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DEPARTMENT OF THE NAVY NAVY AND MARINE CORPS PUBLIC HEALTH CENTER

620 JOHN PAUL JONES CIRCLE SUITE 1100 PORTSMOUTH VA 23708-2103

NAVMCPUBHLTHCENINST 5450.1S

DFA 18 Aug 14 NAVMCPUBHLTHCEN INSTRUCTION 5450.1S From: Commanding Officer, Navy and Marine Corps Public Health Center Subj: NAVY AND MARINE CORPS PUBLIC HEALTH CENTER ORGANIZATION MANUAL Ref: (a) OPNAVINST 3120.32D (b) BUMEDINST 5450.157 Series Encl: (1) Navy and Marine Corps Public Health Center Organization Manual 1. Purpose. To issue enclosure (1), the Navy and Marine Corps Public Health Center (NMCPHC) Organization Manual, consistent with reference (a) and aligned to the mission, functions, and tasks delineated in reference (b). This instruction is a complete revision and should be read in its entirety. 2. Cancellation. NAVMCPUBHLTHCENINST 5450.1R. 3. Scope. The provisions of this instruction are applicable to the Navy and Marine Corps Public Health Center. 4. Action a. All NMCPHC personnel shall familiarize themselves with this instruction in the performance of their duties. b. Special Assistants and directors assigned ownership of the various sections in enclosure (1) will review their respective sections at least annually for accuracy and relevance. This review will be initiated by the Director for Administration (DFA). c. The commanding officer (CO) will approve all change transmittals and modifications to the organizational structure. 5. Forms. Standard Form 312 (Rev 7-2013), Classified Information Nondisclosure Agreement is available electronically at http://www.gsa.gov/portal/forms/download/116218.

http://www.gsa.gov/portal/forms/download/116218


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NAVY AND MARINE CORPS PUBLIC HEALTH CENTER ORGANIZATION MANUAL

Mission NMCPHC is the Navy and Marine Corps Center for Public Health Services. We provide leadership and expertise to ensure mission readiness through disease prevention and health promotion in support of the National Military Strategy.

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ORGANIZATION MANUAL NAVY AND MARINE CORPS PUBLIC HEALTH CENTER

TABLE OF CONTENTS

Introduction................................................. iii 1. Command Suite.............................................. 2 a. Commanding Officer..................................... 2 b. Executive Officer...................................... 4 c. Command Master Chief................................... 4 d. Command Suite Administrative Staff..................... 4 e. Command Special Assistants............................. 5 f. Boards and Committees................................. 13 2. Director General Responsibilities......................... 14 3. Administration Directorate................................ 16 a. Mission............................................... 16 b. Specific Responsibilities............................. 16 c. Administration Department Functions................... 17 d. Information Management Department Functions........... 19 4. Environmental Health Directorate.......................... 21 a. Mission............................................... 21 b. Specific Responsibilities............................. 21 c. Environmental Programs Department Functions........... 22 d. Occupational and Environmental Medicine Department Functions............................................. 26 e. Industrial Hygiene Department Functions............... 29 5. Population Health Directorate............................. 34 a. Mission............................................... 34 b. Specific Responsibilities............................. 34 c. Health Analysis Department Functions.................. 34 d. EpiData Center Department Functions................... 36 e. Health Promotion and Wellness Department Functions.... 38 6. Preventive Medicine Directorate........................... 41 a. Mission............................................... 41 b. Specific Responsibilities............................. 41 c. Expeditionary Platforms Department Functions.......... 44 d. Programs and Policy Support Department Functions...... 46 7. Laboratory Services Directorate........................... 50 a. Mission............................................... 50 b. Specific Responsibilities............................. 50 8. Resource Management Directorate........................... 52 a. Mission............................................... 52 b. Specific Responsibilities............................. 52 c. Financial Management Department Functions............. 53 List of Acronyms.............................................. 59

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Introduction Command History In 1964, the idea for a comprehensive Navy occupational health program originated at what was then the Navy's Bureau of Weapons. The Bureau recognized the need for an occupational health program, which would encompass all Fleet Readiness and Training Ordnance field activities. It directed the CO, Naval Ammunition Depot (NAD), Crane, Indiana to address this need by broadening that command's occupational health function. The expanded mission, which came under the supervision of the Senior Medical Officer (SMO) at NAD Crane, included assistance to all naval ammunition depots and naval stations in coordinating occupational health programs. Under the SMO's supervision, the program's first industrial hygiene survey was done. In May 1967, the Bureau of Weapons formalized the program function it had assigned to NAD Crane with the establishment of the Naval Ordnance Systems Command Environmental Health Center, a division of NAD Crane Medical Department. In June 1970, the Center was disestablished as an NAD Crane program and on July 1, it became a Headquarters Detachment (HQ DET) of the Naval Ordnance Systems Command (NAVORD), Cincinnati, Ohio. In October of that year, The HQ DET became known as the Naval Ordnance Environmental Health Center (NOECH), NAVORD. A year later, the Bureau of Medicine and Surgery (BUMED), the Naval Material Command, and NAVORD signed a memorandum of agreement which brought NOEHC under the aegis of BUMED, renamed the “Navy Industrial Environmental Health Center. They continued to provide industrial environmental health services primarily to BUMED and NAVORD. In July 1974, the Center became the "Navy Environmental Health Center" (NEHC), an Echelon 3 shore activity under the command and support of BUMED. A move by the Center to Norfolk, Virginia was initiated in the fall of 1978. Relocation was undertaken in response to an increase in requests for fleet support and further expansion of the command's occupational health mission. The expanded role included responsibility for the Navy Occupational Safety and Health Inspection Program, analytical lab services, radiation health, hazardous materials identification, asbestos hazard control, preventive medicine,

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epidemiology, and hearing conservation. (The Hearing Conservation Division of the Naval Aerospace Medical Institute, Pensacola, Florida became NEHC's Hearing Conservation Branch in November 1978). The move was completed when the Hearing Conservation Branch and NEHC were consolidated in Norfolk in July 1979. In 1981, NEHC's mission was further expanded to coordinate and provide centralized support and occupational health, environmental health, and preventive medicine services to medical activities ashore and afloat. Navy Environmental and Preventive Medicine Units (NEPMU) and Navy Disease Vector Ecology and Control Centers (DVECC) were placed under NEHC as Echelon 4 commands. These activities included: NEPMU 2, Norfolk, Virginia; NEPMU 5, San Diego, California; NEPMU 6, Pearl Harbor, Hawaii; NEPMU 7, Naples Italy; DVECC, Jacksonville, Florida; and DVECC, Alameda California. BUMED reorganized in 1982 to establish the Naval Medical Command (NAVMEDCOM), with NEHC being one of its 15 subordinate Echelon 3 commands. In 1983, NEHC functions were once again expanded to include coordination and review of all occupational health and preventive medicine programs under the direction and management of NAVMEDCOM. NEHC established many programs, which continued to have a direct impact on day-to-day work of Navy personnel. For example, 1986, it established the Navy Preventive Medicine Information System, a computerized information system designed to support the Fleet and Fleet Marine Force with consistently updated preventive medicine and vector-borne disease profiles of countries of military importance. In 1987, NEHC also assumed its role as Project Manager for Navy Occupational Health Information Management System site implementations. In 1989, NEHC moved into ample, modern spaces, specifically designed to accommodate the command's needs in meeting a vastly expanded mission. The much needed move consolidated all NEHC departments and staff, which had operated out of three separate, temporary facilities for the past ten years at Norfolk Commerce Park, 2510 Walmer Avenue, Norfolk, Virginia. In October 1990, NEHC assumed the additional responsibility for the management of the Navy Drug Screening Laboratories (NAVDRUGLAB). This brought the total number of field activities under the command's guidance up to ten.

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In 1995, the command was restructured to provide better customer service. Directorates for newly established programs in health promotion and chemical biological radiological environmental warfare were established. In 1999, NEHC prepared for its relocation to the Naval Medical Center Portsmouth Compound, Building 215. Planning of this move actually began in the early 1980's when it was decided that Naval Medicine could better serve the Fleet through the availability of all Navy Medical and Preventive Medicine Commands in one central location. On February 11, 2002 the NEHC relocated to the Navy Medical Center Portsmouth Compound occupying the 10th and 11th floors of Building 215. The NEPMUs took on a major role at the start of Operations Iraqi and Enduring Freedom. Their Forward Deployable Preventive Medicine Units (FDPMUs) began an ongoing deployment rotation in support of those operations as well as supporting numerous humanitarian events around the globe. In order to better meet the demands of an ever-increasing operational tempo, the Navy DVECC, Bangor, Washington was disestablished on 30 September 2005 and assets redistributed among the various NEPMUs and the other NDVECC located in Jacksonville, FL. In October 2006, subsequent to realignment within Navy Medicine, NEHC was designated an Echelon 4 Command under the Navy Medicine Support Command, Jacksonville FL. NEPMU SEVEN, Sigonella Italy was disestablished to reduce the Navy’s European footprint. NEPMUs TWO, FIVE and SIX were realigned under Naval Medical Centers Portsmouth and San Diego. During this same time frame, the Navy DVECC, Jacksonville was designated a center of excellence for Navy entomology and re-named the Navy Entomology Center of Excellence (NECE). In November 2007, NEHC was re-named the “Navy and Marine Corps Public Health Center” in keeping with its ever-changing and growing mission to provide leadership and expertise to ensure mission readiness through disease prevention and health promotion in support of the National Military Strategy. In 2010, NMCPHC regained cognizance over the NEPMUs and the Navy Bloodborne Infection Management Center (NBMIC) in Bethesda, MD.

