1. UNCLASSIFIED 23-Oct-151 UNCLASSIFIED MEDICS FORWARD.. ANY MISSION, ANYWHERE! Office of the Command Surgeon Europe Regional Medical Command Medics Forward.. Any Mission, Anywhere! Europe Regional Medical Command and Office of the Command Surgeon Prepared 23-Oct-15 1 Warrior Transition Units in USAREUR

2. UNCLASSIFIED 23-Oct-152 UNCLASSIFIED MEDICS FORWARD.. ANY MISSION, ANYWHERE! Office of the Command Surgeon Europe Regional Medical Command Medics Forward.. Any Mission, Anywhere! Europe Regional Medical Command and Office of the Command Surgeon Prepared 23-Oct-15 2 What is a Warrior in Transition (WT)? A warrior in transition (WT) is a Soldier: assigned to a Medical Hold (MH) company, assigned to a Medical Holdover (MHO) company, in Active Duty Medical Extension (ADME) status, going through a Medical Evaluation Board (MEB), requiring complex medical care for > six months.

3. UNCLASSIFIED 23-Oct-153 UNCLASSIFIED MEDICS FORWARD.. ANY MISSION, ANYWHERE! Office of the Command Surgeon Europe Regional Medical Command Medics Forward.. Any Mission, Anywhere! Europe Regional Medical Command and Office of the Command Surgeon Prepared 23-Oct-15 3 USAREUR’s WT Population No MH, MHO, or ADME Soldiers in USAREUR 7ARCOM may be a source of MHO or ADME Soldiers. At present, Soldiers undergoing MEBs make up the WT population WTU (Landstuhl) = 87 WTU (Bavaria) = 57 WTU (Heidelberg) = 68 USAREUR Total = 212 Assignment is based on decision by parent unit

4. UNCLASSIFIED 23-Oct-154 UNCLASSIFIED MEDICS FORWARD.. ANY MISSION, ANYWHERE! Office of the Command Surgeon Europe Regional Medical Command Medics Forward.. Any Mission, Anywhere! Europe Regional Medical Command and Office of the Command Surgeon Prepared 23-Oct-15 4 A LRMC/Ktown area 16 Stuttgart 4 Hohenfels 4 Illesheim 7 Katterbach 7/ Ansbach 1 Vilseck 11 Grafenwöhr 1 Wiesbaden 23 Vicenza 5 Livorno Italy NATO SHAPE 3 Belgium USAREUR Population: ~52,000 Historical MEB Population LRMC 77 HMEDDAC 65 BMEDDAC 44 WTU Outpatient: Range 60-210 Germany Darmstadt 6 Baumholder 23 Friedberg 15 Büdingen 10 Dexheim 1 HEIDELBERG 19 Schweinfurt 15 Bamberg 3 Würzburg 1 Mannheim 19 Hanau 7 LRMC MEB Support: England 2 Greece Kuwait 1 Spain Netherlands 1 Current Top 7 Wiesbaden 23 Baumholder 23 Mannheim 19 Heidelberg 19 Ktown 16 Schweinfurt 15 Friedberg 14 Current Total: 208 ERMC MEB Population

5. UNCLASSIFIED 23-Oct-155 UNCLASSIFIED MEDICS FORWARD.. ANY MISSION, ANYWHERE! Office of the Command Surgeon Europe Regional Medical Command Medics Forward.. Any Mission, Anywhere! Europe Regional Medical Command and Office of the Command Surgeon Prepared 23-Oct-15 5 WTUs in USAREUR WTU (Landstuhl) WTU (Bavaria) WTU (Heidelberg) WTU (Outpatient)

6. UNCLASSIFIED 23-Oct-156 UNCLASSIFIED MEDICS FORWARD.. ANY MISSION, ANYWHERE! Office of the Command Surgeon Europe Regional Medical Command Medics Forward.. Any Mission, Anywhere! Europe Regional Medical Command and Office of the Command Surgeon Prepared 23-Oct-15 6 WTU Vision and Mission Vision: Develop an effective organization that takes care of Wounded Warriors so they can focus on their mission to heal. Mission: Provide Command and Control, primary care, and case management for Warriors in Transition to establish the conditions for their healing and to promote their timely return to the force or transition to civilian life.

