Naval Medical Logistics
Command Detachment,
Pirmasens
08 May 2012
FOR OFFICIAL USE ONLY
Briefing Topics
TLAMM
(Theater Lead Agent for Medical Materiel)
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CJCS designates Theater Lead Agents for Medical Materiel (TLAMM)
upon recommendation of CCDR and DLA Director
Single HSS point of contact for theater-level medical logistics
 Class VIIIA supply, plus*:
– Medical equipment maintenance
– Optical fabrication
– Medical materiel fielding
– Assembly and reconstitution
– *Blood storage and distribution
USAMMC-Korea
– Customer support & training, contact team support
Normally includes clinical support element and Service liaisons
SME for supply chain planning ISO OPLANs/CONPLANs
Support Joint and designated Coalition forces as well as Humanitarian
Assistance missions
* Task organized to mission
TLAMM Scope
The TLAMM serve as a Class VIIIA source of supply in support of expeditionary
Health Service Support operations in a given COCOM.
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Class VIIIA order processing/fulfillment
Support to unit of any Service (A, AF, N, USMC)
DMLSS or DCAM /TWELS to DMLSS)
Fill from stock or pass to supplier
Catalog and order exception management (x-ref NSN to PVON, etc)
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Coordinate distribution/transportation
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Provide financial support
Operate within a Working Capital Fund
Receipt confirmation for vendor pay
Electronic reimbursement (MILSBILS/EMALL)
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Scalable from baseline peacetime’ level to Major Theater conflict
Scope baseline to OPLAN
Receive augmentation for support beyond baseline
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Provide storage/operational space
Operational baseline
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Identify opportunities for operational efficiency
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SME / POC for OPLAN / CONOP Class VIII supply chain planning
TLAMM ‘serves as a major theater medical distribution node and provides the
face to the customer for medical logistics and supply chain management’.
Types of TLAMMs
Three types of TLAMMs: Standing, Provisional and Special.
Standing: a service-operated theater distribution center with routine
mission support to joint institutional (MTF) and operational customers.
Provisional: is established as a service-operated organization, mobilized
when needed to support a specific mission. It is initially organically staffed,
with incremental augmentation, and a follow-on deployment of an attached
medical logistics organization.
Special: is designated to support specific product lines (e.g. WMD
response, burns, neurosurgical) or specific types of customers (SOF),
normally CONUS based at Power Projection Platforms and/or key “reachback” sites (e.g. Kelly USA, Walter Reed Army Medical Center, Brooke
AMC).
Common to all: provide routine support; use business processes and
distribution channels that do not increase costs or delivery time to forward
customers; must be incorporated into the Joint planning processes of the
Combatant and Service Component Commands.
CRITERIA
Capability to receive/process electronic requisitions (line item reqn) from
operational customers of all Services w/necessary financial interfaces for
inter-fund billing.
Immediate access to Working Capital Fund for Class VIIIA supply
operations. (SOUTHCOM – KellyUSA, TX & PACOM (TLAMM-P, Okinawa)
both use AF fund) while USAMMCE & SWA and USAMMC-K supported via
DWCF.
