons of
Surgical patients then transition to and intensive care unit. These special those who have struggled with an
the center tent section where they can ized critical care areas are located at the imperfect system. These include
be prepared for surgery in the anesthe end oft he left tent section to eliminate RADMHarold (Ed) Phillips (N-931),
sia preparation area. The operating traffic in the most clinically demanding RADMJoan Engel (MED-02), RADM
room (surgical suite) is separated from portion oftheclinical continuum. Once William Snell (MED-05), and CAPT
the tent sections in a specially designed patients have been stabilized or recov Gerald Baker (MED-56). Their vi
expandable container in which surgical ered from surgery, they can be easily sion, perseverance, and attention to
sterility can be ensured. Surgical sup moved to the acute care ward where detail have converted an ambitious
plies and sterilization equipment are they will normally remain until dis concept into reality! 0
located nearby. charged or transported elsewhere for
The pharmacy area conveniently further care.
dispenses surgical premedication as Mobile Utility Modules (MUMs)
Dr. Arthur is Commanding Officer, Naval
well as postoperative medication as the are located adjacentto each major tent Hospital Camp Lejeune, NC.
4 NAVY MEDICINE
Readiness Reengineering
Hardwiring Navy Medicine
for
Readiness
LCDR Kevin Magnusson, MSC, USN
Navy medicine's Readiness Re of the article). A UIC identifies an element or component of a command, an
alignment has presented numer Activity Code groups UICs into a command, and aB illet Sequence Code (BSC)
ous challenges. Many oft hese involve identifies where within the structure oft he command (i.e., directorate, depart
Navy manpower and personnel sys ment, division) a billet is located. The UIC/BSC combination identifies the exact
tems. These systems are used to pro b iII et detai Ie rs write orders against.
vide personnel orders and derive train Component UICs are not new-we use them all the time. To illustrate, lets
ing, promotion, and accession plans. look at an officer and an enlisted billet at BRMCL NAS Miramar:
Navy systems, such as the Total Force
Manpower Management System Command Title Acty Code VIC BSC Billet Title
NMC San Diego, CA 4170003100 00259
(TFMMS), are critical budgeting tools.
BRMCL NAS Miramar, CA 4170003150 32547 90400 Pharmacist
They are the official source for billet
90420 Surface Force IDC
and personnel information. To com
plete our reengineeringjourney, these A pharmacistfillingtheBRMCLNASMiramar billetwould be ordered into
information systems must work for us UIC 32547 against BSC 90400. The Activity Code tells us that BRMCL NAS
and not against us. Miramar is a component of its parent, NMC San Diego.
The Critical Question: How do we This is how things have worked in the past. Now let's get an understanding
use current systems to support readi of how things are going to work in the future-how Navy medicine will be
ness reengineering?The Answer: com "hardwired" to meetthe readiness mission.
ponent Unit Identification Codes The Total Health Care Support Readiness Requirements (THCSRR) model
(UICs). identifies mobilization requirements. At present, personnel are assigned to meet
Before we begin, let me provide platform requirements using the Standard Personnel Management System
you some very basic definitions (the (SPMS). Unfortunately, SPMS is a Navy medicine system and does not interface
more detailed, "officiai"OPNAVINST with other Navy manpower or personnel systems: it is invisible to the fleet and
1000.16 series definitionsareatthe end Fleet Marine Force (FMF). There is no link between the active duty billet and
May-June 1998 5
themobilizationrequirementwithinTFMMSoranyotherNavysystem. The link can't overcome. All systems are go.
SPMS creates is tenuous and can be broken at any point along the chain. Further We have taken the first steps and will
complicating matters, an individual's mobilization platform may change a begin the giant leaps necessary: Navy
number oft imes during a tour, and personnel assigned to a platform can come medicine will be realigned to meet the
from geographically separate commands. readiness mission.
