JP 4-02 Health Service Support - DMRTI - Defense Medical ...

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Health Service Support (a) Advise the CCDR on all theater FHP operations (to include the establishment of minimum FHP requirements for the theater). (b) Monitor care provided to the joint force, civilian population and other beneficiaries, and coordinate HSS with Service providers and lead agents (LAs) as needed. the theater. (c) Assist the CCDR in formulating a recommended theater PM policy within (d) Assist component commands in identifying HSS and FHP requirements and coordinate cross-Service support, where practical. (e) Advise the JFC concerning the following: 1. The health of the command as reflected by disease and non battle injury (DNBI)/battle injury (BI) rates and other medical factors that could affect operations, to include medical health threat identification (ID) and protective measures for health threats, their ID and associated countermeasures. 2. Rest, rotation, and reconstitution policies and procedures. 3. Prevention and protection measures and procedures, including immunizations, field sanitation and hygiene, veterinary services support, prophylactic countermeasures, and other risk management procedures. 4. HSS operations during the joint reception, staging, onward movement, and integration (JRSOI) phase of the joint force deployment process. (13) Informs the CCDR concerning the status of and assistance required by and provided to the civilian populace, DOD civilian employees, DOD contract personnel, detainees, NGOs, and intergovernmental organizations (IGOs). (14) Coordinates HSS provided to or received from allies, coalitions, HN military, or other friendly nations. (15) Supervises the activities of the joint blood program office (JBPO) and coordinate support from the Armed Services Blood Program Office (ASBPO). (16) Obtains Service specific casualty rates, including DNBI/BI rates, to model HSS force structure and casualty flow for the joint operation. (17) Considers support for medical civil-military operations (MCMO). (18) In conjunction with the staff judge advocate (SJA), provides the JFC with medical rules of engagement protocols recommendations. I-11
Chapter I (19) In conjunction with the combatant command SJA, provides advice and guidance to component surgeons and JTFs on the development of policies and procedures for detainee medical care. (20) Establish a joint theater formulary. (21) Establish a theater policy for medical materiel standardization. l. The Defense Logistics Agency (DLA) is designated the DOD Executive Agent (EA) for medical materiel for the DOD pursuant to Department of Defense Directive (DODD) 5101.9. As the EA, the DLA will be the single DOD point of contact (POC) to: (1) Synchronize planning and execution of end-to-end medical supply chain activities. (2) Improve the ID and coordination of contingency medical materiel requirements. (3) Provide financial resources necessary to achieve materiel readiness and end-toend supply chain operation. (4) Establish acquisition programs necessary to ensure availability of medical materiel to meet combatant command requirements. (5) Establish, monitor, and report on medical supply chain performance. (6) Coordinate medical materiel requirements and national-level acquisition programs with other federal agencies, including the Department of Veterans Affairs, Department of Health and Human Services, the Department of Homeland Security (DHS), and Federal Emergency Management Agency (FEMA). m. The Defense Medical Standardization Board (DMSB), under the direction, authority and control of the Secretary of Defense (SecDef), with policy guidance from the Office of the Assistant Secretary of Defense for Health Affairs, serves as an executive-level body responsible for enhancing Service medical department cooperation, interoperability, and operational flexibility, while promoting efficient HSS. The DMSB is the focal point for medical standardization within DOD. (1) Includes the clinician-driven joint selection and standardization of medical materiel in support of the highest possible in-theater essential patient care during the initial two months of an armed conflict. (2) Ensures the Services select medical materiel for joint core assemblages enabling maximum commonality, compatibility and interchangeability across the Services. (3) Promotes peacetime use of the same medical materiel and equipment that joint clinicians have already chosen for wartime, with the goal of enabling medical material I-12 JP 4-02
Page 1 and 2: Joint Publication 4-02 Health Servi
Page 3 and 4: Preface Intentionally Blank ii JP 4
Page 5 and 6: Summary of Changes Intentionally Bl
Page 7 and 8: Table of Contents • Special Opera
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Page 11 and 12: Executive Summary Care Capabilities
Page 13 and 14: Executive Summary Patient Movement.