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REFERENCES 1. OPNAVINST 5354.1F CH-1, “Navy Equal Opportunity Policy,” 25 Jul 2007 2. OPNAVINST 5200.25E, “Managers’ Internal Control (MIC) Program,” 5 Apr 2013 3. SECNAVINST 5239.3B, “Department of the Navy Information Assurance Policy,” 17 Jun 2009 4. SECNAV M-5239.1, “Depart of the Navy Information Assurance Manual,” 1 Nov 2005 5. BUMEDINST 5239.2, “Protection of Sensitive, Protected Health Information (PHI), and Personally Indentifiable Information (PII) Data at Rest (DAR) on Mobile Computing and Portable Storage Devices,” 8 Nov 2007 6. Uniform Code of Military Justice 7. Manual for Courts-Martial 8. JAGINST 5800.7F, “Manual of the Judge Advocate General (JAGMAN),” 26 Jun 2012 9. SECNAVINST 5720.44C, “Department of the Navy Public Affairs Policy and Regulations,” 21 Feb 2012 10. OPNAVINST 5100.23G CH-1, “Navy Safety and Occupational Health Program Manual,” 21 Jul 2011 11. BUMEDINST 5100.13E, “Bureau of Medicine and Surgery Safety and Occupational Health Program,” 14 Mar 2012

12. SECNAV M-5510.30, “Department of the Navy Personnel Security Program,” 1 Jun 2006 13. SECNAV M-5510.36, “Department of the Navy Information Security Program,” 1 Jun 2006 14. NAVMCPUBHLTHCENNOTE 5420, “Assignments of Collateral Duties, Boards, and Committees”

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15. OPNAVINST 5090.1D, “Environmental Readiness Program Manual,” 10 Jan 2014 16. OPNAVINST M-5090.1, “Environmental Readiness Program Manual,” 10 Jan 2014 17. BUMEDINST 6200.14B, “Childhood Lead Poisoning Prevention Program,” 31 Jul 2014 18. DoD Instruction 6050.05, “DoD Hazard Communication (HAZCOM) Program,” 15 Aug 2006 19. OPNAVINST 1700.9E CH-1, “Child and Youth Program,” July 10, 2008 20. 31 U.S.C. 1517, “Prohibited Obligations and Expenditures” 20. DoD 7000.14-R, “Department of Defense Financial Management Regulation (DoD FMR)”

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18 Aug 14 Command Organization. The NMCPHC staff is organized into two major functional areas: the Command Suite and six directorates. The Command Suite (CS) is composed of the CO, Executive Officer (XO), Command Master Chief (CMC), CS Administrative Staff, and Special Assistants. Each of the six Directorates is headed by a director. Each Directorate is further divided into departments and in some instances into divisions.

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18 Aug 14 1. Command Suite

a. Commanding Officer (1) The CO is responsible for the organization, management, and mission accomplishment of the NMCPHC. The CO exercises complete military jurisdiction and is responsible for the safety and well-being of the entire command. He or she has the authority to demand from all personnel under his or her jurisdiction, compliance with federal statutes and regulations, pertinent orders, and instructions of BUMED, the Secretary of the Navy (SECNAV), and other competent authority. (2) The CO is the immediate superior in command for its ten field activities, exercising command and control over the

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NECE; Naval Dosimetry Center; three NAVDRUGLAB; NBIMC; and NEPMUs 2, 5, 6 and 7. (3) The duties and responsibilities of the CO are prescribed in Navy Regulations and the Manual of the Medical Department. The responsibility for the efficient organization, safety and well-being of the entire command is absolute. The CO may, with discretion and when not contrary to law or regulations, delegate authority and duties to the executive officer and other subordinates as appropriate for the execution of command functions or operations. Such delegation of authority in no way relieves the CO of his or her continued responsibility. (4) The CO is also charged with mission specific preventive medicine responsibilities, including: (a) Promoting and advocating for integration and alignment of preventive medicine, occupational health, health promotion, and population health efforts throughout Navy Medicine. (b) Ensuring preventive medicine and population health issues are adequately addressed throughout the Budget Submitting Office for level programming and resource decisions. (c) Providing expertise and guidance for service-wide initiatives and strategies to improve the health of the population as a whole. The CO also facilitates occupational health, preventive medicine, health promotion, population health, industrial hygiene, environmental health, and medical surveillance efforts of BUMED activities by providing program management, coordination, and technical expertise. (d) Supporting collaborative efforts with other Navy and Department of Defense (DoD) components on multi-service occupational health, preventive medicine, health promotion, population health, drug testing, industrial hygiene, environmental health, and medical surveillance issues. (e) Providing integrated planning for Navy deployable preventive medicine systems and advising on appropriate research, development, and testing requirements for the above functions.

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b. Executive Officer (1) The XO ensures implementation of the CO’s orders and policies. Normally, all official communication between the CO and other command leaders occurs through the XO. The XO is the direct representative of the CO in coordinating the administrative and management functions of the command. (2) All orders issued by the XO are regarded as proceeding from the CO. The XO acts independently with regards to administrative matters, which do not require the CO’s personal attention yet keeps the CO apprised of the action taken. (3) The XO is the point of contact and coordinating authority for the command’s ten field activities: NECE; Naval Dosimetry Center; three NAVDRUGLAB; NBIMC; and NEPMUs 2, 5, 6 and 7. The field activities shall report directly to the XO for all administrative matters and general support. c. Command Master Chief (1) Advises the CO in matters pertinent to the welfare and morale of all assigned enlisted personnel. (2) Exchanges ideas and disseminate information and instruction, which affect the enlisted community, and ensure that both written and oral lines of communications are available to the CO and all enlisted personnel of NMCPHC. (3) Serves as NMCPHC’s primary focal point on the professional development of preventive medicine technicians at the NMCPHC and field activities. d. Command Suite Administrative Staff (1) Manage the daily activities of the CO and XO; to include coordinate appropriate arrangements for travel, schedule visits, prepare travel vouchers, arrange meetings and prepare all required documents, and submit appropriate reports. (2) Manage central repository of official incoming and outgoing tasks assigned to or by the CO. Perform final review of all incoming and outgoing general command correspondence that has been prepared for the COs signature.

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(3) Manage the command’s Electronic Knowledge Management (eKM) System, in receipt, distribution and tracking of all taskers. Review submitted staff work for correct content and format, and return for re-work if necessary. (4) Exercise budgetary control of expenses for the Command Suite. Approve requisitions for operating supplies, equipment, and services within the allocated budget allowance. (5) In coordination with the Command Legal Officer, perform duties and functions related to assisting with the preparation of legal cases. Consult with appropriate Staff Judge Advocate, when circumstances permit, when preparing documents or other related activities associated with the administration of Military Justice and JAG Manual investigations. (6) Serve as the civilian and military awards coordinator. (7) Manage the command’s military fitness reports and evaluations program. Notify staff members of reporting schedule and input requirements, ensures that reports are accurately prepared and timely submitted. e. Command Special Assistants (1) Civilian Personnel Liaison. NMCPHC point of contact with the Human Resources Office on all civilian personnel matters and manages all civilian personnel programs within NMCPHC and its field activities. (a) Provide human resource guidance and technical support to NMCPHC and its field activities. (b) Manage Position Management Board (PMB) and all requests from NMCPHC and its field activities. (c) Track recruits, job announcements, and certificates for hiring new employees. (d) Maintain files of command position descriptions. (e) Manage civilian performance appraisal process.

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(f) Initiate civilian personnel actions and maintains up to date status. (g) Handle civilian non-salary related inquiries. (h) Maintain bulletin board on personnel information. (2) Command Managed Equal Opportunity (CMEO) Manager. Consults and advises the CO and XO in matters pertaining to the CMEO program. (a) Oversee the CMEO Program for NMCPHC and its field activities, Command Assessment Team (CAT), and Command Training Team requirements. (b) Coordinate and report CMEO training requirements. (c) Ensure Defense Equal Opportunity Management Institute organizational climate surveys are conducted and completed within required time frames and requirements. (d) Prepare NMCPHC policies and procedures for submitting and processing discrimination and sexual harassment complaints for military personnel. (f) Ensure NMCPHC equal opportunity (EO) program complies with all items cited in the CMEO Checklist, enclosure (3) of OPNAVINST 5354.1F CH-1. (g) Review and monitor all command investigations into EO issues with judge advocates or legal officers and provide assistance as needed. (h) Maintain CMEO records files for 3 years. (3) Command Inspections/Freedom of Information Act (FOIA) Coordinator (a) Command Oversight, Internal Audit Programs, Medical Inspector and Inspector General/Hotline Representative. 1. Manage the command oversight inspections and assist visits of NMCPHC’s field activities. Oversee the

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implementation and execution of OPNAVINST 5200.25E both within NMCPHC and at the field activities. Based on findings from on-site inspections and/or analysis of MIC internal audits, provide actionable recommendations for improving organizational performance, safety, readiness, efficiency, effectiveness, and staff quality of life. Promote enterprise-wide organizational improvement through dissemination of benchmark processes, innovations and shared accomplishments. 2. Liaise with the Medical Inspector General to provide continuous oversight and review of the integrity of NMCPHC and its field activities operations; especially those designed to prevent fraud, waste, loss, unauthorized use, or misappropriation of assets. Coordinate and/or conduct investigations to determine compliance with agency regulations, laws, procedures, and sound management. 3. Prepare recommendations to correct deficiencies which adversely impact mission accomplishment, command integrity, or the uneconomical use of command resources. (b) Special Assistant for Standards of Conduct/Ethics, FOIA requests, Privacy Act (PA) requests, and congressional inquiries. 1. In conjunction with BUMED provides guidance to NMCPHC and its field activities regarding Standards of Conduct and Ethics. 2. Receive, analyze, and coordinate responses for all requests received under the FOIA, PA and Congressional inquiries. (4) Command Information Officer (CIO). The CIO has direct access to the CO in matters relating to information technology (IT)/Information Assurance (IA) systems security. The CIO serves as the senior Information Assurance Specialist responsible for management of and compliance with Navy IA Program for all IT assets under the purview of the Commanding Officer of NMCPHC. (a) Manages IA programs that meet current and future business requirement. Administers and monitors compliance of programs which address IA operations and readiness, including certification and accreditation responsibilities and

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requirements for information systems, as prescribed by SECNAV M-5239.1. Ensure adequate security for IT systems in accordance with SECNAVINST 5239.3B. (b) Develop and maintain the Command’s Life Cycle Management (LCM) Plan. This 5-year IT Strategic Acquisition Plan describes the current IT hardware environment, plans for the replacement of older, outdated computer hardware and the acquisition of new computers resources. (c) Provide guidance to the command to ensure compliance with security directives and serve as the major proponent of IT system security in discussions concerning Information Assurance and the operation of the IT system. (d) Maintain inventory of all mobile computing and portable storage devices capable of storing Protected Health Information (PHI), Personally Identifiable Information (PII) or sensitive Data at Rest (DAR) as defined in BUMEDINST 5239.2. (5) Legal Officer. The legal officer, who shall be a commissioned officer, is an advisor and staff assistant to the commanding officer and the executive officer concerning the interpretation and application of the Uniform Code of Military Justice, Manual for Courts-Martial, JAGINST 5800.7F, and other military laws and regulations. (a) Consult a judge advocate, when circumstances permit, when preparing documents or other related activities associated with the administration of Military Justice and JAGMAN investigations. (b) Draft charge sheets, the orders convening courts-martial, and the appointing orders of those assigned to conduct investigations in accordance with JAGINST 5800.7F. (c) Supervise the technical and clerical preparation of all court-martial documents and administrative documents related to legal matters. (d) Ensure that officers and enlisted personnel assigned to courts-martial, investigations, and other legal duties are familiar with those duties.

