Afloat Medical Materiel Estimates Submarines: SSN Attack, SSBN Fleet Ballistic Missile, and SSGN Guided Missile Submarines
NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA SAN DIEGO United States
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To provide the most effective, efficient, and appropriate medical care to U.S. military personnel, each military service branch conducts periodic reviews of their medical equipment and supply packages. For the Navy, Naval Medical Logistics Command NMLC conducts routine reviews for the range of Authorized Medical Allowance Lists AMALs used to provide medical care onboard afloat platforms. NMLC tasked the Naval Health Research Center NHRC to analyze the Submarine AMALs and communicate their findings V. Wing, statement of work, 2017.Technically skilled and medically experienced NHRC analysts reviewed the range of AMAL components, analyzed current andor projected clinical requirements with subject matter experts, and used modeling and simulation tools to develop and recommend AMALs.Included in this study is the basis for comparison of the International Classification of Diseases, Ninth Revision ICD-9 codes used for military medical modeling and simulation. Previously all models were based on the 336 ICD-9 codes prescribed by the Defense Health Agency, Medical Logistics DHA MEDLOG Division. These ICD-9 codes, while used in the models, were not representative of the range of medical encounters for deployed military personnel. Recently, NHRC converted all the models to the 282 ICD-9 codes developed by NHRC from empirical data and approved by Strategic Analysis Work Group SAWG Negus, 2014.This effort provides an analysis of the medical requirements for the following submarine classes SSN Attack Submarines SSBN Fleet Ballistic Missile Submarines SSGN Guided Missile Submarines. The medical capabilities for the above submarine platforms are identical. When deployed, all submarines provide Role 1 care without a physician. Primary care in these settings is managed and provided by a Submarine Force Independent Duty Corpsman IDC.Proposed modifications, additions, and deletions to the AMALs are a result of an analysis that considers modernization...
- Medical Facilities, Equipment and Supplies