3440.10 with Changes - Navy Medicine - U.S. Navy

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3. Scope and Applicability BUMEDINST 3440.10 20 Nov 2008 a. Scope. This instruction defines responsibilities and authority of Chief, BUMED and responsibilities of subordinate commands in implementing and sustaining a comprehensive FHP EMP per references (a) and (b) and in coordination with reference (c). It also establishes capabilities for all-hazards preparedness, mitigation, prevention, response, and recovery to sustain mission readiness, save lives, reduce human suffering, and protect property. This instruction serves as the HSS companion to references (c) and (d). (1) All BUMED activities shall follow Federal Regulatory Code for worker safety in this program as designated in references (e) through (g). (2) In accordance with reference (a), BUMED-M3/5 shall develop a CBRNE readiness assessment and reporting process. (3) Navy Medicine collaborates closely with Commander, Naval Installations Command (CNIC) and Headquarters Marine Corps (HQMC) in aligning goals and objectives through common FHP EMP standards and policy. (4) This instruction establishes a Navy Medicine FHP EMP and unifies the HSS component of these programs to promote efficiency and eliminate duplication. b. Applicability. Applies to all BUMED activities. This instruction does not apply to mobile, expeditionary, afloat, or other deployable medical forces or personnel when in a deployed status. 4. Definitions a. Medical Treatment Facility (MTF). A single health care (Naval Medical Center, Naval Hospital, Branch Medical Clinic, or Naval Dental Clinic) or multiple medical and dental facilities under a single commanding officer (CO) or officer in charge (OIC). b. Emergency Management. A risk-based, comprehensive, and continual process to prepare for, mitigate, prevent, respond to, and recover from an incident that threatens life, property, operations, or the environment. 5. Background. The Department of Defense (DoD) and its components are key participants in the national strategy of deterrence, protection, prevention, and defense against any and all threats to DoD assets and the homeland, and response to and recovery from the consequences of events caused by those threats. a. The terrorist attacks on the United States in the fall of 2001 resulted in an historic restructuring of the Federal Government’s strategies on homeland defense and civil support, with rapidly evolving concepts of defense against all forms of disasters and a unified approach to incident management. These principles are incorporated in references (h) through (j), which 2
BUMEDINST 3440.10 20 Nov 2008 stress coordination, cooperation, and interoperability across all Federal, State, tribal, and local jurisdictions, and implementation of an incident management system. DoD installations represent local, Federal level jurisdictions, and are vital to overall military operational success. The protection of installation resources and personnel is paramount to military readiness. The effectiveness of emergency management planning will directly impact the success of operations of all supported installation personnel and commands. b. Reference (c) is the principal issuance within the Navy for implementing ashore FHP EMPs directed by references (a) and (k) under an “all-hazards” approach. Reference (c) replaces the disaster preparedness construct previously employed by the Navy. The intent of the Navy Medicine FHP EMP is to provide seamless HSS to both the Navy and Marine Corps installations. c. Substantial overlap of capabilities exists within the HSS area of programs that address EM, ATFP, CIP, and CBRNE Installation Protection Programs (IPPs). This policy coordinates and streamlines capability development across these programs. 6. Policy. BUMED policy is to ensure that all-hazard emergencies will not be a decisive factor in degrading mission readiness or effectiveness. BUMED fully supports references (c) and (d), and other programs designed to protect installations, active duty personnel, their dependents, and tenant civilians at those installations, while further assisting installation commanders in responding to, and recovering from, the consequences of such events. a. The Navy Medicine FHP EMP shall serve as the principal guidance within BUMED and BUMED activities for implementing all-hazards EM as directed by references (a) and (b). b. BUMED activities shall develop a local, all-hazards EM plan that supports the installation EM plans and is aligned with Navy and/or Marine Corps regional plans as required by references (a) through (d). c. Within the United States, its territories, and possessions, commanders of BUMED activities shall be prepared to assist civil authorities under local immediate response or through Civil Authority (CA) as outlined in reference (l) and Defense Support in reference (i). d. MTFs shall implement the Hospital Incident Command System (HICS) as the official type of Incident Command System (ICS), which meets requirements of references (h) and (m) and is delineated in reference (n), which can be located at www.emsa.ca.gov/hics/hics.asp. 7. Responsibilities a. Director, Navy Medicine Office of Operations, Plans, Force Protection/Force Health Protection (BUMED-M3/5), is designated the Program Manager, Navy Medicine FHP EMP and is responsible for the overall program planning, coordination, oversight, and management. BUMED-M3/5 serves as the BUMED principal coordinator of expertise in addressing HSS for EM, MTF ATFP, certain health sector aspects of the DoD CIP, CIV-MIL operations, and FHP EMP issues. Specific responsibilities include: 3
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3440.10 with Changes - Navy Medicine - U.S. Navy

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