BG Charles Miller (J5),
COL Kevin Mahoney (Chief of Staff,
Joint Staff Surgeon), and Col Andrus
(USTRANSCOM Surgeon)
Slides and Discussion will beUNCLASSIFIED//FOUO
Global Medical Integration
5 Dec 19
Disclosures
Presenters have no relevant financial or non-financial
interests to disclose.
This continuing education activity is managed and
accredited by AffinityCE in collaboration with AMSUS.
AffinityCE and AMSUS staff as well as Planners and
Reviewers, have no relevant financial or non-financial
interests to disclose.
Commercial Support was not received for this activity
Learning Outcomes
At the conclusion of this activity, participants will be able to:
1. Describe Global Integration and responsibilities of the Global Integrator
2. Recognize the requirement for an interoperable Joint Medical Force
3. Articulate the complexity of patient tracking across regional boundaries
BG Charles Miller
Deputy Director, Joint Strategic
Planning (J5)
Global Integration
How is Global Integration Achieved?
UNCLASSIFIED
Decision MakingSenior leaders are able to make decisions at the
speed of relevance in a complex environment through a shared
understanding and routine dialogue
UNCLASSIFIED
End States:- Operations and resources are aligned with strategic priorities and integrated globally
- A lethal, agile Joint Force possessing a competitive advantage over any adversary
PlanningEnsure plans address
all-domain,
trans-regional challenges
and develop strategies to
manage risk globally
Force ManagementMeet day-to-day
requirements while
maintaining
readiness/flexibility to
respond to the unexpected
Force Development
and Force DesignIntegrate concepts and
capabilities to deliver a
lethal force, capable of
competing and winning
against any adversary
AssessmentsProvide the analytic foundation for all we do
2018 National Military Strategy Framework
Force Employmentfulfills the defense objectives
of the NDS
Force Developmentenables the Joint Force to
do what it does better
Force Designenables the Joint Force to
do what it does differently
0-3 years
WAYS in force employment
(NMS MissionAreas)
~2-7 years ~5-15 years
WAYS in Force Development
and Force Design
Strength to win against
any adversary
Agility to adapt to any
challenge
Endurance to sustain
any campaign
Resilience to recover
readiness quickly
Flexibility to address
multiple challenges under
different conditions
Awareness of the
strategic environment
As the central strategy for the Joint Force, the NMS supports CJCS role as Global Integrator
Deter strategic attack
Deter conventional attack
Assure allies and partners
Compete below armed conflict
Respond to threatsimplement
People
Ideas
Equipment
Central Idea of the National Military Strategy: The Boxer’s StanceBecause we cannot be certain when, where, or under what conditions the next fight will occur, the Joint Force
must maintain a boxer ’s stance—with the strength, agility, endurance, resilience, flexibility, and awareness to
fight and win against any potential adversary.
Military
Strategic
Approaches
(2+3)
inform
ENDS of the strategy are taken from the Defense Objectives in the NDS
Continuum of Strategic Direction
UNCLASSIFIED
UNCLASSIFIED
MEANS of the strategy
Resources Capabilities Authorities Activities
Process Linkage: Strategy to Action
Global
Campaign
Plans
GCP
Strategic
Opportunities
Global Force
Management
Board
Management
Allocation Plan
Globally
Integrated
Base PlansGIBP Reviews Annual
Joint
Assessment
Joint Military
Net
Assessment
Defense Planning
Guidance
Service
POMs
Global Force
Management
Implementation
Guidance
Readiness
Tables
Force Management
National
Strategy
Capstone
Concept
for Joint
Operations
Functional and Regional
Assessments/Estimates
• Joint Personnel
• Intelligence
• Logistics
• Net Assessments
• Joint C4/Cyber
• Other
CJCS Program
Recommendations
Joint
Operating
Concepts
CJCS-Directed
Studies (formerly
Competitive Area Studies)Exercises (GIE, Tier 1, etc…),
Studies, Experiments, War
Gaming, Joint Concepts
5
Globally Integrated
Exercises
Force Development
Planning
Dynamic
Employment
of Force
UNCLASSIFIED
UNCLASSIFIED
Col John Andrus
USTRANSCOM Surgeon
Global Medical Integration and
US Transportation Command
TOGETHER, WE DELIVER.
John R. Andrus,MD,MPHColonel, MC, CFSCommand Surgeon, USTRANSCOM
POI/I Theater PatieJnt MooivnemtenGt lobal Patient Movement PostureStrategic
Patient MovementCONUS Patient Distribution
GLOBAL PATIENT MOVEMENT……INTERDEPENDENT SYSTEM OF SYSTEMS
TPMRC-W
TPMRC-E
STRAT MissionSTRAT A – Hickam-GuamSTRAT B – Guam-Okinawa STRAT C – Okinawa-HickamSTRAT D – Hickam-Travis
LegendPatient Movement Requirements Center TRANSCOM Air Operations Center TRANSCOM Patient Movement UnitGCC Air Operations Center GCC Patient Movement UnitTRANSCOM Patient Movement Item Center GCC Patient Movement Item Center
RCH MissionRamstein-Andrews
Channel Mission 2x/wkAl Udeid-Ramstein
CONUS DistroWest Coast / East CoastCross Country / Midwest
TPMRC-A
Joint Global Patient Movement Posture
Joint Global Patient Movement Enterprise
POI/I
Theater of Operations Out of Theater Homeland
Strategic
Patient MovementCONUS Patient DistributionTheater Patient Movement
GLOBAL PATIENT MOVEMENT……INTERDEPENDENT SYSTEM OF SYSTEMS
LOEs
RoutesModesNodes
ProvidersAccess
InformationC2
Policy Authorities
GCC HSS AuthorityJDDC / USTC Coordinating Authority
USTC UCP Authority / JDDC DSCA / IA Coordination
USTC UCP Authority / JDDC DSCA / IA Coordination
Transportation Network
Theater HSS Assets / USTC Interface Nodes / Modes / Routes / Vehicles / Comm
TC Strategic Military Assets / AE Nodes Civil Air Ambulance / Commercial Air
Organic Military Assets Contracted / Commercial Capability
Data Driven Decision Spt
Patient Evacuation Coordination Cell (PECC) BATDOC / Theater EMR / TPMRC
TRAC2ES / AHLTA / Essentris / MHS GENESIS TPMRC
TRAC2ES / MTF and Civilian EMR Essentris / JPATS
Materiel/Equip(PMI, Class VIII)
Theater PMI / Other AE Equip Class VIII / PMI in kind
Strategic PMI / AE Equip / Class VIII Enabling equipment
PMI and Med Equip / Interoperability Cycle Time – return to hub / theater
Medical TeamsAE, CCATT
HSS Evac / CCATT and Specialty / Enabler Tms Coordination with USTC teams
AE / CCATT / Burn Team / ECMO / NICU Ground enablers
AE / CCATT / Patient Staging Interagency Coordination
Those We Serve Patients/NMA
Theater CASEVAC / MEDEVAC Hand off to Strategic Regulated Moves
TPMRC Validated / Regulated Contingency moves out of theater
TPMRC Validated / Regulated Patient Staging and Distribution
Discussion
How To Claim CE Credit
If you would like to receive continuing education credit for this
activity, please visit:
amsus.cds.pesgce.com
