Naval Medical Logistics Naval Medical Logistics Command Detachment, Command Detachment,

PirmasensPirmasens

FOR OFFICIAL USE ONLYFOR OFFICIAL USE ONLY

08 May 2012

Briefing TopicsBriefing Topics

TLAMM(Theater Lead Agent for Medical Materiel)

• CJCS designates Theater Lead Agents for Medical Materiel (TLAMM) upon recommendation of CCDR and DLA Director

• Single HSS point of contact for theater-level medical logistics Class VIIIA supply, plus*:– Medical equipment maintenance– Optical fabrication– Medical materiel fielding– Assembly and reconstitution– *Blood storage and distribution– Customer support & training, contact team support

• Normally includes clinical support element and Service liaisons• SME for supply chain planning ISO OPLANs/CONPLANs• Support Joint and designated Coalition forces as well as

Humanitarian Assistance missions

* Task organized to mission

USAMMC-Korea

TLAMM ScopeThe TLAMM serve as a Class VIIIA source of supply in support of expeditionary

Health Service Support operations in a given COCOM. • Class VIIIA order processing/fulfillment

Support to unit of any Service (A, AF, N, USMC)DMLSS or DCAM /TWELS to DMLSS)Fill from stock or pass to supplierCatalog and order exception management (x-ref NSN to PVON,

etc)• Coordinate distribution/transportation• Provide financial support

Operate within a Working Capital FundReceipt confirmation for vendor payElectronic reimbursement (MILSBILS/EMALL)

• Scalable from baseline peacetime’ level to Major Theater conflictScope baseline to OPLAN Receive augmentation for support beyond baseline

• Provide storage/operational spaceOperational baseline

• Identify opportunities for operational efficiency• SME / POC for OPLAN / CONOP Class VIII supply chain planning TLAMM ‘serves as a major theater medical distribution node and provides the

face to the customer for medical logistics and supply chain management’.

Three types of TLAMMs: Standing, Provisional and Special.

Standing: a service-operated theater distribution center with routine mission support to joint institutional (MTF) and operational customers.

Provisional: is established as a service-operated organization, mobilized when needed to support a specific mission. It is initially organically staffed, with incremental augmentation, and a follow-on deployment of an attached medical logistics organization.

Special: is designated to support specific product lines (e.g. WMD response, burns, neurosurgical) or specific types of customers (SOF), normally CONUS based at Power Projection Platforms and/or key “reach-back” sites (e.g. Kelly USA, Walter Reed Army Medical Center, Brooke AMC).

Common to all: provide routine support; use business processes and distribution channels that do not increase costs or delivery time to forward customers; must be incorporated into the Joint planning processes of the Combatant and Service Component Commands.

Types of TLAMMs

Capability to receive/process electronic requisitions (line item reqn) from operational customers of all Services w/necessary financial interfaces for inter-fund billing.

Immediate access to Working Capital Fund for Class VIIIA supply operations. (SOUTHCOM – KellyUSA, TX & PACOM (TLAMM-P, Okinawa) both use AF fund) while USAMMCE & SWA and USAMMC-K supported via DWCF.

Use of standard DoD business processes for Class VIIIA Management within the HSSAllow use comm product ID & direct ordering/delivery from PVs

Located w/access to tactical air distribution & strategic air channels from national-level sources of supply

CRITERIA

Primary distribution node between CONUS commercial base and theater customer – supporting habitual relationships

Serves as partner & resource in COCOM supply chain planning

Provides full range of medical logistics functions (one stop shop) Supported by Stakeholders, Service Component Commands, Sub-unified Commands . Endorsed by Service Medical Departments

Scalable to support habitual and external customers through planned augmentation and expansion

Integrated into overall mobilization/expansion plans (TPFDD)

Integrated into the overall DoD/MMEA global operational architecture for CLVIIIA supply distribution   

Functions

Demonstrated capability to surge from steady state to contingency operations Access to a Working Capital Fund (DLA/USAF)

Organic Transportation Manager (TMO)

Access to Transportation Channels

ITV- Shipment tracking

Ease of Financial Processes

Depth of Logistical expertise/capability

Electronic/Web-based Order Entry capability

Mission focus for Dedicated TLAMM

Access to Class VIII and Assembled sets/customization

Attributes

Primary medical distribution center Links to CONUS industry sources Provides materiel & inventory management and customer

support operations Primary supply chain integrator

Supports theater supply chain planning Normally responsible for full range of medical logistics functions

TLAMM

US ArmyMedLog Co

BrigadeCombatTeam

AreaCustomers

FST

USMCMedLog Co

AidStaAid

StaAidSta

Theater

BMSO

BSMC

OtherOtherSuppliersSuppliers

USNBeach Det

PrimePrimeVendorVendor

Theater Hospitals

First Responder

Forward Resuscitative Surgery

CSH

EMEDS

EMF

Current TLAMM Designations

COCOM TLAMM

EUCOM USAMMCE

CENTCOM USAMMC-SWA

USFK USAMMC-K

PACOM (less USFK) 18th MDSS / USNHO

NORTHCOM USA MEDCOM

SOUTHCOM AFMOA/KellyUSA

AFRICOM USAMMCE

Medical Logistics InfrastructureTheater Lead Agent for Medical Materiel (TLAMM)

Navy Supply relies upon its line logistics system business process for CLVIIIA, supported by Fleet PV program and partnership with DDC/FISC infrastructure.

