IDC/IDMT 2010 Armed Forces
Operational Medicine Symposium
           UNCLASSIFIED//FOUO


      RADM Tom Cullison, MC, USN...
UNCLASSIFIED//FOUO




                     UNCLASSIFIED//FOUO
Navy Medicine




                                                                  Casualty
                             ...
Naval Medical Center San Diego




                                            UNCLASSIFIED//FOUO




Photo: Department of...
Patient and Family Centered Care




                                            UNCLASSIFIED//FOUO




Photo: Department ...
UNCLASSIFIED//FOUO




Photo: Department of the Navy/Department of Defense collection   UNCLASSIFIED//FOUO
Marine Corps Recruit Depot,
                                     San Diego, CA




                                       ...
UNCLASSIFIED//FOUO




Photo: Department of the Navy/Department of Defense collection   UNCLASSIFIED//FOUO
UNCLASSIFIED//FOUO




Photo: Department of the Navy/Department of Defense collection   UNCLASSIFIED//FOUO
UNCLASSIFIED//FOUO




Photo: Department of the Navy/Department of Defense collection   UNCLASSIFIED//FOUO
Navy Medicine at Home




                                            UNCLASSIFIED//FOUO




                             ...
Deployed Forces Providing the
             Dual Mission of Navy Medicine
                                                 ...
BSO-18 OPERATIONAL SUPPORT
                                  Historical and Projected (AC/RC)
4500
                OIF
400...
Fleet Medical Support
       Ships and Submarines
       • Deployable Battle Force Ships: 286
                     Ships U...
UNCLASSIFIED//FOUO




Photo: Department of the Navy/Department of Defense collection   UNCLASSIFIED//FOUO
UNCLASSIFIED//FOUO




Photo: Department of the Navy/Department of Defense collection   UNCLASSIFIED//FOUO
UNCLASSIFIED//FOUO




Photo: Department of the Navy/Department of Defense collection   UNCLASSIFIED//FOUO
UNCLASSIFIED//FOUO




Photo: Department of the Navy/Department of Defense collection   UNCLASSIFIED//FOUO
UNCLASSIFIED//FOUO




Photo: Department of the Navy/Department of Defense collection   UNCLASSIFIED//FOUO
UNCLASSIFIED//FOUO




Photo: Department of the Navy/Department of Defense collection   UNCLASSIFIED//FOUO
UNCLASSIFIED//FOUO




                     UNCLASSIFIED//FOUO   21
Operation Iraqi Freedom




                                            UNCLASSIFIED//FOUO




Photo: Department of the Na...
Operation Enduring Freedom




                                            UNCLASSIFIED//FOUO




Photo: Department of the...
The Continuum of Care
                                               Corpsman in the Field
                              ...
UNCLASSIFIED//FOUO




Photo: Department of the Navy/Department of Defense collection   UNCLASSIFIED//FOUO
UNCLASSIFIED//FOUO




Photo: Department of the Navy/Department of Defense collection   UNCLASSIFIED//FOUO
UNCLASSIFIED//FOUO




Photo: Department of the Navy/Department of Defense collection   UNCLASSIFIED//FOUO
UNCLASSIFIED//FOUO




Photo: Department of the Navy/Department of Defense collection   UNCLASSIFIED//FOUO
UNCLASSIFIED//FOUO




Photo: Department of the Navy/Department of Defense collection   UNCLASSIFIED//FOUO
UNCLASSIFIED//FOUO




Photo: Office of the Army Surgeon General (86th CSH)             UNCLASSIFIED//FOUO
UNCLASSIFIED//FOUO




Photo: Department of the Navy/Department of Defense collection   UNCLASSIFIED//FOUO
UNCLASSIFIED//FOUO




Photo: Department of the Navy/Department of Defense collection    UNCLASSIFIED//FOUO
UNCLASSIFIED//FOUO




Photo: Office of the Air Force Surgeon General                        UNCLASSIFIED//FOUO
UNCLASSIFIED//FOUO




Photo: Department of the Navy/Department of Defense collection
       Office of the Air Force Surge...
Landstuhl Regional Medical Det,
                                   Germany




                                           ...
UNCLASSIFIED//FOUO




Photo: Department of the Navy/Department of Defense collection   UNCLASSIFIED//FOUO
UNCLASSIFIED//FOUO




Photo: Department of the Navy/Department of Defense collection   UNCLASSIFIED//FOUO
National Naval Medical Center




