Navy Knowledge Flashcards
responsible for MEDLOG
Geographic Combatant Commander
role of the Geographic Combatant Commander in MEDLOG
responsible for MEDLOG and request medical materials
aka self-determination
autonomy
aka autonomy
self-determination
equitable distribution of benefits and resources
justice
justice
equitable distribution of benefits and resources
example of medical ethics
autonomy
beneficience
non-maleficience
justice
“first do no harm”
maxim primum non nocere
quote by Aristotle about justice
justice is treating equals equally and unequals unequally
e.g. healthcare goes to those with the greatest need
“justice is treating equals equally and unequals unequally”
Aristotle
healthcare goes to those with the greatest need
overall direction of an organization
vision statement
vision statement
where you are going to be in the future
overall direction of your organization
WG
working group
SC
steering group
SWOT
strength weaknesses opportunities & threats
benefit of strategic planning
order in chaos direction/roadmap for the future information toe vacate situations/opportunities process to educate staff motivating
specific tasks to achieve objections
action
soul of an organization
values
QBSP model
Quality-Based Strategic Plan
- assess
- plan
- implement
- evalu
5 Q’s to ask when assessing an organization’s plan
- what is our mission/vision
- what are our operating principles/values as we preserve our mission/vision
- who are our stakeholders
- what are the needs/expectations of our stakeholders
- what are the variables/threats/opportunities
mission statement answers:
why we exist
what business are we in
what is our most important product/service
who are our stakeholders/clients/customers
what are our strengths/weaknesses
what would be lost if we ceased to exist
what gives an organization movement towards the future
vision statement
CQI
continuous quality improvement
objectives
short term targets for each organization that is specific, measurable, and feasible
3 important qualities for objectives
specific
measurable
feasible
4 typical areas for goal statements
profitability desired growth potential new services/programs operational initiatives key to success
4 P’s of marketing
product
place
promotion
price
breakeven
point where fixed costs for the product will be recovered
point where the fixed costs for the product will be recovered
breakeven
8 parts to a business plan
Executive Summery Demand Analysis Competitive Analysis operating Plan Marketing Plan Pro Forma Risk Analysis Conclusion
Executive Summery
part of the Business Plan
1 page key aspect summery
Demand Analysis
part of the business plan
expected growth, factors that contribute to growth
Competitive Analysis
part of the business plan major competitor (location, their services, current capabilities)
Marketing Plan
part of the business plan
financial revenues, breakeven point, cost comparision
Risk Analysis
part of the business plan
financial, opportunity cost
Conclusion
part of the business plan
recommendations based on all analyses in the business plan
IPR
in progress review
PAO
public affairs office
FIOA
freedom of information act
purpose of a free press
free press allows for an informed public to hold government accountable
why does the military have public affairs
public affairs fulfills the military obligation to keep the public informed
resources that gives a Gide for building media relations
Federal Communications Network has a communications guide
remarks a PAO makes to reporters that can be reported only if attributed to a nonspecific source
background
purpose of off the record
to enhance the reporter’s understanding
parts of a news segment where people are doing things like walking
B-roll/cutawayq
how should a PAO start interviews/press conferences
give ground rules to the media
also give out the press kit
NCO
noncommissioned officer
MBWA
marketing by walking around
MCMO
medical civil-military op
purpose of stability ops
process by which military/nonmilitary actors apply instruments of national power to
- address drivers of conflict
- foster UN
- create conditions suitable for peace/security
- provide essential services/infrastructure
quote about the stance on stability operations
stability operations are a core US military mission that the DOD shall be prepared to conduct with a proficiency equivalent to combat operations
what should the DOD be prepared to conduct with a proficiency equivalent to combat operations
stability operations
problem of disjointed efforts
disjointed efforts are wasteful/counterproductive so align with goals/objectives
OE
operating environment
multiple smaller problems contribute to worsening situation
compounding the problem
when is unity of command difficult
unity of command is difficult to achieve when parties do not fall under traditional chain of command
why is it so important to pay attention to the amount of force used in a campaign
credibility and legitimacy are difficult to achieve when parties do not fall under traditional chain of command
*use restraint but in select circumstances carefully targeted application of overwhelming force may be useful in deterring potential spoilers/instilled HN confidence
risk of long-term campaigns
stabilization efforts run the risk of exhausting presence and potlicical will when a response requires long-term
