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LO2 (A):Understand the

COPD, OPLAN, andNATO Medical Planning

N-9-89 Joint Maritime Medical Staff Course (JMARMEDS)NATO School – Oberammergau Germany

10 December 2012

Overall Classification Of This Presentation: NATO UNCLASSIFIED

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Ayessa TolerLieutenant Commander (OF-3)

U.S. Navy, Medical Service Corps

PREVIOUS EXPERIENCE: Fellow, American College of

Healthcare Executives (ACHE)

Policy experience – as an Intern in the U.S. Chief of Naval Operations Medical Plans and Policy Branch (OPNAV N931D) from July 2010 – July 2011

Land operations – as the Medical Plans Officer for Task Force Medical – South, Afghanistan from September 2009 – April 2010

Maritime/Amphibious operations – as the Medical Plans Officer for the 31st U.S. Marine Expeditionary Unit (MEU) from April 2007 – July 2008

CURRENT POSITION:

CJ5 Plans Staff Officer and Medical Planner (PXX008) Naval Striking and

Support Forces NATO (SFN), PRT

Comm: +351-21-440-4434//NCN: 529-4434

Mobile: +39-366-574-9989

NATO Unclassified: a.toler2@sfn.nato.int

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Lesson Agenda

1. Overview of the NATO Operational Planning Process and the Comprehensive Operations Planning Directive (COPD)

2. Overview of NATO Medical Operations Planning Process

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NATO Operational Planning Processand

Comprehensive Operations Planning Directive(COPD)

Part 1:Overview of the

Reference/Source: Lieutenant Colonel Mehmet Salar, TUR-

ANATO School – Joint Operations

Department

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CurrentPlanning Efforts…

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COPDPlanning Phases

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The COPD

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COPD PlanningOccurs Within…

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What Will YouBe Planning For?

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NATOCrisis Response Planning Is…

Simultaneous Planning

Occurs From the Strategic to the Tactical

Level

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Phase 1:

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Phase 2:

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Phase 3:

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Phase 4a:

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Phase 4a:

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Phase 4a:

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Phase 4a:

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Phase 4a:

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Phase 4b:

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Phase 5:

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Phase 6:

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NATO Operations Medical Planning Process

Part 2:Overview of the

Reference/Source: Colonel Toby Rowland GBR Army

NATO HQ Supreme Allied Command Transformation

Branch Head (Medical)

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Mission of MedicalOperations Planning

To support the mission, through conservation of manpower, preservation of life and

minimization of residual physical and mental disabilities

How is this mission statement achieved… Commensurate to force strength Must deploy with forces tasked to support Must be a robust and comprehensive capability

Reference: AJP-4.10 (A)

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Operational PlanningProcess and Medical

1. Requires input from the medical staff at each point of the process

2. The Medical Operational Planning Process is continuously linked to the OPP

3. The output of Medical Planning delivered to the OPP is the Medical Support Plan Annex to the OPLAN

4. The Medical Plan needs to be coordinated on all levels

Reference: AJMedP-1

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Medical Support PlanAnnex Template

1. Situationa) Health Risk Assessmentb) Civil-Military Situation

2. Mission3. Assumptions

a) Estimated Casualty Rates

4. Executiona) Concept of Medical Support for each phase of the operationb) Scheme of Maneuver

5. Tasks and Responsibilitiesa) Per Afloat MTFb) MEDEVAC

6. Appendices1. Medical Intelligence Report2. Eligibility Matrix3. Medical Report Formats

What Should You Consider

When Building

Your Medical Support

Plan?

Reference: AJMedP-1

NATO-UNCLASSIFIED

NATO Standards of Medical Care

• NATO Medical Support is a national responsibility• In practice it is increasingly a shared responsibility• Treatment outcome must equate to best medical practice• Standards need to be acceptable to all nations• Continuum of Care from injury to home base

• Reference: MC 326/3, AJP-4.10(A), AMedP-11 (A)

NATO-UNCLASSIFIED

NATO Medical Care Role System• Standards of Medical Care are achieve through the Role System:

– Role 1 medical support provides for routine primary health care, specialized first aid, triage, resuscitation and stabilization

– Role 2 provides an intermediate capability for the reception and triage of casualties

– Role 3 medical support is deployed hospitalization and the elements required to support it