                                            UNCLASSIFIED//FOUO




Photo: Department of ...
UNCLASSIFIED//FOUO




Photo: Department of the Navy/Department of Defense collection   UNCLASSIFIED//FOUO
Combat Stress




                                            UNCLASSIFIED//FOUO




Photo: Department of the Navy/Departm...
UNCLASSIFIED//FOUO




Photo: Department of the Navy/Department of Defense collection   UNCLASSIFIED//FOUO   41
UNCLASSIFIED//FOUO




Photo: Department of the Navy/Department of Defense collection   UNCLASSIFIED//FOUO   42
USMC Wounded Warrior Regiment
                                    -- Single Command with Strategic Reach --

             ...
Navy Safe Harbor - Strategic Reach
                        Wounded, Ill, and Injured (WII)



                            ...
Navy Medicine Fixed Assets
Worldwide in support of the Warfighter
                      Prepared 5 Mar 10




         UNC...
UNCLASSIFIED//FOUO




Reference: Office of the Army Surgeon General                    UNCLASSIFIED//FOUO
Major Military Medicine Facilities




                                            UNCLASSIFIED//FOUO




    Navy
    Arm...
DoD / VA Partnership Examples

*VA Southern Nevada      *VA Eastern Colorado Health
                                      ...
Keesler & Eglin AFB; Naval Hospital
                     Pensacola / VA Gulf Coast Health Care




                       ...
UNCLASSIFIED//FOUO




                     UNCLASSIFIED//FOUO
Department of the Navy
                                        DoD/VA Partnerships




                                   ...
2010 Armed Forces Operational Medicine Symposium
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2010 Armed Forces Operational Medicine Symposium

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  • 600 + miles of overlapping service areas from Tyndall AFB to New OrleansExecutive Management Team: Keesler; Biloxi VA; NHP; Eglin; TyndallKeesler Medical Center JIFsJoint Cardiovascular Care Center Modernize/expand Keesler Medical Center angiography suitesHire 1 RN and 2 Cath techsJoint Magnetic Resonance Imaging Hire 3 MRI techs and 1 Admin techHire 1 RadiologistCenters of Excellence Hire 3 Administrators (2 VA/1 AF)*FY09 Approved/Funded JIFsSpace SharingJoint Venture Business Operation (14 Positions) (Space Sharing)To provide resources to support space-sharing that is essential to provide temporary space during Department of Veterans Affairs (VA) Capital Asset Realignment for Enhanced Services (CARES) construction. It calls for the renovation of Air Force space to use during VA’s 3-year occupancy and for Air Force to use after VA vacates the spaces. Cost: $812,000(Business Operations)This project proposes to obtain the resources necessary to create a Joint Venture Business Office with sufficient infrastructure to identify and standardize business practices and processes to establish, sustain and adjust to the joint business and accountability requirements. They will hire 16 staff positions [12 VA staff positions (GS or contract), 4 Keesler Medical Center staff positions (GS or contract)], and other support resources. Additionally, they will establish transportation between the two campuses with the objective to meet both the VA and DoD respective requirements. Cost: $2,366,000 Pensacola JIFs NH Pensacola: Sleep Lab - Expand/renovate existing Sleep Lab; Ribbon cutting March 09 BHC Panama City: Lab, Pharmacy, Dental; Future clinic consolidation (VA and Navy occupy space in three buildings, will consolidate into one and share services).BHC Millington: MRI - Building addition for the existing unit and update the MRI machine; Ribbon cutting Mar 09*FY09 JIF Project request not approved (Surgical Optimization)*FY10 JIF Project requests (Women’s Health; Joint ED; Panama City Ancillary Support Staff)Eglin 96th MDG JIFs - No current JIF projects; 3 proposals submitted for FY10 funding
  • 2010 Armed Forces Operational Medicine Symposium

