Army Medical Logistics

*ATP 4-02.1Army Medical LogisticsOCTOBER 2015DISTRIBUTION RESTRICTION: Approved for public release; distribution is unlimited.*This publication supersedes FM 4-02.1, Army Medical Logistics, dated 8 December 2009.Headquarters, Department of the Army

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*ATP 4-02.1HeadquartersDepartment of the ArmyWashington, DC, 29 October 2015Army Techniques PublicationNo. 4-02.1Army Medical LogisticsContentsPagePREFACE. vINTRODUCTION . viChapter 1OVERVIEW OF ARMY MEDICAL LOGISTICS. 1-1Section I — The Army Health System . 1-1Army Health System Support . 1-1Health Service Support. 1-1Significance of the Medical Commodity . 1-2Section II — Levels of Sustainment . 1-3Strategic Level . 1-3Operational Level . 1-4Tactical Level . 1-4Section III — Medical Logistics Support . 1-4Army Medical Logistics . 1-5Medical Logistics Support to Unified Land Operations . 1-6Chapter 2MEDICAL LOGISTICS ORGANIZATIONAL STRUCTURE . 2-1Section I — Theater Medical Logistics Support . 2-1Section II — Medical Logistics Support Organizations in the OperatingForce . 2-1Medical Logistics Company . 2-1Logistics Support Company. 2-4Medical Detachment (Blood Support) . 2-5Medical Logistics Management Center . 2-9Chapter 3MEDICAL LOGISTICS OPERATIONS . 3-1Section I — Medical Force Generation and Readiness . 3-1Army Force Generation . 3-1Generating Force Support . 3-1Distribution Restriction: Approved for public release; distribution is unlimited.*This publication supersedes FM 4-02.1, Army Medical Logistics, dated 8 December 2009.i

ContentsOperating Force Support . 3-2Section II — Force Projection . 3-2Medical Support to Force Projection . 3-3United States Army Medical Materiel Agency . 3-3Medical Materiel Centers . 3-4Regional Health Commands . 3-5Installation Medical Supply Activities . 3-5Section III — Force Sustainment . 3-5Integrated Medical Logistics Management . 3-5Mission Command for Theater Medical Logistics . 3-7Class VIII Support During Early Entry Operations . 3-11Class VIII Supply Operations for Roles 1 and 2 Medical Treatment Facilities . 3-11Class VIII Supply Operations for Roles 3 Medical Treatment Facilities . 3-14Class VIII Support for Echelons Above Brigade Medical Units . 3-14Distribution of Class VIII . 3-14Host-Nation Support. 3-16Agreements . 3-16Logistics Civil Augmentation Program . 3-16Medical Contracting Support. 3-16Section IV — Redeployment . 3-17Retrograde Operations . 3-17Disposal of Class VIII . 3-18Section V — Class VIII Contingency Materiel . 3-18Army Pre-Positioned Stocks . 3-18The Surgeon General’s Contingency Stock . 3-19Issue of Class VIII Contingency Materiel . 3-21Section VI — Defense Support of Civil Authorities . 3-21Defense Support of Civil Authorities Tasks . 3-21Medical Logistics Support to Defense Support of Civil Authorities . 3-22Chapter 4MEDICAL LOGISTICS INFORMATION SYSTEMS ANDCOMMUNICATIONS . 4-1Section I — Current Systems . 4-1Communications Support . 4-2Medical Communications for Combat Casualty Care . 4-2Defense Medical Logistics Standard Support . 4-3Theater Enterprise-Wide Logistics System . 4-4Theater Blood Application . 4-4Joint Medical Asset Repository . 4-4Patient Movement Item Tracking System . 4-4Spectacle Request Transmission System . 4-5Section II — External Enablers . 4-5Single Army Logistics Enterprise . 4-5Automated Movement and Identification Solutions . 4-5Integrated Data Environment and Global Transportation NetworkConvergence Program . 4-6Battle Command Sustainment Support System . 4-6iiATP 4-02.129 October 2015

ContentsSection III — Common Operational Picture . 4-7Section IV — Medical Logistics Automated Information SystemOperational Concept . 4-7Role 1 Medical Logistics Support . 4-8Role 2 Medical Logistics Support . 4-8Role 3 Medical Logistics Support . 4-8Chapter 5MEDICAL EQUIPMENT MAINTENANCE . 5-1Section I — Role of Medical Equipment Maintenance . 5-1Army Medical Department Maintenance System . 5-1Field Maintenance . 5-2Sustainment Maintenance . 5-3Section II — Medical Equipment Maintenance Capabilities andResponsibilities at Each Role of Care . 5-4Medical Maintenance Capabilities . 5-5Medical Equipment Maintenance Support at Roles 1 and 2 . 5-5Medical Equipment Maintenance Support at Role 3 . 5-8Nonstandard Repair Parts . 5-9Section III — Continental United States-Based Organizations . 5-10Chapter 6OPTICAL SUPPORT . 6-1Section I — Theater Optical Support . 6-1Optometry Detachment . 6-2Medical Logistics Company Optical Support Section . 6-2Other Optical Support . 6-2Section II — Optical Equipment Sets . 6-3Chapter 7BLOOD SUPPORT . 7-1Section I — Theater Blood Support . 7-1Emergency Blood Collections . 7-3Role 2 Blood Support . 7-4Role 3 Blood Support . 7-5SECTION II — Storage and Distribution of Blood Products . 7-6Storage of Blood Products. 7-6Distribution of Blood Products . 7-7Section III — Blood Reporting System . 7-7Chapter 8HEALTH FACILITY PLANNING AND MANAGEMENT . 8-1Section I — Expeditionary Health Facility Management . 8-1Section II — Roles and Responsibilities . 8-2Brigade Support Medical Company. 8-3Medical Company (Area Support) . 8-3Combat Support Hospital . 8-3Medical Brigade . 8-3Medical Command (Deployment Support) . 8-4Nonmedical Facility Engineering Support . 8-4Section III — Health Facility Planning Considerations DuringContingency Operations . 8-4Design Considerations . 8-529 October 2015ATP 4-02.1iii