Use of standard DoD business processes for Class VIIIA
Management within the HSS
Allow use comm product ID & direct ordering/delivery from PVs
Located w/access to tactical air distribution & strategic air channels from
national-level sources of supply
Functions
Primary distribution node between CONUS commercial base and theater
customer – supporting habitual relationships
Serves as partner & resource in COCOM supply chain planning
Provides full range of medical logistics functions (one stop shop)
Supported by Stakeholders, Service Component Commands, Sub-unified
Commands . Endorsed by Service Medical Departments
Scalable to support habitual and external customers through planned
augmentation and expansion
Integrated into overall mobilization/expansion plans (TPFDD)
Integrated into the overall DoD/MMEA global operational architecture for
CLVIIIA supply distribution
Attributes
Demonstrated capability to surge from steady state to contingency operations
Access to a Working Capital Fund (DLA/USAF)
Organic Transportation Manager (TMO)
Access to Transportation Channels
ITV- Shipment tracking
Ease of Financial Processes
Depth of Logistical expertise/capability
Electronic/Web-based Order Entry capability
Mission focus for Dedicated TLAMM
Access to Class VIII and Assembled sets/customization
Medical Logistics Infrastructure
Theater Lead Agent for Medical Materiel (TLAMM)
Primary
medical distribution center
 Links to CONUS industry sources
 Provides materiel & inventory
management and customer support
operations
Primary supply chain integrator
 Supports theater supply chain planning
Normally responsible for full range of
medical logistics functions
Prime
Vendor
Other
Suppliers
Theater
TLAMM
EMF
Theater Hospitals
USN
Beach Det
EMEDS
Current TLAMM Designations
COCOM
TLAMM
EUCOM
USAMMCE
CENTCOM
USAMMC-SWA
USFK
PACOM (less USFK)
USAMMC-K
18th
CSH
USMC
MedLog Co
US Army
MedLog Co
Forward Resuscitative Surgery
Area
Customers
Brigade
Combat
Team
MDSS / USNHO
NORTHCOM
USA MEDCOM
SOUTHCOM
AFMOA/KellyUSA
AFRICOM
USAMMCE
FST
Aid
Aid
Sta
Aid
Sta
Sta
BSMC
BMSO
First Responder
Fleet Support - Today
Navy Supply relies upon its line logistics system business process for
CLVIIIA, supported by Fleet PV program and partnership with DDC/FISC
infrastructure.
Peacetime demands support only limited forward inventory and a narrow
range of HSS for Forward Deployed Naval Forces (FDNF).
Fleet forces has experimented with TLAMM support during HA/DR missions
it does not habitually use TLAMMs as a source of supply.
Any source of supply for FDNF must be able to ship or redirect materiel to
points supporting underway replenishment, which may change.
Issues/Considerations
“Non-Standard Business Processes”
• Navy Hospital Ships and “Grey Hulls” rely on Navy ordering and re-supply
processes and legacy systems that do not smoothly integrate with the DoD
Medical Logistics Enterprise. Electron flow.
*DMLSS was deployed aboard the Hospital Ships w/only the Equipment
Management module utilized to date.
• Contractual boundaries - FPV vs. Regional PV vs. CRR
• Map NSN to Part No. and/or Cat No.
• Access to CRIF (Cargo Routing Information File)
• Additional Transport costs (from TLAMM to Ship)
• Advance notification of ship deployments into AOR
• Establishment of Ship Account w/TLAMM and billing process
• Advance notification of re-supply requirements
• No control substances
Recommendation – Way Ahead
TLAMM’s can serve as the designated Class VIIIA primary source of resupply for naval ships operating within each respective COCOM AOR.
Designated TLAMM’s will accept routine customer orders via electronic
transactions using DMLSS/Customer Assistance Module (DCAM), Theater
Enterprise-Wide Logistics System (TEWLS) and spreadsheet to fill from onhand stocks when able.
The EDI application provides a listing of items stocked within a TLAMM and
is a Theater Medical Information Program (TMIP) product developed by the
DMLSS Joint Medical Logistics Functional Development Center (FMLFDC).
Required items not on-hand will be passed by the ship using normal DAASC
trap channels to SMS (DLA TS Medical) into Contingency Automation
Application (CAA).
This program/process provides a collaborative, web-based workload
distribution and management tool that tracks sourcing ownership, source
execution, shipping status and alternate executions (including passing
actions) for all requirements
Recommendation – Way Ahead con’t
DMLSS program will also provide items available from PV/Readiness
contracts through the web. Requisition passes will be captured and
reported as a supply performance metric.
Automated requisition flow will be tailored to provide the most
reliable and sustainable communications between the customer and
the TLAMM.
Products will carry normal commercial product identification and
“not be re-marked” with NSN or other military-unique identification.