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(e) Collaborate with the training officer to ensure that all officers and enlisted personnel are fully acquainted with their rights and obligations specified in the Uniform Code of Military Justice. (f) Participate, as required, in processing cases involving non-judicial punishment and recommend that appropriate cases be referred to trial by courts-martial. (g) Review court-martial records, and prepare a recommendation in accordance with the Manual for Courts-Martial to assist the convening authority in deciding what action to take on the findings and sentence. Consult a judge advocate when circumstances permit. (h) Review for accuracy, clarity, consistency, completeness and compliance with applicable directives, investigative reports prepared in accordance with JAGINST 5800.7F and prepare command endorsement, as appropriate. (i) Refer personnel needing assistance with personal legal matters to the attending Region Legal Service Office, Defense Service Office, or nearest Armed Forces legal office, as appropriate. (j) Draft orders convening formal pretrial investigations pursuant to Article 32, of the Uniform Code of Military Justice. (k) Draft the Convening Authority's action on the record of trial and the court-martial issuing order with the assistance of the servicing Region Legal Service Office. (6) Public Affairs Officer (PAO). The PAO is responsible for implementing and maintaining internal information, community outreach and public information programs that are consistent with the guidelines set forth in SECNAVINST 5720.44C and the objectives established by the CO. The PAO reports to the CO concerning all public affairs matters. (a) Serve as the principal advisor to the CO for public and internal information, as well as clearance of information for public release, community relations, and audiovisual matters.

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(b) Provide timely, concise, and accurate information to local media when proper queries from national media will be quickly coordinated through the chain of command. (c) Actively engage in a continuing program to highlight and publicize the achievements of command through all current and applicable mediums to include Navy.mil, Navy and Marine Corps Medical News, military installation newspapers and local press, and the Fleet Home Town News Program. (d) Operate and maintain an internal public affairs program to keep staff members and their family members fully informed of command activities and overall Navy policies and programs. (e) Maintain an active involvement with local civic organizations, medically related societies, and other interested groups. (f) Coordinate media visits and other public affair events. (g) Review and certify as releasable all command website information. (h) Manage command visual information program with oversight responsibility for video products, photographic imaging and all associated written information. (7) Safety Manager. Principal advisor to the CO on safety and occupational health matters and aggressively manages the Navy Safety and Occupational Health (SOH) Program per applicable Department of the Navy (DON), DoD, and federal directives. The safety manager reports to the CO, for matters regarding safety and to the XO for matters relating to the administration of programs and the correction of deficiencies. All hands have direct access to the safety manager. The following core responsibilities are provided below. For a complete description of the safety manager’s responsibilities, authority and organizational relationships refer to OPNAVINST 5100.23G and BUMEDINST 5100.13E. (a) Oversee the SOH Program of NMCPHC and its field activities. Perform and document SOH reviews and evaluations to

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ensure that appropriate requirements and considerations affect all operations, facilities, material, and equipment. (b) Plan, conduct and document workplace inspections of all buildings, grounds, facilities, materials, equipment, devices, operations and conditions to ensure compliance with applicable policies, laws, regulations, and standards. (c) Provide consulting services to activity organizational elements and all levels of supervision on safety principles and technical aspects and their application to employees and workplaces. (d) Coordinate the investigation of all mishaps. (e) Implement requirements and procedures for employee hazard reporting. Manage the program for the correction of workplace hazards. (f) Prepare annual self-evaluation(s) of program and program elements following Program Review and Measurement System Self-Assessment Model guidelines. (g) Coordinate SOH program training and educational programs. (h) Periodically monitor the Navy‘s Medical Surveillance Programs. (i) Collaborate with all directors, department heads, and department safety representatives in safety matters and safety program management. (j) Ensure Enterprise Safety Applications Management System, the standard data management system is used to record, monitor, assess, and measure safety programs, is implemented and used to record safety actions throughout the command. (8) Security Manager. Principal advisor to the CO and direct representative in matters regarding the eligibility of personnel to access classified information and to be assigned to sensitive duties. The security manager reports to the CO, on matters of security and to the XO for administration of the information and personnel security programs. The security manager is responsible for implementing both the DON Personnel

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Security Program and the DON Information Security Program. The following core responsibilities are provided below. For a complete description of the Security Manager’s responsibilities and authority, refer to SECNAV M-5510.30 and SECNAV-5510.36. (a) Develop written command information and personnel security procedures, including an emergency plan with provisions for safeguarding classified information during military operations or emergency situations. (b) Formulate and coordinate the command's security awareness and education program to include regular or special briefings for all command personnel, as described chapter 4 of SECNAV M-5510.30. (c) Ensure security control of visits to and from the command when the visitor requires, and is authorized, access to classified information. (d) Ensure that all personnel who will handle classified information or will be assigned to sensitive duties are appropriately vetted through coordination with the Department of Defense Consolidated Adjudication Facility – Navy Division and that requests for personnel security investigations are properly prepared, submitted and monitored. (e) Ensure that access to classified information is limited to those who are eligible and have the need to know. (f) Ensure that personnel security investigations, clearances and accesses are properly recorded in the Joint Clearance and Access Verification System (JCAVS), and that subordinate commands are properly registered for JCAVS, as necessary. (g) Serve as the principal advisor and representative to the CO in matters pertaining to the classification, safeguarding, transmission, and destruction of classified information. (h) Coordinate the command program for continuous evaluation of eligibility for access to classified information or assignment to sensitive duties.

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(i) Coordinate with the command IAM on matters of common concern. (j) Ensure that all personnel who have had access to classified information who are separating or retiring have completed a Security Termination Statement. (k) Ensure all personnel execute a Classified Information Nondisclosure Agreement (SF 312) prior to granting initial access to classified information and record execution of the SF 312 in JCAVS. (l) Ensure that all security violations or incidents involving the possible compromise of classified information are investigated and reported. (m) Provide advice and guidance to subordinate command security managers in the conduct of inspections, assist visits, program reviews, and for the completion of tasks and reports as may be required by a higher echelon. (n) Remain apprised of changes in DoD and DON security policy in order to implement required changes and increase effectiveness of the command security program. f. Boards and Committees. Refer to NAVMCPUBHLTHCENNOTE 5420 for a complete listing of command boards, committees, and collateral duties assignment.

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2. Director General Responsibilities. The directors, subject to the orders of the CO and XO, shall: a. Exercise such authority with respect to NMCPHC as the CO may delegate. b. Ensure that the directorate is properly organized and up to date on required training for all personnel and up to date on medical readiness for all military personnel. c. Prepare and maintain the instructions and notices for the organization and operation of the directorate. d. Assign personnel to duties within the directorate. e. Be responsible for the effectiveness of the directorate. Plan, direct, and supervise the work and training of directorate personnel. f. Ensure the preparation, promulgation, and execution of pertinent directives, plans, and other work products as well as ensure they are prepared and executed in conformity with the CO’s policies and intentions. g. Control the expenditure of allotted funds and operate the directorate within the limit of such funds. h. Assume responsibility for the proper operation, maintenance, preservation, custody, and inventory of equipment and other material assigned to the directorate. i. Maintain records and submit reports, and anticipate the personnel and material needs of the directorate and submit timely requests to fulfill requirements. j. Cooperate with other directors to ensure full command coordination. k. Maintain standards of performance and conduct of the directorate. l. Submit budgetary requirements for the maintenance and operations of the directorate, and approve expenditures from funds allocated by the CO.

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m. Perform special projects and other duties as assigned. n. Maintain current information files and up to date file plans for ready reference. o. Keep the PAO informed of activities for assisting in effective public affairs activities. p. Ensure complete briefings and background material are prepared by the cognizant scientific department or project team leader for all anticipated activities of the CO, including necessary official correspondence and briefs of persons who will be contacted in the course of professional or personal events. q. Expeditiously advise staff personnel as to any special requirements of the CO or XO, which may be additional to routine procedures. r. Serve as member of the BOD helping chart the future course of NMCPHC and the subordinate echelon activities. s. Ensure department heads establish and maintain essential personnel and official liaison with various Navy and Marine Corps commands, BUMED, Navy program managers, and other activities and agencies to which NMCPHC provides products and services. A collateral function in similar context is to establish and maintain essential liaison with other military services, appropriate civilian authorities, and non-military U.S. Government agencies.

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3. Administration Directorate

a. Mission. To provide proactive management oversight and administrative support to the command. b. Specific Responsibilities. The Director for Administration (DFA), subject to the orders of the CO will: (1) Perform the general responsibilities delineated in section 3. (2) Serve as command advisor on all matters pertaining to the administration of NMCPHC, civilian and military personnel matters, staff education and training, material management, information management, and manpower.

Administration Department

Information Management Department

Materiel Management

Division

Director for

Administration

Education and Training Division

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c. Administration Department Functions (1) Edit, review, and create command and Domain Directives. Ensure directives are reviewed annually on their anniversary month for currency/relevancy. Maintain the command's central correspondence files. (2) Maintain a reference library of all publications required for administration, a master list of all publications and their location within the command and the command's central directives files. (3) Administer and oversee storage of all incoming and outgoing Electronic Documents and Records Management.

(4) Create, update, and distribute Domain Recall/Phone Directory to Command Duty Officer for emergency recall purposes. (5) Manage the Command Sponsor Program. Ensure prospective gains are assigned a sponsor, receive a welcome aboard message, and welcome packages. (6) Organize and maintain all activity manpower documents and ensures data quality in manpower information databases. (7) Performs mail services for NMCPHC. (8) Provide program management for facilities management functions. This includes design, funding, maintenance of real property, military construction, special projects, transportation management, voice communication, and energy conservation. (9) Provide physical security, and facilities maintenance of the NMCPHC. (10) Provide program management for investment, expense, and equipment acquisition budget calls and technical approvals. (11) Provide program management for command property management. (12) Prepare the Plan of the Week and its review, prior to submission for signature.

