CENTER FOR NAVAL ANALYSES RESEARCH MEMORANDUM

File: 110596_sep96_decls1_0013.txt
Page: 0013
Total Pages: 45

Subject: CENTER FOR NAVAL ANALYSES RESEARCH MEMORANDUM                   

Unit: VAR. BUMED  

Parent Organization: BUMED       

Box ID: BX303811

Folder Title: VARIOUS NAVAL MESSAGES FOLDER 11                                                                

Document Number:          1

Folder SEQ  #:         14










              the transition of the CONUS MTFs from peacetime mission to casualty
              receiving occurred more slowly than envisioned under full mobilization.

                   For Operation Desert Shield, BUMED Codes 03 (Health Care Opera-
              tions) and 07 (Reserve Matters) assumed initial responsibility for coor-
              dinating MTF requirements and for identifying SEIRES units to fill those
              requirements. The first plan submitted by BLTMED to Director, Total
              Force and Mobilization Branch (OP-601) assigned SELRES personnel to 17
              CONUS MTFs and DTFs to replace active-duty personnel deployed or to be
              deployed to Operation Desert Shield by 26 August 1990. The SEIRES per-
              sonnel identified for reserve backfill were to report by 29 August 1990.

                   At the beginning of the first phase, BUMED directed the MTFs to
              develop their requirements for SELRES personnel based solely on active-
              duty personnel losses to Desert Shield, in accordance with initial
              SECDEF guidance. However, authorized recall levels were not sufficient
              to allow a one-for-one replacement. Therefore, MTFs tried to identify
              the number and mix of SELRES personnel needed to sustain minimum
              operations. Minimum operations included services needed to maintain
              care at sparsely staffed MTFs in isolated areas and to comply with Navy
              contracts for civilian health-care providers, which often include
              clauses stipulating the level of military staffing. BUMED also directed
              teaching hospitals to maintain the level of operations needed to pre-
              serve graduate medical education (GME) programs. BUMED-03 provided
              general guidance to the MTFs for establishing reserve requirements, but
              the MTFs had no systematic method or staffing standard for determining
ements for these missions.

                   The original SELRES backfill plan did not include replacements for
              the main body of personnel,who were to deploy to Fleet Hospital Five
              (FH-5) in early September.@ Accordingly, the backfill plan was modified
              and an additional 350 SELRES personnel were recalled. Of these, 275
              were assigned to Naval Hospital (NH), Portsmouth, which provided most of
              the active-duty personnel to staff FH-5. Appendix C contains tables
              that show the number of active-duty personnel deployed and the number of
              SELRES personnel recalled, by facility. Table 2 shows the ratio of the
              number of SELRES personnel on board each facility to the number of
              active-duty personnel who deployed from the facility as of the end of
              the first phase of the recall.

                   Table 2 also shows a wide range of "replacement ratios" by facility.
              For the Medical Corps, the ratio of recalled SELRES personnel to deployed
              active-duty personnel ranged from 0.23 for NH, Oakland, to 3.00 for NH,
              Cherry Point. For hospital corpsmen, the ratio ranged from 0.25 for NH,


              1. Fleet hospitals are prepositioned medical facilities designed for
              rapid deployment and field assembly. A fleet hospital consists of both
              an MTF that provides echelon-III or echelon-IV care, and base support
              facilities that provide berthing, food service, maintenance, and
              utilities. See [21 for more details.


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Document 45 f:/Week-37/BX303811/VARIOUS NAVAL MESSAGES FOLDER 11/center for naval analyses research memorandum:1104960910232
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-37
Box ID = BX303811
Unit = VAR. BUMED
Parent Organization = BUMED
Folder Title = VARIOUS NAVAL MESSAGES FOLDER 11
Folder Seq # = 14
Subject = CENTER FOR NAVAL ANALYSES RESEARCH MEMORANDUM
Document Seq # = 1
Document Date =
Scan Date =
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 04-NOV-1996