– Role 4 medical support provides the full spectrum of definitive medical care

• Specific maritime levels of healthcare will be defined by the Maritime Medical Planning presentation

• Reference: MC 326/3

NATO-UNCLASSIFIED

MC 326/3 MC 551

AJP-4.10Medical Support

AJMedP-1Medical Planning

AJMedP-2Medical Evacuation

AJMedP-3Medical Intelligence

AJMedP-4Force Health Protection

AJMedP-5Medical C4I

AJMedP-6CivMilMed Interface

AMedP-6Med Aspects NBC

AMedP-7Med CBRN CONOPS

AMedP-8CRE CBRN

AMedP-11Maritime Med

AMedP-16Med Capabilities

AMedP-17Med Training Req

AMedP-22Trauma Care Training

AMedP-14Heat, Cold, Altitude

AMedP-18Water Potability

AMedP-20Waste Management

AMedP-21Health Surveillance

AMedP-5Multiling Phrasebook

AMedP-12Blood Brochure

AMedP-13Glossary Med Terms

AMedP-19Animal Care

AMedP-3Insect/Rodent Contr

AMedP-23Vaccination

AMedP-24Emergency Care

Medical Policy

Medical Keystone Doctrine

Allied Joint Medical Doctrine

Supporting Medical Doctrine

NATO Medical Policy and Doctrine

NATO Standardization Agency (NSA) Public Web Site: http://nsa.nato.int/nsa/

NATO-UNCLASSIFIED

Medical Support Plan Considerations

1. NATO Standards of Medical Care

2. NATO Medical Role System

3. NATO Continuum of Care

4. NATO Medical Policy and Doctrine

• Now that you understand these considerations when building a Medical Support Plan Annex…Let’s go through basic medical planning steps!

These Steps Will

Occur During

Phase 4 of the COPD Process

NATO-UNCLASSIFIED

Step I – InitiationJoint Operations Planning Group (JOPG)

Step I – InitiationJoint Operations Planning Group (JOPG)

CHIEF JOPG

CJ 5PLANNERS

CJ 2PLANNERS

CJ 1

CJ 2

CJ 4CJ 6 CJ 3

CJ 9

LEGAD CC POLADPIO

MEDMED

CCCCs

Cdr’sPlanningGuidance

NATO-UNCLASSIFIED

Step II – OrientationReview of the SituationStep II – OrientationReview of the Situation

AwarenessAwareness

Geographical Conditions Strategic Background

Opposing Forces Sit Medical Intelligence

Information and Media

Civil-Military Situation

Comprehensive Approach

NATO-UNCLASSIFIED

Step III – Concept DevelopmentStep III – Concept Development

• For development of the medical concept the medical planner has to take into account multiple factors.

• Some of them are:1. Environment

2. Opposing Forces

3. Friendly Forces

4. Risk Assessment

5. Medical Logistics

6. Medical Capabilities

• The list of factors not complete, but gives you an idea…

NATO-UNCLASSIFIED

Step III – Concept Development:Environment

Step III – Concept Development:Environment

Geography Weather / Climate Health Risks &

Threats Civilian Population Host Nation

Resources Other stakeholders

NATO-UNCLASSIFIED

Equipment Drugs Blood Products Oxygen

Step III – Concept Development:Medical Logistics

Step III – Concept Development:Medical Logistics

NATO-UNCLASSIFIED

Summary of required capabilities and capacities

Medical Treatment Facilities

Evacuation Assets

Graphical Overlay: Concept of Medical Support

“Tentative Course of Action”

Step III – Concept Development:Medical Capabilities

Step III – Concept Development:Medical Capabilities

NATO-UNCLASSIFIED

Step IV – Plan DevelopmentStep IV – Plan Development

A Concept of Operations L Psychological Operations

B Task Organization M Arms Control

C Forces and Tasks N Nuclear Operations

D Intelligence O Information Operations

E Rules of Engagement P Electronic Warfare

F Maritime Operations Q CIS

G Land Operations R Logistics

H Air Operations S Movements

I Amphibious Operations T Environmental Support

J Force Protection U NBC Defence

K Special Operations QQ/

XX

Medical

NATO-UNCLASSIFIED

Step V – Plan ReviewStep V – Plan Review

MED Support Plan

COMMANDERJOPG Chief

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Questions/CommentsThis Concludes The Lesson

Overall Classification Of This Presentation: NATO UNCLASSIFIED