Orders filled by TLAMM’s will be shipped to locations designated by
the Navy (CRIF) for onward distribution. Shipment will include intransit visibility (ITV) whenever available.
Navy will answer Request for Info (RFI) by the TLAMM for supported
Navy units on an as needed basis. Lessons learned will be used to
develop long term system solutions for more effective and efficient
medical supply chain management.
Responsibilities
Provide supporting TLAMM with information necessary to establish supply
accounts for Fleet customers (DODAAC, customer identification, contact
information, ship-to, etc).
Provide supporting TLAMM’s w/anticipated re-supply items for Flt customers.
Coordinate w/TLAMM’s cross-reference NSN reqts to TLAMM comm P/N .
Provide POC to coordinate order exceptions, invalid stock numbers and
approval for substitutions. (This is not necessary when using DCAM. The items
shown are on-hand stocks available within the TLAMM.
Provide POC to coordinate TLAMM shipments to appropriate destinations for
onward distribution via Fleet replenishment processes.
Make use of TLAMM stockage list for requirements anticipated usage items.
Coordinate with TLAMM’s to ensure collaborative response to unplanned
requirements such as contingency or disaster response.
TLAMM’s & DLA (MMEA)
TLAMM’s:
- Establish supply accounts for designated Fleet customers and provide a POC
for customer support operations
- Provide Fleet customers with current TLAMM stockage information.
- Provide cross reference NSNs for anticipated items to Prime Vendor Order -- Number (PVON) or other commercial identifier.
- Coordinate with designated Navy POC for shipment instructions for Fleet
customers. (ITV)
DLA (MMEA):
- Provide value-added network services through the Defense Automated
Address System (DAAS) to route and modify (as required) MILSTRIP transactions to the supporting TLAMM.
- Work to standardize TLAMM’s so that support is consistent within all COCOM
AORs.
- Work to identify supply system interfaces that will afford connectivity
between TLAMM and customers
BOTTOM LINE
TLAMM will provide the foundation for real-time logistics situational
awareness and helps instill Warfighter confidence by:
• Optimizing logistics business processes transitioning to a logistics system
open architecture that provides interoperable and actionable logistics
information.
• Enhancing logistics response to the joint Warfighter.
Capability to optimize route allocation (Channel / MilAir) scheduling (Force
Flow).
• Capability to collaborate across all Services, enabled by common metrics,
standards, and processes.
• Capability to make more effective use of pre-positioning stocks to reduce
lift requirements and increase capabilities and capacity.
• Capability for agencies to interoperate, in foreign disaster relief and
stability operations.
• Capability to exercise real-time, end-to-end control of distribution, and
sustainment pipeline—from mobilization, employment, reconstitution,
regeneration, redeployment, and demobilization, and across the entire
logistics spectrum.
• Capability for logisticians and operators to collaborate fully among
themselves, their counterparts and w/interagency and coalition
partners.Used for training and exercise experience.
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What is TLAMM/USAMMCE
 United States Army Medical Materiel Center-Europe (USAMMCE), is
subordinate unit of the U.S. Army Medical Research and Materiel Command
at Fort Detrick, Maryland.
 Serve as the Defense Logistics Agency's Theater Lead Agent for Medical
Materiel (TLAMM) for Europe.
