1. The Committee of the Chiefs of Military Medical Services in NATO COMEDS

2. Outline New Requirements COMEDS Structures COMEDS Mission & Function Current Examples 1 1 2 2 3 3 4 4

3. Medical in Cold War Era Operational Theatre Health Risk Preparation Timelines National Responsibility

4. “Driving Factors” Economic Situation Impact of Globalization Politics and Strategy Health Environment

5. “Medical Transformation” Highly Mobile Expeditionary Forces Reduced Logistic Footprint Remote Locations Short Notice Health Risk Preventive Med Preparation Force Protection Multinational Integration

6. Logistics Medical Background: Log & Med ? Med Intel Force Prot Med CIS Med CIMIC Spec care Med Plans Med Intel Force Prot Med CIS Med CIMIC Spec care Med Plans Deployment...RSOM Medical Supplies Transportation  Strat. Aeromedevac Deployment...RSOM Medical Supplies Transportation  Strat. Aeromedevac

7. COMEDS History 1968 EUROMED 2005/06 COMEDS Reorganization 1993 COMEDS 1949 1960 1970 2000 1980 1990 ???

8. NORTH ATLANTIC COUNCIL DPC NPG NORTH ATLANTIC COUNCIL DPC NPG ACOACT I S I M S Fora and Agencies Fora and Agencies Fora and Agencies Fora and Agencies MILITARY COMMITEE Civilian Committees Military Command Structure Sec Gen COMEDS MILITARY CIVIL

9. COMEDS Structure NATO Nations MD Other Observers NCS Chairman PfP Countries 26 23 7 7 5 5 4 4

10. COMEDS Mission Enhance the overall military medical posture of the Alliance by :  Advising the Military Committee  Acting as coordinating body

11. COMEDS Function Report to/guidance from Military Committee Principles : MC326/2, AJP 4.10, Series of STANAGS and Allied Medical Publications Liaison with all relevant organizations Act as facilitator: Consensus between national med positions Balance medical needs in military framework

12. Standardization (Doctrine) Standardization (Doctrine) EXPERT Panels COMEDS Organization BIOMEDAC IER MedN DS FHTVS MP MedCIS EM MT MPM MMMP SGPME Medical CBRN Medical CBRN Operations Procedures Operations Procedures Health Care Health Care COMEDS MILITARY COMMITTEE Main Working Groups LEADERSHIP Liaison Officer Secretary Military Medical Steering Group

13. COMEDS Expert Panels IER NAVAL MPM MedCIS MT EM MMMP DS MP SGPME FHTVS BioMedAC Military Preventive Medicine Medical Training Emergency Medicine Medical Material and Military Pharmacy Dental Service Food Hygiene Technology Veterinary Services Military Psychiatry Medical Communication and Information Systems Standing Group Partners Medical Experts Biological Medical Advisory Council Medical Naval Medical Information Exchange Requirements Function ( )

14. Organisation of Work COMEDS Level 1 Vision & Objectives 1 MMSG Level 2 Requirements 2 Expert Panels Working Groups Level 3 Requirements = Program of Work 3

15. Vision & Objectives 4 Main Themes 8 Objective areas Operational Environment (OE) Professional Medical Development (PD) Societal Influences (SI) Efficency (EF) medical policy & doctrine sustainability of forces relation mil – civ IOs deployability of forces availability of forces medical command & control medical information systems interoperability with partner nations

16. Policy & Doctrine Military Committee POLICY DOCTRINE Advisory Committee Standardization Board Working Groups Expert Panels Working Groups Expert Panels Delegated Tasking Authorities

17. NSA Military Committee MCMedSB COMEDS MCLSB MCMSB MCASB Working Groups Expert Panels “Two-fold approach” at COMEDS : MEDICAL Policy : MEDICAL Standardization MedStdWG MedCBRN MilHC MMSOP MCJSB MM Steering Group