Army Health System Planning Flashcards
What is the focus of the medical planning process?
The focus of medical planning process should be to quickly develop a flexible, tactically sound, fully integrated and synchronized plan that supports the tactical commanders mission
What are the medical planners responsibilities?
- analyzes the medical requirements before, during and after all phases of an operation
- conducts medical estimate (mission analysis) as the tactical staff conducts MDMP (parallel planning)
- develops medical plan for each COA developed
- Considers medical support capability of each proposed COA
- integrates the medical plan w the tactical plan
What are the AMEDD functional areas?
- Medical treatment
- Evacuation and medial regulating
- Prev med
- Med log and blood mgmnt
- Medical mission command
- Hospitalization
- Combat and operational stress control (COSC)
- Lab
- Vet
- Dental
What are the medical operational planning factors?
- maintain med presence w soldier
- maintain the health of command
- save lives
- clear the battlefield of casualties
- provide state of the art med care
- ensure early RTD
There are 6 principles of the army health system what are they?
- Conformity
- Proximity
- Flexibility
- Mobility
- Continuity
- Control
With the principles of the army health system explain Conformity
- ensures that a comprehensive AHS support plan to conforms to tactical plans
- medical assets are arrayed on the battlefield property
With the principles of the army health system explain proximity
- provide med support a the right time/place
- med resources employed as far forward as possible, w/o impeding ongoing ops
With the principles of the army health system explain flexibility
- ability to shift AHS resources to meet changing battlefield requirements
- effective managing scarce medical resources so that they benefit the greatest number of soldiers in the AO
With the principles of the army health system explain mobility
- AHS assets remain in supporting distance to support maneuvering forces
- vehicle hardening equal to that of supported unit
With the principles of the army health system explain continuity
- patient moves through progressive, phased roles of care
- each soldier receives the care req to optimize pt outcome
With the principles of the army health system explain control
- resources are efficiently employed
- ensure scope and quality of medical tx meets professional standards and policies
During MDMP step 2 mission analysis what is the medical planners role?
To conduct medical estimate (mission analysis)
What is Medical Estimate
The medical estimate is a continuous process which systematically examines all aspects of operations. It produces the necessary task organization for decentralized execution and flexible med support on battlefield
What is the main purpose during medical analysis?
The main purpose during medical analysis should be to examine the following 7 areas in depth:
- Enemy situation
- Friendly situation
- Characteristics of the area of responsibility (AOR)
- Strengths to be supported
- Health of the command
- Facts and assumptions
- Specified, implied and essential tasks
What do we track in enemy situation?
- strength and location
- combat efficiency
- capabilities
- logistics
- EPW casualty estimate
What do we track in friendly situation?
- strength and disposition
- combat efficiency
- rear battle plan
- weapons systems
What do we track in characteristics of the AOR?
- Terrain (oakoc): obstacles, avenues of approach, key terrain, observation and fields of fire, cover and concealment
- weather
- flora and fauna
- health of the command
What do we track in “strengths to be supported”?
med requirements for
- joint
- allied
- coalition
- refuges
- host nation
- EPW
- DOD
What do we track in “health of the command”?
Medical readiness of the solder includes:
- immunizations
- acclimatizations
- nutrition
- fatigue
- combat operational stress
- dental status
What do we track in “facts and assumptions”?
Areas to consider in absence of facts:
- host nation support
- resupply rates
- use of WMD
- time frame of ops
- status of evac routes
Who does casualty estimate?
S1
What does the Med planner do with the S1 casualty estimates?
Refines/analyzes the casualty estimate
- # of patietns anticipated at each role of care
- area of pt density
- EPW and civilian patient estimates
- additional assets needed for patient movement
Status and availability of med resources cover?
Critical shortages for:
- organic med assets
- attached med elements
- supporting med units
- joint service and allied
- host nation med resources
The medical estimate is made by?
Estimates via numbers distributed in time and space (areas of pt density, possible MASCAL areas, etc)
What is the medical planners role for MDMP step 3: COA development
Development of medical plan for each course of action (COA)
The medical COA must?
Support the commanders intent and enable the accomplishment of the mission for the tactical COA developed
To develop the medical plan for each COA you must understand:
- commanders intent
- tactical scheme of maneuver for each COA
- task org for each COA
- results from med estimates (previous step)
- specified, implied, and essential tasks
- constraints and limitations
- unit TTPs
- array medical assets
- determine mission command relationship for med elements
- develop concept of support sketch and synch matrix
- refine casualty estimates
- keep the 6 medical principles in mind
What are the 6 medical principles in mind?
- Conformity
- Proximity
- Flexibility
- Mobility
- Continuity
- Control
What criteria must each medical COA meet?
Is it:
- suitable
- feasible
- acceptable
- complete (includes AMEDD functional areas)
Each medical COA should address med support for…
- security ops (basic recon)
- main/supporting attacks
- rear operations (BDE staging areas, FA units etc)
- follow-on ops (stability OPS, defense ops)
With medical COA you must…
Identify TASK and PURPOSE of each medical element during COA development
Advantages/disadvantages for Ground Evac?
Advantages: - least affected by weather - more reliable Disadvantages - speed - obstacles - road networks - enemy threats
Advantages/disadvantages of air evac?
Advantages: - airlift med supplies/med personnel - avoid traversing difficult terrain - reduce pt discomfort - range and speed Disadvantages - adverse weather - enemy air-to-threat - enemy anti-aircraft weapons - more difficult to get approval for use
Scheme of maneuver for med plan should include?
- task org for med assets
- task and purpose for each med element
- mission command relationships
- evac and supply routes
- important maneuver graphics
- AXP and CCP
- evac routes (air/ground)
- location of treatment facilities
- PZs and LZs
As the tactical staff compares feasible COA’s the medical palnner…
Compares the med plan of each COA to determine which maneuver COA can be best supported from med perspective
What is a decision matrix?
Provides the medical planner w a tool for evaluating COA’s
Weights are assigned to each criteria in relation to its importance in accomplishment of med plan
With decision matrix how are scores totaled?
The lowest number is the best (hearts)
The medical planners role in COA approval?
- ensures med is part of criteria for analysis
- answer cdr’s questions (youve done the analysis)
- CDR will select/modify/combine COA
What does the medical planner do once a COA is selected?
Med planner must refine and publish the med plan (medical appendix)
- appendix 3 (medical) to annex F (sustainment) in OPORD
What does the medical planner do during publishing the med plan?
- consolidate products ; coordinate the plan w subordinate units
- coordinate G/S-1 and G/S-4
- keep short/easy to reference (so the crayon eaters can understand it)
What are the critical products that the medical planner makes for the order?
Two critical products are:
- COA sketch (cartoon)
- Med synch matrix