1. U.S. Naval Aeromedical Conference January 2015
Disclosure Statement
(“Speakers”: William Crosby HMCS,Ret., HMCM Mamaril, HMC Simien) and all others involved in the planning, development and presentation of this CME activity provide the following Disclosure information:
"Nothing to disclose"
U.S. Naval Aeromedical Conference January 2015

2. COMNAVAIRFORCES
MEDICAL SUPPLY

3. MEDICAL SUPPLY Outlined in COMNAVAIRFORINST 6000.1series Chapter 11.
Medical material requirements are outlined in “Authorized Medical Allowance Lists” (AMALS).
AMALS are controlled by Commander, US Fleet Forces Command (USFFC/ PACFLT) and managed by Naval Medical Logistics Command (NAVMEDLOGCOM).
Senior Medical Officer (SMO) is responsible for all AMAL listed items.
Repair Parts Petty Officer (E-5 and above) assigned to manage and reorder AMAL inventory assisted by an LS assigned by the Supply Department.
Procurement of AMAL items is financed by Medical Department Operating Target (OPTAR) funds.
Changes to AMALS occur via Annual NMLC/TYCOM AMAL Review or AMAL Change Requests (ACRs) submitted to CNAL/CNAP Force Medical by Fleet Units and are also based on changes to the Federal Supply System.

4. FLEET AMAL TAXONOMY AMALS ARE NUMBERED WITH ASSIGNED
PLATFORM SPECIFIC NUMBERS.
(ex PC, 0205-LSD,0605-DDG,1505-LHA,3005-CVN)
First two digits identify platform, last two identify functional area. (ex. 30xx: CVN, 15xx: LHA)
Aides the logistic support system in requisitioning and contracting. (ex: xx05-Force Health Protection, xx51-Mass Casualty Box)

5. CVN AMAL LISTINGS 3005 Force Health Protection
3012 Consumables Storeroom
3013 Controlled Med Bulk
3015 Equipment =or>$1,500
3021 Operating Room
3023 ICU/Ward
3025 BMET
3030 Preventive Medicine
3031 Radiology
3032 Laboratory
3033 Walking Blood Bank
3034 Pharmacy
3035 Optometry
3036 Physical Therapy
3050 First Aid Box
3051 Mass Casualty Box
3052 Battle Dressing Station
3054 Crash Cart
3055 JR HM Response Bag
3057 Gun Bag
FYI: New 32xx (CVN-78 Class) is outfitted with nearly identical AMAL listing as CVN-68 Class.

6. DEPLOYMENT AUGMENTATION REQUIREMENTS “Deployment Augmentation Requirements” shall be determined by the Senior Medical Officer. These are items determined necessary to meet known or anticipated requirements during a specific deployment. SMO and/or Repair Parts PO should liaison with Supply Department to ensure adequate stock inventories, based on historical usage rates and anticipated needs (i.e., cold meds, STD items and lab reagents, etc.) are available for the entire duration of the deployment.

7. INVENTORY MANAGEMENT SYSTEM
The Supply Module of “SAMS” or Material Management module of “TMIP” shall be utilized as the inventory management system for medical supplies.
Current SAMS/TMIP version must be maintained onboard at all times. Update downloads available from “NMO” website
Monthly SAMS/TMIP database/NMLC website reviews should be conducted for published updates.
Daily, weekly, and monthly database back-ups shall be conducted and stored on an external storage source IAW COMNAVAIRFORINST series.
Supply POs shall attend formal SAMS/TMIP training: Contact NAVY311, submit trouble ticket requesting formal training.

8. NAVY 311
Any issues with TMIP/SAMS.

9. Naval Medical Logistics Commands Operational Forces Support
NAVMEDLOG COM Home Page

11. Navy Assemblage Information Logistics System (NAILS)
Example screenshot of NAILS : Identify single NSN associated with which AMALs

13. MAINTENANCE OF LATEST AMAL UPDATES
DO DAILY, WEEKLY and MONTHLY BACK-UPS STORE ON EXTERNAL
STORAGE SOURCE IAW COMNAVAIRFORINST series
UPLOAD LATEST SAMS/TMIP
VERSIONS FROM NMO WEBSITE
NAVY 311/local IT support
CHECK FOR AMAL UPDATES
ON NMLC SITE
(MONTHLY) TYCOM SENDS OUT UPDATE NOTIFICATIONS AS WELL.
Process estimates 6-12 months. There continuing movement to standardize Naval Maritime Medicine across every Platform.

14. MAJOR SUPPLY RESOURCES
PHARMACEUTICALS
Cardinal Health Medical Pharmaceutical Prime Vendor Program Desk Guide June 2010.
MEDICAL /SURGICAL
Allied Joint Venture Medical/Surgical Fleet Prime Vendor Program Desk Guide September 2011.
Both Cardinal and AJV are online Prime Vendor ordering programs, not R-Supply MILSTRIP requisitions. Best used y while pierside.
Next sources are standard R-supply MILSTRIP requisitions, ECAT, other approved sources of supply such as Frames of choice, etc.
Requisitions processed via S-1 supplied priority code and DLA coordinates direct shipping with ships operations.
Supply Methods of Ordering

15. SLEP PROGRAM “SHELF LIFE EXTENSION PROGRAM”
Website:
Covers low turnover, high priced items.
Force Health Protection AMAL items are highly visible
and closely monitored items. (CVN total inventory over $8.9 mil)
Annual inventories sent to NMLC.
Stress testing by FDA (at cost) conducted on meds to determine length of potential extension of existing shelf life.