Peacetime demands support only limited forward inventory and a narrow range of HSS for Forward Deployed Naval Forces (FDNF).

Fleet forces has experimented with TLAMM support during HA/DR missions it does not habitually use TLAMMs as a source of supply.

Any source of supply for FDNF must be able to ship or redirect materiel to points supporting underway replenishment, which may change.

Fleet Support - Today

Issues/Considerations ““Non-Standard Business Processes”Non-Standard Business Processes”

• Navy Hospital Ships and “Grey Hulls” rely on Navy ordering and re-supply processes and legacy systems that do not smoothly integrate with the DoD Medical Logistics Enterprise. Electron flow.

*DMLSS was deployed aboard the Hospital Ships w/only the Equipment Management module utilized to date.

• Contractual boundaries - FPV vs. Regional PV vs. CRR• Map NSN to Part No. and/or Cat No.• Access to CRIF (Cargo Routing Information File)• Additional Transport costs (from TLAMM to Ship)• Advance notification of ship deployments into AOR• Establishment of Ship Account w/TLAMM and billing process• Advance notification of re-supply requirements• No control substances

TLAMM’s can serve as the designated Class VIIIA primary source of re-supply for naval ships operating within each respective COCOM AOR.

Designated TLAMM’s will accept routine customer orders via electronic transactions using DMLSS/Customer Assistance Module (DCAM), Theater Enterprise-Wide Logistics System (TEWLS) and spreadsheet to fill from on-hand stocks when able.

The EDI application provides a listing of items stocked within a TLAMM and is a Theater Medical Information Program (TMIP) product developed by the DMLSS Joint Medical Logistics Functional Development Center (FMLFDC).

Required items not on-hand will be passed by the ship using normal DAASC trap channels to SMS (DLA TS Medical) into Contingency Automation Application (CAA).

This program/process provides a collaborative, web-based workload distribution and management tool that tracks sourcing ownership, source execution, shipping status and alternate executions (including passing actions) for all requirements

Recommendation – Way Ahead

DMLSS program will also provide items available from PV/Readiness contracts through the web. Requisition passes will be captured and reported as a supply performance metric.

Automated requisition flow will be tailored to provide the most reliable and sustainable communications between the customer and the TLAMM.

Products will carry normal commercial product identification and “not be re-marked” with NSN or other military-unique identification.

Orders filled by TLAMM’s will be shipped to locations designated by the Navy (CRIF) for onward distribution. Shipment will include in-transit visibility (ITV) whenever available.

Navy will answer Request for Info (RFI) by the TLAMM for supported Navy units on an as needed basis. Lessons learned will be used to develop long term system solutions for more effective and efficient medical supply chain management.

Recommendation – Way Ahead con’t

Provide supporting TLAMM with information necessary to establish supply accounts for Fleet customers (DODAAC, customer identification, contact information, ship-to, etc).

Provide supporting TLAMM’s w/anticipated re-supply items for Flt customers.

Coordinate w/TLAMM’s cross-reference NSN reqts to TLAMM comm P/N .

Provide POC to coordinate order exceptions, invalid stock numbers and approval for substitutions. (This is not necessary when using DCAM. The items shown are on-hand stocks available within the TLAMM.

Provide POC to coordinate TLAMM shipments to appropriate destinations for onward distribution via Fleet replenishment processes.

Make use of TLAMM stockage list for requirements anticipated usage items.

Coordinate with TLAMM’s to ensure collaborative response to unplanned requirements such as contingency or disaster response.

