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Naval Medical Logistics Naval Medical Logistics Command Detachment, Command Detachment,
PirmasensPirmasens
FOR OFFICIAL USE ONLYFOR OFFICIAL USE ONLY
08 May 2012
Briefing TopicsBriefing Topics
TLAMM(Theater Lead Agent for Medical Materiel)
• CJCS designates Theater Lead Agents for Medical Materiel (TLAMM) upon recommendation of CCDR and DLA Director
• Single HSS point of contact for theater-level medical logistics Class VIIIA supply, plus*:– Medical equipment maintenance– Optical fabrication– Medical materiel fielding– Assembly and reconstitution– *Blood storage and distribution– Customer support & training, contact team support
• Normally includes clinical support element and Service liaisons• SME for supply chain planning ISO OPLANs/CONPLANs• Support Joint and designated Coalition forces as well as
Humanitarian Assistance missions
* Task organized to mission
USAMMC-Korea
TLAMM ScopeThe TLAMM serve as a Class VIIIA source of supply in support of expeditionary
Health Service Support operations in a given COCOM. • Class VIIIA order processing/fulfillment
Support to unit of any Service (A, AF, N, USMC)DMLSS or DCAM /TWELS to DMLSS)Fill from stock or pass to supplierCatalog and order exception management (x-ref NSN to PVON,
etc)• Coordinate distribution/transportation• Provide financial support
Operate within a Working Capital FundReceipt confirmation for vendor payElectronic reimbursement (MILSBILS/EMALL)
• Scalable from baseline peacetime’ level to Major Theater conflictScope baseline to OPLAN Receive augmentation for support beyond baseline
• Provide storage/operational spaceOperational baseline
• Identify opportunities for operational efficiency• SME / POC for OPLAN / CONOP Class VIII supply chain planning TLAMM ‘serves as a major theater medical distribution node and provides the
face to the customer for medical logistics and supply chain management’.
Three types of TLAMMs: Standing, Provisional and Special.
Standing: a service-operated theater distribution center with routine mission support to joint institutional (MTF) and operational customers.
Provisional: is established as a service-operated organization, mobilized when needed to support a specific mission. It is initially organically staffed, with incremental augmentation, and a follow-on deployment of an attached medical logistics organization.
Special: is designated to support specific product lines (e.g. WMD response, burns, neurosurgical) or specific types of customers (SOF), normally CONUS based at Power Projection Platforms and/or key “reach-back” sites (e.g. Kelly USA, Walter Reed Army Medical Center, Brooke AMC).
Common to all: provide routine support; use business processes and distribution channels that do not increase costs or delivery time to forward customers; must be incorporated into the Joint planning processes of the Combatant and Service Component Commands.
Types of TLAMMs
Capability to receive/process electronic requisitions (line item reqn) from operational customers of all Services w/necessary financial interfaces for inter-fund billing.
Immediate access to Working Capital Fund for Class VIIIA supply operations. (SOUTHCOM – KellyUSA, TX & PACOM (TLAMM-P, Okinawa) both use AF fund) while USAMMCE & SWA and USAMMC-K supported via DWCF.
Use of standard DoD business processes for Class VIIIA Management within the HSSAllow use comm product ID & direct ordering/delivery from PVs
Located w/access to tactical air distribution & strategic air channels from national-level sources of supply
CRITERIA
Primary distribution node between CONUS commercial base and theater customer – supporting habitual relationships
Serves as partner & resource in COCOM supply chain planning
Provides full range of medical logistics functions (one stop shop) Supported by Stakeholders, Service Component Commands, Sub-unified Commands . Endorsed by Service Medical Departments
Scalable to support habitual and external customers through planned augmentation and expansion
Integrated into overall mobilization/expansion plans (TPFDD)
Integrated into the overall DoD/MMEA global operational architecture for CLVIIIA supply distribution
Functions
Demonstrated capability to surge from steady state to contingency operations Access to a Working Capital Fund (DLA/USAF)
Organic Transportation Manager (TMO)
Access to Transportation Channels
ITV- Shipment tracking
Ease of Financial Processes
Depth of Logistical expertise/capability
Electronic/Web-based Order Entry capability
Mission focus for Dedicated TLAMM
Access to Class VIII and Assembled sets/customization
Attributes
Primary medical distribution center Links to CONUS industry sources Provides materiel & inventory management and customer
support operations Primary supply chain integrator
Supports theater supply chain planning Normally responsible for full range of medical logistics functions
TLAMM
US ArmyMedLog Co
BrigadeCombatTeam
AreaCustomers
FST
USMCMedLog Co
AidStaAid
StaAidSta
Theater
BMSO
BSMC
OtherOtherSuppliersSuppliers
USNBeach Det
PrimePrimeVendorVendor
Theater Hospitals
First Responder
Forward Resuscitative Surgery
CSH
EMEDS
EMF
Current TLAMM Designations
COCOM TLAMM
EUCOM USAMMCE
CENTCOM USAMMC-SWA
USFK USAMMC-K
PACOM (less USFK) 18th MDSS / USNHO
NORTHCOM USA MEDCOM
SOUTHCOM AFMOA/KellyUSA
AFRICOM USAMMCE
Medical Logistics InfrastructureTheater Lead Agent for Medical Materiel (TLAMM)
Navy Supply relies upon its line logistics system business process for CLVIIIA, supported by Fleet PV program and partnership with DDC/FISC infrastructure.
