u.s. naval aeromedical conference january 2015 disclosure statement (“speakers”: william crosby...
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U.S. Naval Aeromedical ConferenceJanuary 2015
Disclosure Statement(“Speakers”: William Crosby HMCS,Ret., HMCM Mamaril, HMC Simien) and all others involved in the planning, development and presentation of this CME activity provide the following Disclosure information:
"Nothing to disclose"
COMNAVAIRFORCES MEDICAL SUPPLY
MEDICAL SUPPLY• Outlined in COMNAVAIRFORINST 6000.1series Chapter 11.• Medical material requirements are outlined in “Authorized Medical
Allowance Lists” (AMALS).• AMALS are controlled by Commander, US Fleet Forces Command
(USFFC/ PACFLT) and managed by Naval Medical Logistics Command (NAVMEDLOGCOM).
• Senior Medical Officer (SMO) is responsible for all AMAL listed items.• Repair Parts Petty Officer (E-5 and above) assigned to manage and
reorder AMAL inventory assisted by an LS assigned by the Supply Department.
• Procurement of AMAL items is financed by Medical Department Operating Target (OPTAR) funds.
• Changes to AMALS occur via Annual NMLC/TYCOM AMAL Review or AMAL Change Requests (ACRs) submitted to CNAL/CNAP Force Medical by Fleet Units and are also based on changes to the Federal Supply System.
FLEET AMAL TAXONOMY
• AMALS ARE NUMBERED WITH ASSIGNED
PLATFORM SPECIFIC NUMBERS.
(ex. 0105-PC, 0205-LSD,0605-DDG,1505-LHA,3005-CVN)
• First two digits identify platform, last two identify functional area. (ex. 30xx: CVN, 15xx: LHA)
• Aides the logistic support system in requisitioning and contracting. (ex: xx05-Force Health Protection, xx51-Mass Casualty Box)
CVN AMAL LISTINGS
• 3005 Force Health Protection• 3012 Consumables Storeroom• 3013 Controlled Med Bulk • 3015 Equipment =or>$1,500• 3021 Operating Room• 3023 ICU/Ward• 3025 BMET• 3030 Preventive Medicine• 3031 Radiology• 3032 Laboratory
• 3033 Walking Blood Bank• 3034 Pharmacy• 3035 Optometry• 3036 Physical Therapy• 3050 First Aid Box• 3051 Mass Casualty Box• 3052 Battle Dressing Station• 3054 Crash Cart• 3055 JR HM Response Bag• 3057 Gun Bag
FYI: New 32xx (CVN-78 Class) is outfitted with nearly identical AMAL listing as CVN-68 Class.
DEPLOYMENT AUGMENTATION REQUIREMENTS
“Deployment Augmentation Requirements” shall be determined by the Senior Medical Officer. These are items
determined necessary to meet known or anticipated requirements during a specific deployment. SMO and/or
Repair Parts PO should liaison with Supply Department to ensure adequate stock inventories, based on historical
usage rates and anticipated needs (i.e., cold meds, STD items and lab reagents, etc.) are available for the entire
duration of the deployment.
INVENTORY MANAGEMENT SYSTEM
• The Supply Module of “SAMS” or Material Management module of “TMIP” shall be utilized as the inventory management system for medical supplies.
• Current SAMS/TMIP version must be maintained onboard at all times. Update downloads available from “NMO” website https://nmo2.med.navy.mil.
• Monthly SAMS/TMIP database/NMLC website reviews should be conducted for published updates.
• Daily, weekly, and monthly database back-ups shall be conducted and stored on an external storage source IAW COMNAVAIRFORINST 6000.1 series.
• Supply POs shall attend formal SAMS/TMIP training: Contact NAVY311, submit trouble ticket requesting formal training.
NAVY 311• Any issues with TMIP/SAMS.
