U. S. Fleet Forces Command Fleet Medical Master Chief

1. U. S. Fleet Forces CommandFleet Medical Master Chief Executive Medical Department Enlisted Course 03 Feb 14 UNCLASSIFIED

2. Primary Responsibility Principal advisor to the Fleet Surgeon and Deputy Fleet Surgeon on medical enlisted matters, medical readiness, medical evacuation/patient tracking, patient care, manning, equipment, and training issues aboard all platforms and units assigned to USFFC Alignment and Standardization throughout the Fleet UNCLASSIFIED

3. Fleet Oversight for Man, Train, Equip • Monitors all Medical Readiness Inspection results completed by the TYCOM to ensure the operational readiness of the fleet. • Ensures that annual AMAL reviews take place through each TYCOM and the appropriate updates are made by NMLC. • Monitors the status of Authorized Medical Allowance Lists for all afloat and other units assigned to USFFC • Serves as approval agent for Fleet (afloat) Emergency Medical Equipment Procurement request. Act as fleet point of contact with NAVMEDLOGCOM for emergency procurement actions • In conjunction with other sections of Fleet Health Services, monitors all medical training programs available to personnel of the fleet (operational) UNCLASSIFIED

4. Fleet Oversight for Man, Train, Equip • Serves as the USFFC interface with Health Science Education and Training Command, Bureau of Medicine and Surgery and other agencies as designated for Fleet medical training • Monitors enlisted medical personnel billet requirements and readiness of those sourcing activities within BSO-60 • Serves as the Senior Fleet IDC; provides guidance to TYCOMS and other BSOs • Coordinates Fleet Surgeon Monthly Round Tables • Conducts monthly TYCOM Medical SEL meetings UNCLASSIFIED

5. WELCOME TO THE FLEET!

6. Mission • Train, certify and provide combat-ready Navy forces to Combatant Commanders that are capable of conducting prompt, sustained naval, joint, and combined operations in support of U.S. national interests. • Command and control subordinate Navy forces and shore activities during the planning and execution of assigned service functions in support of Chief of Naval Operations. • Provide operational planning and coordination support to Commander, U.S. Northern Command (CDR USNORTHCOM), Commander U.S. Element NORAD (CDR USELEMNORAD), and Commander, U.S. Strategic Command (CDR USSTRATCOM). • Command and control subordinate forces during the planning and execution of joint missions as the Joint Forces Maritime Component Commander North (JFMCC-N) to CDR USNORTHCOM. Per FFC MF&T (OPNAVINST 5440.77B), Signed 25APR12 UNCLASSIFIED

7. USFFC Lines of Operation & CPF Priorities FFC Lines of Operation provide the lens through which mission is executed: • Warfighting and Readiness • Joint and Fleet Operations • Global Force Management • Sailors, Civilians, and Their Families • Safety CPF Priorities for 2012–2014 broadly define primary areas of focus: • Warfighting Readiness • Advance Regional Partnerships and Alliances • Purposeful, Forward Presence • Value our People and Their Families • Safety “Two Fleets, One Voice” UNCLASSIFIED

8. Commander’sTheory of the Battlespace • Commanders must have a theory to fight their battlespace • Our battlespace is the production of Warriors and Readiness • We call our theory the “Readiness Kill Chain” (RKC) • Defined correctly, the RKC encompasses the entire Navy • You are either a producer, consumer, or a product (and, at some point, the product is also a producer) X X We must understand ANDinfluence ALL factors of Readiness production UNCLASSIFIED

9. Command Relationships CHIEF OF NAVAL OPERATIONS U.S. NORTHERN COMMAND U.S. STRATEGIC COMMAND U.S. NAVAL FORCES EUROPE COMMAND U.S. NAVAL FORCES CENTRAL COMMAND U.S. NAVAL FORCES SOUTHERN COMMAND U.S. NAVAL FORCES AFRICA COMMAND HMCM Boyce NAVAL SPECIAL WARFARE COMMAND HMCM Modglin MILITARY SEALIFT COMMAND THIRD FLEET SEVENTH FLEET HMCM Dell HMCS Bagley FLEET CYBER COMMAND SURFACE FORCES PACIFIC AIR FORCES PACIFIC SUBMARINE FORCES PACIFIC AIR FORCES ATLANTIC NAVY EXPEDITIONARY COMBAT COMMAND CTF 80 SURGEON SURFACE FORCES ATLANTIC SUBMARINE FORCES ATLANTIC MILITARY SEALIFT COMMAND HMCM Hedden HMCM Thompson HMC Gentry HMCM Pearce HMCM Fulson HMCM Mamaril HMCM Davis HMCM Averell HMCM Leggett