Peacetime demands support only limited forward inventory and a narrow range of HSS for Forward Deployed Naval Forces (FDNF).
Fleet forces has experimented with TLAMM support during HA/DR missions it does not habitually use TLAMMs as a source of supply.
Any source of supply for FDNF must be able to ship or redirect materiel to points supporting underway replenishment, which may change.
Fleet Support - Today
Issues/Considerations ““Non-Standard Business Processes”Non-Standard Business Processes”
• Navy Hospital Ships and “Grey Hulls” rely on Navy ordering and re-supply processes and legacy systems that do not smoothly integrate with the DoD Medical Logistics Enterprise. Electron flow.
*DMLSS was deployed aboard the Hospital Ships w/only the Equipment Management module utilized to date.
• Contractual boundaries - FPV vs. Regional PV vs. CRR• Map NSN to Part No. and/or Cat No.• Access to CRIF (Cargo Routing Information File)• Additional Transport costs (from TLAMM to Ship)• Advance notification of ship deployments into AOR• Establishment of Ship Account w/TLAMM and billing process• Advance notification of re-supply requirements• No control substances
TLAMM’s can serve as the designated Class VIIIA primary source of re-supply for naval ships operating within each respective COCOM AOR.
Designated TLAMM’s will accept routine customer orders via electronic transactions using DMLSS/Customer Assistance Module (DCAM), Theater Enterprise-Wide Logistics System (TEWLS) and spreadsheet to fill from on-hand stocks when able.
The EDI application provides a listing of items stocked within a TLAMM and is a Theater Medical Information Program (TMIP) product developed by the DMLSS Joint Medical Logistics Functional Development Center (FMLFDC).
Required items not on-hand will be passed by the ship using normal DAASC trap channels to SMS (DLA TS Medical) into Contingency Automation Application (CAA).
This program/process provides a collaborative, web-based workload distribution and management tool that tracks sourcing ownership, source execution, shipping status and alternate executions (including passing actions) for all requirements
Recommendation – Way Ahead
DMLSS program will also provide items available from PV/Readiness contracts through the web. Requisition passes will be captured and reported as a supply performance metric.
Automated requisition flow will be tailored to provide the most reliable and sustainable communications between the customer and the TLAMM.
Products will carry normal commercial product identification and “not be re-marked” with NSN or other military-unique identification.
Orders filled by TLAMM’s will be shipped to locations designated by the Navy (CRIF) for onward distribution. Shipment will include in-transit visibility (ITV) whenever available.
Navy will answer Request for Info (RFI) by the TLAMM for supported Navy units on an as needed basis. Lessons learned will be used to develop long term system solutions for more effective and efficient medical supply chain management.
Recommendation – Way Ahead con’t
Provide supporting TLAMM with information necessary to establish supply accounts for Fleet customers (DODAAC, customer identification, contact information, ship-to, etc).
Provide supporting TLAMM’s w/anticipated re-supply items for Flt customers.
Coordinate w/TLAMM’s cross-reference NSN reqts to TLAMM comm P/N .
Provide POC to coordinate order exceptions, invalid stock numbers and approval for substitutions. (This is not necessary when using DCAM. The items shown are on-hand stocks available within the TLAMM.
Provide POC to coordinate TLAMM shipments to appropriate destinations for onward distribution via Fleet replenishment processes.
Make use of TLAMM stockage list for requirements anticipated usage items.
Coordinate with TLAMM’s to ensure collaborative response to unplanned requirements such as contingency or disaster response.
