1. Joint Staff and the Joint Medical Force
AMSUS
Joint Staff and the Joint Medical Force
1 December 2016
MG (Dr.) Joseph Caravalho, Jr.
Joint Staff Surgeon
Overall Classification: UNCLASSIFIED

2. Disclaimer
These views are mine and do not necessarily represent the views of the DoD, Joint Staff, or US Army.

3. Disclosures The presenter has no financial relationships to disclose.
UNCLASSIFIED
The presenter has no financial relationships to disclose.
This continuing education activity is managed and accredited by Professional Education Services Group in cooperation with AMSUS.
Neither PESG,AMSUS, nor any accrediting organization support or endorse any product or service mentioned in this activity.
PESG and AMSUS staff has no financial interest to disclose.
Commercial support was not received for this activity.

4. Joint Staff Surgeon Responsibilities
Provide best military medical advice
Joint Force health services
Oversee medical requirements and capabilities
Oversee education, evaluation and assessment
Synchronize CCMD, CSA and SVC efforts
Entities such as the Military Compensation and Retirement Modernization Commission and the Defense Health Board, as well as senior leadership within OSD, have all posed this question to Military Medicine.
I take this to mean not that we can’t be trusted, but that we—Military Medicine—is operating outside of well established DoD training and readiness reporting processes.
The requirements for us, therefore, are to be able to convey our relevance

5. Military Strategy & Doctrine
The Goldwater-Nichols Act established the NSS for POTUS to convey to Congress his/her view of the strategic environment and the Administration’s intent, as a starting point for future dialogue.
NSS is prepared periodically; it outlines the major national security concerns of the US and how the administration plans to deal with them.
The document is purposely general in content, and its implementation relies on elaborating guidance provided in supporting documents.
In turn, the Chairman of the Joint Chiefs of Staff is directed to publish the NMS by February of every even year. A new NMS is due to be published soon.
Two foundational documents that shape Joint operations based on the NMS are the Capstone Concept for Joint Operations, last published in 2012, and the Joint Operating Environment, just recently published in July, 2016.
Medical planning is ultimately based on these documents.

6. New Supporting Joint Concept
Capstone Concept for Joint Operations CS DO IW
MCO
(JOA)
STAB
OPS
HD/
Joint Operating Concepts (JOCs):
Link Strat Guidance to Future Military Ops
Supporting Joint Concepts:
Depth and Detail to Multiple JOCs
JCEO
FID
DTN UW
Depth and Detail to Single JOC
Logistics [Supply—Distribution—Operational Contracting Spt]
Joint Electromagnetic Spectrum Operations
Cyber Operations
Joint C2
Joint Aerial Layer Network C2
Joint Concept for Health Services

7. CCJO: Joint Force 2020 Capstone Concept for Joint Operations (SEP12)
The Concept: Globally Integrated Operations

8. Eight Elements of GIO Mission command
Seize, retain and exploit the initiative
Global agility
Partnering
Flexibility in establishing Joint Forces
Cross-domain synergy
Use of flexible, low-signature capabilities
Increasingly discriminate to minimize unintended consequences

9. JOE 2035 Joint Operating Environment (AUG16)
Sets foundation for the future Joint Force
Describes the future security environment
Develops a range of possibilities about future conflict
Implications of change
Allows Joint Force to anticipate and prepare for potential conflicts

10. TMM Security Environment
Trans-Regional
Multi-Domain
Multi-Functional
Overt and violent competition
Normal and recurrent
Dissimilar forces; state and non-state

11. JCHS Joint Concept for Health Services (AUG15)
Concept: Globally integrated health services
16 core capabilities

12. 16 JCHS Required Capabilities
Conduct Joint Medical Planning
Provide Coordination, Synchronization & Medical SA
Monitor Patient Outcomes
Employ Joint Force Development Framework for Health Services
Provide Medical Mitigation of the Environment
Provide Joint Credentialing & Privileging
Employ continuum of MTFs
Conduct Joint Theater & Global Patient Evacuation
Conduct Patient Management
Conduct Joint Medical Leader Development
Provide Medical Intelligence
Conduct Joint & Service Medical Education & Training
Conduct Joint Med R&D
Conduct Joint Med Log Operations
Health Services Contracts & Resource Programming
Establish & Sustain a Global Health Services Network

13. Potential Impacts on Med Force
Wide variety of environmental challenges
Competition for domain dominance
Potential for widely dispersed, disaggregated, small unit deployments
Potential for urban/mega-city conflicts

14. Operational Considerations
Short, recurring deployments; enduring requirements
Medical CMO engagements
Autonomous operations
Tele-health augmentation
Prolonged field care
Greater support to SOF missions

15. New Approaches & Capabilities
Non-doctrinal or interchangeable structure
Combined operations
Non-state and transnational partnerships
Full spectrum/multi-functional operations

16. Home Station Considerations
Military Trauma
Brain fitness
Resiliency operations
Sustained recovery, rehab and reintegration skills
Innovative partnerships to maintain operational medical skills