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

BUMEDINST 3440.10
20 Nov 2008
(1) Review HVAs conducted at MTFs annually and ensure results are addressed and
incorporated into the command EM Plan, used to drive training exercise objectives, and
coordinated with BUMED-M3/5.
(2) Inspect for adherence to FHP EMP program objectives, such as proper accounting of
command response capabilities for readiness; proper storage and maintenance of equipment and
pharmaceuticals; currency of training and exercises; execution of the Respiratory Protection
Program (RPP); and use of standard information management tools in program management.
l. MTF Commanders shall:
(1) Implement an HSS FHP EMP consistent with this instruction and supporting
publications.
(a) Commands providing support through proximate subordinate clinics shall develop
programs that support installation requirements and leverage all available resources in preparedness,
prevention, mitigation, response, and recovery operations.
(b) Satellite MTFs so remote from parent commands that timely response support
would not be feasible through those parent commands may, subject to CO’s discretion, develop
activity EM plans that are separate from parent command programs (referred to as “independent
programs”). MTFs with independent programs shall be subject to all requirements established
by this and subordinate instructions from parent MTFs.
(2) Appoint a Command or Activity EMO:
(a) Commanders of Tier 1, 2, and 3 facilities, as delineated in enclosure (1), section
1, shall designate EMOs in writing. EMOs at Tier 1 and 2 facilities shall be full-time in that
position while EMOs at a Tier 3 activity may fulfill their role as a single collateral duty, as
delineated in enclosure (1), section 1. They will be responsible for overall command
implementation and management of the HSS FHP EMP.
(b) MTF commanders shall designate a representative to the Installation Emergency
Management Working Group (EMWG) per reference (c).
(c) Commanders of parent MTFs shall designate a representative to the Regional
EMWG per reference (c).
(d) OICs of Tier 4 clinics that participate in parent MTF integrated FHP EMPs shall
designate an activity EMO responsible for clinic EM implementation and management. The
EMO shall also serve as principle liaison with local (community medical) EM committees, and
parent command EM committees.
(3) Establish a multi-disciplinary MTF EMWG comprised of command, subordinate
activity, tenant commands, and ad hoc outside representatives to provide planning and
coordination of EM activities through the EMO. The EMWG shall replace any existing activity
Disaster Preparedness Committee.
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