Component UICs are now being used to forge a new visible link throughout
the Navy and Marine Corps. A component UIC is established for each platform OPNAV INST 1000.16seriesdefi
the command supports. Personnel are assigned a mobilization platform when nitions:
Unit Identification Code (UIC):
they receive Permanent Change of Station (PCS) orders. They remain on that
"A five position numeric or alpha
platform until their next PCS.
numeric code assigned bythe Comp
Usingtheearlierexampleagain,andadjustingthingsforournewwayofdoing
troller oft he Navy to. .. shore activities,
things:
divisions ofs hore activities, commands,
bureaus and offices, ... and in some
Command Title Acty Code UIC BSC Billet Title
instances to functions or the special
NMC San Diego, CA 4170003100 00259
ized elements for identification. By use
USNS Mercy
NMC San Diego DET 4170003117 48462 34010 Pharmacist of this code, programming decisions
1st FSSG can be related to organizational units
NMC San Diego DET 4170003118 40209 03270 Surface Force IDC and to commands, bureaus and offices
responsible for administering funds
We now have two component UICs ofNMC San Diego. Both the Pharmacist affecting those units."
Billet Sequence Code (BSC): "A
and the Surface Force IDC would report to NMC San Diego for duty with their
5-digitnumber assigned to ... organiza
mobilization assignment already made. The BSC within the component UIC
tionally structured billets (manpower
tracks directly to aBSC on the platform. The platform BSC indicates individual
authorization) ... used to sequence en
job and department assignment. Although BRMCL NAS Miramar no longer
tries and to administratively identify
appears as a distinct UIC, both the Pharmacist and the IDC would be assigned
the specific billet..."
by the command to workattheBranch Clinic in Miramar on a day-to-day basis Activity Code: "A 10 -digitnumber
to cover the continuing requirement for medical care at that site. identifying each activity in the Man
NMC San Diego (Mercy Detachment) is the first command to implement this power, Personnel and Training Infor
new process. A number ofg ood things are happening: mation System (MAPTIS)." The first
1. Our readiness mission is visible. eight digits identify what type of
command it is. Every element of a
2. New personnel receive platform-specific training before their hospital
command that has its own UIC shares
assignment. SPMS took as long as 3 months to make platform assignments,
these first eight digits. The last two
when work schedules made training difficult.
digits identify"parent/child" relation
3. Mobilization position requirements are clear, and facility assignment can
ships be~een UICs. 00 identifies
be made accordingly.
the "parent," 01 through 99 identify
4. Platform unit integrity is assured. Personnel in support ofa platform are the "children" or components of the
located at a single command as much as possible. The platform works and trains parent. 0
together on a daily basis.
5. Long-term assignment to a platform is assured. BUPERS makes the
platform assignment, and any platform movement requires BUPERS PCS
orders.
6. Readiness customers are more informed. Fleet CINCs can use Navy
manpower/personnel systems to view platform composition and will know what
assets are available upon mobilization. LCDR Magnusson is Head, Total Force
Manpower (MED-15), Manpower Division,
Shifting to this new system has hit some snags. NMC San Diego is our alpha
Bureau ofMedicine and Surgery, Washington,
test. Weare learning from our mistakes. We havenotencounteredanythingwe DC.
6 NAVY MEDICINE
Readiness Engineering
What About the Dollars?
LCDR Antoinette Whitmeyer, MSC, USN
The Financial Tiger Team (FIT) ness? We finished the analysis in Janu that is, we are still responsible for
was created as part of the Readi ary 1998. Our approach considered ensuring our eligible beneficiaries get
nessReengineeringTaskForce(RRTF) access to and quality ofc are, political care, in or out of our facilities. The
to look at the financial aspects of the impacts, and cost. A lot of people NRB also recognized the tremendous
Readiness Reengineering Plan. We contributed to the study: staff from political ramifications: people don't I ike
began by identifying three goals: (1) fieldactivities,BUMED,andOPNAV. having military medical services cut in
analyze the impact of reducing end Ittookus3 months, and I would like to their city. They decided end strength
strength and associated facilities to the thank everyone for their hard work. and infrastructure reductions would
minimum readiness requirement, (2) Theanalysisshowedasmall savings not be advantageous to the Navy or its
identify potential mission or functional could be achieved by making reduc beneficiaries.
areas for product line analysis, and (3) tions in Navy medicine's medical and
ensure readiness reengineering costs dental infrastructure, but ... these sav Goal No.2
are identified and incorporated into ings would be more than offset by The THCSRR model developed the
future program and budget submis shifting health care costs to our benefi readiness missions of our platforms
sions. Below is a description ofhowwe ciaries: they would pick up the addi and then rearranged billets so that,
have gone about accomplishing these tional copayments and deductibles from where possible, all people assigned to
goals, and our relationship to other having to receive their health care from a platform work at the same facility.
