Pacific Regional Medical Command Tripler Army Medical Center
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1 DCN: Pacific Regional Medical Command Tripler Army Medical Center US Army Medical Command Regional Medical Command 1
2 Mission & METL Mission: To provide medical readiness by projecting a healthy soldier, and a trained and ready medical force. Manage the health care of the soldier, their families, and the extended Army family. Provide effective and efficient healthcare, as the only referral medical center, for DoD beneficiaries in the Western Pacific. Provide military veterinary services in support of Department of Defense missions in the Pacific Theater. Ensure dental readiness throughout the Pacific Region through the delivery of quality dental care. METL: a. Establish, monitor and evaluate training and readiness of the AC/RC soldiers and units for deployment and mobilization. b. Plan and execute mobilization, and backfill missions. c. Execute healthcare delivery under the DOD TRlCARE system. d. Provide specialty care for DoD beneficiaries throughout the Western Pacific. e. Execute a comprehensive Graduate Medical Education program to sustain the high quality of healthcare in the Military Healthcare System. f. Plan and execute military medical support for local and regional emergencies, national disasters, and/or worldwide deployments in times of crisis or incident. g. Execute occupational health support for the military industrial base. h. Provide quality dental care and ensure dental readiness throughout the Pacific Region. i. Provide top quality veterinary care to military working dogs and other government owned animals. j. Provide quality sanitary approval and oversight of commercial food establishments in Hawaii and the 2 Pacific theater.
3 Map of Area of Operations Russia MEDDAC - Japan Canada China Pacific Ocean USA Atlantic Ocean Africa Indian Ocean Australia Tripler Army Med Center South America - Schofield Barracks Health Clinic - Pohakuloa Training Area Clinic 80 aeromedical evacuations per month from WESTPAC 3
4 Identification of Key Partners Army Partners PRMC is subordinate to U.S. Army Medical Command U.S. Army Garrison Hawaii 25 th Infantry Division (Light) U.S. Army Japan (Camp Zama & Sagami Army Depot) 121 General Hospital - Korea U.S. Army Kwajalein Atoll (subordinate to Space & Missile Defense Command, SMDC) U.S. Army Alaska, Bassett Army Community Hospital falls under the Western Regional Medical Command., Ft. Lewis, WA 4
5 DoD Partners Identification of Key Partners (cont d) COMPACFLT Surgeon and Pearl Harbor Clinic, Makalapa PACAF Surgeon and 15 th Medical Group, Hickam AFB Kaneohe Bay Marine Base Clinic Coast Guard Clinic, Sand Island PACOM Surgeon DODDS WESTPAC Joint POW / MIA Accounting Command (JPAC) WESTPAC clinical referrals to Tripler Army Medical Center: Guam: USAF Clinic Andersen AFB, US Naval Hospital (USNH) Guam Korea: USAF Hospital Osan AFB, USAF Clinic Kunsan AFB, 121 General Hospital (Korea) Japan: USAF Hospital Misawa AFB, USAF Clinic Kadena AFB, USAF Hospital Yokota AFB, USNH Okinawa, and USNH Yokosuka including Branch Medical Clinic (BMC) Iwakuni, BMC Atsugi, and BMC Sasebo. Remote sites: Singapore; Bangkok, Thailand; NSF (Navy Support Facility) Diego Garcia (Indian Ocean); International SOS Network Sites in 23 Asia-Pacific countries. 5
6 Special Missions TRICARE Contract Pacific Lead Agent Management of purchased care for TRICARE members in the State of Hawaii and the Western Pacific. VA / DoD Joint Venture - Specialty and inpatient care for Veterans Administration (VA) beneficiaries on a space available basis as 1 of 3 approved VA / DoD Joint Venture sites. Homeland Security - CBRNE support to Hawaii through USARPAC Joint Rear Area Coordinator (JRAC). Also, Tripler is an active component of the Healthcare Association of Hawaii HLS (Homeland Security) network of healthcare facilities. Medical Mil-to-Mil Contact ISO Theater Security Cooperative Plan Develop and promote international linkages through medical operations. Thailand, Malaysia, Australia, Vietnam (Asian Pacific Military Medical Conference) Philippines, India (Balikatan Exercise, High Altitude Medicine) Japan, Nepal, Russia, Cambodia (Medical Staff Visits to Tripler including Japan Ground Self Defense Forces Surgeon General) Vanuatu International MEDRETE (Philippines, Thailand, Indonesia) 6
