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 14 | Combat & Casualty Care | Summer 2016 instruments, including the Analyzer Noninvasive Blood Pressure (LIN A27104); the Simulator Medical Functions (LIN S56720); and the Simulator Pulse Oximetry (LIN S57953). The MVSS reduces shipping weight from 30 lbs. to 12 lbs. and shipping size from 2.5 cubic feet to .25 cubic feet – for each device. The FOC for the MVSS is 431. To purchase 431 MVSS is approximately $3M (compared to $9.5M for the 3 other devices), resulting in procurement savings of approximately $6.5M. C&CC: What else is the USAMMA doing to perform its mission in the most efficient and effective way possible? COL Gibson: The USAMMA, as a part of the USAMRMC, has implemented several programmatic and process changes that allow us to reap cost savings and/or cost avoidance. Examples include: Divestment: Divestment removes excess and obsolete equipment from the Army to more effectively use limited resources for fielding and modernization of medical equipment. The USAMMA currently has 265 Line Item Numbers (LIN) and 627 National Stock Numbers (NSN), of which 15% and 47%, respectively, are being divested. In 2009, Army Medicine implemented the Medical Materiel Readiness Program (MMRP), which is centrally managed by USAMMA. The MMRP condensed the underfunded Reserve Component Hospital Decrement Program (RCHD) from sixteen 248-bed hospitals and two 164- bed companies to four 248-bed, fully-modernized CSHs. The USAMMA ensures the four centrally managed CSHs have updated medical equipment, supplies, and field-ready medical devices. The MMRP reduces the total amount of medical equipment and supplies to purchase, cutting capital expense requirements by $160.3M. This consolidation reduced annual sustainment costs by $12.3M. Deferred Procurement: The Army has 274 Echelons Above Brigade (EAB) units that require annual modernization and sustainment due to expiration of potency and dated (P&D) items, changes in healthcare standards, and technological obsolescence of medical equipment. To maintain constant readiness, these 274 EAB units would cost the Army $126M in upfront procurement costs and $31M in annual sustainment costs. Funding levels require USAMMA to defer procurement of these P&D items and centrally manage 45 unit deployment packages (UDPs) to off-set this risk. The UDP program avoids $95M in upfront procurement costs and $47.5M in annual sustainment costs. This program mitigates some risk by centrally managing P&D requirements for 45 units. Anything less than having all Class VIII materiel (i.e., equipment and consumables) on-hand reduces readiness. This risk is mitigated with Defense Logistics Agency (DLA) contingency contracts, however, DLA data shows these contracts only cover 53% of required materiel and cannot meet early deployment timelines. Recapitalization: The USAMMA's three medical maintenance depots, located in Tobyhanna, Pennsylvania; Hill Air Force Base, Utah; and San Joaquin, California, test, calibrate and conduct depot-level maintenance. Each location also refurbishes medical equipment and devices for reuse. In 2015, the USAMMA recapitalized more than 2,000 medical equipment items, saving the Army $13.2M. In 2016, USAMMA is estimated to spend $1.99M recapitalizing more than 1,000 medical equipment items, for an estimated cost savings of $10.2M. These efficiency business practices and others have enabled the USAMMA to increase the readiness of more medical units that typically resourced to address. In FY16 alone, USAMMA had over 900 Army units in need of fielding and/or modernization. The USAMMA programmed support for 70 units based on funding levels. After realizing cost savings from multiple business process change efforts, the USAMMA expects to execute fielding and/or modernization for 142 units. C&CC: What future efforts will keep the momentum going for the USAMMA and medical logistics efficiency? COL Gibson: We are very excited about a new RAND study, sponsored by the USAMRMC, to assess medical materiel equipping strategies that help us optimize readiness based on our resource constraints. Study findings will project cost to maintain materiel and analyze alternative supply options (e.g. assess centralized management, technology upgrades to meet standards of care, deferred procurement, contingency contracts/agreements, etc.). This study will help link materiel requirements to plans, capability assessments, and better understand risk. Study results are due out in September this year. Commander's Corner A soldier loads a newly felded steam sterilizer for use in feld hospitals. The new system uses 90 percent less water - or 10 gallons of water to process up to 100 loads - compared to 250 gallons by the previous model. (Ellen Crown, USAMMA Public Affairs)

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