N-9-89 Joint Maritime Medical Staff Course (JMARMEDS)
NATO School – Oberammergau Germany
10 December 2012
Overall Classification Of This Presentation: NATO UNCLASSIFIED
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PREVIOUS EXPERIENCE:

Fellow, American College of
Healthcare Executives (ACHE)

Policy experience – as an Intern in the
U.S. Chief of Naval Operations Medical
Plans and Policy Branch (OPNAV
N931D) from July 2010 – July 2011

Land operations – as the Medical Plans
Officer for Task Force Medical – South,
Afghanistan from September 2009 –
April 2010

Maritime/Amphibious operations – as
the Medical Plans Officer for the 31st
U.S. Marine Expeditionary Unit (MEU)
from April 2007 – July 2008
CURRENT POSITION:

CJ5 Plans Staff Officer and
Medical Planner (PXX008)
 Naval Striking and Support
Forces NATO (SFN), PRT
 Comm: +351-21-4404434//NCN: 529-4434
 Mobile: +39-366-574-9989
 NATO Unclassified:
a.toler2@sfn.nato.int
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1.
Overview of the NATO Operational Planning
Process and the Comprehensive Operations
Planning Directive (COPD)
2.
Overview of NATO Medical Operations
Planning Process
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Part 1:
Overview of the
Reference/Source:
Lieutenant Colonel Mehmet Salar, TUR-A
NATO School – Joint Operations Department
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Simultaneous
Planning Occurs
From the Strategic
to the Tactical
Level
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Part 2:
Overview of the
Reference/Source:
Colonel Toby Rowland GBR Army
NATO HQ Supreme Allied Command Transformation
Branch Head (Medical)
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To support the mission, through conservation of
manpower, preservation of life and minimization of
residual physical and mental disabilities

How is this mission statement achieved…
 Commensurate to force strength
 Must deploy with forces tasked to support
 Must be a robust and comprehensive capability

Reference: AJP-4.10 (A)
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1.
Requires input from the medical staff at each point
of the process
2.
The Medical Operational Planning Process is
continuously linked to the OPP
3.
The output of Medical Planning delivered to the OPP
is the Medical Support Plan Annex to the OPLAN
4.
The Medical Plan needs to be coordinated on all
levels

