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IDC/IDMT 2010 Armed Forces Operational Medicine Symposium

RADM Tom Cullison, MC, USNDeputy Surgeon General of the Navy

17 May 2010

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Readiness MissionBenefit Mission

Force Health Protection

OperationalFleet and

Fleet MarineForces

Casualty Receiving

and Treatment

Ships and

Medical Battalions

Fleet Hospitals

& EMFs

TRICARENetwork

HospitalsShips

&Soft Power

US OverseasHospitals Hospitals

Navy Medicine’s Dual MissionThe Readiness Health Care Continuum

Navy Medicine

Reference: Office of the Navy Surgeon General

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Naval Medical Center San Diego

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Patient and Family Centered Care

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Marine Corps Recruit Depot, San Diego, CA

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Navy Medicine at Home

Navy Medicine DeployedPhoto: Department of the Navy/Department of Defense collection

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EMF-KuwaitFDPMU-Kuwait

OEF USMCUS Role 3UK Role 3FDPMU2 x FSE3 x FST

EMF-Djibouti

EMF-GTMO

LRMC

2 x AST

ContinuingPromise

PacificPartnership

OIF USMC

AfricaPartnership

Station

Deployed Forces Providing the Dual Mission of Navy Medicine

Prepared 5 Mar 10

Enduring missions Recurring missions Emergent missions

JTF-Haiti

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0

500

1000

1500

2000

2500

3000

3500

4000

4500

1Q F

Y03

3Q F

Y03

1Q F

Y04

3Q F

Y04

1Q F

Y05

3Q F

Y05

1Q F

Y06

3Q F

Y06

1Q F

Y07

3Q F

Y07

1Q F

Y08

3Q F

Y08

1Q F

Y09

3Q F

Y09

1Q F

Y10

3Q F

Y10

1Q F

Y11

3Q F

Y11

1Q F

Y11

3Q F

Y11

BSO-18 RESERVES

MERCYBOXER

KEARSARGE

COMFORTDUBUQUE

OEF

OIFEMF-KLRMC

COMFORTPELELIU

OIFEMF-KLRMC

OIFEMF-KLRMC

OIF/OEFEMF-KLRMC

MERCYLHA/LPD

OIF/OEFEMF-KLRMC

COMFORTLHA/LPD

OIF/OEFEMF-KLRMC

MERCYLHA/LPD

OIF

OIF 2

OIF 4-6TSUNAMI

KATRINA

BSO-18 OPERATIONAL SUPPORTHistorical and Projected (AC/RC)

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Fleet Medical Support

Ships and Submarines• Deployable Battle Force Ships:  286

Ships Underway (away from homeport): 142 ships (50% of total)   On deployment: 108 ships (38% of total)

Attack submarines underway (away from homeport):

20 submarines (37%)

Photo: Department of the Navy/Department of Defense collection

Data as of 23 Apr 10Source: http://www.navy.mil/navydata/navy_legacy_hr.asp?id=146

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Operation Iraqi Freedom

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Operation Enduring Freedom

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The Continuum of Care

Forward Resuscitative Care (Level II)

Forward Definitive Care (Landstuhl) (Level IV)

Theater level care (Level III)

Corpsman in the Field(Level I)

Restorative-Rehabilitative Care (Level V)

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

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UNCLASSIFIED//FOUOPhoto: Office of the Air Force Surgeon General

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In 2006, JFCOM tasked the Navy with providing medical staffing in support of the Army's Landstuhl Regional Medical Center (LRMC), Germany. Since then, the Navy Medical Augmentation Det has continued to augment LRMC with Navy medical personnel in support of wounded OEF/OIF warfighters. Currently, the Navy augmentation staff includes; 292 Navy medical personnel (260 reservist/32 active).

Landstuhl Regional Medical Det, Germany

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National Naval Medical Center

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Combat Stress

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GuamHawaii

Okinawa

Landstuhl

USMC Wounded Warrior Regiment-- Single Command with Strategic Reach --

CampLejeune

CampPendleton

Quantico

WWR services the Total Force –

Active Duty / Reserve / Retired / Former Marines

Level of EffortCurrent (Mil / Civ): 212Contractor Support: 24Future Total: 361

WW RegimentWW Battalions

Patient Affairs Team (PAT)/VA Liaisons

District Injured Support Cells (DISC)

WW Company

Reference: Wounded Warrior Regiment Command Brief

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

BETHESDA / WRAMC (2)

BAMC (2)

SAN DIEGO (2)AT-LARGE WEST (1)

TAMPA (1)

PALO ALTO (1)

JACKSONVILLE (1)

PORTSMOUTH/RICHMOND (1)

MILLINGTON TN (2)

WASHINGTON DC (12)AT-LARGE EAST (1)

BREMERTON (1)

GREAT LAKES / MINNEAPOLIS (1)

VA POLY TRAUMA CENTER

MILITARY TREATMENT FACILITY

SAFE HARBOR HEADQUARTERS STAFF

NAVY OPERATONAL SUPPORT CENTER

Reference: Navy Safe Harbor Program Command Brief

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NM East Military Treatment FacilityNM West Military Treatment FacilityNM NCA Military Treatment FacilityNM Support Command Activity

Navy Medicine Fixed Assets Worldwide in support of the Warfighter

Prepared 5 Mar 10

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Major Military Medicine Facilities

NavyArmyAir Force

Reference: Office of the Navy Surgeon General

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DoD / VA Partnership Examples

*VA Pacific Islands Health Care System / Tripler Army

Medical Center

*VA Eastern Colorado Health Care System / Buckley AFB; USAF Academy; Evans Army Community Hospital

*VA Gulf Coast Veterans Health Care System / Keesler AFB; Eglin AFB; Naval Hospital Pensacola

*VA Southern Nevada Health Care System / Nellis AFB

*North Chicago VA Medical Center / Great Lakes Naval Health Clinic = Federal Health Care Clinic

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Keesler & Eglin AFB; Naval Hospital Pensacola / VA Gulf Coast Health Care

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NHC Charleston/Ralph H. Johnson VAMC Consolidated Health ClinicPlanned Opening Oct 2010

Federal Health Care Center North Chicago, IL

Joint Ambulatory Care Center

Pensacola, Florida

Dedicated on September 15, 2008

US Naval Hospital Guam

Department of the NavyDoD/VA Partnerships

Photo: Department of the Navy/Department of Defense collection