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(13) Materiel Management Division Functions (a) Direct, manage, coordinate, and provide guidance and expertise on material management, supply operations, and procurement management for the command and field activities. (b) Maintain command Government-wide Commercial Purchase Card Program. (c) Provide contracting duties for the command and its field activities to include administration of contracts, modifications, and oversight of awarded contracts and closeouts. (d) Provide guidance for NMCPHC staff on Statement of Work (SOW) and Contracting Officer Representative (COR) requirements. (e) Administer and provide training to personnel on the use of the Defense Medical Logistics Standard Support (DMLSS) system. Provide DMLSS system troubleshooting and resolution. (f) Provide oversight of purchase card program training requirements and ensure they meet established guidelines. (g) Performs as the Group Administrator, Acceptors and Certifiers in the Wide Area Work Flow (WAWF) system for invoice acceptance and certification for NMCPHC and its activities. (h) Serve as point of contact (POC) in gathering all required documentation for inspection/audits on NMCPHC and its field activities from federal contracting agencies. (i) Serve as the Trusted Agent for the Common Access Card issue and renewal process for assigned contractors. (j) Ensure the funding is obligated in FASTDATA for all purchase requirements. (k) Coordinate incoming contractor requirements for the Position Management Board (PMB). (l) Perform the roll of ‘acceptor’ and ‘certifier’ for invoices. Reconcile statements on a monthly basis.

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(m) Serve as POC for command Blackberry contracts and modifications. (n) Perform the role of ‘receiver’ for all property received for NMCPHC. (o) Monitor command FedEx account and ensure adequate funding is available. (14) Education and Training Division Functions (a) Provide support in technical training programs and oversee curriculum development. (b) Provide accreditation coordination for courses eligible for Continuing Education Units. (c) Manage the command’s in house civilian professional development programs, and mandatory training. (d) Serve as the approval authority for NMCPHC and field activity formal Navy courses. (e) Identify new education, training and experiential opportunities for all staff. (f) Identify and institute emerging technologies to meet the informational needs of NMCPHC and its field activities. (g) Ensure timely training data entry into prescribed Navy training databases. (h) Provide consultation and approval authority on training request for staff and field activities. d. Information Management Department Functions (1) Plan, coordinate, and provide comprehensive, integrated, cost-effective information management capacity throughout NMCPHC and its field activities. (2) Collaborate with NMCPHC’s field activities in developing and accomplishing joint goals for information resource management in support of the mission of our customers.

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(3) Responsible for the command’s information Technology Life Cycle Management program. (4) Primary point of contact for field activity information technology (IT) staff in the event of problems or issues. This includes host activity staff where support services are provided by a host activity. (5) Provide command web support. Develop and implement website content policy and guidance for NMCPHC. Create, implement, and maintain a map of the relationships, the look and feel among web pages of the NMCPHC websites. (6) Provide programming and Programs of Record (POR) application support. (7) Provide Blackberry system troubleshooting and resolution. (8) Infrastructure support. (a) Maintain server room resources and EpiData Center (EDC) Networks, and provides tier III support to NMCPHC forward deployed staff. (b) Provide technical review of all information management (IM) and IT purchases.

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4. Environmental Health Directorate

a. Mission. Enhances force readiness in the DON through the prevention of disease and injury by evaluating occupational and environmental health hazards and providing consultative support for their effective assessment, management, and communication. b. Specific Responsibilities. The Director for Environmental Health, subject to the orders of the CO will: (1) Perform the general responsibilities delineated in section 3. (2) Direct and coordinate the work of the scientific departments, and is responsible for the efficient functioning of cross-department project teams.

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c. Environmental Programs Department Functions (1) Execute two Inter-Service Support Agreements between the Chief, BUMED and Commander, Naval Facilities Engineering Command (NAVFACENGCOM/Base Realignment and Closure (BRAC) Program Management Office (PMO)) and U.S. Fleet Forces Command (USFFC) to provide a wide range of public health services including health risk assessment, risk communication, toxicology, health and safety consultation and other public health consultative services supporting Navy and Marine Corps medical and environmental programs. Specific support for the Department of the Navy (DON) Environmental Restoration (ER) Program is conducted in accordance with OPNAVINST 5090.1D and OPNAVINST M-5090.1. (2) Interact with other federal agencies and military services to develop procedures, policies and activities pertaining to health and environmental risk communication, public health, risk assessment, and training. (3) Medical Risk Communications Functions. Provide expert-level risk communication training and technical assistance on environmental and public health issues for the Navy and Marine Corps and other DoD activities. This effort includes: (a) Develop risk communication strategies and products to communicate environmental, and public health issues to potentially impacted military and civilian communities with multimedia communications at public availability meetings, Restoration Advisory Board meetings, and other interactive forums. (b) Provide consultative assistance to the Office of the Under Secretary of Defense (e.g., Acquisitions, Technology & Logistics), Deputy Assistant Secretary of the Navy (e.g., Installations & Environment), CNO (N45), BUMED, CNIC, NAVFACENGCOM, BRAC PMO, or installation commanders regarding appropriate risk communication techniques and protocols to PAOs, remedial project managers for national priorities list (NPL) and BRAC sites, and other internal DoD and external customers to ensure that Navy and Marine Corps communications to the public regarding health and environmental risk are appropriate and maximally effective.

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(c) Develop and provide general and topic-specific training tailored to specific Navy and Marine Corps projects and project teams, as well as cooperative training with the Civil Engineering Corps Officers’ School, contractors and others to help ensure competency and awareness of public health and environmental communication practices and principles to effectively communicate with the public, the media, regulators and other stakeholders. (d) Support Navy Medicine, in effectively communicating results of disease cluster investigation, pandemic influenza and other crisis situations, and occupational health issues. (e) Provide on-site support to emergent risk communication needs to ensure communications are appropriate and maximally effective by working with community groups; developing community relations plans; preparing materials to help explain highly technical and/or controversial information; and preparation and review of media reports, correspondence, and other documents. (f) Develop risk communication guidance and public education resource materials. (g) Provide risk communication consultation and services to Navy Medicine Regions, Military Treatment Facilities and Navy Regional Commanders, upon request, for incidences of confirmed blood lead levels greater than or equal to 5 ug/dl, in accordance with BUMEDINST 6200.14B. (4) Public Health Functions (a) Serve as the DON's liaison to the Department of Health and Human Services Agency for Toxic Substances and Disease Registry (ATSDR), and coordinate the ATSDR/DoD public health assessment program at Navy and Marine Corps sites, as required by OPNAVINST 5090.1D and OPNAVINST M-5090.1. Activities include: 1. Review draft public health assessments, health studies, and other ATSDR draft public health assessment documents. Coordinate reviews of ATSDR documents with installations and NAVFACENGCOM.

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2. Coordinate, support, and provide technical consultation to the NAVFACENGCOM and installations in preparing for public meetings and responding to community concerns regarding health and safety aspects of projects. 3. Coordinate with ATSDR concerning public health assessments to ensure that ATSDR is aware of new NPL listings. 4. Coordinate any ATSDR visits to installations with the installation and cognizant NAVFACENGCOM facilities engineering command. 5. Coordinate with ATSDR concerning ATSDR's legally mandated health-related activities, including public health assessments, public health consultations, health surveys and investigations, toxicology databases, emergency response and health education. 6. Provide assistance in developing Applicable or Relevant and Appropriate Requirements for cleanup program activities. (b) Provide expert-level health and safety technical assistance on environmental related issues for the Navy and Marine Corps. This effort includes: 1. Provide technical review of health and safety plans, accident prevention plans, and other associated documents to ensure compliance with Occupational Safety and Health Administration, Army Corps of Engineers, and other pertinent requirements. 2. Provide expert consultation for health and safety programmatic issues for environmental programs to include support for chemical specific remediation under the Comprehensive Environmental Response, Compensation, and Liability Act, such as asbestos and lead in soil; vapor intrusion issues; and construction activity on or near hazardous waste site. 3. Provide industrial hygiene and medical expertise to activities during spill events and other environmental emergencies.

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(5) Reimbursable Risk Communications Functions. Functions for this division are identical to those listed in Medical Risk Communications Division. (6) Risk Assessment and Toxicology Functions. Provide expert-level risk assessment and toxicology support to the Navy, Marine Corps and other DoD organizations related to potential health impacts posed by releases or potential releases of hazardous substances such as chemicals, biologicals, and disease vectors into the environment to assist with risk management decisions. This effort includes: (a) Assess human health risk in accordance with acceptable protocols such as those developed by the U.S. Environmental Protection Agency (EPA) and U.S. Public Health Service by assembling and evaluating site-specific sample data and calculating estimated human health risks to specific contaminated media. (b) Review chemical and site-specific risk assessments developed by others, (e.g., regulatory agencies and contractors) for comments and recommendations leading to a scientifically sound risk assessment). (c) Provide health/medical evaluation of the various cleanup program documents including risk assessments, work plans, sampling plans, remedial investigation documents, quality assurance plans, and health and safety plans as requested by NAVFACENGCOM, BRAC PMO and others. (d) Recommend actions to reduce human exposure and eliminate or mitigate risk in situations where health risk assessments indicate increased or unacceptable risks. (e) Provide support to the Office of the Under Secretary of Defense (Installations & Environment) by monitoring the status of the EPA and other federal and state agency chemical toxicological studies and methodologies that can impact: the development of toxicity values used to establish site-specific risk assessments and occupational health standards; military acquisitions; and military operations. (f) Provide consultative support involving quantitative human health risk assessments and chemical toxicity to Navy and Marine Corps facilities and program offices and

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develop recommendations addressing risk estimates, sensitivity and uncertainty, and/or potential impacts on health and operations. (g) Maintain the Navy Human Health Risk Assessment guidance web site. (h) Provide assistance in developing applicable or relevant and appropriate requirements for the DON ER Program. d. Occupational and Environmental Medicine Department Functions (1) Occupational and Environmental Medicine Functions (a) Provide health care practitioners with the integral tools to complete mandated examinations in compliance with Federal, DoD, and Navy requirements. (b) Provide up-to-date guidance for the completion of all Navy occupational medical surveillance and certification examinations. 1. Published in the Medical Surveillance Procedures Manual and Medical Matrix. 2. Available on the computer companion currently named PC Matrix. (c) Maintain a central database registry containing information related to persons in the Navy’s Asbestos Medical Surveillance Program, to include tracking potential asbestos related disease and asbestos related health information. Provide data and trend analysis to CNO (N09F). (d) Publish and maintain specialized technical manuals in a comprehensive up-to-date format unique to Navy Occupational and Environmental Medicine: 1. Bloodborne Pathogen Exposure Control Manual. 2. Prevention and Treatment of Heat and Cold Stress Injuries Manual.