Page 15 and 16: Executive Summary geography, indivi
Page 17 and 18: Chapter I 2. Purpose The purpose of
Page 19 and 20: Chapter I e. Key to preventive and
Page 21 and 22: Chapter I 10. En Route Capability a
Page 23 and 24: Chapter I f. The Assistant Secretar
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Page 31 and 32: Chapter II TYPICAL JOINT TASK FORCE
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Page 35 and 36: Chapter II (14) Evaluate and charac
Page 37 and 38: Chapter II (42) Ensure communicatio
Page 39 and 40: Chapter II (m) Ensuring that detain
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Page 57 and 58: Chapter II humanitarian and civic a
Page 59 and 60: Chapter II SAMPLE JOINT TASK FORCE
Page 61 and 62: Chapter II c. In coordination with
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Page 71 and 72: Chapter III HEALTH SERVICE SUPPORT
Page 73 and 74: Chapter III 1. Standardization. 2.
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Chapter III 1. A healthy and fit fo
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Chapter III with language and regio
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Chapter III medical planners should
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Chapter III medical risks and plann
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Chapter III (3) IAW SecDef policy a
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Chapter III n. Have the numbers, ty
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Chapter III Intentionally Blank III
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Chapter IV (2) DOD components shall
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Chapter IV by these groups, especia
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Chapter IV When tarmacs are availab
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Chapter IV HN medical infrastructur
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Chapter IV joint medical planners s
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Chapter IV CHALLENGES OF PATIENT MO
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Chapter IV HEALTH SERVICE SUPPORT C
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Chapter IV (b) Role 2 — National
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Chapter IV (11) Education on preven
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Chapter IV of US forces until their
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Chapter IV (6) Ensuring that plans
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Chapter IV Decontamination team mov
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Chapter IV g. In a MASCAL situation
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Chapter IV c. Theater medical prepa
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Chapter IV US forces provide emerge
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Appendix A PATIENT MOVEMENT 1. Intr
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Appendix A (3) Joint Patient Moveme
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Appendix A PATIENT MOVEMENT PLANNIN
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Appendix A (4) First Responder/FRC
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Appendix A emergencies. National Gu
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Appendix A h. Patient Movement Item
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Appendix A c. Unstable. A patient w
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Appendix A (2) PMR. j. TRAC2ES prov
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Annex A to Appendix A Field and AE
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Annex A to Appendix A 3. Aeromedica
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Annex A to Appendix A search and re
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Annex A to Appendix A the TACC/AMOC
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Annex A to Appendix A h. Communicat
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Annex B to Appendix A 3. Patient Mo
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B-2 NOMENCLATURE SERVICE COMPONENT
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Appendix B the PMRC, the AECT coord
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Appendix B 5. Force Packages a. Whe
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Appendix B b. KC-135 Tanker. Tanker
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Appendix B UPHOLD DEMOCRACY. On 12
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Appendix B requirements. (d) Rapid
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Appendix B d. Medical Evacuation Re
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Appendix B DESCRIPTION OF MEDICAL E
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Appendix B MEDICAL EVACUATION/AFTER
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Appendix B MEDICAL EVACUATION/AFTER
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Appendix C ORGANIZATION FOR HEALTH
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Appendix C (a) First responder and
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Appendix C appropriately equipped,
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Appendix C (1) An Army MLMC is an A
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Appendix C quantities of medical ma
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Appendix C g. Support to Redeployme
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Appendix C assets. The local purcha
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Appendix C (7) Customs Clearance. C
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Appendix C (1) Pre-positioned unit
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Appendix C planners must understand
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Appendix C Provisions may also have
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Appendix C (2) Serviceable and unse
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D-2 SUPPORTING BASE ARMED SERVICES
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Appendix D (a) Coordinates blood re
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Appendix D (8) A BSU can usually su
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D-8 TREATMENT LEVEL BLOOD BANK PROD
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Appendix D be added to blood requir
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Appendix D (a) Blood typing system
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Appendix D BLOOD REPORT *** UNCLASS
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Appendix D Intentionally Blank D-16
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Appendix E (7) Medical risks and ef
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Appendix E g. Still other sources o