10. (U) Fleet Health ServicesOrganizational Chart (N03H) Fleet Medical Master Chief Fleet Surgeon Fleet Surgeon (Reserve) =USFF billets (11) Fleet Surgeon Assistant * =Contractors (2) *=ADCON to HMCM =ADDU billets (7) NHRC Contract Support Deputy Surgeon IM / IT Contract Support =Reserve billets (3) MOC support MHQ support Manpower & Dental Specialist Surface Medicine CTF-80 Surgeon Fleet Dental CTF-80 Surgeon (Reserve) CTF-80 Independent Duty Corpsman Fleet Nurse & Training * * GAPPED Asst Medical Staff Srvcs Prof & Staff Support Medical Planner (Reserve) Senior Medical Planner / Future Plans POMI Intern Credentials & Privileges Logistics Officer Fleet Medical Planner FMF Medical Planner Environmental Health Officer As of: 12 DEC 13

11. Why we do what we do... • Fleet Surgeon • Warfighting & Readiness: • Ensure Medical staff are manned equipped and trained • Joint and Fleet Operations: • MHD • AT/FP • DSCA • Fleet Operations • Global Force Management: • Identify & schedule the most effective Navy Forces ready for tasking. • Sailors, Civilians, and their Families • Safety Quality & Optimized • Surgeon General • Readiness • Ready, Relevant & Optimized • Value • Standardize, Centralize & Drive • Jointness • - Leverage, Improve & Align MTF & Individual… Ready Sailor Ready Family Ready Ship UNCLASSIFIED

12. Fleet Surgeon Priorities • Optimized Fleet Response Plan (FRP) • Fleet Health Dashboard (V3.0) • Service Treatment Records UNCLASSIFIED

13. Fleet Surgeon Readiness Kill Chain Means Ways Ends Operational Alignment Fleet Response Plan FRTP PRE- INTRO Assess RESOURCE /POLICY PERSONNEL ASSESS/ PROCURE MAINT BASIC INTEGRATED DEPLOY & SUSTAIN EQUIPMENT CREDENTIALS , ADAPTIVE FORCE PACKAGES, ADHOC REQUIREMENTS Common Actions Full Weapon System Ops Synchronized Training SUPPLIES Force Health Protection AMAL/ADAL SUSTAINMENT EHSS CBA TRAINING STANDARD / NONSTANDARD UNIT MANAGEMENT HEALTH IM CONSULT VALIDATE CERTIFY MEDICAL OPERATIONS MOC SUPPORT JFMCC-N HADR/DSCA/ HD CURRENT OPERATIONS HEALTHY, FIT SAILOR (MEDICAL READINESS) OPNAV BUMED/SYSCOMs / CNIC / MSC CPF / FFC Responsibility CSFTL/P TYCOM TYCOM FFC MOC LEAD (MHQ Supporting) FFC MHQ LEAD (MOC Supporting) CPF / FFC Responsibility FFC Staff Organization ECH III / IV TYCOM TYCOM CSFTL/P / TYCOM TYCOM TYCOM UNCLASSIFIED

14. (U) Fleet Health Dashboard (v2.7) • Medical Readiness • Quality • Safety Pillars Operational Areas Metrics • Afloat Trauma Care (ERSS) • Universal Protocol • Hearing Conservation Program • Medical Readiness Inspections • TYCOM Selected Goals • Individual Medical Readiness • Influenza Monitoring • Patient Satisfaction • SAFE training • Suicide Screening • Recalls / Alerts / Notifications • Internal Customer Satisfaction • Mishap / Near Miss Reports • MEDEVACs • Disease Threats • Quality Assurance Reports • IDC Program Management • Peer Review • Clinical Production / Privileging • Equipment Sterilization • Certification • Current Operations • IMR • Environmental • Lessons Learned • Customer Service • Quality Assurance • Patient Safety Goals • Man / Train / Equip • Documentation As of: 04 SEP 13 UNCLASSIFIED

15. Questions ???