*balance capability, objective, sustainability
COA
course of action
how do stability ops support the HN
stability ops must support the HN as it evolves to address the root causes of instability
conflict transformation
process of addressing get underlying causes of conflict while developing viable peaceful alternatives of the people to meet their needs and pursue their potlicical and social economical aspirations
*empower local stakeholders and ID sources of instability
what is needed in order for long-term stability to happen
cannot happen without HN ownership
*ask what the HN envisions but also do own analysis via viable course of action (COA)
4 fundamentals of stabilziation
conflict transformation
HN ownership
unity of effort
building HN capacity
COIN
counterinsurgency
The Stabilization Framework
helps JFC conceptualize the operating environment of targeted nation-states in support of. US national strategy and interests
responsibilities of Secretary of Military Department
appoint senior rep organize/train/equip forces ease availability of unity support redeployment training develop policies and plans
what should you do as you consider planning stability operations
conduct analysis to determine readiness for stability ops
principle military advisor
Chairman of Joint CofS
role of Chairman of Joint Chiefs of Staff
principle military advisor
establish priorities
assess military services capabilities and capacity
maintain joint stability op doctrine
water crosses a membrane
osmosis & ultrafiltration
solutes cross membrane
diffusion
role of CCDR
designates appoint officre tasking gathers lessons learned ID/validate requirements recommendations tailored all ousrce intelligence prouct ID cabapility/capacity/c
JIOC
Joint Intelligence Operation Center
what do you need to understand in order to be successful in a military campaign
you need to understand the operating environment to have realistic, achievable, objectives, properly align ways/ends/means
Interagency Conflict Assessment Framework
framawirk for CSG assessment prior to stability operations
*to determine roles, responsibility
National Security Council
assists president
develops for stability and reconstruction
phases of joint operations
shape deter seize the inititative dominate stabilize enable civil authoriteis
constant challenge of stability operations
effectively analyze progress via data collection and systematic indicators
MOE
measures of effectiveness
- indicators use to measure change in the attainment of an end state, achievement of an objective
- in stabilization ops, s/s of change might not be immediately present
important thing to remember about change in stability operations when you are considering measures of effectiveness
in stability operations, s/s of change might not be present for a long time
MOP
measure of performance
indicates uses to measure a friendly action that
set of desired condition the commander wants to exist at the end of the operation
end state
end state
set of desired conditions the commander wants to exit at the end of the oepration
assessment metrics for operations
MOE & MOP
Q’s impacting mission success -12
- is there a clearly defined end state
- what is my objective
- how did I get where I am
- is there an alternative way to achieve my objective
- what to tolerance do I have for violence
- do I have sufficient assets to protect
- what means are available to accomplish the mission
- what is my exit strategy
- can I control mission creep
- is there sufficient time to complete the objections
- what/how much infrastructure should I restore
- what is 1 thing I can do to stabilize the situation
how the JFC creates relationships with locals
civil-military operations
FHA
foreign humanitarian assistance
what is FHA
foreign humanitarian assistance
*DOD activities outside of CONUS to relieve/reduce human suffering
DOD activities outside of CONUS taken to directly relieve/reduce human suffering
FHA = foreign humanitarian assistance
tsunami in the Pacific
26 DEC 2006 in Indonesia
lessons learned from the DOD responding to the Indonesia Tsunami in 2006
- develop one page summery of your capabilities that include the type of providers/tech/equipment/healthcare services
- team build to calcify role/responsibility
- send an advanced team
- when meeting new partners/HN ask “who is in charge” & “how can I help”
- either find out how units already present coordinate and attend their meetings OR take the initiative by starting meetings
- provide daily situation reports (sitrep)
daily reports
daily situation reports = strep
who runs the USNS Mercy
Merchant Marines
who should be members of an advanced team sent to evaluate need for FHA assistance
command/chief medical unit
logistician
MD with trauma/medical relief
USAID rep who is familiar with NGO operating in the relief area
rep from higher HQ who has authority total action & establish relationshiupos
role of advanced team sent to evaluate need for FHA assitance
survey/determine needs
consider sites to provide care
determine logistical support
establish contacts w/: embassy, military, NGO, Red Cross, HN/ministry of health
what should be included in the SITREP during FHA
number/type of pt seen
problems encountered
lessons learned
*anecdotes to put faces to needs so higher ups feel engaged and personally resopnsible
what can the host nation support
