The document discusses Navy Medicine's global operations and capabilities. It provides an overview of Navy Medicine's strategic approach which includes maintaining forward presence through overseas medical facilities, supporting operational projections through deployable medical units, and conducting humanitarian assistance through hospital ships and overseas missions. It also reviews Navy Medicine's support to the Marine Corps and individual servicemembers through programs like Safe Harbor and the Wounded Warrior Regiment.

3. Military Health System Secretary of Defense Secretary of Navy Secretary of Army Secretary of Air Force Under Secretary of Defense (Pers. and Readiness) Chief of Staff Surgeon General of the Army Chief of Staff Surgeon General of the Air Force Assistant Secretary of Defense (Health Affairs) Commandant of the Marine Corps Chief of Naval Operations Surgeon General of the Navy / Chief, BUMED Coordinates TRICARE Benefit Navy Medicine supports Navy and Marine Corps TRICARE Management Activity

4. DON Medical Workforce: FY09 Total Force Break-Out Reference: Total Force Manpower Management System ( T FMMS) Micro Manpower Change Application (TMMCA) software (As of January 2009)

6. Overseas Navy Medicine Facilities Forward Presence USNH YOKOSUKA USNH OKINAWA USNH GUANTANAMO BAY USNH NAPLES USNH SIGONELLA USNH ROTA USNH GUAM Arctic Ocean North Atlantic Ocean South Atlantic Ocean Indian Ocean South Pacific Ocean North Pacific Ocean NAMRU 2, INDONESIA NHC HAWAII NAMRU 3, EGYPT NMRC DET LIMA, PERU Reference: Office of the Navy Surgeon General

7. Reference: Office of the Navy Surgeon General Reference: Office of the Navy Surgeon General Navy Medicine RDT&E NAMRU-3D Accra, Ghana NAMRU-2 Jakarta, Indonesia NAMRU-3 Cairo, Egypt NMRC Silver Spring, MD Iquitos Peru DEBL San Antonio, TX NHRC San Diego, CA NIDBR Great Lakes, IL EHEL Dayton, OH NSMRL Groton, CT Phnom Penh, Cambodia NAMRL Pensacola, FL NMRCD Lima, Peru

8. Navy Medicine at Home Navy Medicine Deployed

9. Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2009 Individual Augmentation Requirements (429) EMF Djibouti (38) EMF GTMO (115) //// EMF GTMO (115) //// LRMC GE 292 (277 RC/ 15 AC) //// EMF Kuwait (287) //// EMF Kuwait (285) //// EMF Djibouti (38) //// EMF GTMO (115) //// LRMC GE 292 (270 RC/ 22 AC) As of 07 Jul 09 //// Indicates transition period where forces deploy/redeploy showing higher numbers CP09 TAH (358) USNS COMFORT PP09 USNS R. E. BYRD (26) CY- 09 Deployment Timelines Average USMC HSAP Requirements (490) FDPMU (13) / /// FDPMU GTMO (16) FDPMU (15) ////

10. Navy Medicine: Operations & Operational Projections 2003-2009 (Calendar Year) Reference: Bureau of Medicine and Surgery, Emergency Preparedness and Contingency Support Office

14. HUMANITARIAN ASSISTANCE USNS MERCY (T-AH 19) anchored near Cotabato, Republic of the Philippines Photo: Department of the Navy/Department of Defense collection

16. A young patient onboard USNS MERCY walks for the first time in seven years after surgery on his leg: Republic of the Philippines Photo: Department of the Navy/Department of Defense collection PACIFIC PARTNERSHIP

17. The U.S. Navy Amphibious Assault Ship USS Kearsage (LHD 3) CONTINUING PROMISE

18. Photo: Department of the Navy/Department of Defense collection Cooperative Surgery with Dominican medical staff on board the USS Kearsarge: CARIBBEAN SEA

19. Photo: Department of the Navy/Department of Defense collection Operation Smile patient after successful surgery onboard the USS Kearsarge: Puerto Cabezas, Nicaragua

20. Balancing Competing Priorities Delivering High Quality Care While Improving Business and Productivity for the Enterprise MHS Plan Patient Satisfaction Venture Capital MHSSI, IIP, JIF Monitoring Against National Benchmarks Business Process/Planning Quality and Safety Warfighter and Operational Readiness/Training Reference: Office of the Navy Surgeon General Performance Based Budget Primary Care Enrollment/ Access to Care Standards IT Solutions/Limitations Motivating an All Volunteer Force Operational Deployments & HA/DR Missions Finance Facilities People I N I T I A T I V E S Tri-Service Board*

23. Backup

24. Marine Corps Medical Support (Organic and HSAP) Photo: Department of the Navy/Department of Defense collection

26. Sustain combat strength through the operation of one Level III hospital and five Level I/II clinics, providing routine and emergent care and focused rehabilitation, enabling optimum return to duty of CENTCOM AOR personnel in support of Operation Iraqi Freedom and Operation Enduring Freedom. Expeditionary Medical Facility (EMF) Camp Arifjan, Kuwait Photo: Department of the Navy/Department of Defense collection