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Appendix F b. Deployment health sur
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Appendix F (4) Personal protection
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Appendix F developing mishap preven
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Appendix F maximizing combat capabi
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Appendix F the recommended counterm
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Appendix G (5) Identify applicable
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Appendix G h. Patient Administratio
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Appendix G (c) GPMRC. (d) Local aut
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Appendix H (1) MEDEVAC assets subje
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Appendix H c. Adversary Wounded and
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Appendix H b. Protection. There are
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Appendix H may, however, place cond
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Appendix H for the use made of the
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Appendix H (a) Medical personnel ma
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Appendix H Intentionally Blank H-14
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Appendix J a. Medical Stabilization
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Appendix J (b) An inherent, and cri
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Appendix J a. Medical Triage and Ev
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Appendix K (c) Can HSS resources be
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Appendix K (a) What is their medica
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Appendix K (4) Will they be provide
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Appendix K (f) What is the MEDEVAC
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Appendix K (1) Will troops be bille
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Appendix K 10. Health Service Suppo
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Appendix K (1) Will communications
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Appendix K (1) What is the MWD popu
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Appendix K fulfilled (13) Have all
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Appendix K (2) Have local cultural
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Appendix K (2) Are major operations
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Appendix K (6) Is there a threat fr
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Appendix K f. How will wastewater d
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Appendix K (1) Does it include medi
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Appendix K 20. Health Service Logis
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Appendix K (1) Will food be procure
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Appendix K (8) If the decision is m
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Appendix K (3) Will action be unila
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Appendix K 24. Crisis Action Planni
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Appendix K k. Coordinate involvemen
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Appendix K (3) Does OPORD provide F
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Appendix K (4) Ensure orders correc
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Appendix K (3) Objective 3: _______
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Appendix K (b) Internally Displaced
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Appendix K (11) Prevalence of sexua
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Appendix K (b) Diarrhea. (c) Choler
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Appendix K (9) List local utility c
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Appendix K (28) What type of insect
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Appendix K 2. Location: ___________
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Appendix K (4) What services are pr
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Appendix K (4) How do military and
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Appendix K (6) Hospital phone/facsi
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Appendix K (26) Disaster preparedne
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Appendix K (17) List voltage, cycle
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Appendix K p. Supplies/Materiel. (1
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Appendix K (d) Dialysis equipment:
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Appendix K (7) Does the host base o
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Appendix K Intentionally Blank K-76
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Appendix L (6) MAT combines user-ge
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Appendix L at the corps, division,
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Appendix L The GTN’s current conf
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Appendix M i. DODD 6490.2, Comprehe
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Appendix M d. FM 4-02.7, NTTP 4-02.
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Appendix M jj. USACHPPM Technical G
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Appendix M Intentionally Blank M-8
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Appendix N c. Record of Changes: CH
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Appendix N Intentionally Blank N-4
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Glossary AR ASBP ASBPO ASD(HA) ASF
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Glossary EAST EHO EMF EMS EPW ESO E
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Glossary LERSM LNO LOAC LOC LOX MA
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Glossary TACC TAES TAMMIS TBTC TCAM
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PART II — TERMS AND DEFINITIONS a
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Glossary at all levels of war that
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Glossary essential care. Medical tr
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Glossary limited to, the management
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Glossary Also called JFS. (This ter
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Glossary performance. (This term an
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Glossary preventive medicine. The a
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Glossary subordinate unified comman
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Glossary very seriously ill or inju
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