Reference: AJMedP-1
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1.
2.
3.
4.
5.
Situation
a)
b)
Health Risk Assessment
Civil-Military Situation
b)
Scheme of Maneuver
What Should
Mission
You Consider
Assumptions
When Building
a)
Estimated Casualty Rates
Your Medical
Execution
Plan?
a)
Concept of Medical Support for each phase of theSupport
operation
Tasks and Responsibilities
a)
b)
6.
Per Afloat MTF
MEDEVAC
Appendices
1.
2.
3.
Medical Intelligence Report
Eligibility Matrix
Medical Report Formats
Reference: AJMedP-1
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NATO Standards of Medical Care
•
•
•
•
•
NATO Medical Support is a national responsibility
In practice it is increasingly a shared responsibility
Treatment outcome must equate to best medical practice
Standards need to be acceptable to all nations
Continuum of Care from injury to home base
• Reference: MC 326/3, AJP-4.10(A), AMedP-11 (A)
NATO-UNCLASSIFIED
NATO Medical Care Role System
• Standards of Medical Care are achieve through the Role System:
– Role 1 medical support provides for routine primary health care,
specialized first aid, triage, resuscitation and stabilization
– Role 2 provides an intermediate capability for the reception and
triage of casualties
– Role 3 medical support is deployed hospitalization and the
elements required to support it
– Role 4 medical support provides the full spectrum of definitive
medical care
• Specific maritime levels of healthcare will be defined by the Maritime
Medical Planning presentation
• Reference: MC 326/3
NATO-UNCLASSIFIED
NATO Medical Policy and Doctrine
NATO Standardization Agency (NSA) Public Web Site: http://nsa.nato.int/nsa/
Medical Policy
MC 326/3
Medical Keystone Doctrine
AJP-4.10
Medical Support
Allied Joint
Medical
Doctrine
Supporting
Medical
Doctrine
AJMedP-1
AJMedP-2
AJMedP-3
AJMedP-4
Medical Planning
Medical Evacuation
Medical Intelligence
Force Health Protection
AMedP-6
Med Aspects NBC
AMedP-5
Multiling Phrasebook
AMedP-7
Med CBRN CONOPS
AMedP-12
Blood Brochure
AMedP-8
CRE CBRN
AMedP-13
Glossary Med Terms
AMedP-11
Maritime Med
AMedP-19
Animal Care
AMedP-16
Med Capabilities
AMedP-24
Emergency Care
MC 551
AJMedP-5
Medical C4I
AMedP-3
Insect/Rodent Contr
AMedP-14
Heat, Cold, Altitude
AMedP-18
Water Potability
AMedP-20
Waste Management
AMedP-21
Health Surveillance
AMedP-23
Vaccination
AMedP-17
Med Training Req
AMedP-22
Trauma Care Training
NATO-UNCLASSIFIED
AJMedP-6
CivMilMed Interface
Medical Support Plan Considerations
1.
2.
3.
4.
NATO Standards of Medical Care
These Steps
NATO Medical Role System
Will Occur
NATO Continuum of CareDuring Phase 4
the COPD
NATO Medical Policy and of
Doctrine
Process
• Now that you understand these
considerations when building a Medical
Support Plan Annex…Let’s go through
basic medical planning steps!
NATO-UNCLASSIFIED
Step I – Initiation
Joint Operations Planning Group (JOPG)
Cdr’s
Planning
Guidance
CHIEF JOPG
CJ 5
PLANNERS
CJ 2
PLANNERS
CC
CC
CCs
LEGAD
CJ 1
POLAD
CJ 2
CJ 4
CJ 6
PIO
CJ 9
CJ 3
NATO-UNCLASSIFIED
MED
Step II – Orientation
Review of the Situation
Strategic Background
Geographical Conditions
Information and Media
Opposing Forces Sit
Medical Intelligence
Civil-Military Situation
Comprehensive
Approach
Awareness
NATO-UNCLASSIFIED
Step III – Concept Development
• For development of the medical concept the medical
planner has to take into account multiple factors.
• Some of them are:
1.
2.
3.
4.
5.
6.
Environment
Opposing Forces
Friendly Forces
Risk Assessment
Medical Logistics
Medical Capabilities
• The list of factors not complete, but gives you an idea…
NATO-UNCLASSIFIED
Step III – Concept Development:
Environment
Geography
Weather / Climate
Health Risks &
Threats
Civilian Population
Host Nation
Resources
Other stakeholders
NATO-UNCLASSIFIED
Step III – Concept Development:
Medical Logistics
Equipment
Drugs
Blood Products
Oxygen
NATO-UNCLASSIFIED
Step III – Concept Development:
Medical Capabilities
 Summary of required
capabilities and
capacities
 Medical Treatment
Facilities
 Evacuation Assets
 Graphical Overlay:
Concept of Medical
Support
 “Tentative Course of
Action”
NATO-UNCLASSIFIED
Step IV – Plan Development
A
Concept of Operations
L
Psychological Operations
B
Task Organization
M
Arms Control
C
Forces and Tasks
N
Nuclear Operations
D
Intelligence
O
Information Operations
E
Rules of Engagement
P
Electronic Warfare
F
Maritime Operations
Q
CIS
G
Land Operations
R
Logistics
H
Air Operations
S
Movements
I
Amphibious Operations
T
Environmental Support
J
Force Protection
U
NBC Defence
K
Special Operations
QQ/
Medical
XX
NATO-UNCLASSIFIED
Step V – Plan Review
MED Support Plan
JOPG Chief
COMMANDER
NATO-UNCLASSIFIED
This Concludes The Lesson
Overall Classification Of This Presentation: NATO UNCLASSIFIED
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