Responsibilities
TLAMM’s:
- Establish supply accounts for designated Fleet customers and provide a POC for customer support operations- Provide Fleet customers with current TLAMM stockage information. - Provide cross reference NSNs for anticipated items to Prime Vendor Order -- - Number (PVON) or other commercial identifier. - Coordinate with designated Navy POC for shipment instructions for Fleet customers. (ITV)
DLA (MMEA):
- Provide value-added network services through the Defense Automated Address System (DAAS) to route and modify (as required) MILSTRIP - transactions to the supporting TLAMM. - Work to standardize TLAMM’s so that support is consistent within all COCOM AORs. - Work to identify supply system interfaces that will afford connectivity between TLAMM and customers
TLAMM’s & DLA (MMEA)
16
BOTTOM LINETLAMM will provide the foundation for real-time logistics situational awareness and helps instill Warfighter confidence by:
• Optimizing logistics business processes transitioning to a logistics system open architecture that provides interoperable and actionable logistics information.• Enhancing logistics response to the joint Warfighter.Capability to optimize route allocation (Channel / MilAir) scheduling (Force Flow).• Capability to collaborate across all Services, enabled by common metrics, standards, and processes.• Capability to make more effective use of pre-positioning stocks to reduce lift requirements and increase capabilities and capacity.• Capability for agencies to interoperate, in foreign disaster relief and stability operations.• Capability to exercise real-time, end-to-end control of distribution, and sustainment pipeline—from mobilization, employment, reconstitution, regeneration, redeployment, and demobilization, and across the entire logistics spectrum.• Capability for logisticians and operators to collaborate fully among themselves, their counterparts and w/interagency and coalition partners.Used for training and exercise experience.
What is What is TLAMM/USAMMCETLAMM/USAMMCE
United States Army Medical Materiel Center-Europe (USAMMCE), is subordinate unit of the U.S. Army Medical Research and Materiel Command at Fort Detrick, Maryland.
Serve as the Defense Logistics Agency's Theater Lead Agent for Medical Materiel (TLAMM) for Europe.
Mission Essential Capabilities
Life Cycle Management of Class VIII Materiel
Clinical Engineering Support
Clinical Advise Support
Optical Fabrication
Assembly, Reconstitution, Disassembly of MESKOS (Kitting)
MissionMission
Strategic Relevance / TLAMM
Organization – USAMMC-EAugmenting Manpower: Navy: 3 NMLCAir Force: 1 AFMOADept of State: 9DLA-TS: 1
Augmenting Manpower: Navy: 3 NMLCAir Force: 1 AFMOADept of State: 9DLA-TS: 1
ARMY: 28US Civ: 49
Local Natl Civ: 318
ARMY: 28US Civ: 49
Local Natl Civ: 318
ASSEMBLY & CONTINGENCY MANAGEMENT
DIV
OPTICALACTIVITIES
DIV
SUPPORTOPERATIONS
WAREHOUSE MANAGEMENT
AND DISTRIBUTION
DIV
DEPUTY COMMANDER
FOROPERATIONS
HUMANITARIAN
ASSISTANCEPROGRAM
SAFETY /ENVIRO
HHD
BUSINESSSUPPORT OFFICE/TEWLS
MATERIELMANAGEMENT
DIV
CUSTOMERSUPPORT
DIV
CLINICALENGINEERING
DIV
DEPUTY COMMANDER
FORSUPPORT
RESOURCEMANAGEMENT
DIV
INFORMATION MANAGEMENT
DIV
LOGISTICSDIV
SECURITYBR
CLINICALADVISORY
DIV
USAMMCECOMMANDER
CENTERSGM
NAVMEDLOGCOM DET PIRMASENS
AFMOALNO PIRMASENS
BitburgRamsteinIllesheimHeidelbergLandstuhlGrafenwoerBaumholderHohenfelsMiseauKaiserslauternWiesbadenKatterbachSchweinfurt, DE
Athens, Greece
Skopje, Macedonia
Chisinau, Moldova
ChievresShape, Belgium
Rota, Spain SigonellaLivornoAvianoVicenzaNaples, Italy
Lakenheath, UK Budapest, Hungary
PristinaFerizay, Kosovo
Kolasin, Montenegro
Saravejo, Bosnia
Sofia, Bulgaria
Kiev, Ukraine
Incirlik, Turkey
Akrotiri, Cyprus
Tel Aviv, Israel
Dimashq, Syria
Sanaa, Yemen
Thumrait, Oman
Riyadh, Saudi Arabia Al Dhafra, UAEDoha, Qatar
Manama, Bahrain
Ali Al Salem, Kuwait
Islamabad, Pakistan
Tashkent, Uzbekistan
Bishkek, Kyrgyzstan
Almaty, Kazakhstan
KabulKandaharBagramCamp BastionGardezCamp LeatherneckMazar-e SharifCamp DwyerHerat, AF
Al AsadBaghdadTikritTallilBaladKirkukMosul, Iraq
Tblisi, Georgia
Baku, AzerbaijanConstanta, Romania
Terceira, Azores
906 Total Joint Service Customers
EUCOM343 European Based Customers
CENTCOM504 OEF Customers
AFRICOM59 Customers, Shipping to 27
locationsBlood shipments to HOA
Department of StateSupport to 162 Embassies
AlgeriaBurkina FasoBurundiCameroonChadCongoEgyptEritrea
EthiopiaGabonGambiaKenyaLiberiaMadagascarMalawi