7. UNCLASSIFIED 23-Oct-157 UNCLASSIFIED MEDICS FORWARD.. ANY MISSION, ANYWHERE! Office of the Command Surgeon Europe Regional Medical Command Medics Forward.. Any Mission, Anywhere! Europe Regional Medical Command and Office of the Command Surgeon Prepared 23-Oct-15 7 WTU Concept of Operation Landstuhl, Heidelberg, Bavaria: Soldier’s mission is to heal / complete MEB Soldier stays at home station Soldier works at clinic or in a community agency WTU CDR and 1SG are regionally based WTU PSG and SL are locally based

8. UNCLASSIFIED 23-Oct-158 UNCLASSIFIED MEDICS FORWARD.. ANY MISSION, ANYWHERE! Office of the Command Surgeon Europe Regional Medical Command Medics Forward.. Any Mission, Anywhere! Europe Regional Medical Command and Office of the Command Surgeon Prepared 23-Oct-15 8 Concept of Operation for WTU (Outpatient) Formerly the Medical Transient Detachment at Kleber Kaserne. Provides C2, transportation, clothing, and MWR support to short-term (< 14 days) deployed outpatients from OIF, OEF, and CENTCOM AOR Case management by LRMC’s Deployed Warrior Medical Management Center (DWMMC) Care provided by DWMMC and LRMC staff Provides quality care and returns warriors to deployed unit

9. UNCLASSIFIED 23-Oct-159 UNCLASSIFIED MEDICS FORWARD.. ANY MISSION, ANYWHERE! Office of the Command Surgeon Europe Regional Medical Command Medics Forward.. Any Mission, Anywhere! Europe Regional Medical Command and Office of the Command Surgeon Prepared 23-Oct-15 9 WTU Staffing Template Combat Arms Co Cdr 11Z5M 1SG 11B40 Platoon SGT per 36 Soldiers 11B30 Squad Leader per 12 Soldiers Nurse case manager per 18 Soldiers Primary care manager per 200 Soldiers MEB physician per 200 Soldiers A 68W20 medical NCO other civilian healthcare and administrative staff

10. UNCLASSIFIED 23-Oct-1510 UNCLASSIFIED MEDICS FORWARD.. ANY MISSION, ANYWHERE! Office of the Command Surgeon Europe Regional Medical Command Medics Forward.. Any Mission, Anywhere! Europe Regional Medical Command and Office of the Command Surgeon Prepared 23-Oct-15 10 WTU Cadre Combat Veterans taking care of wounded warriors Experienced Commanders, 1SGs, PSG, SL Administration Support (medical admin, personnel, finance Ombudsman (patient advocated dedicated to WTU Soldier concerns) WTU Cadre built around TRIAD: Primary Care Manager Nurse Case Manager Squad Leader Additional Medical Support Occupational Therapy, Physical Therapy, Social Work, etc. Chaplain

11. UNCLASSIFIED 23-Oct-1511 UNCLASSIFIED MEDICS FORWARD.. ANY MISSION, ANYWHERE! Office of the Command Surgeon Europe Regional Medical Command Medics Forward.. Any Mission, Anywhere! Europe Regional Medical Command and Office of the Command Surgeon Prepared 23-Oct-15 11 WTU Leadership Locations WTU LRMC Cdr, 1SG: LRMC PSG: Baumholder, Wiesbaden SL: Baumholder, Wiesbaden, LRMC, Vicenza, Shape WTU HMEDDAC CDR, 1SG: Heidelberg PSG: Heidelberg, Mannheim SL: Heidelberg, Mannheim, Darmstadt, Hanau, Stuttgart WTU Bavaria CDR, 1SG: Vilseck PSG: Vilseck SL: Schweinfurt, Vilseck, Bamberg, Katterbach Vilseck SL covering Grafenwoehr, Hohenfels Katterbach SL covering Illesheim, Ansbach -

12. UNCLASSIFIED 23-Oct-1512 UNCLASSIFIED MEDICS FORWARD.. ANY MISSION, ANYWHERE! Office of the Command Surgeon Europe Regional Medical Command Medics Forward.. Any Mission, Anywhere! Europe Regional Medical Command and Office of the Command Surgeon Prepared 23-Oct-15 12 A Stuttgart Hohenfels Illesheim Vilseck Grafenwöhr Vicenza Livorno Italy NATO SHAPE Belgium USAREUR Population: ~52,000 Historical MEB Population LRMC 82 HMEDDAC 65 BMEDDAC 44 Average MEB Population: Average Outpatient Range: 60-200 Germany Darmstadt Baumholder Büdingen HEIDELBERG Schweinfurt Bamberg Würzburg Mannheim Hanau LRMC MEB Support: England Greece Kuwait Spain Netherlands ERMC WTU Footprint LRMC & K’town Wiesbaden Friedberg Dexheim Katterbach/ Ansbach Landstuhl Heidelberg Bavaria MTD LND HBG BAV 21 TSC

13. UNCLASSIFIED 23-Oct-1513 UNCLASSIFIED MEDICS FORWARD.. ANY MISSION, ANYWHERE! Office of the Command Surgeon Europe Regional Medical Command Medics Forward.. Any Mission, Anywhere! Europe Regional Medical Command and Office of the Command Surgeon Prepared 23-Oct-15 13 WTU Eligibility Criteria (1 of 2) SM receiving a MEB SM requiring complex care > 6 months Duty limitations preclude from contributing to unit mission Majority of SM time spent receiving medical care

14. UNCLASSIFIED 23-Oct-1514 UNCLASSIFIED MEDICS FORWARD.. ANY MISSION, ANYWHERE! Office of the Command Surgeon Europe Regional Medical Command Medics Forward.. Any Mission, Anywhere! Europe Regional Medical Command and Office of the Command Surgeon Prepared 23-Oct-15 14 Ineligibility Criteria Soldiers NOT eligible for WTU: SM Pending investigation, UCMJ, administrative separations Normal, uncomplicated pregnancy SM with permanent profiles requiring MMRB

15. UNCLASSIFIED 23-Oct-1515 UNCLASSIFIED MEDICS FORWARD.. ANY MISSION, ANYWHERE! Office of the Command Surgeon Europe Regional Medical Command Medics Forward.. Any Mission, Anywhere! Europe Regional Medical Command and Office of the Command Surgeon Prepared 23-Oct-15 15 Assignment of MEB and complex cases Soldiers going through an MEB or who require complex medical care for longer than six months may be assigned to the WTU at the discretion of the parent unit commander. This is done in coordination with the MTF commander.

16. UNCLASSIFIED 23-Oct-1516 UNCLASSIFIED MEDICS FORWARD.. ANY MISSION, ANYWHERE! Office of the Command Surgeon Europe Regional Medical Command Medics Forward.. Any Mission, Anywhere! Europe Regional Medical Command and Office of the Command Surgeon Prepared 23-Oct-15 16 Assigning Soldiers to the WTU (1 of 3 pages) 1. PEBLO informs Unit CDR of SM MEB and eligibility for WTU OR Unit CDR identifies eligible Soldiers with complex care needs 2. Unit Commander prepares 3 documents to request reassignment a. DA 4187, per ALARACT message, 0-6 signature on 4187 b. Letter requesting reassignment and certification letter 1) Provides justification for reassignment, profile injury and previous rehabilitative measures 2) Verifies Soldier is cleared of any UCMJ, legal actions, finance c. DA 5889-R MEB Document Checklist 1) Administrative requirements for all Soldiers going through MEB 2) Not required for Soldiers not going through MEB

