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United States Fleet ForcesUnited States Fleet Forces Ready Fleet … Global ReachReady Fleet … Global Reach 1
UNCLASSIFIED
UNCLASSIFIED
GLOBAL NAVAL EXPEDITIONARY CARE GLOBAL NAVAL EXPEDITIONARY CARE SYSTEM (GNECS) SYSTEM (GNECS)
CAPABILITY BASED ASSESSMENT (CBA)CAPABILITY BASED ASSESSMENT (CBA)
CAPT RUSTY STILESDeputy Fleet Surgeon
U.S. Fleet Forces Command
CAPT GAIL HATHAWAYDeputy Fleet Surgeon
U.S. Pacific Fleet
United States Fleet ForcesUnited States Fleet Forces Ready Fleet … Global ReachReady Fleet … Global Reach 2
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UNCLASSIFIEDWhy are we here? Why are we here? To Articulate Fleet RequirementsTo Articulate Fleet Requirements
VANGUARD-05/Relevant Principal Capability Gaps Considered• Providing effective C2 across the continuum of care.
• Training and equipping sailors and marines to deliver first responder care/ advanced first aid across the Fleet.
• Managing an integrated patient care movement and evacuation system that can rapidly move large numbers of casualties.
• Utilizing a common interoperable Medical Readiness Reporting Tool (individual & unit) that can identify, with high accuracy, people with deployment-limiting conditions.
• Integrating medical operational plans that fully incorporate Joint, Coalition, and NGO/PVO assets.
• Providing long range patient evacuation to and from the sea base.
• Providing enhanced forward and distributive resuscitative care.
• Fielding scalable, interoperable, and modular medical support systems.
• Effectively conduct HSS in FHA operations.
• Providing medical force surge capacity.
• Adequately supporting Fleet requirements for appropriate personal protective equipment.
United States Fleet ForcesUnited States Fleet Forces Ready Fleet … Global ReachReady Fleet … Global Reach 3
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UNCLASSIFIEDJoint Capabilities Integration & Joint Capabilities Integration & Development SystemDevelopment System
Family of Joint Future ConceptsCONOPS
Joint TasksFunctional Area Analysis
Functional Needs
Analysis
DCR
DOD StrategicGuidance
CDD
CPD
Ideas for Materiel
Approaches
Analysis of Materiel/
non-Materiel Approaches
Approach N
Approach 2
Functional Solution Analysis
Approach 1
Ideas for non-MaterielApproaches(DOTMLPF
Analysis)
ICD
IntegratedArchitectures
PostIndependent
Analysis
JCD
Family of Joint Future ConceptsCONOPS
Joint TasksFunctional Area Analysis
Functional Needs
Analysis
DCR
DOD StrategicGuidance
CDD
CPD
Ideas for Materiel
Approaches
Analysis of Materiel/
non-Materiel Approaches
Approach N
Approach 2
Functional Solution Analysis
Approach 1
Ideas for non-MaterielApproaches(DOTMLPF
Analysis)
ICD
IntegratedArchitectures
PostIndependent
Analysis
JCD
United States Fleet ForcesUnited States Fleet Forces Ready Fleet … Global ReachReady Fleet … Global Reach 4
UNCLASSIFIED
UNCLASSIFIED
GNECS Is…GNECS Is…
• Articulated in the Fleet Operational Health (FOH) CONOPS.
• Fleet medical departments are linked in a virtual network, that:
– achieves optimal efficiency with the resources available in support of distributive operations.
– facilitates wider dissemination of vital information, standardization of SOPs across geographic boundaries, and enables a more rapid activation of service and joint aeromedical evacuation assets in emergent situations.
United States Fleet ForcesUnited States Fleet Forces Ready Fleet … Global ReachReady Fleet … Global Reach 5
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GNECS CBAGNECS CBA
• Sponsors: US Fleet Forces Command & US Pacific Fleet
• Work Group Participants:
– USFF TYCOMs
– Numbered Fleets
– Naval Special Warfare Command
• Facilitating Command: Navy Warfare Development Command
• Supporting Command - Naval Health Research Center
United States Fleet ForcesUnited States Fleet Forces Ready Fleet … Global ReachReady Fleet … Global Reach 6
UNCLASSIFIED
UNCLASSIFIED
GNECS Working Group CharterGNECS Working Group Charter
GNECS WORKING GROUP CHARTER – Feb 7, 2007
• The GNECS Charter directs a Capabilities Based Assessment of Fleet Medical Assets.
• Evaluate and provide recommendations on the delivery of forward resuscitative care (FRC) capabilities across the Fleet Readiness Enterprise (FRE).
• The GNECS CBA must evaluate the following factors: operational mission requirements; • Need for surgical intervention on the specified platform and, or
battle group;
• Cost benefit analysis; and
• Recommendations on the utilization of FRC resources to determine if current Fleet HSS capabilities are meeting mission taskings based on strategies and the ROMO mission tasking.
United States Fleet ForcesUnited States Fleet Forces Ready Fleet … Global ReachReady Fleet … Global Reach 7
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CBA TasksCBA Tasks
• Purpose: Determine if current Fleet HSS capabilities meet mission taskings.
• Objectives: CBA of current and programmed Fleet HSS assets and determine capability gaps and solutions
• Approach:
– Associate current Fleet HSS assets with the Joint Taxonomy Continuum of Health Care Capabilities
– Define Transport Assets
– Define Metrics/MOE
– Establish assumptions, tasks, conditions, standards
– Determine capability gaps
– Gap analysis
– Analyze results for solutions
United States Fleet ForcesUnited States Fleet Forces Ready Fleet … Global ReachReady Fleet … Global Reach 8
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GNECS CBA Overarching ObjectivesGNECS CBA Overarching Objectives
• Develop GNECS as a maritime HSS care system aligned with the operational commander that is expeditionary in focus and interoperable across the full range of military operations, consistent with the principles of A Cooperative Strategy for 21st Century Sea power.
• Develop HSS capabilities which improve upon the ability to quickly deploy an expeditionary medical force that is agile, light, and appropriately manned, trained and equipped.
• Utilize analysis from the JFCOM’s HSS Joint Capability Documents
United States Fleet ForcesUnited States Fleet Forces Ready Fleet … Global ReachReady Fleet … Global Reach 9
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CBA Progress to DateCBA Progress to Date
● FAA: TYCOMs/NSW – Completed. ● Reviewed JFCOM HSS Joint Capability Documents
capability gaps.● Identified measures of effectiveness.● FNA: Modeling and simulation scenarios identified
and in progress.
JUL 09
Comple
tion o
f
M&S
JAN 09
M&S W
G Mtg
Devel
op ICD
Submit
ICD to
USFF N8
OCT 09 DEC 09
We
are
here!
United States Fleet ForcesUnited States Fleet Forces Ready Fleet … Global ReachReady Fleet … Global Reach 1
0
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SummarySummary
• Desired End State
– Submission to USFF N8 for endorsement as a Fleet Requirement and consideration for resourcing (programs to man, train and equip).
• Methodology
– Joint Capability Integration & Development system (JCIDS)
• Process and Timeline
– Functional Area Analysis (FAA) – endorsement SEP 08
– Functional Needs Analysis (FNA) – FHBOD VTC JUL 09
– Functional Solutions Analysis (FSA) – FHBOD OCT 09
– Capabilities Based Assessment (CBA) – NOV 09
– Initial Capabilities Document (ICD) – DEC 09
United States Fleet ForcesUnited States Fleet Forces Ready Fleet … Global ReachReady Fleet … Global Reach 1
1
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Questions?Questions?
United States Fleet ForcesUnited States Fleet Forces Ready Fleet … Global ReachReady Fleet … Global Reach 1
2
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