provide vital functions to the forward deployed speed reception reinformcement enhance operational flexibility increase force sustainability
CA
civil affairs
document outlining stability operations
DODI 3000.05
JIACG
Joint Interagency Coordination Group
*staff group that establishes regular, timely collaborative working relationships between civilian and military operative plans
Health Service Support
pt movement casualty management medservices medlog blood managemetn
FHP
force health protection
behaviora/l/well bing
6 principles of joint health servies
conformity proximity flexibility mobility continuity control
conformity as a principle of joint health services
conform with commander’s plan to achieve conops
flexibility as a principle of joint health services
ability to adapt to escalations in violence/need to move or changes in OPLAN
continuity as a principle of joint health services
pt receives care from the X to definitive
control as a principle of joint health services
needed to ensure scarce resources are available to meet the CCDR’s tactical, operative, and strategic plan
CAAF
contractors authorized to accompany the force
topics of Health Support for Joint Health Policy
threat medical intelligence patient moment patient movement items clinical capabilities & MEDLOG support prevent stress casualties vet services mascal dental/pharmacy health support for returned US/POW & detainees HN support
types of peace operations
PKO = peacekeeping operations peace building peacemaking conflict prevention PEO=peace enforcement ops
PKO
peacekeeping operations
PEO
peace enforcement ops
VEO
violent extremist orgs
fundamentals of peace ops
consent impartiality transparencey crdibility flexibility/adaption perseverance unity of effot legitimacy seucrity building mutual respect/culture awareness/harmonization restrain and minimal corce
importance of transparency
reinforces legitimacy and impartiality
failure to collaborate generates suspicion
importance of credibility
the force needs to have credibility by showing it has the capability and will to accomplish the mission
major medical readiness missions/programs that are federallysupported
NRF = National Response Framework NDMS = National Disaster Medical System DSCA= Defense Support of Civil Authorities
NRF
National Response Framework
NDMS
National Disaster Medical System
DSCA
Defense Support of Civil Authorities
EMP
Emergency Management Plan
a healthcare org’s plan for all types of emergency
EMP = Emergency Management Plan
Emergency Management Plan
healthcare org’s overarching plan for all types of emergencies and disasters
*includes annexes (plans) for NDMS, DSCA, CBRNE
ability to expand to meet increase in demands
surge capacity
guides how the nation will respond to all types of disasters
National Response Framework
National Response Framework
guide to how the nation will respond to all types of disasters
*uses NIMS
how is the National Response Framework laid out
guides how the nation will respond to all types of disasters
*uses NIMS
delineates plans in 15 Emergency Support Functions (ESF)
*ESF #15 I= public Health and Medical Services
Emergency Support Function (ESF #15)
ESF #15: Public Health & Medical Services
coordinated by DHHS
DSCA
military/DOD/national support for domestic emergencies, law enforcement support, and
*support to: prepare, prevent, protect, respond, recover
benefit of using the military in a disaster
the military is uniquely able to provide broad spectrum support
when is DSCA activated
only is a special request (state gov to FEMA) is made and local resources have been exhausted.
*exception if immediately serious conditoins
how frequently should healthcare orgs anticipate disasters
healthcare orgs should anticipate the types of disasters it may see and exercise x2/yur
EMP Components -15
- overview
- NDMS Implementation plan
- DSCA Plan
- deployment plan for SMARTS
- Notification & Recall plan
- External Disaster/MaSCAL
- Internal Disaster/Fire plan
- Physical Security Plan
- Hospital Evac/Transport
- Severe Weather
- Community
- Logistics
- Safety
- Hazmat
- CBRNE
- Emergency Power Plan
- Emergency Operations Control Plan
- Family Assistance
- Physical/Heahavioral/FLu Plan
- Public Affairs
HVA
Hazard Vulnerability Analysis
*use plan to design mitigation
how frequently should you exercise the EOP
x2/yr
what should the EOP include
EOP should include procedures to maintain/expand services, curtail services, conserve resources close hospitals, new patient, staging, evacuations, supplant, resources from local
critical to the success of any medical readiness plan
critical to the success of any medical readiness training is the emphasis paid to the program by senior leaders
purpose of tabletop exercises
focuses on systems integration issues
SMART
special medical augmentation respone
what are SMARTS
special medical augmentation response teams
*DOD executive agents that respond to major civilian emergencies/disasters
SMART-TCCC
special medical augmentation response -trauma/critical care
SMART-BN
nuclear/bio
SMART-SM
stress management
SMART-MCBT
medical command, control
SMART-PC
pastoral care
SMART-B
burn
SMART-HS
health systems assessment
SMART-AIT
aero-medical iso,ation team
what do you do after DSCA is activated
activate SMARTs
CHART
combined humanitarian assistance response
MEIR
medical effects of ionization radiation