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3. Reproductive and Developmental Hazards Manual. 4. Occupational Medicine Field Operations Manual. 5. Medical Surveillance Procedures Manual and Medical Matrix. (e) Publish and maintain specialized guides unique to the practice of Navy Occupational and Environmental Medicine: 1. Coding Book for Occupational and Environmental Medicine Practices. 2. Occupational Health Program Evaluation Guide. (f) Provide expert assistance to health care professionals and line commands in addressing workplace and environmental exposure hazards. (g) Provide technical and professional assistance to field activities in the form of a consultative assistance team. (h) Provide consultative support to Chief, BUMED, Navy Medicine Region commanders, and Navy and Marine Corps operational forces. (i) Provide Occupational Medicine technical expertise in support of the BUMED Emergency Management Program. (j) Provide occupational health nursing support to include the oversight and technical consultation for Navy-wide occupational health nursing programs, including, but not limited to, spirometry and ergonomics. (2) Hearing Conservation Division Functions (a) Provide technical management, training, and data analysis for the Navy’s Hearing Conservation Program. (b) Oversee all Navy audiometric technician training including the production of course materials.

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(c) Serve as the Navy representative to the Defense Occupational and Environmental Health Readiness System–Hearing Conservation (DOEHRS-HC). (d) Manage the Navy DOEHRS-HC component including maintaining the validity of hearing test data stored in the tri-service central Data Repository. (e) Promote and conduct field research which enhances hearing conservation and communication in operational environments. (f) Liaison with the Army and Air Force counterparts to coordinate Department of Defense Hearing Conservation issues. (g) Service and calibrate all of the Navy’s Hearing Conservation Program audiometers. (h) Provide maintenance and repair services for audiometric and sound measuring equipment. (i) Publish and maintain the “Navy Medical Department Hearing Conservation Program Procedures” technical manual. (j) Provide technical consultation to field audiologists involved with the Navy Hearing Conservations Program, and participate in consultative assistance teams to provide technical and professional assistance to field activities when requested. (3) Radiation Health Division Functions (a) Serve as the technical support center for all Navy medical commands and research centers that use radioactive materials. (b) Act in lieu of the Nuclear Regulatory Commission (NRC) for all licensure and inspection actions for every Navy medical treatment facility and medical research facility and three joint facilities that use radioactive material. (c) Oversee and manage every facility permit issued under the Navy’s Master Material License.

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(d) Ensure all licensed commands adhere to the regulations set forth in the Code of Federal Regulations. (e) Provide educational and training materials, updates on changes in the regulations, summaries of inspection findings, and copies of NRC notices. (f) Maintain a list of approved diagnostic imaging equipment surveyors and shielding designers qualified to evaluate diagnostic imaging systems and design structural radiation shielding of diagnostic and therapeutic systems. (g) Provide assistance to commanding officers in obtaining timely diagnostic and therapeutic evaluations and shielding designs. (h) Publish and maintain the Diagnostic Imaging Equipment Performance Survey Manual. (i) Provide technical consultative services on matters pertaining to ionizing radiation, radio frequency radiation, and lasers. e. Industrial Hygiene Department Functions (1) Analytic Services and Toxicology Support Division Functions (a) Coordinate provision of expert professional support to higher authority for identification and evaluation of health hazards from chemical and physical agents in operational, occupational or other settings that may impact upon the readiness of DON. (b) Use statistical analyses of existing databases to identify and monitor trends in occupational illness and injury, and provide reports to headquarters and activities upon request. (c) Provide technical direction and oversight for field portable analytical equipment (FPAE) and other capabilities of the FDPMU, including equipment selection, equipment optimization, quality assurance programs, analytical methods development, operator training, equipment application,

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equipment troubleshooting and repair, interpretation of results, and coordination with other services or nations using similar FPAE for similar purposes. (d) Serve as the Chemical Component Program Manager for the FDPMU. (e) Serve as the Navy Executive Member of the Joint Preventive Medicine Equipment Subgroup of the Joint Environmental Surveillance Work Group (JESWG). (f) Serve as the Navy Executive Member of the Joint Occupational and Environmental Surveillance Laboratory Subgroup of the JESWG. (g) Maintain the BUMED Ship Industrial Hygiene Survey Repository. (h) Maintain sufficient industrial hygiene instrumentation and equipment to conduct field investigations and consultative assistance visits. (i) Manage the Navy-wide Asbestos Counting and Identification Proficiency Testing Program and contracts. (2) Acquisition Technical Support Division Functions (a) Provide occupational health support to the Joint Strike Fighter (F-35) Environmental Safety and Occupational Health Integrated Product Team, Engineering, Joint Strike Fighter Program Executive Office. 1. Provide Navy occupational health cost data, illness and injury information, and Navy stressor-specific personal exposure data summaries to support hazard assessment decisions and/or determine health-related impacts of using specific materials on the F-35. 2. Monitor and report on anticipated and proposed health related legislation, consensus standards and research developments. (b) Provide technical expertise and consultation to acquisition program managers, (e.g., Naval Sea Systems Command (NAVSEA), Naval Air Systems Command, Naval Supply Systems Command) to ensure hazards to personnel are recognized,

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mitigated and/or controlled through engineering design and material specifications). (c) Facilitate communication between major acquisition program managers and medical, legal, environmental, safety, occupational health, and other science professionals as needed to support acquisition programs. (d) Serve as the Navy Occupational Health representative to the Navy Weapon System Explosives Safety Review Board. (e) Coordinate and conduct health hazard assessments, upon request, to Navy and Marine Corps acquisition program managers, shore activities, ships, and other operational commands. Comprehensive services are provided for: 1. Surface ship hazardous material control and management. 2. Submarine atmosphere control. 3. Military specification screening. 4. Cleaning catalog product review. 5. New acquisition program test data evaluation. (3) Program Support Division Functions (a) Serve as the Navy Medicine Executive Agent for the Defense Occupational and Environmental Health Readiness System (DOEHRS). Coordinate Navy subject matter experts (SMEs) to: 1. Approve and prioritize DOEHRS change requests for the Navy. 2. Serve as DOEHRS consultant to Occupational and Environmental Health Integrated Process Team Navy membership. 3. Approve DOEHRS accounts for Navy personnel. 4. Develop recommendations to BUMED on the DOEHRS-Enhanced Environmental Health (DOEHRS-EEH) implementation

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policy for deployed units and in-garrison units to include any expansion of DOEHRS contract support and incorporation of training into applicable school curriculums. 5. Provide service-level technical support for the training and deployment of the DOEHRS application at Navy sites. (b) Serve as the designated Navy and Marine Corps service focal point for the DoD Hazardous Material Information Resource System (HMIRS). Activities include: 1. Coordinate Navy and Marine Corps HMIRS record processing and review for completeness. 2. Train and certify Navy and Marine Corps HMIRS data submitters. 3. Ensure that all complete Material Safety Data Sheets are properly disseminated or processed for entry into HMIRS in accordance with the requirements and guidelines specified in DoD Instruction 6050.05. 4. Notify the Naval Operations Logistics Support Center Transportation and Distribution of each new Navy-managed HMIRS entry that has a corresponding navy stock number. 5. Notify the NAVSEA Detachment Radiological Affairs Support Office of each new Navy-managed HMIRS entry that contains radioactive materials. (c) Provide expert advice and consultation to BUMED and Navy Medicine activities for compliance with major programs and audit services, including but not limited to OPNAVINST 5100.23G CH-1 and other DoD and SECNAV instructions, and federal regulations as applicable. (d) Coordinate and conduct consultative assist visits, program management reviews, resource needs assessments, technical assistance visits and other analyses at Navy Medicine activities as may be directed by BUMED. This may include field studies and investigations of complex or unusual events affecting the health and readiness of active duty members, civilian personnel, family members, and the surrounding community, (e.g., disease cluster investigations, Congressional investigations, mishap investigations, and others that may be beyond the technical capability of the local staff resources).

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(e) Identify and support opportunities for collaborating on Navy research needs and requirements in areas of industrial hygiene, toxicology and risk assessment. (f) Provide professional support and assistance to the Navy Medical Department and operational Navy planners to develop doctrine for applying industrial hygiene, toxicology and risk assessment principles and practices to planning and mission requirements. (g) Provide support for health hazard assessments, and environmental and industrial hygiene evaluations upon request. (h) Serve as curriculum manager for the Navy Industrial Hygiene Techniques/Exposure Monitoring Course.

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5. Population Health Directorate

a. Mission. Optimizes and supports force health protection and readiness in the DON by providing epidemiologic services, providing health promotion and wellness programs, and the promotion of healthy behaviors and lifestyles. b. Specific Responsibilities. The Director for Population Health, subject to the orders of the Commanding Officer will perform the general responsibilities delineated in section 3. c. Health Analysis Department Functions (1) Analyze clinical data and provide feedback on quality and availability of care, as well as efficient resource allocation in the direct and purchased care systems. (2) Provide subject matter expertise to the military medical treatment facilities (MTFs), advisory boards, graduate medical education efforts, and BUMED (including the Wounded, Ill, and Injured (WII) Program) for evidence-based decisions, epidemiology, statistics, and development of metrics. (3) Develop performance measures to support BUMED advisory boards, the BUMED Business Plan, and improvements in quality of clinical care. (4) Coordinate the management of the Population Health Navigator (PHN) Dashboard, CarePoint 3G, CarePoint Healthcare Application Suite (CHAS),and related tools.

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(a) Provide assistance to CarePoint 3G and CHAS account users in answering questions regarding methodology and making the data actionable. (b) Delineate new requirements and spearhead improved functionality. (c) Provide system change requests to Naval Medical Information Systems Support Activity for the PHN dashboard. (d) Liaise with all necessary agencies to assist with the development, assessment, and revision of modules within the PHN tool. (5) Provide technical assistance, professional expertise, and program recommendations for health analysis/clinical epidemiology. (6) Develop Navy-wide evidence-based tools to assist MTF representatives in identifying areas for health care improvement through evaluation of appropriate measures, consultation in developing methods for improvement, and providing means for reassessment and monitoring efforts. (7) Serve as the BUMED designated Navy Program Manager Department Of Navy Cancer Registry and Surveillance Program (PMCRSP) and the subject matter expert (SME) for Navy Medicine on technical and policy issues related to the Navy and DoD Cancer Registries. The PMCRSP is responsible for oversight and implementation of the fully functional Navy Cancer Registry and Surveillance Program, to ensure quality and completeness of reported cancer data, and to support epidemiological analysis of this data. (8) Serve as the BUMED designated support for development of program assessment measures for WII projects and for Psychological Health/Traumatic Brain Injury projects. (9) Serve as the SME and advisor for BUMED advisory boards and teams such as the Primary Care Advisory Board, Asthma Advisory Team, and the Women’s Health Advisory Board.

