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DOD GHE

Common Operating Picture&

Strategic PrinciplesMarch 2014

MG WestThe Joint Staff Surgeon

Overall Classification of this Brief: UNCLASSIFIED

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DOD GHE Common Operating Picture

DOD GHE is a tool of engagement To facilitate DOD in meeting its National Security Objectives and Military End Sates as defined by the Chairman’s of JCS Priorities and Geographic Commanders Campaign Plans

– DOD GHE should support Line engagement efforts and operational needs

– DOD GHE should be executed primarily through MIL-MIL activities with a focus on building partnership and interoperability

– Where possible, DOD GHE should synergize with USG global efforts and avoid duplication or overlap

GHE ToolboxCommanders should be able to select from the full spectrum of engagement options in consideration of need, resources, limitations and country circumstances be it: …mil-mil…mil-civ…mil-civ-mil …disaster/all hazards prepare and response

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DOD GHE Common Operating Picture

• DOD GHE is a tool of engagement to facilitate DOD in meeting its National Security Objectives and Military End Sates as defined by the Chairman’s of JCS Priorities and Geographic Commanders Campaign Plans– DOD GHE should support Line engagement efforts and

operational needs– DOD GHE should be executed primarily through MIL-MIL activities

with a focus on building partnership and interoperability– Where possible, DOD GHE should synergize with USG global

efforts and avoid duplication or overlap

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Chairman of Joint Chiefs of Staff

Principal Military Advisor to President and Secretary of Defense

Assist Unified Strategic Direction of Armed Forces

Provides Joint/Combined Defense Capabilities

Recommends Defense Resource Allocations

Plans & Facilitates Joint/Combined Operations, Exercises and Engagements

Develops U.S. Joint/Combined Defense Policy, Strategy, Doctrine, Training & Education

4

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We must…

• Achieve our national security

objectives in the current conflicts

• Develop Joint Force 2020

• Renew our commitment to the

Profession of Arms

• Keep faith with our Military FamilyThe ChairmanGEN Martin E. Dempsey

Chairman’s Priorities:

5

Chairman of Joint Chiefs of Staff

ENDS

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DOD GHE Support to Chairman’s PrioritiesWAYS

GOAL: HN with capable, interoperable military med capacity willing to partner and expeditionary able

Primary: Mil Med-BPC for essential Mil Med functions-Interoperable with US and regional partners

Support: Civ Med-Facilitating and augmenting strategic needs

PARTNERSHIP

GOAL: HN participates and integrated into GHS efforts

Primary: Mil Med-Active ISO HN GHS efforts-Active ISO civilian crisis and all hazards response

Support: Civ Med-Accepting and supportive of mil efforts

SECURITY

GOAL: HN is stable and resilient to threat

Primary: HN Military-Active role in military as pillar of stability within HN

Support: Civ Sector-Stable and resilient through HA and HCA engagement

STABILITY

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DOD GHE Support to Chairman’s PrioritiesWAYS

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88

MIL-MIL as focus the foundation of all we do

MIL-CIV as needed to accomplish nat’l security

and military objectives

DR as requestedthrough USG, OFDA, UN

MEANS

Current StatusCurrent Status

DOD GHE Activities and Metrics

Gap 1

Gap 2

Gap 3

Desired End StateGap 1: PN Mil Med Development

Capability, capacityInteroperability

Gap 2: PN Mil Med ISO Global Health SecurityIHR, Bio Surveillance Emerging DiseasesPN Mil ISO Civ Disaster Response

Gap 3: PN Mil as Contributor to StabilityRule of LawRespect Human RightsPrevent Gender Based Violence

USG Whole of Government Expenditures in Global Health

DOD in GHS and Mil-Civ Activities

GEISDTRA

NAMRUWRAIRCBEDCBRNACE

ComponentsSPPSOC

DOD in Mil-Mil Activities

ComponentsSPPSOC

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US Gov in GH ActivitiesMil BPCl

Civ BPC

DOS, HHS, AID DOD

Overlap

Gap

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Mind the Gap ….. and Overlap

• Gap– We can not ignore our mil-mil

obligations• Overlap

– It needs to happen on purpose, not by accident

– Leverage it through synergy of effort, timing

– Avoid duplication• Challenges

– Personal Interest Projects– New Kid in the Neighborhood

Effect– Limited Resources

Not this

This

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Whole of Government Approach

• Civilian Agencies• HHS

• USDA• DOC• DOE• DOL• DOI• DOJ

DOD

• Civilian Agencies• MOH• MOE• MOJ• MOI• MOC

MOD

US HN

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Our Final Exam. Don’t Get it Wrong !

Rapid

Forward

Capable

Excellent

Partner Military Medical Response

Interoperable

Ready Medical ForceMedically Ready Force(Not just US, but Partners as

well)

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Way Ahead Suggestions• GCC Surgeon, staff

– Assist in GCC maturation of campaign plans

– Identify priority countries and lines of effort

– Develop medial engagement plans that align with and support Line Objectives

• Multi year• Measurable

– MOEs supporting strategic objectives– MOPs supporting medical objectives

– Work with appropriate J5 and other directorates

– Identify component and SPP assets that can execute

• Component/SPP surgeon, staff– Obtain and review TCP, CCPs– Work with GCC Surgeon’s Office

and J5– Ensure proper ‘tasking’ by GCC– Develop Campaign Support Plans

• Focus on priority counties, LOEs

– Work with country team with communication to GCC

– Execute with MOEs, MOPs– AAR, Lesson Learned– Communicate to team doing

follow-on engagement

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