Responsibilities

TLAMM’s:

- Establish supply accounts for designated Fleet customers and provide a POC for customer support operations- Provide Fleet customers with current TLAMM stockage information. - Provide cross reference NSNs for anticipated items to Prime Vendor Order -- - Number (PVON) or other commercial identifier. - Coordinate with designated Navy POC for shipment instructions for Fleet customers. (ITV)

DLA (MMEA):

- Provide value-added network services through the Defense Automated Address System (DAAS) to route and modify (as required) MILSTRIP - transactions to the supporting TLAMM. - Work to standardize TLAMM’s so that support is consistent within all COCOM AORs. - Work to identify supply system interfaces that will afford connectivity between TLAMM and customers

TLAMM’s & DLA (MMEA)

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BOTTOM LINETLAMM will provide the foundation for real-time logistics situational awareness and helps instill Warfighter confidence by:

• Optimizing logistics business processes transitioning to a logistics system open architecture that provides interoperable and actionable logistics information.• Enhancing logistics response to the joint Warfighter.Capability to optimize route allocation (Channel / MilAir) scheduling (Force Flow).• Capability to collaborate across all Services, enabled by common metrics, standards, and processes.• Capability to make more effective use of pre-positioning stocks to reduce lift requirements and increase capabilities and capacity.• Capability for agencies to interoperate, in foreign disaster relief and stability operations.• Capability to exercise real-time, end-to-end control of distribution, and sustainment pipeline—from mobilization, employment, reconstitution, regeneration, redeployment, and demobilization, and across the entire logistics spectrum.• Capability for logisticians and operators to collaborate fully among themselves, their counterparts and w/interagency and coalition partners.Used for training and exercise experience.

What is What is TLAMM/USAMMCETLAMM/USAMMCE

United States Army Medical Materiel Center-Europe (USAMMCE), is subordinate unit of the U.S. Army Medical Research and Materiel Command at Fort Detrick, Maryland.

Serve as the Defense Logistics Agency's Theater Lead Agent for Medical Materiel (TLAMM) for Europe.

Mission Essential Capabilities

Life Cycle Management of Class VIII Materiel

Clinical Engineering Support

Clinical Advise Support

Optical Fabrication

Assembly, Reconstitution, Disassembly of MESKOS (Kitting)

MissionMission

Strategic Relevance / TLAMM

Organization – USAMMC-EAugmenting Manpower: Navy: 3 NMLCAir Force: 1 AFMOADept of State: 9DLA-TS: 1

Augmenting Manpower: Navy: 3 NMLCAir Force: 1 AFMOADept of State: 9DLA-TS: 1

ARMY: 28US Civ: 49

Local Natl Civ: 318

ARMY: 28US Civ: 49

Local Natl Civ: 318

ASSEMBLY & CONTINGENCY MANAGEMENT

DIV

OPTICALACTIVITIES

DIV

SUPPORTOPERATIONS

WAREHOUSE MANAGEMENT

AND DISTRIBUTION

DIV

DEPUTY COMMANDER

FOROPERATIONS

HUMANITARIAN

ASSISTANCEPROGRAM

SAFETY /ENVIRO

HHD

BUSINESSSUPPORT OFFICE/TEWLS

MATERIELMANAGEMENT

DIV

CUSTOMERSUPPORT

DIV

CLINICALENGINEERING

DIV

DEPUTY COMMANDER

FORSUPPORT

RESOURCEMANAGEMENT

DIV

INFORMATION MANAGEMENT

DIV

LOGISTICSDIV

SECURITYBR

CLINICALADVISORY

DIV

USAMMCECOMMANDER

CENTERSGM

NAVMEDLOGCOM DET PIRMASENS

AFMOALNO PIRMASENS

BitburgRamsteinIllesheimHeidelbergLandstuhlGrafenwoerBaumholderHohenfelsMiseauKaiserslauternWiesbadenKatterbachSchweinfurt, DE

Athens, Greece

Skopje, Macedonia

Chisinau, Moldova

ChievresShape, Belgium

Rota, Spain SigonellaLivornoAvianoVicenzaNaples, Italy

Lakenheath, UK Budapest, Hungary

PristinaFerizay, Kosovo

Kolasin, Montenegro

Saravejo, Bosnia

Sofia, Bulgaria

Kiev, Ukraine

Incirlik, Turkey

Akrotiri, Cyprus

Tel Aviv, Israel

Dimashq, Syria

Sanaa, Yemen

Thumrait, Oman

Riyadh, Saudi Arabia Al Dhafra, UAEDoha, Qatar

Manama, Bahrain

Ali Al Salem, Kuwait

Islamabad, Pakistan

Tashkent, Uzbekistan

Bishkek, Kyrgyzstan

Almaty, Kazakhstan

KabulKandaharBagramCamp BastionGardezCamp LeatherneckMazar-e SharifCamp DwyerHerat, AF

Al AsadBaghdadTikritTallilBaladKirkukMosul, Iraq

Tblisi, Georgia

Baku, AzerbaijanConstanta, Romania

Terceira, Azores

906 Total Joint Service Customers

EUCOM343 European Based Customers

CENTCOM504 OEF Customers

AFRICOM59 Customers, Shipping to 27

locationsBlood shipments to HOA

Department of StateSupport to 162 Embassies

AlgeriaBurkina FasoBurundiCameroonChadCongoEgyptEritrea

EthiopiaGabonGambiaKenyaLiberiaMadagascarMalawi

MaliMauritaniaMoroccoNigeriaRwandaSierra LeoneSouth Africa

TogoTunisiaUgandaZambiaZimbabwe

Camp Lemonier, Djibouti

Medical Supply Chain

CommercialTransportation

Theater Class VIII Distribution Center

US Army Medical Materiel Center, Europe (USAMMCE)