MaliMauritaniaMoroccoNigeriaRwandaSierra LeoneSouth Africa
TogoTunisiaUgandaZambiaZimbabwe
Camp Lemonier, Djibouti
Medical Supply Chain
CommercialTransportation
Theater Class VIII Distribution Center
US Army Medical Materiel Center, Europe (USAMMCE)
Pirmasens, Germany
Servicing 906 Joint Service Customers
8,561 Stocked LinesValued at $27.1 M
Military GroundTransportation
CommercialTransportation
Prime Vendor (Pharm)
Prime Vendor (MedSurg)
Electronic Catalog (ECAT)
DLA Depots
Local Purchase
IMPAC & Contract
Specialty Distributors
Web-based vendors
Manufacturers
CONUS/OCONUS
Multiple Sources of Supply
MTOE units
Army, Navy and Air Force fixed Facilities
throughout the EUCOM & AFRICOM
AOR
Joint, Inter-Service, and Multi-national
organizations in support of
OEF/OIF
Department of State Embassies and
Humanitarian Asst Ops
Establishing an AccountEstablishing an Account
Establishing an Account To establish an account with USAMMCE go to:https://www.pirmasens.amedd.army.mil Deployed customers must provide the following information to establish a customer account
Unit name, designation, and DODAAC/UIC
Name, Rank, Contact info for authorized ordering personnel
Funding document
Shipping addresses…(Commercial)
Any special shipping instructions
25
Establishing an Account
Primary ordering methods (preferred)
Defense Medical Logistics Standard Support System (DMLSS)
Web-based TLAMM Online Ordering
DMLSS Customer Assistance Module (DCAM)
Alternate ordering methods (least preferred)
Email order to USAMMCE Customer Support
To establish an Online Ordering account with USAMMCE go to:
https://www.pirmasens.amedd.army.mil
Fill out the new customer registration form. Once completed simply click on submit and USAMMCE will complete the process.
Account Establishment
Ordering ProcessUSAMMCE CATALOGContains all product we have in our system
click on ONLINE WEB ORDERING
Ordering Process
Click here
If you’re a registered user
Fill in the blanks for new customer registration
After verification email is sent to you with your login credentials
Ordering Process
Enter NSN or material numberor use search functions
Wildcard search via %
Once selected click onto the Basket icon
Material will be added to your list
Ordering Process
Fill in all required fields-- Ordering DODAAC-- Signal Code-- Fund code or APC
-Failure to do so might prevent order from being processed
Click on “?” to get selection criteria
To continue shopping return to Search by Stock number or Nomenclature
Done ?Click on submit order
Remember:You have to click on submitfor each ordered line item – a collective transfer is not possible
Ordering Process
Since there’s no paper printout possible you might highlight all orders, copy and paste to a word document and save it.
Placed Order
Procurement Methods
USAMMCE utilizes 6 methods to procure medical supplies Prime Vendor (Pharm and Med/surg) ECAT DLA-TS BPA GPC Contract
32
Shipping Procedures
Distribution Methods (Non-Germany Customers) USPS (Sechudal II items) DHL UPS AMC National Air Cargo (NAC) FedEx Schenker UTI Jazz
Distribution Methods (Local Customers) UPS Express Above Carriers Military Trucks Customer pick-up AMC
Customer Turn-Ins
Customers should redistribute or dispose of excess materiel locally When not possible, TLAMM-USAMMCE may accept customer
returns Procedures and requirements can be found on the USAMMCE
webpage. The credit is applied to a general account for the major
DODACC Contact the USAMMCE Pharmacy Consultant or the Pharmacy
Technician for questions regarding status of returns:Phone: DSN 495-7230/6265 or Com 06331-86-7230/6265, E-mail: [email protected].
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Delivery
USAMMCE processes order request daily and ships perthe posted schedule found on the USAMMCE website
Non-emergency orders will be shipped weekly Provisions for more frequent orders can be coordinated as
mission requirements dictate Emergency orders will be shipped immediately if stock is on-
hand or once stock arrives
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OICLCDR Rebecca V Gels
NIPR: [email protected]
SIPR: [email protected]: 011.49.6331.86.7427
DSN: 314.495.7427
Fleet LiaisonHM2 (FMF) Michael Price
NIPR: [email protected]
SIPR: [email protected]
COMM: 011-49-6331-86-7170DSN: 314.495.7170
Points of Contact
Ashore LiaisonHM2 Nana Bonsu
Navy Pharmacy Technician
NIPR: [email protected]: 011-49-6331-86-6675
DSN: 314.495.6675
QUESTIONS?