 Mission Essential Capabilities
 Life Cycle Management of Class VIII Materiel
 Clinical Engineering Support
 Clinical Advise Support
 Optical Fabrication
 Assembly, Reconstitution, Disassembly of MESKOS (Kitting)
Mission
Strategic Relevance / TLAMM
Organization – USAMMC-E
Augmenting
Manpower:
USAMMCE
COMMANDER
Navy: 3 NMLC
Air Force: 1 AFMOA
Dept of State: 9
DLA-TS: 1
CENTERS
GM
HHD
SAFETY /
ENVIRO
DEPUTY
COMMANDER
FOR
OPERATIONS
DEPUTY
COMMANDER
FOR
SUPPORT
RESOURCE
MANAGEMENT
DIV
INFORMATION
MANAGEMENT
DIV
LOGISTICS
DIV
SECURITY
BR
NAVMEDLOGC
OM DET
PIRMASENS
AFMOA
LNO
PIRMASENS
ARMY: 28
US Civ: 49
Local Natl Civ: 318
SUPPORT
OPERATIONS
HUMANITARIAN
ASSISTANCE
PROGRAM
BUSINESS
SUPPORT OFFICE/
TEWLS
WAREHOUSE
MANAGEMENT
AND
DISTRIBUTION
DIV
ASSEMBLY &
CONTINGENCY
MANAGEMENT
DIV
MATERIEL
MANAGEMENT
DIV
CUSTOMER
SUPPORT
DIV
OPTICAL
ACTIVITIES
DIV
CLINICAL
ENGINEERING
DIV
CLINICAL
ADVISORY
DIV
906 Total Joint Service Customers
Chievres
Shape, Belgium
Bitburg
Ramstein
Illesheim
Heidelberg
Landstuhl
Grafenwoer
Baumholder
Hohenfels
Miseau
Kaiserslautern
Wiesbaden
Katterbach
Schweinfurt, DE
EUCOM
343 European Based Customers
CENTCOM
504 OEF Customers
AFRICOM
59 Customers, Shipping to 27 locations
Blood shipments to HOA
Department of State
Saravejo, Bosnia
Lakenheath, UK
Kiev, Ukraine
Budapest, Hungary
Kolasin, Montenegro
Support to 162 Embassies
Al Asad
Baghdad
Tikrit
Tallil
Balad
Kirkuk
Mosul, Iraq
Almaty, Kazakhstan
Chisinau, Moldova
Bishkek, Kyrgyzstan
Tblisi, Georgia
Tashkent, Uzbekistan
Constanta, Romania
Rota, Spain
Sigonella
Livorno
Aviano
Vicenza
Naples, Italy
Terceira, Azores
Sofia, Bulgaria
Pristina
Ferizay, Kosovo
Baku, Azerbaijan
Kabul
Kandahar
Bagram
Camp Bastion
Gardez
Camp Leatherneck
Mazar-e Sharif
Camp Dwyer
Herat, AF
Incirlik, Turkey
Athens, Greece
Akrotiri, Cyprus
Islamabad, Pakistan
Skopje, Macedonia
Ali Al Salem, Kuwait
Dimashq, Syria
Tel Aviv, Israel
Algeria
Burkina Faso
Burundi
Cameroon
Chad
Congo
Egypt
Eritrea
Ethiopia
Gabon
Gambia
Kenya
Liberia
Madagascar
Malawi
Mali
Mauritania
Morocco
Nigeria
Rwanda
Sierra Leone
South Africa
Camp Lemonier, Djibouti
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Manama, Bahrain
Riyadh, Saudi Arabia
Sanaa, Yemen
Thumrait, Oman
Al Dhafra, UAE
Doha, Qatar
Medical Supply Chain
Multiple Sources of Supply
Army, Navy and Air
Force fixed Facilities
throughout the
EUCOM & AFRICOM
AOR
Prime Vendor (Pharm)
Prime Vendor (MedSurg)
Military Ground
Transportation
Electronic Catalog (ECAT)
Theater Class VIII Distribution
Center
DLA Depots
Local Purchase
IMPAC & Contract
Specialty Distributors
Web-based vendors
Manufacturers
CONUS/OCONUS
Commercial
Transportation
Department of State
Embassies and
Humanitarian Asst
Ops
MTOE units
US Army Medical Materiel Center,
Europe (USAMMCE)
Pirmasens, Germany
Servicing 906 Joint Service
Customers
8,561 Stocked Lines
Valued at $27.1 M
Commercial
Transportation
Joint, Inter-Service,
and Multi-national
organizations
in support of
OEF/OIF
Establishing an Account
Establishing an Account
 To establish an account with USAMMCE go to:
https://www.pirmasens.amedd.army.mil
 Deployed customers must provide the following information to establish
a customer account
 Unit name, designation, and DODAAC/UIC
 Name, Rank, Contact info for authorized ordering personnel
 Funding document
 Shipping addresses…(Commercial)
 Any special shipping instructions
Establishing an Account
 Primary ordering methods (preferred)
 Defense Medical Logistics Standard Support System (DMLSS)
 Web-based TLAMM Online Ordering
 DMLSS Customer Assistance Module (DCAM)
Alternate ordering methods (least preferred)
 Email order to USAMMCE Customer Support
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Account Establishment
To
establish an Online Ordering account with USAMMCE go to:
https://www.pirmasens.amedd.army.mil
Fill
out the new customer registration form. Once completed simply
click on submit and USAMMCE will complete the process.