Naval Medical Logistics Commands Operational Forces Support
Navy Assemblage Information Logistics System (NAILS)
DO DAILY, WEEKLY and MONTHLY BACK-
UPS STORE ON EXTERNAL
STORAGE SOURCE IAW
COMNAVAIRFORINST 6000.1series
UPLOAD LATEST SAMS/TMIP
VERSIONS FROM NMO WEBSITE
NAVY 311/local IT support
CHECK FOR AMAL UPDATES
ON NMLC SITE(MONTHLY) TYCOM
SENDS OUT UPDATE NOTIFICATIONS AS
WELL.
MAINTENANCE OF LATEST AMAL UPDATES
MAJOR SUPPLY RESOURCES
• PHARMACEUTICALS• Cardinal Health Medical Pharmaceutical Prime Vendor Program
www.cardinal.com Desk Guide June 2010.
• MEDICAL /SURGICAL• Allied Joint Venture Medical/Surgical Fleet Prime Vendor Program
www.alliedjv.net Desk Guide September 2011.
• Both Cardinal and AJV are online Prime Vendor ordering programs, not R-Supply MILSTRIP requisitions. Best used y while pierside.
• Next sources are standard R-supply MILSTRIP requisitions, ECAT, other approved sources of supply such as Frames of choice, etc.
• Requisitions processed via S-1 supplied priority code and DLA coordinates direct shipping with ships operations.
SLEP PROGRAM
• “SHELF LIFE EXTENSION PROGRAM”• Website:
https://slep.dmsbfda.army.mil/portal/page/portal/SLEP_PAGE_GRP/SLEP_HOME_NEW
• Covers low turnover, high priced items.• Force Health Protection AMAL items are highly visible
and closely monitored items. (CVN total inventory over $8.9 mil)
• Annual inventories sent to NMLC.• Stress testing by FDA (at cost) conducted on meds to
determine length of potential extension of existing shelf life.
• Onboard inventories shall be reviewed and updated every 90 days.
• Test results are sent via email from DMSB.• Acknowledge receipt of labels NMLC mailed for
extended lot numbers.• Contact Pharmaceutical Returns Management Program
(PRMP) representative of items identified as testing ineligible.
• Notes:– Testing may take up to 18 months to complete.– Lot inventory less than $10,000 should be budgeted for
replacement testing ineligible.– Message search, inventory update, label request conducted at
SLEP website.
Onboard SLEP responsibilities
PHARMA LOGISTICS/GUARANTEED RETURNS “Pharmaceutical Returns Management Program (PRMP)”
• DOD contract administered by Defense Supply Center Philadelphia (DSCP)• If CVN homeport is CONUS: Pharmaceutical Reverse Distribution contact with
regional Pharma Logistics representative.• IF CVN homeport is OCONUS: Pharmaceutical Reverse Distribution contact is
with Pharma Logistics representative.
• Return goods may be partial or full products that are expired, damaged, recalled, and/or overstocked.
• Credit determinations are based upon manufacturers current return goods policy.
• Credits earned can be used to purchase Cardinal Pharmaceuticals.
• Credits must be used within 90 days, can be extended for up to 180 days (total 270 days) for deployed units.
• Monthly Credit Report and Non-Payment List distributed to units by TYCOM.
COMNAVAIRLANT/COMNAVAIRPACLOGISTICS MANAGERS
• HMCS, Ret. WILLIAM “JAKE” CROSBY• Office: (757) 444-8983 (DSN: 564)• [email protected]
• HMC SHAINA SIMIEN• Office: (619) 545-1148 (DSN: 735)• [email protected]
QUESTIONS ????
COMNAVAIRFORCESFACILITIES AND EQUIPMENT
MAINTENANCE
SERP is a phased replacement lifecycle management procurement program. The goal of the program is to
replace currently installed medical and dental equipment at the end of its useful life or upon beyond
economical repair. Funding for the program is provided by Commander US Fleet Forces Command, U.S.
Pacific Fleet Surgeon’s offices.