RRTF tiger team efforts. a civilian rather than military source. The platform team is much more effec
Additionally, the "apparent" savings tive if they work and train together
Goal No.1 would bereducedoreliminated ifNavy daily. Thisarrangementofpeopleand
The Total Health Care Support were unable to "unload" the facilities platforms is referred to as the infamous
Readiness Requirement (THCSRR) used in the analysis. For example, the "galactic radiator" model (see chart),
model identifies the minimum number savings from closing a hospital would which aligns augmentation readiness
of people we need to have in Navy be much less if we still had to pay for platforms to specific UICs. The Opera
medicine to meet readiness require the maintenance oft he bui !ding. tions Tiger Team is now working on the
ments. The model has determined 85 We briefed our findings to theN avy next step: a direct link between what a
percent of the billets we are projected ReviewBoard(NRB) in January. This bi Il et does in peacetime and what that
to have in FY 2003 are required for us board is responsible for making "big same billet does on the operational
to meet our readiness mission, and the picture" resource decisions. They un platform it supports during a mobi liza
remaining 15 percent are in excess of derstood the implications oft he analy tion. (See "HardwiringNavy Medicine
the minimum readiness requirement. sis. Savings from reducing end strength for Readiness," this issue.)
The FIT's first goal was conduct and eliminating medical and dental fa Most billet "rearranging" can be
ingan analysis to answer the question cilities would not come back to the done with in the current peacetime billet
a lot ofp eople were asking: What is the DepartmentoftheNavy, but would go structure. However, we need some
impact of reducing Navy medicine's totheDefenseHealth Program. These additional end strength to "round out"
end strength by 15 percent--cutting all "apparent" savings would be small the component UIC alignments and
oft hose billets not required for readi- because they are "net" and not"gross"; giveussometlexibilityinthealignment
May-June 1998 7
Readiness Re-alignment Plan: Unit Training
Reserve
Flcet/FMF
Augment
s
F
process. This requirement led to our Support Contractors while our person cific individual training plans that re
next FTT goal. nel train for readiness. flect operational mission requirements.
Goal No. 2, identifying potential The FTT's efforts will focus on CDR WaltTinlingdescribedwhatthe
mission or functional areas for product corporate-wide opportunities for prod Training and Education TigerTeam is
line analysis, is currently in progress. uct Ii ne analysis. When the component doingtofurtherthiseffort in the March/
We are looking at end strength above UIC mapping is complete, activities April Navy Medicine edition.
the readiness level the THCSRRmodel will know which services they provide The Naval Health Services Doctrine
identified to determine ifc ertain mis using that 15 percent end strength not Board (NHSDB) and Deployable
s ions or functions can be accomplished required forreadiness (above-THCSRR Medical Platforms Advisory Council
more efficiently. Goal No.2 recognizes requirements), and they can conduct (DMPAC)areexaminingourDeploy
we wi II not be getting additional fund their own studies to find the most cost able Medical Systems (DEPMEDS)
ing: ifwewanttostartsomethingnew, effective ways of providing care. and other platform capabilities; the
we have to find the resources within FTT will ensure these programs are
our current budget. Navy medicine Goal No.3 adequatelyresourced. Goal No.3 will
mustcontinueto identify efficiencies in Navy medicine's readiness vi beongoingasnewrequirementsemerge
health care delivery to give us the sion requires that the right people and are incorporated into Navy med
resources we need to meet our readi (THCSRR) also have the right train icine's readiness plan.
ness vision. The resources we need to ing and the right equipment. Our third Readiness reengineering isn 'tabout
support our readiness training require goal will ensure we know what our "doing more with less." More isn 'tthe
ments have to come from our existing readiness reengineering costs are and objective; readiness is. 0
program. This includes resources to we include those costs in future pro
fund new readiness training require gram and budget submissions.
LCDR Whitmeyer is a Resource Pro
ments and pay for additional health When the component UIC mapping gramming Manager on the OPNA V staff
care services from the Managed Care is complete, we will make billet-spe- (N-931).
8 NAVY MEDICINE