Capabilities overview and applications

¶ … capabilities of key medical personnel operating in an austere environment in terms of their performance measures on key indicators, the skill sets that they must possess and the method in which equipment and supplies will be transferred to the location where medical personnel are to provide care. NR KPP requirements are also set out as well as parameters for measuring the desired goals and needs of this operation. The systems needs are also set out in this study along with requirements of integration and joint communications. The implementation of scheduled delivery of increments is set out as well. Included in this report are illustrations in the form of charts and tables to assist with the understanding of the concept, strategy and implementation of this program.

Revision History

NR KPP revision history reported by the Joint Chief of Staff Instructor includes renaming the instruction which was previously named 'Interoperability and Supportability of Information Technology and National Security Systems' to "Net Ready Key

Performance Parameter (NR KPP)." (Chairman of the Joint Chiefs of Staff Instruction, 2012)

It is reported that the revision "eliminates previous elements and activities (information assurance, data and services strategy, GIG Technical Guidance compliance, supportability compliance) from the NR KPP that are accomplished through other processes." ( Chairman of the Joint Chiefs of Staff Instruction, 2012) The other processes are reported to include the following:

(1) Compliant solution architecture-within the context of the refined

NR KPP-now DODAF Architecture data. (Chairman of the Joint Chiefs of Staff Instruction, 2012)

(2) The requirement to comply with the Net Centric Data and Services

Strategies remains, but is no longer part of the NR-KPP. For NR KPP purposes compliance verification information (Data/Service Exposure Verification. Chairman of the Joint Chiefs of Staff Instruction, 2012)

Tracking Sheet - "Bluesheet" - data) is provided DIV-3 submissions.

(3) GIG Technical Guidance (GTG) - exists in the ISP. Chairman of the Joint Chiefs of Staff Instruction, 2012)

(4) DOD Information Assurance (IA) requirement - exist as a DAA

responsibility.

(5) Supportability requirements - exists in the ISP but spectrum requirements compliance will continue to be analyzed within the refined NR

KPP. The NR KPP was redefined as three attributes focused on, validated, verifiable performance measures and metrics. NR KPP architecture development methodology (based on DODAF architecture or the optional NR KPP Architecture Data Assessment Template) was added with a requirement to align with DOD Information Enterprise

Architecture (lEA) (reference m), the current DODAF, JIE ORA/WEA and JCSFL. Process details were removed from the instruction and added to the NR

KPP Manual Wiki page to allow for more rapid dissemination of changes." (Chairman of the Joint Chiefs of Staff Instruction, 2012)

Stated as NR KPP Attributes for Certification are the following:

(1) IT must be able to support military operations;

(2) IT must be able to be entered and managed on the network

(3) IT must effectively exchange information. ( Chairman of the Joint Chiefs of Staff Instruction, 2012, )

Integrated architecture products used for support include the Joint Common Systems Function List needed to assess information, exchange information and to be effective operationally. Three architectural views are those of technical, operational and systems in compliance with the DoD Architecture Framework version 2.0. Required is compliance with DoD Net-Centric Data and Service Strategies which is inclusive of services exposure and data criterion. Provided is the model for the structural architecture and compliance with relevant Global Information Grid (GIG) Technical Guidance (GTG). Also required is that the systems used be compliant with supportability factors stated to include "Spectrum Analysis, Selective Availability Anti-Spoofing Module, and the Joint Tactical Radio System." (Chairman of the Joint Chiefs of Staff Instruction, 2012)

Point of Contact:

DOD HD and CS JOC: CAPT Bill Cogan, USN, Chief, Strategy and Policy Division (J52), USNORTHCOM DSN: 692-1097 Commercial: [HIDDEN]

Table of Contents

Capabilities Discussion

5

Concept of Operations Summary

7

Threat Summary

10

Program Summary

10

System Capabilities Required for the Current Increment

11

List of Figures

Figure 1 -- JCIDS Process

11

Figure 2 -- Net-Centric Data Strategy Goals

12

Figure 3 - Key Performance Parameter Table

13

Figure 4 -- Additional Attributes

13

Capability Discussion

According to the Initial Capabilities Document 7 For 8 (U) United States Marine Corps Expeditionary Energy, Water, and Waste document: "The current and future operating environment requires an expeditionary mindset geared toward increased efficiency and reduced consumption, which will make our forces lighter 6 and faster. (p. iii) It is reported that more than 70% of the required logistics to sustain these types of missions in austere locations is liquid, fuel, and water. Demands for liquid, fuel, batteries and bottled water creates an Achilles heel for the staff working in an austere environment. Goals set out in the ICD document include the achievement of self-sufficiency for resources, reduction of energy in the demand of systems and platforms as well as bring about a reduction in the expeditionary operations footprint. With increasing requirements to operate in conditions that are more austere it is reported that a "central enhancement required across elements is the reduction of the consumption of energy. (Initial Capabilities Document 7 For 8 (U) United States Marine Corps Expeditionary Energy, Water, 9 and Waste, nd, paraphrased) This allows, according to the Initial Capabilities Document 7 For 8 (U) United States Marine Corps Expeditionary Energy, Water, and Waste Initial Capabilities Document "the ability to conduct operations in the most austere of environments -- where excess and luxury is not practical." (p. iii)