16. Onboard SLEP responsibilities
Onboard inventories shall be reviewed and updated every 90 days.
Test results are sent via from DMSB.
Acknowledge receipt of labels NMLC mailed for extended lot numbers.
Contact Pharmaceutical Returns Management Program (PRMP) representative of items identified as testing ineligible.
Notes:
Testing may take up to 18 months to complete.
Lot inventory less than $10,000 should be budgeted for replacement testing ineligible.
Message search, inventory update, label request conducted at SLEP website.

17. PHARMA LOGISTICS/GUARANTEED RETURNS “Pharmaceutical Returns Management Program (PRMP)”
DOD contract administered by Defense Supply Center Philadelphia (DSCP)
If CVN homeport is CONUS: Pharmaceutical Reverse Distribution contact with regional Pharma Logistics representative.
IF CVN homeport is OCONUS: Pharmaceutical Reverse Distribution contact is with Pharma Logistics representative.
Return goods may be partial or full products that are expired, damaged, recalled, and/or overstocked.
Credit determinations are based upon manufacturers current return goods policy.
Credits earned can be used to purchase Cardinal Pharmaceuticals.
Credits must be used within 90 days, can be extended for up to 180 days (total 270 days) for deployed units.
Monthly Credit Report and Non-Payment List distributed to units by TYCOM.

18. COMNAVAIRLANT/COMNAVAIRPAC LOGISTICS MANAGERS
HMCS, Ret. WILLIAM “JAKE” CROSBY
Office: (757) (DSN: 564)
HMC SHAINA SIMIEN
Office: (619) (DSN: 735)

19. QUESTIONS ????

20. COMNAVAIRFORCES FACILITIES AND EQUIPMENT MAINTENANCE

21. SHIP EQUIPMENT REPLACEMENT PROGRAM
SERP is a phased replacement lifecycle management procurement program. The goal of the program is to
replace currently installed medical and dental
equipment at the end of its useful life or upon beyond economical repair. Funding for the program is provided by Commander US Fleet Forces Command, U.S. Pacific Fleet Surgeon’s offices.

22. SHIP EQUIPMENT REPLACEMENT PROGRAM (SERP)
PROGRAM OUTLINED IN COMFLTFORINST/COMPACFLTINST series and
Chapter 12 of COMNAVAIRFORINST series
NAVAL MEDICAL LOGISTICS COMMAND(NMLC) IS DESIGNATED AS THE PROGRAM MANAGER(APM) AND
IN SERVICE ENGINEERING AGENT (ISEA) FOR MAJOR MEDICAL/DENTAL EQUIPMENT.
NMLC DOES PROGRAMMING AND BUDGETING, ACQUISITION OF EQUIPMENT, APL/AEL DEVELOPMENT AND ACCOUNTABILITY OF FUNDS FOR FLEET MEDICAL/DENTAL EQUIPMENT REPLACEMENT.

23. SHIP EQUIPMENT REPLACEMENT PROGRAM (SERP)
UNITS MAINTAIN INVENTORY RECORDS ON ALL SERP EQUIPMENT
SERP EQUIPMENT IS DEFINED AS EQUIPMENT REQUIREMENTS THAT HAVE TOTAL COST OF $5, OR MORE.
ALL SERP EQUIPMENT IS MANAGED BY LIFE CYCLE.
MAINTENANCE AND REPAIR HISTORY IS RECORDED ON “EQUIPMENT MAINTENANCE RECORD” NAVMED 6700/3 FORMS.

24. SHIP EQUIPMENT REPLACEMENT PROGRAM (SERP)
TYCOMS VALIDATE, PRIORITIZE AND ENDORSE EQUIPMENT REPLACEMENT REQUIREMENTS AND FORWARD TO USFFC/CPF EQUIPMENT MANAGERS FOR FUNDING AND PURCHASING.
PRIORITY BASED ON FRP CYCLE.
PROCUREMENT BASED ON BUDGETARY CONSTRAINTS.
EMERGENT BUYS DUE TO EQUIPMENT CASUALTIES OR MAJOR REPAIRS MAY RESULT IN REPRIORITIZING AND REDISTRIBUTION OF FUNDING AFTER SUBMISSION OF THE ANNUAL POM BUDGET CALL. EMERGENT BUYS WILL TAKE PRECENDENCE OVER OTHER EXISTING REQUIREMENTS.

25. SHIP EQUIPMENT REPLACEMENT PROGRAM (SERP)

26. SHIP EQUIPMENT REPLACEMENT PROGRAM (SERP)
All required SERP equipment must be entered in the
command’s SKED and OMMS-NG Database along with
supporting APL. Allows periodic maintenance scheduling
and usage of maintenance funding for part replacement
purchases. “CRITICAL MRA/MRI inspection element”.
BMET is required to maintain a complete SERP inventory
record and update annually with TYCOM.

27. FLEET PROCUREMENT PROGRAM (FPP)
Web based program on the NMLC website:
Allows the fleet to have visibility of all SERP requirements.
Used to track SERP buys from contract awarding to shipment.
Immediately after receiving new equipment receipt acknowledgement must be entered in FPP database.

28. FLEET PROCUREMENT PROGRAM (FPP)

29. Management Contracts
Each carrier is allowed establish maintenance contracts to perform specific maintenance, calibration, or certifications for Medical equipment. These contracts will be funded by ship’s OPTAR. Individual visits will be funded by submitting DD1149 Open Purchase document.

30. QUESTIONS???

31. COMNAVAIRLANT/COMNAVAIRPAC EQUIPMENT MANAGERS
HMCS, Ret. WILLIAM “JAKE” CROSBY
Office: (757) (DSN: 564)
HMCM MARIAGIDA MAMARIL
Office: (619) (DSN: 735)