17. UNCLASSIFIED 23-Oct-1517 UNCLASSIFIED MEDICS FORWARD.. ANY MISSION, ANYWHERE! Office of the Command Surgeon Europe Regional Medical Command Medics Forward.. Any Mission, Anywhere! Europe Regional Medical Command and Office of the Command Surgeon Prepared 23-Oct-15 17 Assigning Soldiers to the WTU (2 of 3pages) 4. Unit CDR emails requirements to WTU in their footprint a. WTU.Heidelberg@amedd.army.mil WTU.Heidelberg@amedd.army.mil b. WTU.Landstuhl@amedd.army.mil WTU.Landstuhl@amedd.army.mil c. WTU.Bavaria@amedd.army.milTU.Bavaria@amedd.army.mil 5. WTU CDR coordinates with MTF CDR, PCM and NCM a. Determines eligibility/ability to accept Soldier into WTU 6. MTF notifies unit of approval/disapproval of transfer to WTU a. Approval: WTU assigns Soldier a Primary Care Manager, Case Manager, and Squad Leader; care plan developed b. Disapproval: Unit CDR ensures Soldier makes all medical appointments

18. UNCLASSIFIED 23-Oct-1518 UNCLASSIFIED MEDICS FORWARD.. ANY MISSION, ANYWHERE! Office of the Command Surgeon Europe Regional Medical Command Medics Forward.. Any Mission, Anywhere! Europe Regional Medical Command and Office of the Command Surgeon Prepared 23-Oct-15 18 Assigning Soldiers to the WTU (3 of 3 pages) 6. Soldier out-processes unit and in-processes WTU 7. MTF prepares orders reassigning to WTU 8. Soldier completes care; returns to duty or transitions to civilian life

19. UNCLASSIFIED 23-Oct-1519 UNCLASSIFIED MEDICS FORWARD.. ANY MISSION, ANYWHERE! Office of the Command Surgeon Europe Regional Medical Command Medics Forward.. Any Mission, Anywhere! Europe Regional Medical Command and Office of the Command Surgeon Prepared 23-Oct-15 19 USAREUR Soldiers injured in OIF/OEF Soldier evacuated to Landstuhl Regional Medical Center LRMC care team develops treatment plan LRMC determines need for CONUS evacuation or ability to remain in theater Evacuated to CONUS Assigned to WTU in CONUS Evacuation location based on availability of care and Soldiers preferences Remains in Europe Assigned to WTU in Europe as applicable

20. UNCLASSIFIED 23-Oct-1520 UNCLASSIFIED MEDICS FORWARD.. ANY MISSION, ANYWHERE! Office of the Command Surgeon Europe Regional Medical Command Medics Forward.. Any Mission, Anywhere! Europe Regional Medical Command and Office of the Command Surgeon Prepared 23-Oct-15 20 WTU MTF POCs WTU: LRMC: WTU.Landstuhl@amedd.army.milWTU.Landstuhl@amedd.army.mil Heidelberg MEDDAC: WTU.Heidelberg@amedd.army.milWTU.Heidelberg@amedd.army.mil Bavaria MEDDAC: WTU.Bavaria@amedd.army.mil MEB POCs (MTF PEBLOs): LRMC:486-8224 HMEDDAC:371-2367 BMEDDAC:476-2533

21. UNCLASSIFIED 23-Oct-1521 UNCLASSIFIED MEDICS FORWARD.. ANY MISSION, ANYWHERE! Office of the Command Surgeon Europe Regional Medical Command Medics Forward.. Any Mission, Anywhere! Europe Regional Medical Command and Office of the Command Surgeon Prepared 23-Oct-15 21 ERMC WTU POCs ERMC Patient Administration 371-3383 371-2529 371-2380 371-2897