The Initial Capabilities Document For 8 (U) United States Marine Corps Expeditionary Energy, Water, and Waste document contains both material and non-material approaches for the "means for achieving...increase in operational energy and efficiency" in austere environments. (nd, p. 111) These approaches are reported to be representative of paths to solution for achievement of the mission through providing guidance to planners and advocates and to set out the requirements as well as providing adaptation and development to enable programs.

The equipment requirements set out are for efficient equipment and legacy equipment upgrades as well as increases in energy of the renewable type. Energy and water efficiency should be considered as part of effectiveness of service provision in austere locations and mission goals. Stated specifically is that "application of these approaches is necessary to increase operational effectiveness" and to bring about a reduction in risk and by "increasing self-sufficiency and operational effectiveness" the risk to personnel will be decreased in austere locations. Lightening the load of equipment and supplies affords faster movement ability as well. The Initial Capabilities Document 7 For 8 (U) United States Marine Corps Expeditionary Energy, Water, and Waste document states that "these improvements are imperatives to the future operating concepts and will save lives." ( p. iv) In addition it is reported that less demand in terms of "storage and distribution requirements and the size of power production and energy storage" results in the reduction of the footprint of the operations." (Initial Capabilities Document 7 For 8 (U) United States Marine Corps Expeditionary Energy, Water, and Waste, nd, p. iv)

More effective and efficient capabilities is reported to provide the ability to "respond to changes in dynamic and often chaotic operational environments, increases task organization alternatives" as well as increasing the reach of the operation for "unit of energy consumed and reduces the exposure of...supply lines to attack." (I Initial Capabilities Document 7 For 8 (U) United States Marine Corps Expeditionary Energy, Water, 9 and Waste, nd, p. iv) In addition stated is that energy, water and waste capacity enhancements "increase [the] capacity to support coalition partners and host nations in operations other than war, such as humanitarian assistance and disaster relief efforts, by creating unique capabilities that can be directly applied to these missions while minimizing the footprint ashore and the impact to host nation resources." (Initial Capabilities Document 7 For 8 (U) United States Marine Corps Expeditionary Energy, Water, and Waste, nd, p. iv) Reported as envisioned is a "self-sufficient expeditionary force instilled with an ethos that considers efficient use of vital resources essential" in operations of medical personnel in austere locations. (Initial Capabilities Document 7 For 8 (U) United States Marine Corps Expeditionary Energy, Water, and Waste, nd, p. iv) The goals set out include:

(1) A lighter, faster, more maneuverable, and more resilient maneuver force

(2) Increased ability to operate in austere environments

(3) Reduced operational risk through reduced logistics footprint and threat exposure

(4) Increased autonomy and tactical mobility,

(5) Increased agility, reach, endurance, freedom of action, and operational tempo

(6) Decreased energy demand across the force and its materiel.

(7) Ability to provide power and life support at fixed bases and on-the-move through sufficient quantities of smaller, lighter systems that demand less power.

(8) Ability to maximize the use of available materials and renewable energy sources.

(9) Increased efficiency in mobility systems and associated subsystems (e.g. radios, sensors).

(10) Better resource usage information to aid planning and enable efficient management. (Initial Capabilities Document 7 For 8 (U) United States Marine Corps Expeditionary Energy, Water, and Waste, nd, p. v)

In addition, these goals assist in reducing the necessary "ship to shore sustainment and joint theater sustainment demand for joint resources and enables greater logistics flexibility, adapatability and responsiveness which significantly increases operations effectiveness" (Initial Capabilities Document 7 For 8 (U) United States Marine Corps Expeditionary Energy, Water, and Waste, nd, p. v) Enabled are "common systems, supplies, standards and procedures by leveraging other services' enhancements in power, water production and distribution and waste management capabilities." (Initial Capabilities Document 7 For 8 (U) United States Marine Corps Expeditionary Energy, Water, and Waste, p. vi) It is reported that required are "awareness, education and training" which are stated to "form a center of gravity to this capability set." ( Initial Capabilities Document 7 For 8 (U) United States Marine Corps Expeditionary Energy, Water, and Waste, nd, p. vi)

