APPENDIX 3 (ARMY HEALTH SERVICE SUPPORT) TO ANNEX F (SUSTAINMENT) TO OPERATION

ORDER 14-09-1027 (SUSTAINMENT MISSION COMMAND)

References:

a. U.S. Army Forces Command (FORSCOM) Command Relationships Implementation Order

dated 9 Sep 13.

b. ADRP 5.0, The Operations Process, 17 May 12.

c. ATTP 5-0.1, Commander and Staff Officer Guide, 14 Sep 11.

d. .ADRP 4-0, Sustainment, 31 Jul 12.

Time Zone Used Throughout the Order: Local.

Task Organization: Refer to base OPORD.

1. SITUATION. Refer to base OPORD.

2. MISSION. Refer to base OPORD.

3. EXECUTION.

a. Scheme of Health Service Support (HSS). III Corps Surgeon Section, 1st Medical Brigade,
Divisional medical assets and U.S. Army Medical Command (US Army MEDCOM) will provide Direct
Support (DS), General Support (GS) and HSS to all US forces. The nature of the mission is to promote
health and provide medical treatment of US forces, authorized DOD civilians and dependents to minimize
the effects of wounds, injuries, diseases, environmental hazards and combat stress. Rapid evacuation of
casualties to the appropriate level Medical Treatment Facility (MTF) IOT ensure maximum survivability
rate for each casualty.

(1) Installation Medical Treatment Facilities (MTF) will provide Level I, II and III based on urgency,
availability, and network resource applicability based on local and TRICARE policy.

(2) Units with organic providers or Aid Stations may provide Level I care to support or augment
Garrison sick-call missions based on local policy or Memorandums of Agreement.

b. Medical Evacuation.

(1) The supporting Medical Treatment Facility on the installation has overall responsibility for
Medical Evacuation (MEDEVAC) within the boundaries of the installation. The MTF is also responsible
for coordinating Ground and Aeromedical evacuation (MEDEVAC) between military and civilian facilities.

(2) Units will utilize local policy for Emergency Medical Services. The local MTF or Directorate of
Emergency Services will determine the means of transportation.

(3) Units will utilize local policy for evacuation from training areas.

(4) Subordinate Units will prepare mass casualty (MASCAL) plans employing non-standard air and
ground transportation assets if evacuation is beyond the capability of organic medical evacuation assets
or to save life, limb, or eyesight.

c. Hospitalization.

(1) The supporting IMSA is responsible for Level I, II, and III care in Garrison.

(2) All US medical facilities are considered joint assets and as such, care for all US Forces, DOD
Civilians and dependents.

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APPENDIX 3 (ARMY HEALTH SERVICE SUPPORT) TO ANNEX F (SUSTAINMENT) TO OPERATION
ORDER 14-09-1027 (SUSTAINMENT MISSION COMMAND)

(3) The use of local medical facilities in conjunction with the local MTF is authorized for treatment
if required to save life, limb or eyesight. All other services to include routine care and consultations are
subject to TRICARE rules and regulations. Units will return SM’s to US medical facilities as soon as they
are stable enough to transport.

(4) DOD civilians and US military dependents are authorized treatment in US military medical
facilities.

d. Medical Logistics.

(1) Medical logistics support consists of medical supply and medical equipment maintenance.

(2) Primary method of requisitioning medical material (CL VIII supplies and CL VIII repair) parts is
electronically via the DMMLS Customer Assistance Module (DCAM).

(3) Requests for resupply of medical materiel will be from customer DCAM (Level I) to Unit’s
Brigade Medical Supply Office (BMSO) or supporting Medical Logistics Company (MLC) DCAM (Level II).
The BMSO/MLC will electronically forward request to the supporting Installation Medical Supply Activity.

(4) Requests for non-expendable medical equipment will be made through the Unit Property Book
Officer.

(5) The Standard Army Maintenance System (SAMS) is the system of record for medical
maintenance.

(6) Units will request maintenance and service support on all medical equipment via SAMS. Units
will utilize their supporting BMSO/MLC for maintenance or services beyond the operator/Unit level.

(7) Units are responsible for the cost of and ordering CL VIII repair parts via DCAM.

(8) Medical Supply and Medical Maintenance support will be aligned according to BMSO/MLC
habitual support structures based on the supported units organic capabilities (i.e. Separate Brigades
without organic Medical Supply and Medical Maintenance capabilities will align with a MLC and will
receive both medical maintenance and medical supply support from that MLC).

(9) Units with Medical Logistics missions (BMSOs, MLCs, and Combat Support Hospitals) will
establish DCAM Level II connectivity with the local IMSA. All other Units will establish DCAM Level I
connectivity with their supporting Medical Logistics Activity (BMSO/MLC).

e. Preventative Medicine. Individual Units are responsible for field sanitation using organic field
sanitation teams. Coordinate through the Division Surgeon Cell for preventive medicine, entomology, and
sanitation support beyond Unit capabilities.

f. Dental Services. Units requiring dental support will request support through the BDE Surgeon
Office to Division Surgeon Office to United States Army Dental Activity (USA DENTAC). Any routine
dental support (Garrison) will be provided by USA DENTAC.

g. Combat and Operational Stress Control (COSC).

(1) Behavioral Health services in Garrison will be provided by the local MTF.

(2) Units requiring operational combat stress treatment augmentation will request support through
Division/Separate Unit Surgeon’s Office to III Corps Surgeon’s Office.

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APPENDIX 3 (ARMY HEALTH SERVICE SUPPORT) TO ANNEX F (SUSTAINMENT) TO OPERATION
ORDER 14-09-1027 (SUSTAINMENT MISSION COMMAND)

4. SUSTAINMENT. Refer to Paragraph 4 of base OPORD and Annex F (Sustainment).

5. COMMAND AND SIGNAL. Refer to Paragraph 5 of base OPORD.

UNCLASSIFIED