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d. EpiData Center Department Functions (1) Serve as the designated conduit for all Navy Medicine reportable medical event data transmitted to the Armed Forces Health Surveillance Center. (2) Serve as one of the DoD Pandemic Influenza Surveillance Centers, tasked to develop influenza surveillance tools using Health Level 7 data streams. (3) Serve as the DON communicable disease surveillance center to provide senior medical and preventive medicine officers with periodic and special trend analysis reports of communicable diseases and conditions that may impact operational readiness including malaria, tuberculosis, sexually transmitted infections, and upper respiratory illness. (4) Serve as the Navy center for the surveillance of antibiotic resistant organisms. The EDC uses HL7 data to monitor multi-drug resistant organisms for the MTFs and in selected populations. (5) Provide data analysis and interpretation that supports Navy Medical Department policy development and implementation for preventive medicine, population health improvement, MTF infection control, and occupational, environmental, and deployment health. (6) Provide routine reports to DON senior operational and medical leaders that summarize medical conditions that could impact operational readiness and to assist unit medical officers in the early identification of at risk personnel. (7) Monitor and report analysis of indicators that impact hospital risk management including but not limited to patient and healthcare worker safety, hospital-acquired infections, and antibiotic resistant microorganisms. Conduct occupational and environmental health epidemiology studies to assess the impact of these exposures on health. (8) Provide technical oversight for the collection, management, analysis and interpretation of deployment health assessment data for Navy, Marine Corps, and Coast Guard.

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(a) Provide routine and special reports for compliance and trend analysis. (b) Provide completed data/reports to Navy, Marine Corps, Navy and Marine Corps Reserves for tracking and compliance. (9) Develop and maintain liaison with other military services, other government agencies, non-governmental organizations, and volunteer organizations involved with disease surveillance, occupational and environmental, deployment health surveillance, and clinical/healthcare epidemiology programs. (10) Provide epidemiology expertise for the design, collection, analysis, and interpretation of health information and conduct epidemiologic studies as requested by Navy and Marine Corps operational commands. (11) Provide epidemiology expertise and consulting for disease and injury prevention projects, when requested by higher authority. (12) Collaborate with the Preventive Medicine Directorate to carry out disease epidemiological analyses. (13) Serve as IT/IM consultant for Population Health Directorate, BUMED, Marine Corps, Air Force, and Army. (a) Manage the Electronic Deployment Health Assessment (EDHA) database, the Triservice Disease Reporting System Internet (DRSi) database, data related to Fleet Disease and Non-Battle Injury reporting process, and other databases by collecting, compiling, and analyzing data, producing reports and analyses. (b) Manage the development of the information technology, computer hardware, and software that support the reporting systems. (c) Operate a help desk for Post Deployment Health Reassessment Program, EDHA, DRSi, and population health navigator functions. (14) Provide surveillance metrics development and support including dashboards tools for the WII program in the

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areas of communicable disease, injury, recruit health, audiology, and multi-drug resistant organisms, mental health, substance abuse, suicide risk, and human health risk and exposure assessments from environmental exposures. (15) Supports graduate medical education scholarly activity requirements including academic faculties and trainees. e. Health Promotion and Wellness Department Functions (1) Serve as the designated BUMED representative to provide centralized health promotion support services to regional medical commands and medical activities afloat and ashore. (2) Provide professional expertise to policy and decision-makers at ashore/afloat commands, including the Secretary of the Navy; Navy Medicine Manpower, Personnel, Training and Education Command; Navy Installations Command; Naval Safety Center; USFFC; the Center for Personal and Professional Development and Navy Reserve Forces. (3) Provide technical and programming assistance to medical and non-medical commands, clarification on health promotion policy issues, and capacity building through training and online health resources. (4) Provide evidence-based Health Promotion and Wellness training on the planning implementation and evaluation of an effective command-level Health Promotion Program to designated Health Promotion Coordinators/Directors at Navy Medical, Fleet, Shore-based and Reserve commands. (5) Identify best health and wellness practices for individuals, worksites, and communities that are evidence-based and use appropriate local resources. (6) Provide technical and content oversight in developing, implementing, and evaluating award criteria for annual Health Promotion and Wellness Awards such as the Navy Surgeon General’s Blue H award. (7) Identify, collect, and disseminate appropriate health promotion metrics (e.g., tobacco cessation and weight management intervention metrics).

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(8) Serve as a resource to monitor and evaluate health data sources that may include health surveys, health risk assessments, Physical Readiness Information Management System, and electronic medical records to improve health promotion programs and methodologies. (9) Develop health promotion programs and products for implementation by Navy Medicine and for distribution throughout the DON. Such programming includes, but is not limited to, health promotion calendar of events, linkage to national health resources, supporting tools and resources for field implementation, and supporting health promotion excellence through award recognition. (10) Develop and maintain liaison with other government, non-government, and volunteer organizations involved in health promotion. (11) Serve as subject matter experts and advisors for BUMED advisory boards and teams such as the Musculoskeletal Advisory Board, the Women’s Health Continuum of Care Advisory Board, the DoD Nutrition Committee, and the Tobacco Cessation Advisory Team. (12) Serve as the Navy lead on the development and implementation of the Military Nutrition Environment Assessment Tool (m-NEAT). (13) Develop promotional products, for implementation throughout the DON, for the Injury and Violence Free Living Program. (14) Serve as the program manager for the Sexual Health and Responsibility Program. (15) Serve as the designated program manager for the Navy’s official weight management program, ShipShape. (a) Provide ShipShape facilitator training at multiple times and locations throughout the year to meet the demand for instructors. (b) Provide additional consultation upon request to local ShipShape facilitators to assist, them in implementing successful programs.

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(c) Design and manage an evaluation component for ShipShape to track process and outcome metrics. (d) Collect and analyze data submitted by ShipShape facilitators. Submit semiannual reports on these data to each Navy Medical Region Commander and a consolidated report to Deputy Chief, Medical Operations (BUMED-M3). (16) Serve as the SME resource to assist MTFs in their tobacco cessation efforts. (a) Provide support for measuring, tracking, and reporting overall HPW department-based Tobacco Program effectiveness metrics. (b) Provide educational resources for the multidisciplinary health care teams to assist with tobacco use, prevention, and cessation efforts. These clinical resources include materials for providers, patient education, marketing, and educators and staff training. (17) Administer the Fleet and Marine Corps Health Risk Assessment program. (18) Support and augment psychological and emotional well-being products and services via other DON and DoD commands, Naval Center for Combat and Operational Stress Control, and Defense Centers of Excellence.

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6. Preventive Medicine Directorate

a. Mission. Provides force health protection support to naval commanders through members of the Navy Medical Department and the NEPMUs/FDPMUs by executing core public health functions to include: (1) Acquire, access, store, and analyze naval health information to monitor the health status of naval populations, enabling public health practitioners to diagnose, investigate, and mitigate health problems affecting naval populations. (2) Inform the force health protection decisions of Navy Medical Department personnel and naval commanders. (3) Mobilize partnerships and actions to identify and mitigate threats to health of naval populations. (4) Develop naval public health standards, policies, programs, and plans on behalf of BUMED and evaluate the effectiveness of the same. (5) Assist BUMED’s efforts to assure the public health competence of the Navy Medical Department. b. Specific Responsibilities. The Director for Preventive Medicine, subject to the orders of the CO will: (1) Perform the general responsibilities delineated in section 3.

Director Preventive Medicine

Expeditionary Platforms

Department

Programs and Policy Support

Department

Entomology & Dosimetry Support Services

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(2) Maintain preventive medicine, environmental health, risk communication, entomology, and microbiology expertise that provides unique technical support to the Navy and Marine Corps. (3) Coordinate provision of expert professional support to higher authority for identification and evaluation of health hazards from illness, injury and chemical and physical agents in operational, occupational or other settings that may impact upon the readiness of DON. (4) Coordinate and conduct consultative program reviews, assist visits, resource needs assessments, technical assistance visits and other analyses at Navy Medicine activities as may be directed by the Chief, BUMED. This includes investigations of complex or unusual events affecting the health and readiness of active duty, civilian personnel, family members, and the surrounding community, (e.g., disease cluster investigations, Congressional investigations, mishap investigations, and others that may be beyond the technical capability of the local staff resources). (5) Liaison with the Army and Air Force counterparts to coordinate DoD preventive medicine issues. (6) Interact with other federal agencies and military services to develop procedures, policies and activities pertaining to health and environmental risk communication, public health, medical surveillance, risk assessment, and training. (7) Provide Navy Medicine program support for the Defense Occupational and Environmental Health Readiness System-Enhanced Environmental Health (DOEHRS-EEH). Coordinate Navy subject matter experts to: (a) Propose DOEHRS-EEH change requests for the Navy. Serve as Navy Medicine voting member in multi-service adjudication of DOEHRS-EEH change requests. (b) Serve as a DOEHRS-EEH consultant to Occupational and Environmental Health Integrated Process Team Navy membership. (c) Approve DOEHRS-EEH accounts for Navy personnel as Service-level administrator.