7 Special Missions (cont d) Special Medical Augmentation Response Teams (SMART) LOCATION MISSION WHEN Christmas Island, Kiribati Delivery of pregnant foreign civilian Oct 00 with fetal demise, shock Christmas Island, Kiribati Motor vehicle accident with 6 severe casualties Mar 01 Christmas Island, Kiribati Evacuate foreign civilian from cargo ship Aug 01 Christmas Island, Kiribati Evacuation of pregnant foreign civilian Nov 01 Chuuk, Micronesia Medical Team deployed following mudslides Jul 02 Cambodia Humanitarian Assistance -- Blast Resuscitation Feb 03 and Victim Assistance (BRAVA) Honolulu Terrorism Response to Cruise Ship Threat Apr 03 with 93rd CST (WMD) Honolulu Terrorism Response to Threat at Dole Aug 03 Cannery with 93rd CST (WMD) Hickam, AFB NBC Static Display for Friends and Family Day Sep 03 Honolulu MASCAL Exercise Mar 04 7
8 Special Missions (cont d) Pacific Island Health Care Program - Congressionally appropriated funds to provide care to selected Pacific Islanders throughout the Pacific Rim in support of Graduate Medical Education. $4.5M appropriated annually. Pacific Telehealth & Technology Hui, (DoD / VA Joint Venture) - Separate Congressional Appropriation for the advancement of telehealth within the Pacific. Medical Library Support to DoD facilities throughout Pacific - Largest Federal medical library in the Pacific. Medical Training to other Services, Army and local community: Composite Health Care System (CHCS) training and sustainment 91W Combat Medic transition and sustainment training Medical students clerkship: 3 rd or 4 th year medical school rotation at Tripler AMC. Nursing students (civilians) Pediatric Advanced Life Support (PALS) course Automated External Defibrillator (AED) / Advanced Cardiac Life Support (ACLS) courses Residency Training of Air Force physicians Pediatrics, Radiology and Neonatology 8
9 PACOM Mission Linkage CG, Pacific Regional Medical Command & Tripler Army Medical Center also serves as USARPAC Surgeon Responsible for Army medical support in USARPAC Area of Responsibility. Commander, MEDDAC-Japan also serves as U.S. Army Japan Surgeon. Asst. Secy. of Def. (Health Affairs) & TRICARE Management Activity PRMC follows ASD(HA) policy and funding, through USA MEDCOM, for execution of the Defense Health Program (DHP). Medical Director, Center of Excellence for Disaster and Humanitarian Assistance - PACOM 9
10 VA / DoD Joint Venture. Other Partnerships Provide reimbursable inpatient care, security and facility support for HQ and Outpatient Clinic under the Joint Venture agreement with the Pacific Island VA Health System Graduate Medical Education partnerships with local health care facilities and the University of Hawaii. Annual Training Site and Capstone Backfill for 1984 th and 5502 nd USAR Hospitals Provide support to Centers for Disease Control (CDC) Memorandum of Agreement. BSL-3 modular lab as part of CDC network. Professional clinical organization s local affiliates. (ie. American Medical Association, American Dental Association, American Organization of Nurse Executives, Healthcare Association of Hawaii, etc.) 10
11 Joint Training & Stationing Medical referral center for all military on Hawaii and in the Western Pacific. Joint Graduate Medical Programs Navy and Air Force permanent medical staff Forensic Toxicology Drug Testing Lab Tri-Service Substance Abuse Rehabilitation Facility Veteran s Administration Center For Aging (short-term medical / surgical / psychiatric rehabilitation) Veteran s Administration HQ, Ambulatory Care Center and Free Standing Parking Facility. TRICARE Pacific Lead Agency 11
12 Power Projection Professional Filler System (PROFIS) Medical staff allocated to TOE, assigned to TAMC 25ID, 26 personnel 18 th MEDCOM, Korea, 520 personnel MEDCOM Backfill / Taskings to AORs 241 taskers for 3298 man-days during period MAY OCT 03 SRP Medical Support Schofield Barracks Medical support unit for medical processing. Class VIII supply support to unit mobilization. Installation Medical Supply Activity: responsible for Army Class VIII support in Hawaii 12
13 Future Structure Changes Future mission capabilities impacting operational readiness. Growth in Active Duty populations will increase demand on health care capacity. Potential future population: (additional personnel and facility reconfiguration required) Stryker Brigade C-17 Air Wing Carrier Battle Group 13
14 Classified Portion N/A 14
15 Pacific Regional Medical Command Tripler Army Medical Center US Army Medical Command Regional Medical Command 15
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