JP 4-02 HEALTH SERVICE SUPPORT CH 2 Flashcards Preview


Flashcards in JP 4-02 HEALTH SERVICE SUPPORT CH 2 Deck (32)
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The JOPES, established by the Chairman of the
Joint Chiefs of Staff, is the policy, procedures, and automated data processing system used by the joint planning and execution community for developing, coordinating, reviewing, approving, and disseminating joint operation plans.

Deliberate planning is the JOPES process involving the development of
operation plans (OPLANs) for contingencies identified in joint strategic planning documents.


Conducted principally in peacetime, deliberate
planning procedures are accomplished in prescribed cycles that complement other DOD planning cycles and in accordance with the formally established Joint Strategic Planning System.

Development, coordination, reviews, and approval of these plans can take up to 18 months.


Crisis action planning is the JOPES process involving the time-sensitive development of operation orders (OPORDs) and campaign plans inresponse to an imminent crisis.

Proper planning permits a systematic examination of all factors in a projected operation and ensures interoperability with the campaign or operation plan.


Plans for health care in the theater should ensure proper interface with the evacuation health care plan detailed in USACOM’s Integrated CONUS Medical Operations Plan.

The medical threat is a composite of ongoing or potential enemy actions and environmental conditions that might act to reduce the effectiveness of the joint force through wounds, injuries, diseases, or psychological stressors.


Medical intelligence is intelligence produced from the collection, evaluation, and analysis of information concerning the medical aspects of foreign areas that have immediate or potential impact on policies, plans, or operations.

Timely patient evacuation plays an important role in the design of the treatment sequence from front to rear.


Timely patient evacuation plays an important role in the design of the treatment sequence from front to rear.

Patient evacuation involves route planning, movement control, and the locating of evacuation facilities.


The JFS must plan the means for treatment, logistics support, and movement of joint force patients that exceed the capability ofindividual MTF’s

The geographic combatant commander may issue specific guidance for the medical evacuation of former
detained US forces, civilians accompanying US forces, EPW, and civilian internees.


Specific clinical capabilities, as well as MTF location, logistics supportability, and number of beds, must be considered.

The location of an MTF should be determined by its specific clinical capability, relative mobility, logistical supportability


The location of MTFs is affected further by critical time and distance factors that impact on mortality and morbidity rates.

Recommendations must be prepared by the JFS to the geographic combatant commander concerning
supply issues. SIMLM system, stock level, types of medical supplies needed and medical equipment maintenance.


A major factor in the evacuation ofpatients through the five echelons of medical care is that specific medical equipment and durable supplies designated as patient movement items (PMI) must be available to support the patient during the evacuation.

Examples of patient movement items (PMI) areventilators, litters, patient monitors, and pulse oximeters.


Theater-owned medical equipment and supplies often depart the originating MTF as patients are evacuated.

The PMI accompanies a patient throughout the chain of evacuation from the originating theater MTF to the destination MTF


The JFC will ensure procedures are established for units to have their PMIs replaced prior to their losses becoming a detriment to the air evacuation and patient care mission

When the theater PMI pool is notified that a PMI is to leave the originating MTF for an intertheater transfer, a like PMI will be provided to the losing organization from the PMI pool.


The PMI will be inspected, repaired, refurbished, and
resupplied prior to return to the theater pool(s).

Prev Med personnel conduct preliminary investigations
for endemic diseases, arthropod and rodent
infestations, and water quality.


Prevention of combat stress reaction is primarily a command and leadership responsibility

Successful management of MASCALs is a complex task where success relies as much on well-practiced logistics and communications as it does on skilled medical treatment.


In an effort to provide adequate HSS in an NBC environment, definitive planning and coordination are
mandatory at all command levels.

The HSS estimate’s purpose is to provide an analysis of HSS information pertaining to enemy intentions, allied or
coalition partner’s capabilities, limitations, courses of action, and estimate may be written or oral


The HSS estimate will include all HSS facts, assumptions, and deductions that can affect the operation

The JFS must conduct a thorough evaluation of the enemy situation, friendly situation, and the theater from
the standpoint of effects on the health of the joint force and HSS operations.


The HSS estimate is an analysis of the medical threat and HSS capabilities to determine vulnerabilities and estimated
requirements of the joint force.

Maximum use of available personnel, supplies and
equipment, and joint use of facilities promotes effectiveness of the command’s HSS.


The HSS planning tool approved for medical
planning is the JOPES MPM.

MPM provides an estimate of requirements for such things as the medical evacuation, requirements, and
number of hospital beds at Echelons III, IV, and V.


The theater evacuation policy is established by the Secretary of Defense upon the advice of the Chairman of the Joint Chiefs of Staff and recommendation of the
geographic combatant commander.

The policy states, in number of days, the maximum period of noneffectiveness [hospitalization or convalescence] that casualties may be held within the theater
for treatment.)


Casualties who are not expected to RTD
within the number of days expressed in the theater evacuation policy are evacuated as soon as their medical
condition permits.

The time period stated in the theater evacuation policy starts when a patient is admitted to the first hospital (Echelon III).


The total time a patient spends in all MTFs in the theater for a single episode of wounding, injury, or illness should not exceed the number of allowable days of
noneffectiveness stated in the theater evacuation policy.

The estimate for theater HSS requirements is based on empirical data accumulated for each Service for the major categories of patients—wounded-in-action and disease and nonbattle injury.


The planning factor for blood products in a theater is 4.0 units of liquid red cells per initial admission.

The Air Force component will staff and operate BTCs.


The BTCs Receive and store up to 7,200 units of blood products for future distribution to theater MTFs when directed by the AJBPO or the JBPO.

Combat search and rescue (CSAR) operations are specific tasks performed by rescue forces to recover distressed
personnel during wartime or contingency operations.


s. JFCs have the primary authority and responsibility for CSAR in support of US forces within their area of responsibility/ joint operations area and also must ensure
creation of a joint rescue capability

Joint force CSAR HSS capabilities are limited to recovering or evacuating the sick or injured from low- to medium-threat environments.


Joint force CSAR HSS provide medically supervised
evacuation of the sick and injured from both peacetime and wartime situations.

In consonance with provisions outlined in the Geneva Conventions, patients who are EPWs are afforded the same level of HSS and medical care as patients of the
detaining power.


Command and control (C2) of HSS organizations normally rests with the component commands.

Effective command, control, communications, and computer (C4) systems are vital to successful HSS in joint operations.


Early identification of a theater’s C4 system requirements for HSS connectivity is essential.

The success of HSS operations depends upon reliable communications over dedicated and parallel systems.


All frequency requirements for organic equipment must be coordinated with the joint force commander’s J-6 staff

HSS management information systems must be interoperable with DOD medical management information


HSS management information systems should provide timely, accurate, and relevant information through the
following subsystems: Blood management, Patient tracking and movement, Medical logistics.

The HSS dental service is a major contributor to maintaining unit fighting strength


Joint operation planning must include consideration of the various roles of dental services.

Historical review indicates that dental problems cause as
much as 8 percent of a unit’s noncombat casualty losses.

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