SHIP EQUIPMENT REPLACEMENT PROGRAM
• PROGRAM OUTLINED IN COMFLTFORINST/COMPACFLTINST 4235.7series and
Chapter 12 of COMNAVAIRFORINST 6000.1series
• NAVAL MEDICAL LOGISTICS COMMAND(NMLC) IS DESIGNATED AS THE PROGRAM MANAGER(APM) AND
IN SERVICE ENGINEERING AGENT (ISEA) FOR MAJOR MEDICAL/DENTAL EQUIPMENT.
• NMLC DOES PROGRAMMING AND BUDGETING, ACQUISITION OF EQUIPMENT, APL/AEL DEVELOPMENT AND ACCOUNTABILITY OF FUNDS FOR FLEET MEDICAL/DENTAL EQUIPMENT REPLACEMENT.
SHIP EQUIPMENT REPLACEMENT PROGRAM (SERP)
• UNITS MAINTAIN INVENTORY RECORDS ON ALL SERP EQUIPMENT
• SERP EQUIPMENT IS DEFINED AS EQUIPMENT REQUIREMENTS THAT HAVE TOTAL COST OF $5,000.00 OR MORE.
• ALL SERP EQUIPMENT IS MANAGED BY LIFE CYCLE.
• MAINTENANCE AND REPAIR HISTORY IS RECORDED ON “EQUIPMENT MAINTENANCE RECORD” NAVMED 6700/3 FORMS.
SHIP EQUIPMENT REPLACEMENT PROGRAM (SERP)
• TYCOMS VALIDATE, PRIORITIZE AND ENDORSE EQUIPMENT REPLACEMENT REQUIREMENTS AND FORWARD TO USFFC/CPF EQUIPMENT MANAGERS FOR FUNDING AND PURCHASING.
• PRIORITY BASED ON FRP CYCLE.
• PROCUREMENT BASED ON BUDGETARY CONSTRAINTS.
• EMERGENT BUYS DUE TO EQUIPMENT CASUALTIES OR MAJOR REPAIRS MAY RESULT IN REPRIORITIZING AND REDISTRIBUTION OF FUNDING AFTER SUBMISSION OF THE ANNUAL POM BUDGET CALL. EMERGENT BUYS WILL TAKE PRECENDENCE OVER OTHER EXISTING REQUIREMENTS.
SHIP EQUIPMENT REPLACEMENT PROGRAM (SERP)
SHIP EQUIPMENT REPLACEMENT PROGRAM (SERP)
• All required SERP equipment must be entered in the command’s SKED and OMMS-NG Database along with supporting APL. Allows periodic maintenance scheduling and usage of maintenance funding for part replacement purchases. “CRITICAL MRA/MRI inspection element”.
• BMET is required to maintain a complete SERP inventory record and update annually with TYCOM.
SHIP EQUIPMENT REPLACEMENT PROGRAM (SERP)
FLEET PROCUREMENT PROGRAM (FPP)
• Web based program on the NMLC website:
https://gov_only.nmlc.med.navy.mil/int_code04/FPP/• Allows the fleet to have visibility of all SERP requirements.• Used to track SERP buys from contract awarding to shipment.• Immediately after receiving new equipment receipt acknowledgement must be entered in FPP database.
FLEET PROCUREMENT PROGRAM (FPP)
Management Contracts
Each carrier is allowed establish maintenance contracts to perform specific maintenance, calibration, or certifications for Medical equipment. These contracts will be funded by ship’s OPTAR. Individual visits will be funded by submitting DD1149 Open Purchase document.
QUESTIONS???
COMNAVAIRLANT/COMNAVAIRPACEQUIPMENT MANAGERS
• HMCS, Ret. WILLIAM “JAKE” CROSBY• Office: (757) 444-8983 (DSN: 564)• [email protected]
• HMCM MARIAGIDA MAMARIL• Office: (619) 545-1146 (DSN: 735)• [email protected]