Pirmasens, Germany

Servicing 906 Joint Service Customers

8,561 Stocked LinesValued at $27.1 M

Military GroundTransportation

CommercialTransportation

Prime Vendor (Pharm)

Prime Vendor (MedSurg)

Electronic Catalog (ECAT)

DLA Depots

Local Purchase

IMPAC & Contract

Specialty Distributors

Web-based vendors

Manufacturers

CONUS/OCONUS

Multiple Sources of Supply

MTOE units

Army, Navy and Air Force fixed Facilities

throughout the EUCOM & AFRICOM

AOR

Joint, Inter-Service, and Multi-national

organizations in support of

OEF/OIF

Department of State Embassies and

Humanitarian Asst Ops

Establishing an AccountEstablishing an Account

Establishing an Account To establish an account with USAMMCE go to:https://www.pirmasens.amedd.army.mil Deployed customers must provide the following information to establish a customer account

Unit name, designation, and DODAAC/UIC

Name, Rank, Contact info for authorized ordering personnel

Funding document

Shipping addresses…(Commercial)

Any special shipping instructions

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Establishing an Account

Primary ordering methods (preferred)

Defense Medical Logistics Standard Support System (DMLSS)

Web-based TLAMM Online Ordering

DMLSS Customer Assistance Module (DCAM)

Alternate ordering methods (least preferred)

Email order to USAMMCE Customer Support

To establish an Online Ordering account with USAMMCE go to:

https://www.pirmasens.amedd.army.mil

Fill out the new customer registration form. Once completed simply click on submit and USAMMCE will complete the process.

Account Establishment

Ordering ProcessUSAMMCE CATALOGContains all product we have in our system

click on ONLINE WEB ORDERING

Ordering Process

Click here

If you’re a registered user

Fill in the blanks for new customer registration

After verification email is sent to you with your login credentials

Ordering Process

Enter NSN or material numberor use search functions

Wildcard search via %

Once selected click onto the Basket icon

Material will be added to your list

Ordering Process

Fill in all required fields-- Ordering DODAAC-- Signal Code-- Fund code or APC

-Failure to do so might prevent order from being processed

Click on “?” to get selection criteria

To continue shopping return to Search by Stock number or Nomenclature

Done ?Click on submit order

Remember:You have to click on submitfor each ordered line item – a collective transfer is not possible

Ordering Process

Since there’s no paper printout possible you might highlight all orders, copy and paste to a word document and save it.

Placed Order

Procurement Methods

USAMMCE utilizes 6 methods to procure medical supplies Prime Vendor (Pharm and Med/surg) ECAT DLA-TS BPA GPC Contract

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Shipping Procedures

Distribution Methods (Non-Germany Customers) USPS (Sechudal II items) DHL UPS AMC National Air Cargo (NAC) FedEx Schenker UTI Jazz

Distribution Methods (Local Customers) UPS Express Above Carriers Military Trucks Customer pick-up AMC

Customer Turn-Ins

Customers should redistribute or dispose of excess materiel locally When not possible, TLAMM-USAMMCE may accept customer

returns Procedures and requirements can be found on the USAMMCE

webpage. The credit is applied to a general account for the major

DODACC Contact the USAMMCE Pharmacy Consultant or the Pharmacy

Technician for questions regarding status of returns:Phone: DSN 495-7230/6265 or Com 06331-86-7230/6265, E-mail: usammce_pharmacy@amedd.army.mil.

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Delivery

USAMMCE processes order request daily and ships perthe posted schedule found on the USAMMCE website

Non-emergency orders will be shipped weekly Provisions for more frequent orders can be coordinated as

mission requirements dictate Emergency orders will be shipped immediately if stock is on-

hand or once stock arrives

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OICLCDR Rebecca V Gels

NIPR: Rebecca.V.Gels@us.army.mil

SIPR: Rebecca.V.Gels@us.army.smil.milCOMM: 011.49.6331.86.7427

DSN: 314.495.7427

Fleet LiaisonHM2 (FMF) Michael Price

NIPR: Michael.J.Price@amedd.army.mil

SIPR: Michael.J.Price@us.army.smil.mil

COMM: 011-49-6331-86-7170DSN: 314.495.7170

Points of Contact

Ashore LiaisonHM2 Nana Bonsu

Navy Pharmacy Technician

NIPR: Nana.Bonsu@amedd.army.milCOMM: 011-49-6331-86-6675

DSN: 314.495.6675

QUESTIONS?