ContentsMedical Considerations . 8-7Health Facility Planning . 8-10Appendix APATIENT MOVEMENT ITEMS . A-1Appendix BAUTOMATIC IDENTIFICATION TECHNOLOGY . B-1Appendix CMEDICAL LOGISTICS PLANNING . C-1GLOSSARY . Glossary-1REFERENCES. References-1INDEX . Index-1FiguresFigure 2-1. Medical logistics company . 2-2Figure 2-2. Logistics support company . 2-4Figure 2-3. Medical detachment (blood support) . 2-6Figure 2-4. Medical logistics management center . 2-10Figure 3-1. Class VIII materiel flow . 3-12Figure 5-1. Roles 1 and 2 medical maintenance support . 5-6Figure 7-1. Sample message blood report. 7-8Figure 8-1. Force beddown and base development . 8-6Figure 8-2. Examples of initial, temporary, and semipermanent health care facilities . 8-10Figure B-1. Linear bar code example. B-2Figure B-2. Two-dimensional bar code example . B-3Figure C-1. Example of a medical logistics support plan . C-5TablesTable 7-1. Storage requirements for theater blood component . 7-6Table C-1. Class VIII planning factors . C-11Table C-2. Class VIII pounds per admission type . C-12ivATP 4-02.129 October 2015

PrefaceThis Army Techniques Publication (ATP) addresses the role of medical logistics (MEDLOG) in the ArmyHealth System (AHS). It covers MEDLOG operations from the support battalions at the tactical level to themedical command (deployment support) (MEDCOM [DS]) and theater sustainment command where the criticalcrossover occurs between strategic agencies within the AHS and commands and the operational units providinglogistics support in-theater.The principle audience for this publication is commanders, their staffs, medical planners, MEDLOG officers,Soldiers, and personnel at all levels. Commanders, staffs, and subordinates ensure their decisions and actionscomply with applicable United States (U.S.), international, and in some cases, host-nation laws and regulations.Commanders at all levels ensure their Soldiers operate in accordance with the law of war and the rules ofengagement. (See Field Manual [FM] 27-10)This publication implements or is in consonance with American, British, Canadian, Australian, and NewZealand (Armies) Standard 815, Blood Supply in the Area of Operations. This ATP also implements or is inconsonance with Quadripartite Advisory Publication 256, Coalition Health Interoperability Handbook, and thefollowing North Atlantic Treaty Organization (NATO) Standardization Agreements (STANAGs):TitleSTANAGsAllied Joint Doctrine for Modes of Multinational Logistic Support—Allied JointPublication (AJP)-4.92512Minimum Test Requirements for Laboratory Units of in Theatre Military MedicalTreatment Facilities (MTFs)—Allied Medical Publication (AMedP)-8.52571Minimum Requirements for Blood, Blood Donors and Associated Equipment2939Army Techniques Publication 4-02.1 uses joint terms where applicable. Selected joint and Army terms anddefinitions appear in both the text and the glossary. For definitions shown in the text, the term is italicized andthe number of the proponent publication follows the definition. This publication is not the proponent for anyArmy terms. Unless otherwise stated, the use of masculine nouns and pronouns in this publication do not referexclusively to men.Army Techniques Publication 4-02.1 applies to the Active Army, Army National Guard of the United States,and United States Army Reserve unless otherwise stated.The proponent and preparing agency of this publication is the United States Army Medical Department Centerand School, United States Army Health Readiness Center of Excellence. Send comments and recommendationon a Department of the Army (DA) Form 2028 (Recommended Changes to Publications and Blank Forms) toCommander, United States Army Medical Department Center and School, United States Army HealthReadiness Center of Excellence, ATTN: MCCS-FDL (ATP 4-02.1), 2377 Greely Road, Building 4011,Suite D, JBSA Fort Sam Houston, Texas78234-7731; by e-mail to rine@mail.mil; or submit an electronic DA Form 2028. All recommendedchanges should be keyed to the specific page, paragraph, and line number. A rationale for each proposedchange is required to aid in the evaluation and adjudication of each comment.29 October 2015ATP 4-02.1v

IntroductionArmy MEDLOG, as one of the ten medical functions, is an integral part of the AHS. It provides intensive lifecycle management of medical products and services that are used almost exclusively by the AHS and its jointpartners and are critical to the successful delivery of Army medical capabilities. Army MEDLOG support istailored to anticipate and effectively respond to medical requirements through the provision of uninterrupted,end-to-end sustainment of the AHS mission across the range of military operations. Providing timely andeffective AHS support is a team effort which integrates the clinical and operational aspects of the mission andrequires collaboration between the medical logisticians, health care providers, distribution managers, and otherpartners within the Military Health System. Army MEDLOG includes management of the following functions: Medical materiel (Class VIIIA). Medical equipment maintenance and repair. Optical fabrication and repair. Patient movement items (PMI). Medical gases. Blood (Class VIIIB) storage and distribution. Regulated medical waste (including hazardous material). Medical facilities and infrastructure. Medical contracting.This publication describes Army MEDLOG capabilities and their role in sustaining the AHS mission. Medicallogistics support for units in the operatin

*ATP 4-02.1. Army Medical Logistics . OCTOBER 2015. DISTRIBUTION RESTRICTION: Approved for public release; distribution is unlimited. * This publication supersedes FM 4-02.1, Army Medical Logistics, dated 8 December 2009.