Combat & Casualty Care

Q2 2016

Military Magazines in the United States and Canada, Covering Combat and Casualty Care, first responders, rescue and medical products programs and news\Tactical Defense Media

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tacticaldefensemedia.com 12 | Combat & Casualty Care | Summer 2016 COE for audiometer calibration, optical equipment, dental hand- piece rebuild, Military Entrance Processing Station (MEPS) Direct Exchange (DX) program, Table of Organization and Equipment (TOE) lab equipment, and the Army Medicine X-ray acceptance program. • MMOD-Hill (Utah): COE for anesthesia, pulmonary, and field medical equipment. • Defense Distribution Center San Joaquin (Calif.): COE for medical imaging equipment, special purpose test, measurement & diagnostics equipment (TMDE-SP), and runs a certified X-ray tube head rebuild program. C&CC: The USAMMA also has a strong medical acquisition and training focus. Tell us about that part of your mission. COL Gibson: Developing medical materiel solutions for the Army's most important resource— its people—is unlike other acquisition processes because of complex regulatory requirements. Medical product acquisition is managed by integrating diverse functions and communities, such as users, laboratories, commercial industry, resource management, U.S. Food and Drug Administration (FDA) regulatory affairs, and logistics. The USAMRMC oversees advanced development of products from FDA clinical trials to licensure and then the follow-on initial production and fielding to ultimate users. Most of USAMRMC's products require FDA approval—the final step following years, and in some cases decades, of dedicated research, development, test, and evaluation by USAMRMC personnel—before an emerging technology becomes a usable product. The USAMMA is an essential part of the medical acquisition within the USAMRMC. The USAMMA's Project Management Office Integrated Clinical Systems (PM ICS) provides life-cycle management of all imaging, image management, and major clinical information systems which integrate with the Department of Defense Electronic Medical Record (EMR). Specific responsibilities include management of major picture archiving and communication systems (PACS) and teleradiology program initiatives. The USAMMA is the also execution agency for the MEDCASE Program, which is facilitated through the PM ICS's Technology Assessment Requirements Analysis (TARA) Team. The TARA team visits our health readiness platforms (eg-medical treatment facilities) and other medical environments to assess their medical equipment and clinical needs, and then makes recommendations regarding future acquisitions by providing the facility a three-to-five year capital investment plan for medical equipment. The USAMMA's Project Management Office Medical Devices (PM Medical Devices) acts as the Army Medicine logistical focal point for the acquisition lifecycle management of materiel supporting human and animal patient care, with the exclusion of imaging systems which are managed by PM ICS. As a leader in the commercial off-the-shelf medical equipment purchasing and assemblage management support for the delivery system at both TDA and TOE organizations, PM Medical Devices is responsible for quality control and standardized training; unit assemblage management; and the development and publication of interactive technical manuals and equipment handbooks for medical equipment. The USAMMA is currently managing the acquisition of more than 40 medical items, sets or systems. Our product managers work with industry experts to find the best solutions to meet Army requirements. We also provide oversight and management throughout the acquisition and fielding of this medical materiel. To that point, strong medical acquisition training has never been more critical for Army Medicine to build the bench of acquisition expertise. In 2015, we conducted an assessment of the Army Medical Acquisition Workforce. The data indicated that 75% of the AMEDD's 350 Acquisition positions were filled with personnel who had achieved some level of DAU Acquisition Certification, while only 15% were filled with the appropriate grade and level of certification required for that position. As part of the solution to build the bench, we launched the Program Management-Acquisition Internship Program (PM-AIP). The PM-AIP is a one-year training program hosted by USAMMA. The PM-AIP's goal is to develop officers for future positions in medical acquisition and logistics management. Participants will gain a foundational understanding in risk management and hands-on, creditable experience managing cost, schedule, and performance for medical products. The program provides Army Medical Department officers and DOD civilians with all didactic training requirements to achieve Level II certification in Program Management through the Defense Acquisition University, as well as Contracting Officer's Representative (COR) training, including an understating of contract tools (e.g., WAWF, eCORT, etc.) and a comprehension of types of contracts (e.g., time and material, services, etc.) PM-AIP participants will understand how the DOD converts concepts, capability gaps and requirements into materiel solutions. Finally, because we cannot disconnect the acquisition of medical materiel from the fielding and lifecycle management, I want to highlight the USAMMA's Medical Logistics Management Internship Program (MLMIP), which is a six-month course designed to reinforce participants' logistics foundation, adding to their professional knowledge base, as well as expanding their network affiliations in the DOD and civilian health care environments. The MLMIP is open to mid-career medical logistics officers, warrant officers, noncommissioned officers and civilians. Interns are exposed to modern Department of Defense and civilian health logistics business practices as well as non-medical industry "Fielding equipment and materiel that minimizes logistical burden also increases critical space needed for early entry combat capabilities-increasing force agility, adaptability, and even lethality." Commander's Corner

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