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The U.S. military's current concept of operations for expeditionary medical care emphasizes quickly moving patients to a series of successively more sophisticated medical facilities that provide the patients with the care necessary to treat their injury or condition. Balancing the deployment of treatment and evacuation resources is therefore necessary to ensure that the right mix of resources is available in a timely fashion.

The authors propose a planning concept that, by promoting patient flow rate as the common unit of measurement, will help integrate medical planning across treatment and evacuation functions, across the increasing levels of care, and across the different military services. The primary medical planning tool approved for use by combatant commands for developing their operational plans — the Joint Medical Analysis Tool (JMAT) — already operates in a manner consistent with this concept. However, modifications and enhancements to JMAT are necessary to ensure that the concept can be fully implemented.

Table of Contents

  • Chapter One

    Introduction

  • Chapter Two

    Air Force Medical Service Planning Is Not Aligned with the Current Concept of Operations for Patient Flow

  • Chapter Three

    The STEP Rate: An Integrated Approach to Planning Treatment and Evacuation Resources

  • Chapter Four

    Recommendations for JMAT

  • Chapter Five

    Conclusions and Recommendations

  • Appendix A

    The Need for Updated Casualty Estimates That Reflect a Spectrum of Scenarios

  • Appendix B

    Modeling Medical Requirements for Humanitarian Assistance Operations

  • Appendix C

    Considerations in Selecting Stopover Points for Aeromedical Evacuation

Research conducted by

The research reported here was sponsored by the United States Air Force and conducted by RAND Project AIR FORCE.

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