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(d) Provide recommendations to BUMED on the DOEHRS-EEH implementation policy for deployed units and in-garrison units to include any expansion of DOEHRS-EEH contract support and incorporation of training into applicable school curriculums. (8) Provide SME reviews and vetting of Navy Medical Lessons Learned reports dealing with preventive medicine issues. (9) Entomology and Dosimetry (E&D) Program Management Functions (a) Provide direct management oversight and support to NECE, the Naval Dosimetry Center (NDC), the Center for Medical, Agricultural, and Veterinary Entomology Detachment and the Centers for Disease Control and Prevention (CDC) Detachment—hereafter called the E&D field activities. Within NMCPHC, provide oversight and support to the Medical Entomology Program. (b) Direct and coordinate the work of the E&D field activities and is responsible for their efficient functioning. (c) Liaison with the NMCPHC Radiation Health Team Leader, BUMED (M37F1), NAVSEA, and others on matters regarding the NDC. (d) Manage the development and improvement of medical entomology products and services provided by NMCPHC and its subordinate echelon activities. (e) Serve as the lead to establish and maintain a cooperative research program between Navy medical entomology and DoD’s Armed Forces Pest Management Board (AFPMB), its Deployed War Fighter Protection Research Granting Program and its sponsored research programs at USDA Agricultural Research Service’s centers and laboratories concerning research on novel chemistries or novel application equipment and techniques for fast-acting control of insects that carry diseases of military significance. Establish memoranda of understanding between parties and serves as senior liaison for NMCPHC regarding this research. (f) Represent Navy medical entomology for NMCPHC on workgroups, committees, and boards within the Navy, other Services, AFPMB, the Deployed War Fighter Protection Research

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Program, other DoD offices and agencies, other federal and state agencies as well as professional and international organizations. (g) Keep abreast of the most current science and technology for medical entomology and control of insects that carry diseases of military significance. Insert appropriate new science and technology into the medical entomology products and services offered by NMCPHC and its subordinate echelon activities. c. Expeditionary Platforms Department Functions (1) Maintain the highest level of personnel, training and equipment readiness of the FDPMUs in order to rapidly deploy Navy personnel in support of operational forces worldwide. (a) Oversee the manning, training and equipping of FDPMU. (b) Provide rapidly deployable, portable, flexible and sustainable force health protection services to forward deployed elements of the Navy and Marine Corps. (c) Evaluate and coordinate procurement of state of the art detection and diagnostic equipment, to include real-time analytical capabilities and biological hazard assessment. (d) Maintain the Navy training systems plan for the FDPMU program. (e) Maintain and update the Navy tactics, techniques, and procedures for the FDPMU program. (f) Serve as the liaison with Navy Expeditionary Medical Support Command to ensure rapid deployment of equipment for FDPMU missions. (g) Update and manage all equipment necessary to provide forward deployed force health protection via FDPMU components. (h) Provide rapid and modular unit type codes for public health support and force health protection for forward deployed operations.

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(2) Provide training and technical reach-back support for NEPMUs. (a) Develop, maintain, and issue standard operating procedures to NEPMUs/FDPMUs for the purpose of facilitating mission readiness. (b) Oversee, train, and provide instruction for microbiology laboratory services at NEPMUs. (3) Provide specialized technical support for the collection, evaluation, and interpretation of environmental data collected from site assessments, environmental sampling conducted as part of routine occupational and environmental health surveillance, and expeditionary operations. Assessments shall consider the acute (short-term) and chronic (long-term, post-deployment) health risks of deployments conducted by Naval personnel. (4) Serve as the DON Manager for Occupational and Environmental Health Site Assessment doctrine and training. (a) Provide comprehensive, all-hazards assessment to identify occupational and environmental health threats at discrete deployment sites. (b) Identify and evaluate potential environmental exposures that may affect the health of deployed personnel. (c) Provide necessary evidence and recommendation for further collection of environmental data and health risk assessment. (5) Represent NMCPHC and BUMED interests in those workgroups and boards that relate to expeditionary preventive medicine. (a) Joint Environmental Surveillance Work Group. (b) Joint Water Resource Management Action Group. (c) Navy Expeditionary Health Service Support Working Group. (d) AFPMB.

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(e) Other meetings or boards as directed. d. Programs and Policy Support Department Functions (1) Serve as the DON’s medical surveillance hub to determine baseline medical surveillance and reporting requirements, guidance, and procedures. (a) Publish and maintain the NMCPHC Medical Surveillance and Medical Event Reporting Technical Manual. (b) Receive notification from Naval Medical Research Center units of significant, reportable medical events that they encounter while providing laboratory support to any naval unit. Assess and coordinate necessary actions to support control and mitigation of events’ consequences. (c) Evaluate the Navy's medical surveillance and medical event reporting programs periodically; and recommend policy, program, or system changes to BUMED. (d) Represent Navy Medicine at DoD and tri-service meetings where joint medical surveillance requirements are deliberated. (e) Provide medical surveillance technical and scientific SME support for Navy Medicine training and command evaluation programs. (2) Manage Navy Medicine’s Ship Sanitation Certificate Program (SSCP) for all Navy, Army, and Military Sealift Command vessels and shall: (a) Serve as the direct BUMED liaison to the CDC program representatives on matters related to the program. (b) Comply with CDC program direction and adhere to federal public health requirements relating to preventing the introduction, transmission, or spread of communicable diseases. (c) Review and approve the program of instruction to authorize SSCP inspectors. (d) Maintain a list of the holders of U.S. Public Health Service seals provided by the CDC for issuance of Navy Ship Sanitation Certificates (SSCs) to specific Navy unit identification codes.

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(e) Provide CDC a listing of ports where authorized agents may issue certificates including periodic updates of the list, as necessary. (f) Maintain a database of all SSCs issued by authorized Navy inspectors. (g) Periodically review SSCs issued by authorized agents for program quality assurance and control, (h) Rescind an individual inspector’s SSCP certificate issuance authority when indicated. (i) Provide CDC with an annual summary report in January for the previous calendar year for number of SSC inspections and certificates issued. (3) Provide program management support for Navy Medicine’s public health emergency officer (PHEO) program. (a) During a possible outbreak of a novel influenza strain or a novel pathogen, ensure all cases of confirmed influenza and, as directed, all novel pathogens are reported to the Navy's Medical Event Reporting System. (b) Provide SME support (to include liaison with sister Services and AFHSC in determining and executing enhanced Navy reporting requirements in such instances as directed by BUMED. (c) Communicate regularly with BUMED M3/B6 PHEO. (d) Provide support for DOD bio surveillance initiatives and Navy implementation of bio surveillance activities as directed. (4) Provide technical and scientific expertise in support of the emergency management program and serve as the disease and syndromic surveillance hub for the Navy and Marine Corps. (5) Conduct analysis of information and disease outbreaks to design prevention programs in support of Navy Medicine’s program to prevent and manage sexually transmitted diseases and in support of unit-level outbreak investigations. (6) Provide tuberculosis (TB) consultation and receive and assess TB contact investigation reports from NEPMUs.

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(7) Facilitate and promote the quality of DON’s immunization programs via direct support from Joint Immunization Health Care Center and Defense Health Agency. (8) Develop and update public health and food safety requirements for the DON’s child and youth programs and provide technical assistance to commands to ensure compliance with health and sanitation standards, as specified in enclosure (1) of OPNAVINST 1700.9E CH-1. (9) Develop and maintain NMCPHC preventive medicine technical guides and Navy Medicine directives and publications per delegation. (10) Provide technical representation to working groups and committees as tasked by BUMED or higher authority. (a) Serve as NMCPHC representative on the Commander, Navy Installations Command, Overseas Drinking Water Quality Oversight Council. (b) Serve as Navy Medicine representative to DoD, national and international public health committees as appointed by BUMED. (11) Recommend Navy Medicine policy for food safety, drinking water medical surveillance, habitability sanitation, field sanitation, swimming pool sanitation, ship sanitation, and other public health areas as assigned. (12) Recommend policy and guidelines for streptococcal disease surveillance and control in naval recruits and other trainees. (13) Manage the Navy’s Reportable Events program including providing oversight to the DRSi Program and related tools. (a) Manage DRSi’s Configuration Control Board and all activities associated with maintaining DRSi as a Navy Program of Record, including certification and governance. (b) Maintain reporting and surveillance requirements, delineate new requirements to fill gaps, and spearhead improved DRSi functionality.

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(c) Conduct training for the Navy’s DRSi user community. (14) Work with stakeholders to develop risk communication strategies and products that meet the needs of the DON and are in full agreement with state and federal environmental health and public health laws and regulations. (15) Provide support to emergent risk communication needs to ensure communications are appropriate and maximally effective. (16) Provide technical review of operational risk management matrices and other associated documents to ensure compliance with the Food and Drug Administration, EPA, CDC other pertinent requirements. (17) Provide environmental health and preventive medicine technical support, training, guidance and evaluation in support of Naval hospitals, clinics, research and dental facilities. (18) Assist Naval activities with unique environmental health and preventive medicine matters. (19) Provide professional support and assistance to medical department and operational Navy planners to develop doctrine for applying surveillance, food safety, water safety and preventive medicine principles and practices to planning and mission requirements. (20) Work with the EDC and other epidemiology experts in the DoD to conduct meaningful studies and use statistical analyses of existing databases to identify and monitor trends in disease and injury, and provide reports to headquarters and activities upon request.

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7. Laboratory Services Directorate

a. Mission. Enhances force health protection and readiness by supporting the DoD Drug Demand Reduction Urinalysis Program, the DON Bloodborne Infection Management Program. b. Specific Responsibilities. The Director for Laboratory Services, subject to the orders of the CO will: (1) Perform the general responsibilities delineated in section 3. (2) Provide input to the fitness report submissions of the three NAVDRUGLABs COs. (3) Be appointed the Navy Drug Testing Program Manager. c. Provide administrative and technical oversight of the three NAVDRUGLABs. Function as the Navy’s ultimate technical authority on drug testing matters for the Navy and Marine Corps. (1) Provide professional guidance and assistance to the NAVDRUGLABs regarding implementation of policy, resolution of complex technical problems and interpretation of the scientific literature relating to drug testing. (2) Provide direction, coordination, and oversight for program-wide research projects.

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(3) Evaluate new testing methodologies and equipment that may be used to update and improve the efficiency and integrity of drug testing. (4) Provide all aspects of quality assurance monitoring for the Navy Drug Testing Program. Conduct technical inspections of the laboratories with representatives from DoD, Army, Air Force, Armed Forces Medical Examiner System, OPNAV (N17), Office of the Judge Advocate General and contracted experts in forensic toxicology. Monitor external proficiency testing programs. (5) Provide oversight of DoD technical evaluation committees. Provide support to the DoD Drug Testing Program Contracting Team at the Naval Medical Logistics Command on major equipment procurement, maintenance, and supply contracts. Seek cost-savings initiatives, standardization, and adoption of best practices. (6) Liaise with the Director, Drug Testing and Program Policy in the Office of the Under Secretary of Defense for Personnel and Readiness, Armed Forces Medical Examiner System, BUMED, Chief of Naval Personnel (Alcohol and Drug Abuse Prevention), Deputy Undersecretary of the Navy (Counter Narcotics), Headquarters Marine Corps (Drug Demand Reduction), and other civilian and military agencies on matters regarding drug testing. (7) Represent the Surgeon General of the Navy as a member of the DoD Biochemical Testing Advisory Board. d. Provide centralized oversight and support of the NBIMC including resource needs and measures to ensure efficient, effective, and compliant operations.