    1. 1. IDC/IDMT 2010 Armed Forces Operational Medicine Symposium UNCLASSIFIED//FOUO RADM Tom Cullison, MC, USN Deputy Surgeon General of the Navy 17 May 2010 This brief is classified UNCLASS/FOUO UNCLASSIFIED//FOUO 1
    2. 2. UNCLASSIFIED//FOUO UNCLASSIFIED//FOUO
    3. 3. Navy Medicine Casualty Receiving Operational UNCLASSIFIED//FOUO and Fleet Hospitals Fleet TRICARE US Overseas Treatment Hospitals Ships and Network Hospitals Hospitals Ships & & Fleet Marine and EMFs Soft Power Forces Medical Battalions Force Health Protection Navy Medicine’s Dual Mission Benefit Mission The Readiness Health Care Continuum Readiness Mission Reference: Office of the Navy Surgeon General UNCLASSIFIED//FOUO
    4. 4. Naval Medical Center San Diego UNCLASSIFIED//FOUO Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO
    5. 5. Patient and Family Centered Care UNCLASSIFIED//FOUO Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO 5
    6. 6. UNCLASSIFIED//FOUO Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO
    7. 7. Marine Corps Recruit Depot, San Diego, CA UNCLASSIFIED//FOUO Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO 7
    8. 8. UNCLASSIFIED//FOUO Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO
    9. 9. UNCLASSIFIED//FOUO Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO
    10. 10. UNCLASSIFIED//FOUO Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO
    11. 11. Navy Medicine at Home UNCLASSIFIED//FOUO Navy Medicine Deployed Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO
    12. 12. Deployed Forces Providing the Dual Mission of Navy Medicine Prepared 5 Mar 10 OEF USMC LRMC US Role 3 UK Role 3 FDPMU 2 x FSE 3 x FST EMF-GTMO 2 x AST UNCLASSIFIED//FOUO JTF-Haiti EMF-Kuwait FDPMU-Kuwait Africa Partnership OIF USMC Station Pacific Partnership Continuing Promise EMF-Djibouti Enduring missions Recurring missions Emergent missions UNCLASSIFIED//FOUO
    13. 13. BSO-18 OPERATIONAL SUPPORT Historical and Projected (AC/RC) 4500 OIF 4000 3500 COMFORT OIF COMFORT MERCY LHA/LPD MERCY OIF 3000 EMF-K OIF BOXER EMF-K DUBUQUE LHA/LPD OIF/OEF 2500 KATRINA UNCLASSIFIED//FOUO LRMC COMFORT EMF-K LRMC KEARSARGE LRMC OEF OIF/OEF OIF/OEF EMF-K EMF-K MERCY LRMC LHA/LPD OIF 4-6 PELELIU EMF-K LRMC TSUNAMI LRMC 2000 OIF 2 1500 1000 500 0 Y03 Y03 Y04 Y04 Y05 Y05 Y06 Y06 Y07 Y07 Y08 Y08 Y09 Y09 Y10 Y10 Y11 Y11 Y11 Y11 1Q F 3Q F 1Q F 3Q F 1Q F 3Q F 1Q F 3Q F 1Q F 3Q F 1Q F 3Q F 1Q F 3Q F 1Q F 3Q F 1Q F 3Q F 1Q F 3Q F BSO-18 RESERVES UNCLASSIFIED//FOUO
    14. 14. Fleet Medical Support Ships and Submarines • Deployable Battle Force Ships: 286 Ships Underway (away from homeport): 142 ships (50% of total) On deployment: 108 ships (38% of total) Attack submarines underway (away from homeport): 20 submarines (37%) UNCLASSIFIED//FOUO Data as of 23 Apr 10 Source: http://www.navy.mil/navydata/navy_legacy_hr.asp?id=146 Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO 14 UNCLASSIFIED//FOUO
    15. 15. UNCLASSIFIED//FOUO Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO
    16. 16. UNCLASSIFIED//FOUO Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO
    17. 17. UNCLASSIFIED//FOUO Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO
    18. 18. UNCLASSIFIED//FOUO Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO
    19. 19. UNCLASSIFIED//FOUO Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO
    20. 20. UNCLASSIFIED//FOUO Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO
    21. 21. UNCLASSIFIED//FOUO UNCLASSIFIED//FOUO 21
    22. 22. Operation Iraqi Freedom UNCLASSIFIED//FOUO Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO 22
    23. 23. Operation Enduring Freedom UNCLASSIFIED//FOUO Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO 23
    24. 24. The Continuum of Care Corpsman in the Field (Level I) Forward Resuscitative Care (Level II) Theater level care (Level III) Forward Definitive Care (Landstuhl) (Level IV) Restorative-Rehabilitative Care UNCLASSIFIED//FOUO (Level V) Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO 24
    25. 25. UNCLASSIFIED//FOUO Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO
    26. 26. UNCLASSIFIED//FOUO Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO
    27. 27. UNCLASSIFIED//FOUO Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO
    28. 28. UNCLASSIFIED//FOUO Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO
    29. 29. UNCLASSIFIED//FOUO Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO
    30. 30. UNCLASSIFIED//FOUO Photo: Office of the Army Surgeon General (86th CSH) UNCLASSIFIED//FOUO
    31. 31. UNCLASSIFIED//FOUO Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO
    32. 32. UNCLASSIFIED//FOUO Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO
    33. 33. UNCLASSIFIED//FOUO Photo: Office of the Air Force Surgeon General UNCLASSIFIED//FOUO
    34. 34. UNCLASSIFIED//FOUO Photo: Department of the Navy/Department of Defense collection Office of the Air Force Surgeon General UNCLASSIFIED//FOUO
    35. 35. Landstuhl Regional Medical Det, Germany UNCLASSIFIED//FOUO In 2006, JFCOM tasked the Navy with providing medical staffing in support of the Army's Landstuhl Regional Medical Center (LRMC), Germany. Since then, the Navy Medical Augmentation Det has continued to augment LRMC with Navy medical personnel in support of wounded OEF/OIF warfighters. Currently, the Navy augmentation staff includes; 292 Navy medical personnel (260 reservist/32 active). Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO
    36. 36. UNCLASSIFIED//FOUO Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO
    37. 37. UNCLASSIFIED//FOUO Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO
    38. 38. National Naval Medical Center UNCLASSIFIED//FOUO Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO
    39. 39. UNCLASSIFIED//FOUO Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO
    40. 40. Combat Stress UNCLASSIFIED//FOUO Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO 40
    41. 41. UNCLASSIFIED//FOUO Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO 41
    42. 42. UNCLASSIFIED//FOUO Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO 42
    43. 43. USMC Wounded Warrior Regiment -- Single Command with Strategic Reach -- WWR services the Total Force – Active Duty / Reserve / Retired / Former Marines Quantico UNCLASSIFIED//FOUO Landstuhl Camp Camp Okinawa Pendleton Lejeune Guam Hawaii WW Regiment Level of Effort WW Battalions Current (Mil / Civ): 212 WW Company Contractor Support: 24 Patient Affairs Team (PAT)/VA Liaisons Future Total: 361 District Injured Support Cells (DISC) Reference: Wounded Warrior Regiment Command Brief UNCLASSIFIED//FOUO 43
    44. 44. Navy Safe Harbor - Strategic Reach Wounded, Ill, and Injured (WII) BREMERTON (1) GREAT LAKES / MINNEAPOLIS (1) UNCLASSIFIED//FOUO PALO ALTO (1) BETHESDA / WRAMC (2) WASHINGTON DC (12) AT-LARGE EAST (1) PORTSMOUTH/RICHMOND (1) SAN DIEGO (2) AT-LARGE WEST (1) MILLINGTON TN (2) JACKSONVILLE (1) BAMC (2) TAMPA (1) VA POLY TRAUMA CENTER MILITARY TREATMENT FACILITY SAFE HARBOR HEADQUARTERS STAFF NAVY OPERATONAL SUPPORT CENTER 44 Reference: Navy Safe Harbor Program Command Brief UNCLASSIFIED//FOUO
    45. 45. Navy Medicine Fixed Assets Worldwide in support of the Warfighter Prepared 5 Mar 10 UNCLASSIFIED//FOUO NM East Military Treatment Facility NM West Military Treatment Facility NM NCA Military Treatment Facility NM Support Command Activity UNCLASSIFIED//FOUO
    46. 46. UNCLASSIFIED//FOUO Reference: Office of the Army Surgeon General UNCLASSIFIED//FOUO
    47. 47. Major Military Medicine Facilities UNCLASSIFIED//FOUO Navy Army Air Force Reference: Office of the Navy Surgeon General UNCLASSIFIED//FOUO 47
    48. 48. DoD / VA Partnership Examples *VA Southern Nevada *VA Eastern Colorado Health *North Chicago VA Medical Health Care System / Care System / Buckley AFB; Center / Great Lakes Naval Nellis AFB USAF Academy; Evans Army Health Clinic = Federal Community Hospital Health Care Clinic UNCLASSIFIED//FOUO *VA Pacific Islands Health Care System / Tripler Army Medical Center *VA Gulf Coast Veterans Health Care System / Keesler AFB; Eglin AFB; Naval Hospital Pensacola UNCLASSIFIED//FOUO
    49. 49. Keesler & Eglin AFB; Naval Hospital Pensacola / VA Gulf Coast Health Care UNCLASSIFIED//FOUO Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO
    50. 50. UNCLASSIFIED//FOUO UNCLASSIFIED//FOUO
    51. 51. Department of the Navy DoD/VA Partnerships UNCLASSIFIED//FOUO 51 Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

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