Medical Disaster Emergency Preparedness Programs

1
Medical Regulating
At the end of this session the participants
should understand the Global Patient Movement
Requirements Center (GPMRC) roles and
responsibilities during contingencies.
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2
Global Patient Movement Requirements Center
(GPMRC)
Overview

• Guidance
• Alert Notifications
• Regulating
• Throughput Calculations

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3
Global Patient Movement Requirements Center
(GPMRC)
Guidance

• Public Law 97-174, Section 2 (b)
• DoDD 6010.22 National Disaster Medical System
  (Jan 03)
• DoDD 6000.12 Health Services Operations and
  Readiness (Jan 98)
• DoDI 6000.11 Patient Movement (Sep 98)
• AFJI 41-315 Regulating to and within the CONUS
• Joint Pub 4-02 Health Service Support (Oct 06)
• VA-DoD Memorandum of Agreement (Nov 06)

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4
Global Patient Movement Requirements Center
(GPMRC)
DoDD 6010.22 Mission Statement

• Activate the NDMS in time of war or national
  emergency involving armed conflict when the DoD
  and the VA bed capability is insufficient to
  provide adequate treatment for military
  casualties.
• The Assistant Secretary of Defense for Health
  Affairs (ASD(HA)) shall activate NDMS Federal
  Coordinating Centers (FCCs) with sufficient
  civilian hospital beds to support a military
  conflict when casualties exceed the combined
  VA-DoD Contingency Hospital System.
• Deactivation of the NDMS system will occur when
  projected casualties may be supported by VA-DoD
  facilities alone the ASD(HA) shall deactivate
  the NDMS FCC/civilian in-patient support.

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Global Patient Movement Requirements Center
(GPMRC)
NDMS/VA-DoD Alert/Notification Process
NCA SECDEF
NCA SECDEF
VA/DoD Contingency Hospitals
VA/DoD Contingency Hospitals
JDOMS
JDOMS
NAVY SG
NAVY SG
OSD Exec Sec
OSD Exec Sec
Joint Staff NMCC
Joint Staff NMCC
Bed reporting
ARMY SG
ARMY SG
USD /PR
GPMRC Notifies Services
USD /PR
GPMRC Notifies Services
NORTHCOM
NORTHCOM
Air Force SG
Air Force SG
ASD/HA OASD/HA
ASD/HA OASD/HA
TRANSCOM
TRANSCOM
TRANSCOM VA reports bed capability capacity to
the Global Patient Movement Requirements Center
TRANSCOM VA reports bed capability capacity to
the Global Patient Movement Requirements Center
USTC/SG
USTC/SG
DHHS/OEPR
DHHS/OEPR
NDMS OSC
NDMS OSC
USHS/VA
USHS/VA
JFC/CC CONUS Med Ops Plan
JFC/CC CONUS Med Ops Plan
FEMA Asst Dir RRR
FEMA Asst Dir RRR
VA FCCs
VA FCCs
Rgulation/Movement/Reception to VA/DoD and NDMS
MTFs
Rgulation/Movement/Reception to VA/DoD and NDMS
MTFs
Bed reporting
Bed reporting
SGs access data from GPMRC
SGs access data from GPMRC
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Global Patient Movement Requirements Center
(GPMRC)
JP 4-02 Health Service Support 31 Oct 06

• The operational environment during major
  operations and campaigns may present lethal
  threats requiring the evacuation of casualties to
  highly developed medical capabilities in the JOA
  and locations outside the theater of operations
  for advanced medical services and rehabilitative
  care. The decreased medical footprint and the
  increased PM requirements demand a more
  interdependent medical community, improved
  interagency and multinational partnerships, and
  developing joint solutions.

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Global Patient Movement Requirements Center
(GPMRC)
USTC
AMC
McChord
Travis
GPMRC
TACC
Miramar
Yokota
JFCOM
TPMRC
ICMOP DOD/Network/VA/NDMS
TPMRC will validate the PMR. GPMRC will then
coordinate with TACC and the MCC to complete the
lift bed plan for patients returning to CONUS
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Global Patient Movement Requirements Center
(GPMRC)
Regulating VA-DoD MOU 06 / AFJI 41-315

• Bed Reporting (Bi-Monthly for both PRCs FCCs)
• VA DoD must ensure compliance
• Reports updated in TRAC2ES
• Closest MTF (Capability and Capacity)
• 5 Contingency Med Spec Codes
• CC Critical Care
• MM/SS Medical/Surgical
• SBN Burn
• MP Psychiatric
• MC - Pediatrics

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9
Global Patient Movement Requirements Center
(GPMRC)
Regulating DoDD 6000.12, DoDI 6000.11/AFJI
41-315

• Deliverables to PRCs
• Mission manifest information with times and
  patient loads
• PRC will pass information to individual
  facilities
• Patient clinical and administrative data
• Depth of information dependent on availability of
  data
• May be limited due to nature of contingency
• Regulate patients, provide ITV for those
  transported on DoD owned/controlled assets from
  Aerial Port of Embarkation/Debarkation (APOE/D)

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10
Global Patient Movement Requirements Center
(GPMRC)
Regulating DoDI 6000.11/AFI 11-2AE Series

• Non-Medical Attendants (NMAs)
• One able bodied adult /immediate family
• NMAs may be limited due to contingency
• Critical Patients (Life threatening)
• Pediatric Patients
• Burn Patients
• Authorized Animals on AE Platforms
• Military Working Dogs
• Seeing Eye Dogs

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11
Global Patient Movement Requirements Center
(GPMRC)
Throughput Calculations (AFJI 41-315)

• Current Hospital Bed Census/Discharge Plan
• Supporting Facilities MOU/MOAs
• Hospitals (DoD, VA and NGO)
• APODs (Airports/Airfields)
• Management and Labor
• Transportation Assets
• Organic vs. Contracted
• Vehicle capability and capacity
• Crew qualifications
• Transit time from PRC to VA/DoD MTF
• Vehicle Maintenance schedules

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12
Global Patient Movement Requirements Center
(GPMRC)
Summary

• Guidance
• Alert Notifications
• Regulating
• Throughput Calculations

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