Concept of Operations Summary

Included in key Medical Personnel is the Medical Advanced Echelon (ADVON). It is reported that these medics "bring unique capabilities to support the deployed joint SOF commander. SOFME personnel should deploy in advance of main forces to conduct in-theater site surveys of HN medical facilities, public health, health risk, and disease surveillance at deployed locations. The ADVON team should identify all medical assets (including other SOF medics/medical capabilities/PJs) in the AOR and begin to establish lines of communication. Medical personnel can be sourced for the ADVON from the FFQEK or FFQE8 medical UTCs or the JSOAC medical staff positions assigned to 9 AAHQ UTC. The 9 AAHQ UTC is an AFSOC Headquarters UTC that provides the core staff for the theater AFSOF for contingency and wartime requirements." ( Air Force Tactics, Techniques and Procedures 3024.6, 2005)

It is stated that the crisis characteristics drive the response of medical personnel. Stated as core concepts of AFSOC Medicine in the Battlespace including: (1) Forward Operating Base/Intermediate Staging Base (FOB/ISB) Base Operating Support (BOS).." ( Air Force Tactics, Techniques and Procedures 3024.6, 2005) This is constructed on tiered supply and equipment packages and include the "SOFME medical backpack, aircraft rollpacks and RRDK which are the initial building blocks for AFSOC medical support and may be built upon as the contingency intensifies or as workload increases. The amount of basic care and clinical oversight responsibilities are based upon a population at risk assessment." ( Air Force Tactics, Techniques and Procedures 3024.6, 2005) Stated as the secondary operational mission of SOFME is what is termed 'CASEVAC' which means to "stabilize and transport (with en-route medical care) patients from battlefield forward locations to advanced medical care facilities using vehicles/aircraft of opportunity. The CASEVAC package and RRDK provide equipment and supplies to perform casualty evacuation in austere environments. The basic CASEVAC capability of the SOFME can be enhanced with support from the special operations critical care transport team (SOCCET) however; the SOFME is trained and equipped to be the first option." ( Air Force Tactics, Techniques and Procedures 3024.6, 2005)

Other members of the medical personnel team include the following:

(1) Advanced Surgical/Critical Care and Transport. "This capability is met by adding SOF Surgical Teams (SOSTs) and SOCCETs to provide a far-forward surgical intervention, stabilization and patient holding and transport capabilities. These teams in combination with other joint medical support assets can provide a robust critical care capability." ( Air Force Tactics, Techniques and Procedures 3024.6, 2005)

(2) Casualty and Disease Management in SOF Operations. The SOF mission requires medical preparation to stabilize injured or seriously ill members while moving them towards definitive care. This may occur in environments quite distant from acceptable sources of definitive care and distant from conventional aeromedical evacuation support. AFSOC deployed capability for management of disease and injury can be characterized by four phases: 1) SABC; 2) initial response; 3) stabilization and treatment; and 4) CASEVAC. Phases two through four may overlap and occur simultaneously to varying extents, depending on the scenario. If movement by air is immediately available and/or rendered urgent by the tactical situation, stabilization may occur during CASEVAC. The SOFME provides casualty and disease management during SOF operations to stabilize injured or ill patients while moving them to/towards definitive care." ( Air Force Tactics, Techniques and Procedures 3024.6, 2005)

Medical Personnel Considerations stated in "intermediate situations where tactical extraction and initial stabilization are necessary under high threat but less than active combat conditions, PJs in combination with SOFME assets can be used to provide greater monitoring and treatment capability and would provide a high level of medical capability immediately to the casualties. Environments where extended transport time (over two hours) are expected or there is known disease component along with the trauma or other complicating medical factors may be part of the injury scenario, SOFME and/or SOCCET assets should be considered." ( Air Force Tactics, Techniques and Procedures 3024.6, 2005)

Casualty Stabilization and Disease Treatment has the objective of "achieving a stable airway, control of hemorrhage, treated shock, and splinted fractures. Stabilization begins with the first responders and continues as the casualty is transferred to the care of the SOF Medical Element flight surgeons and technicians and moved towards definitive care. Serious disease requiring evacuation is stabilized and moved in the same fashion." ( Air Force Tactics, Techniques and Procedures 3024.6, 2005) Stabilization may become prolonged in nature if there is not air evacuation of an acceptable nature available.

Threat Summary.

Biological warfare is cited as a threat by the Department of Defense and it is reported that the Department of Defense biodefense efforts need to ensure development and licensing of "vaccines, therapeutic drugs, and antitoxins to protect members of the armed forces against biological warfare agents." (DOD, 2014, p.1) It is reported that the environment of projected threat and the capabilities to countering threat must include considerations of "the nature of the threat, threat tactics and projected threat capabilities" including lethal and nonlethal threats across time. (DOD, 2014, p. 1)

Program Summary:

The program strategy set for reaching full capability involves putting into place the most efficient IT operations that functions in a 'Family of Systems' (FOS) environment with joint operations communications capacity. The IT operations must be compact and able to be moved quickly and efficiently comprising the least load weight possible for use in austere locations. In addition medical supply inventory must be standardized and as with IT operations comprise the lead load weight possible while ensuring the supplies necessary for treating the wounded and sick, providing disease prevention and decontamination measures. Incremental delivery to the austere location environment will ensue as follows: