Using a Model of Clinical Events to Determine Supply Requirements for Marine Corps Shock Surgical Team/Triage (SST) and Acute Care Ward Units

Moving toward a concept of medical organization that achieves the objectives of Marine Corps guidance such as Operationd Maneuver from the Sea brings particular challenges when examining forward medical treatment facilities. These units must be small enough to perform abbreviated, staged resuscitative procedures in forward areas to accommodate today's operational requirements for greater mobility. The primary objective of this paper was to reduce the logistic footprint of the Shock Surgical Team/Triage (SST) and Acute Care Ward units by developing a model of the far forward medical supply stream that linked specific clinical requirements to individual medical treatment items. One hundred twenty five clinical Subject Matter Experts (SMEs) with operational experience assisted in the development of Marine Corps specific treatment profiles for 319 DEPMEDS Patient Conditions (PCs). Medical consumables and equipment were then assigned to each of the SST and Ward care tasks identified in the profiles, establishing the clinical requirement for each item. A patient generating model (PATGEN) was used to determine which PCs would present at an SST or require Ward care. This information was loaded into the model and used to generate the medical items required for the SST and Ward care blocks. When compared to the current Marine Corps SST and Ward care blocks, the proposed AMALs resulted in weight reductions of 31.9% and 26.4% for the SST equipment and consumable AMALs, respectively and 11.2% and 20.7% for the Ward equipment and consumable AMALs, respectively. Similar reductions were also realized in cubic volume. This approach, which also resulted in an increase in clinical capability, produced an audit trail for each item that allows medical logisticians to substantially improve the AMAL configurations because only items that can be clinically related to a treatment task conduNaval Health Research Center San Diego CA is the author of 'Using a Model of Clinical Events to Determine Supply Requirements for Marine Corps Shock Surgical Team/Triage (SST) and Acute Care Ward Units' with ISBN 9781423559009 and ISBN 1423559002.