DEPARTMENT OF THE NAVY BUREAU OF MEDICINE AND …

1 DEPARTMENT OF THE navy . BUREAU OF MEDICINE AND surgery . 7700 arlington boulevard . FALLS CHURCH, VA 22042. IN REPLY REFER TO. BUMEDINST BUMED-M9. 12 May 2016. BUMED INSTRUCTION From: Chief, BUREAU of MEDICINE and surgery Subj: navy MEDICINE 'S AUGMENTATION PROGRAM. Ref: (a) DoD Instruction of 9 June 2014. (b) OPNAVINST (c) OPNAVINST (d) OPNAVINST (e) OPNAVINST (f) NWP (g) DoD Instruction of 5 February 2010. (h) OPNAVINST (i) DoD Instruction of 6 October 2011. (j) CJCSI (k) BUMEDINST (l) NAVMC (m) MCO (n) OPNAVINST (o) JP 4-02. Encl: (1) navy MEDICINE 's Augmentation Program Procedures Guide 1. Purpose. To issue policy and procedural guidelines for the sourcing and deployment of Budget Submitting Office (BSO) 18 personnel to augment DEPARTMENT of Defense (DoD); Joint Staff; Office of the Chief of Naval Operations (OPNAV); Headquarters, Marine Corps (HQMC).

2 And United States Fleet Forces Command (USFF) in support of contingency operations, full- scale war, or other national emergencies. References (a) through (o) are provided for additional information. This is a complete revision and must be read in its entirety. 2. Cancellation. BUMEDINST 3. Background. navy MEDICINE (NAVMED) relied heavily on the individual augmentation process to support operational requirements during Operation Iraqi Freedom (OIF), Operation Enduring Freedom (OEF), Operation New Dawn, and other overseas contingency operations. Declining overseas access and growing engagement in under-developed areas of the world have created a growing demand for United States ( ) Forces to again provide deployable, scalable medical capabilities, ready anytime, anywhere.

3 Naval Forces must be prepared to rapidly respond to a wide range of operational environments with capable Naval Expeditionary Health Service Support (NEHSS) operating from the sea or deploying ashore into austere locations. BUMEDINST 12 May 2016. NAVMED will provide NEHSS platforms across the full range of military operations (ROMO). in addition to supporting global force augmentation requirements. 4. Scope and Applicability. This instruction applies to all BS0-18 activities inside and outside the continental United States (CONUS/OCONUS), NAVMED Echelon 3 activities, and all medical treatment facilities (MTF) as the sourcing commands for Active Component (AC), BS0-18 Augmented Platforms and Capabilities (Appendix C of enclosure ( 1)), Individual Augmentees (IA), Temporary Additional Duty (TEMADD), and all stakeholders involved in or affected by the execution of this guidance.

4 Additionally, this instruction applies to the navy Component activities at Fort Belvoir Community Hospital, Walter Reed National Military Medical Center, and Captain James A. Lovell Federal Health Care Center. 5. Action. The NAVMED Augmentation Program (NMAP) shall be implemented by following enclosure (1) and its appendices. 6. Records. Records created as a result of this instruction, regardless of media and format, shall be managed per SECNAV of January 2012. 7. Reports. The reports required in this instruction, are exempt from reports control per SECNAV of December 2005, part IV, paragraph 7p. 8. Forms a.

5 The following forms are available at: (1) NAVPERS 1070/602W, Dependency Application/Record of Emergency Data Worksheet (2) NAVPERS 1740/6, Family Care Certificate (3) NAVPERS 1070/604, Enlisted Qualifications History (4) NAVMED 6440/1, Individual Deployment Readiness Checklist b. DD 2766 (01-00), Adult Preventive and Chronic Care Flowsheet is available in hard copy only via the navy Supply System, National Sto~ ~1-458-4708. C. FO~~t::::;;;;;. Distribution is electronic only via the navy MEDICINE Web site at: 2. BUMEDINST 12 May 2016. BUREAU OF MEDICINE AND surgery . navy MEDICINE 'S AUGMENTATION PROGRAM.

6 PROCEDURES GUIDE. Enclosure (1). BUMEDINST 12 May 2016. TABLE OF CONTENTS. Paragraph Page Chapter 1: Roles and Responsibilities 1. Chapter 2: Readiness 8. Chapter 3: Manning 12. Assignment 12. Tasking 14. Vetting 16. Pre-Deployment 20. Deployment 20. Post-Deployment 21. Chapter 4: Training 22. Chapter 5: Equipping 24. Chapter 6: Funding 26. APPENDIX A: Definitions 29. APPENDIX B: Acronyms/Abbreviations 32. APPENDIX C: BSO-18 Platforms and Capabilities Augmentation Precedence 35. APPENDIX D: Request for Forces and Request for Support Process 36. APPENDIX E: Letter of Platform Assignment Template 37. APPENDIX F: Nomination Grid Template 39.

7 APPENDIX G: Nomination Vetting Checklist 40. APPENDIX H: Information Assurance Risk Analysis and Justification Request Template 41. APPENDIX I: Platform Risk Analysis and Justification Request Template 42. APPENDIX J: Waiver Request (Rank/Skillset) Template 43. APPENDIX K: Subspecialty Code Substitutions 44. APPENDIX L: Reclama Request Template (NAVMED Echelon 3 Activities to 53. BUMED). APPENDIX M: Reclama Request Template (Sourcing Command to the NAVMED 54. Echelon 3 Activities). i Enclosure (1). BUMEDINST 12 May 2016. CHAPTER 1. ROLES AND RESPONSIBILITIES. 1. Chief, BUREAU of MEDICINE and surgery (BUMED).

8 A. Directs, coordinates, and monitors the readiness and execution of the NEHSS Platforms, IA, and emergent mission support programs and must provide a ready medical force in support of navy , Marine Corps, Joint, and Coalition operating forces. b. Provides input to higher authority regarding individual and platform augmentation fill rates, assignment details, and readiness status. c. Provides recommendations or nominations for designated platform leadership positions. 2. BUMED Total Force a. Deputy Director, Military Manpower & Personnel (BUMED-M1). (1) Serves as the principal advisor for NAVMED Total Force (includes active duty, reserve, civilian, and contractor) programs and practices.

9 (2) Ensures enterprise-wide medical billets, to include the Reserve Component, are properly aligned in the navy 's designated official manpower data systems - Total Force Manpower Management System (TFMMS), and Defense Medical Human Resource System- internet (DMHRSi). (3) Maintains NAVMED's designated official readiness system - Expeditionary MEDICINE Platform Augmentation, Readiness, and Training System (EMPARTS) - by ensuring personnel and platform readiness elements are properly documented and data is updated on a weekly basis. (4) Responsible for mapping authorized peacetime billets to operational platforms.

10 (5) Monitors augmentation requirements and Associated Billet Identification Number (ASSOC_BIN) platform assignments for the overall readiness of platforms. (6) In collaboration with Operational MEDICINE & Capabilities Development (BUMED-M9), maintains current activity manpower documents (AMD) which accurately reflect requirements for full expansion capability and reviews this data annually. Enclosure (1). BUMEDINST 12 May 2016. b. Deputy Director, Education and Training (BUMED-M7). (1) Establishes policy to ensure individual and platform training programs are complied with and sufficiently meet operational readiness requirements.