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8. Resource Management Directorate

a. Mission. To optimize the use of resources within NMCPHC and its field activities through the formulation of effective financial and resource management principles, policies, and procedures. b. Specific Responsibilities. The Director/Comptroller for Resource Management Directorate, subject to the orders of the CO will: (1) Perform the general responsibilities delineated in section 3. (2) Provide technical guidance, advice, and detailed reporting of financial matters throughout the organization. (3) Perform fund and property management responsibilities as the designated fund administrator for the command in accordance with 31 U.S.C. 1517 and volume 14 of DoD 7000.14-R. (4) Formulate and prescribe procedures and systems to exercise effective control over the fiscal issues and resource management concerns relating to NMCPHC and its field activities. (5) Justify and ensure optimum use of financial resources to effectively deliver NMCPHC’s public health services. (6) Develop and maintain an integrated fiduciary system that is both accurate and responsive to BUMED.

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(7) Advise the CO and NMCPHC principals on the financial effects of proposed directions and policies of higher authorities. Recommends position on proposals; develops counter proposals, if appropriate; and recommends the most effective means of implementing approved directions and policies. (8) Represent the CO on all financial matters at levels including, but not limited to BUMED, and other Uniformed Services. (9) Support NMCPHC with resource information to assist in reviewing and assessing existing programs and developing emerging programs. (10) Advise and assist field activities with resource management issues or concerns. (11) Issue annual planning figures and allocates funding to subordinate activities. Monitor resource execution. (12) Integrate planning and programming into the budget process by translating manpower, material resources, and facility requirements into phased financial resources. c. Financial Management Department Functions (1) Provide financial management and direction in all fiscal operations including accounting, budgeting, and payroll. (2) Prepare program and budget estimates, special budget exhibits, and justification for Operation and Maintenance, Defense Health Programs; Operations and Maintenance, Navy; and other appropriations issued by higher authority. (3) Prepare program objective memorandum (POM) guidance and perform technical POM issue paper preparation and review in full consultation with NMCPHC/BUMED leadership. (4) Receive and review requests for adjustment of resource authorizations and coordinates with program managers for recommendations. Issue modifications of resource authorizations as appropriate when directed by the Comptroller.

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(5) Conduct research on resource management policy, legislation, and regulatory matters. Recommend appropriate action when circumstances warrant. (6) Provide oversight of various budget and accounting tools and systems used by NMCPHC and its field activities. Maintains program and budgetary control records. (7) Prepare financial information for use by the Comptroller in determining command resource execution in relation to planning figures by program. Provides periodic status reports on execution versus the financial plan. (8) Conform to DoD standards for accountability and separation of duties among accountable officials and ensure internal controls are fully established and maintained. (9) Initiate appropriate action when there is noncompliance with a statutory regulation pertaining to the obligation or expenditure of funds. (10) Develop, manage, and maintain an automated system for the accumulation, validation, and reporting of detailed cost elements used in performance, execution, and trend analysis of all levels of NMCPHC operations. (11) Provide budget and accounting direction to NMCPHC leadership and to the field activities based on the NMCPHC Business Plan major product lines and departmental products and services. (12) Provide guidance and instruction for annual budget preparation and review the resource requirements and justifications of various programs of the NMCPHC and field activities. (13) Oversee the development and consolidates NMCPHC and field activities’ annual budgets for submission to higher authority. (14) Distribute available funds and recommend reprogramming of funds to accomplish changes to mission requirements.

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(15) Serve as the SME for resource management issues during command inspections of subordinate activities. (16) Monitor adherence to statutory regulations as prescribed in Assistant Secretary of Defense-Health Affairs (ASD-HA), DON, and BUMED financial guidance and evaluates the effectiveness and adequacy of the general financial reporting environment. (17) Coordinate and monitor execution of civilian full time equivalent work years for NMCPHC and the field activities. (18) Liaise with Defense Finance and Accounting Services to provide current pay information and issue resolution for military and civilian staff. (19) Operate and maintain the field-level accounting system used to collect and report obligations, expenditures, and other related financial data for NMCPHC operations and centrally managed programs. (20) Monitor special interest financial programs including the government credit cards, electronic billing, travel and transportation accounting. (21) Monitor adherence to statutory regulations as prescribed in ASD-HA, DON, and BUMED financial guidance, and evaluates the effectiveness and adequacy of the general financial reporting environment. (22) Oversee the implementation of timekeeping procedures and manages the processing of payroll for civilian employees. (23) Review all requests for overtime, compensatory time, and awards and personnel actions for civilian employees. (24) Manage the Standard Labor Data Collection and Distribution Application financial system and the Defense Civilian Payroll System. (25) Monitor all civilian pay programs for compliance with guidance.

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(26) Collect and reconcile fund transactions of assigned expense operating budget and related operating targets in meeting the reporting requirements of higher authority. (27) Review requests for financial data from agencies outside of NMCPHC and provide data submissions when appropriate. (28) Oversee and facilitate the development and tracking of NMCPHC’s Business plan and performance metrics. (29) Facilitate the product line development through planning initiatives that result in the development of a detailed alignment of projects to product line, measured within the Surgeon General's guidelines for strategic initiatives. (30) Manage the support agreements program for NMCPHC and its field activities. (a) Develop, negotiate, review, and submit for approval proposals for new and amended intra and inter-agency support, training, and research and development. (b) Conduct annual reviews of reimbursable and non-reimbursable agreements. (c) Identify, coordinate, and resolve impediments to successful implementation of agreements between parties and approval authorities. (31) Manage the official temporary duty travel program for NMCPHC and its field activities. (a) Ensure all temporary duty travel requirements comply with agency, service, and major command travel policies and procedures. (b) Maintain accountable official appointments, training records and plans. (c) Manage preparation of travel documents and reports. (d) Provide assistance in submitting travel requests, arranging travel requirements, obtaining funding, and timely completion of travel claims.

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(e) Manage the identification, notification, and collection of traveler debt. (f) Assist travelers in preparing official no-fee passport and visa applications where needed. (g) Maintain a system of internal controls that enforces: 1. Properly appointed and trained personnel perform accountable official duties. 2. A reviewer who is separate and distinct from the certifying/approving official for each document that approves travel or obligates funds have. 3. Regular review of available reports to prevent accounting errors, delayed vouchers, and collection of traveler debt. (32) Administer the Defense Travel System (DTS) for NMCPHC and its field activities. (a) Provide local level system support to accountable officials and travelers. (b) Maintain permission levels and accesses to enforce separation of duties and protect Personally Identifiable Information. (c) Maintain organizations, routing lists, and groups. (d) Process rejects from accounting and disbursing. (e) Maintain lines of accounting and budgets. (f) Update personal profiles. (33) Serve as the Hierarchy Level 5 Government Travel Charge Card (GTCC) Agency/Office Program Coordinator (A/OPC). (a) Ensure all travelers possess a GTCC. (b) Maintain training records and statements of understanding.

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(c) Ensure all A/OPCs and GTCC holders complete mandatory refresher training. (d) Use the GTCC contractor's electronic account access to monitor card usage to prevent delinquencies, fraud, waste, and abuse. (e) Enforce accounts are activated on approval of travel orders, but not earlier than ten days before travel, and subsequent deactivation upon return from travel.

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NAVMCPUBHLTHCENINST 5450.1S 18 Aug 14

List of Acronyms

A/OPC Agency/Office Program Coordinator AFPMB Armed Forces Pest Management Board ASD-HA Assistant Secretary of Defense- Health Affairs ATSDR Agency for Toxic Substances and Disease

Registry BOD Board of Directors BRAC Base Realignment and Closure BUMED Bureau of Medicine and Surgery CAT Command Assessment Team CDC Centers for Disease Control and Prevention CHASE CarePoint Healthcare Application Suite CMC Command Master Chief CMEO Command Managed Equal Opportunity CNO Chief, Naval Operations CO Commanding Officer DFA Director for Administration DoD Department of Defense DOEHRS Defense Occupational and Environmental Health

Readiness System DOERHS-EEH Defense Occupational and Environmental Health

Readiness System- Enhanced Environmental Health DOERHS-HC Defense Occupational and Environmental Health

Readiness System- Hearing Conservation DON Department of the Navy DRSi Disease Reporting System Internet DTS Defense Travel System DVECC Disease Vector Ecology and Control Centers E&D Entomology and Dosimetry EDC EpiData Center EDHA Electronic Deployment Health Assessment EO Equal Opportunity EPA Environmental Protection Agency ER Environmental Restoration F-35 Joint Strike Fighter FDPMU Forward Deployable Preventive Medicine Units FOIA Freedom of Information Act FPAE Field Portable Analytical Equipment GTCC Government Travel Charge Card HMIRS Hazardous Mate4rial Information Resource System HQ DET Headquarters Detachment IAM Information Assurance Manager IM Information Management IT Information Technology

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NAVMCPUBHLTHCENINST 5450.1S 18 Aug 14

JCAVS Joint Clearance and Access Verification System JESWG Joint Environmental Surveillance Work Group MIC Managers’ Internal Control MTF Medical Treatment Facilities NAD Naval Ammunition Depot NAVDRUGLAB Navy Drug Screening Laboratories NAVFACENGCOM Naval Facilities Engineering Command NAVMEDCOM Naval Medical Command NAVORD Naval Ordnance Systems Command NAVSEA Naval Sea Systems Command NBICC Navy Bloodborne Infection Management Center NDC Naval Dosimetry Center NECE Navy Entomology Center of Excellence NEHC Navy Environmental Health Center NEPMU Navy Environmental and Preventive Medicine Unit NMCPHC Navy and Marine Corps Public Health Center NOECH Naval Ordnance Environmental Health Center NPL National Priorities List NRC Nuclear Regulatory Commission NTRC Navy Tumor Registry Consultant PA Privacy Act PAO Public Affairs Officer PHEO Public Health Emergency Officer PHN Population Health Navigator PMO Program Management Office POM Program Objective Memorandum SECNAV Secretary of the Navy SME Subject Matter Expert SMO Senior Medical Officer SOH Safety and Occupational Health SSC Ship Sanitation Certificate SSCP Ship Sanitation Certificate Program TB Tuberculosis USFFC U.S. Fleet Forces Command WWI Wounded, Ill, and Injured XO Executive Officer

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