Ordering Process
USAMMCE CATALOG
Contains all product we
have in our system
click on
ONLINE WEB
ORDERING
Ordering Process
Click here
If you’re a registered
user
Fill in the blanks for
new customer
registration
After verification email is
sent to you with your
login credentials
Ordering Process
Once selected click
onto the Basket icon
Enter NSN or material
number
or use search functions
Wildcard search via %
Material will be added
to your list
Ordering Process
Fill in all required fields
-- Ordering DODAAC
-- Signal Code
-- Fund code or APC
Failure to do so might prevent order
from being processed
-
Click on “?” to get selection criteria
To continue shopping return to
Search by Stock number or
Nomenclature
Done ?
Click on submit order
Remember:
You have to click on submit
for each ordered line item – a
collective
transfer is not possible
Ordering Process
Placed Order
Since there’s no paper printout possible you might highlight all
orders, copy and paste to a word document and save it.
Procurement Methods

USAMMCE utilizes 6 methods to procure medical supplies
 Prime Vendor (Pharm and Med/surg)
 ECAT
 DLA-TS
 BPA
 GPC
 Contract
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Shipping Procedures


Distribution Methods (Non-Germany Customers)
 USPS (Sechudal II items)
 DHL
 UPS
 AMC
 National Air Cargo (NAC)
 FedEx
 Schenker
 UTI
 Jazz
Distribution Methods (Local Customers)
 UPS Express
 Above Carriers
 Military Trucks
 Customer pick-up
 AMC
Customer Turn-Ins
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
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Customers should redistribute or dispose of excess materiel locally
When not possible, TLAMM-USAMMCE may accept customer returns
 Procedures and requirements can be found on the USAMMCE
webpage.
 The credit is applied to a general account for the major DODACC
Contact the USAMMCE Pharmacy Consultant or the Pharmacy
Technician for questions regarding status of returns:
Phone: DSN 495-7230/6265 or Com 06331-86-7230/6265, E-mail:
usammce_pharmacy@amedd.army.mil.
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Delivery
USAMMCE processes order request daily and ships per
the posted schedule found on the USAMMCE website


Non-emergency orders will be shipped weekly
 Provisions for more frequent orders can be coordinated as
mission requirements dictate
 Emergency orders will be shipped immediately if stock is on-hand
or once stock arrives
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Points of Contact
OIC
LCDR Rebecca V Gels
NIPR: Rebecca.V.Gels@us.army.mil
SIPR: Rebecca.V.Gels@us.army.smil.mil
COMM: 011.49.6331.86.7427
DSN: 314.495.7427
Fleet Liaison
Ashore Liaison
HM2 (FMF) Michael Price
HM2 Nana Bonsu
Navy Pharmacy Technician
NIPR: Michael.J.Price@amedd.army.mil
SIPR: Michael.J.Price@us.army.smil.mil
COMM: 011-49-6331-86-7170
DSN: 314.495.7170
NIPR: Nana.Bonsu@amedd.army.mil
COMM: 011-49-6331-86-6675
DSN: 314.495.6675
QUESTIONS?