27. EMF Camp Lemonier, Djibouti The EMF at Camp Lemonier, Djibouti provides task-organized resuscitative care (Level II) Medical, Surgical, and Dental care to personnel on Camp Lemonier and is the Military receiving facility and the EVAC facility for the Horn of Africa. Support includes routine and immediate care, preventive health care, and 24/7 emergency and mass casualty support. Photo: Department of the Navy/Department of Defense collection

28. JTF GTMO Det Provides task-organized theater hospitalization (Level III) Medical, General and Ortho Surgical, Dental care, Prev Med, 24/7 ER, Mental Health Services, and Mass Casualty support to personnel at all Detainee Camps, Detention Hospital, Detainee Mental Health Services, Optometry, Internal Medicine, Pharmacy, Physical Therapy, Prosthetic services, and Special Care Unit. In addition to Detainee care, JTF GTMO provides both general and mental healthcare services to all JTF active duty service member population. Photo: Department of the Navy/Department of Defense collection

29. In 2006, JFCOM tasked the Navy with providing medical staffing in support of the Army's Landstuhl Regional Medical Center (LRMC), Germany. Since then, the Navy Medical Augmentation Det has continued to augment LRMC with Navy medical personnel in support of wounded OEF/OIF warfighters. Currently, the Navy augmentation staff includes; 292 Navy medical personnel (260 reservist/32 active). Landstuhl Regional Medical Det, Germany Photo: Department of the Navy/Department of Defense collection

30. Individual Augmentation Support Navy Medicine also provides approx 496 medical personnel for various USMC, fleet, and combatant command individual augmentation missions globally. Photo: Department of the Navy/Department of Defense collection

31. Guam Hawaii Okinawa Landstuhl USMC Wounded Warrior Regiment -- Single Command with Strategic Reach -- Camp Lejeune Camp Pendleton Quantico WWR services the Total Force – Active Duty / Reserve / Retired / Former Marines Level of Effort Current (Mil / Civ): 212 Contractor Support: 24 Future Total: 361 Reference: Wounded Warrior Regiment Command Brief WW Regiment WW Battalions Patient Affairs Team (PAT)/VA Liaisons District Injured Support Cells (DISC) WW Company

32. Navy Safe Harbor – Strategic Reach Wounded, Ill, and Injured (WII) BETHESDA / WRAMC (2) BAMC (2) SAN DIEGO (2) AT-LARGE WEST (1) TAMPA (1) PALO ALTO (1) JACKSONVILLE (1) PORTSMOUTH/RICHMOND (1) MILLINGTON TN (2) WASHINGTON DC (12) AT-LARGE EAST (1) BREMERTON (1) GREAT LAKES / MINNEAPOLIS (1) NATIONAL NETWORK OF NAVY OPERATIONAL SUPPORT CENTERS Reference: Navy Safe Harbor Program Command Brief VA POLY TRAUMA CENTER MILITARY TREATMENT FACILITY SAFE HARBOR HEADQUARTERS STAFF NAVY OPERATONAL SUPPORT CENTER

33. PACIFIC PARTNERSHIP 2007-2009 San Diego Dili, TL 12-25 Jul Singapore 2-7 July Port Moresby, PP 4-17 Aug Pearl Harbor 8-10 May 15-18 Sep Chuuk State, FM 22 Aug-1 Sep Nha Trang, VM 19-29 June Manila, RP 15-17 June Samar, RP 14 June Guam 20-24 May 3-7 Sep Darwin, AS 27-31 Jul Majuro, RMI 27 Aug-7Sep Da Nang, VM 14-24 July I/P Manila, RP 17-18 June Bicol Region, RP 20 June – 8 July JOA OPS 14 June – 11 July Pearl Harbor 29 May – I June 12-15 Sept San Diego Soloman Islands 18-24 Aug Madang, PNG 6-16 Aug I/P Singapore 27-30 July Cotobato, RP 29 May-12 June Solomon Islands 30 July – 12 Aug Tonga 22 Aug – 2 Sept Samoa 5 – 16 Sept Kiribati 1 – 14 July New Caledonia 16 – 19 Aug Cairns 23 – 26 July Pearl Harbor 8-9 June 24-25 Sept San Diego Marshall Islands 17 - 28 June Guam 9-11 June

34. UNCLASSIFIED//FOUO Port Au Prince, Haiti 9-20 Apr Santo Domingo, Dominican Republic 21 Apr – 2 May St Johns, Antigua 5-16 May Norfolk, VA Miami, FL 4-6 Apr Ft. Lauderdale, FL 26-28 Jul La Union, El Salvador 21 Jun – 2 Jul Corinto, Nicaragua 3-14 Jul VBN, Panama 18-21 Jul Colon, Panama 24 May-2 Jun Tumaco, Columbia 6-17 Jun Cartagena, Columbia 20-23 May Port Au Prince, Haiti Belize City, Belize Manta, Ecuador Buenaventura, Colombia Acajutia, El Salvador Corinto, Nicaragua Salaverry, Peru Puerto Barrios, Guatemala Colon, Panama Port of Spain, Trinidad Georgetown, Guyana Paramaribo, Suriname Norfolk, VA CONTINUING PROMISE 2007 & 2009