DOD GHE Common Operating Picture & Strategic Principles

1. DOD GHE Common Operating Picture & Strategic Principles March 2014 MG West The Joint Staff Surgeon Overall Classification of this Brief: UNCLASSIFIED

2. DOD GHE Common Operating Picture DOD GHE is a tool of engagement To facilitate DOD in meeting its National Security Objectives and Military End Sates as defined by the Chairman’s of JCS Priorities and Geographic Commanders Campaign Plans • DOD GHE should support Line engagement efforts and operational needs • DOD GHE should be executed primarily through MIL-MIL activities with a focus on building partnership and interoperability • Where possible, DOD GHE should synergize with USG global efforts and avoid duplication or overlap GHE Toolbox Commanders should be able to select from the full spectrum of engagement options in consideration of need, resources, limitations and country circumstances be it: …mil-mil …mil-civ …mil-civ-mil …disaster/all hazards prepare and response

3. DOD GHE Common Operating Picture • DOD GHE is a tool of engagement to facilitate DOD in meeting its National Security Objectives and Military End Sates as defined by the Chairman’s of JCS Priorities and Geographic Commanders Campaign Plans • DOD GHE should support Line engagement efforts and operational needs • DOD GHE should be executed primarily through MIL-MIL activities with a focus on building partnership and interoperability • Where possible, DOD GHE should synergize with USG global efforts and avoid duplication or overlap

4. Chairman of Joint Chiefs of Staff Principal Military Advisor to President and Secretary of Defense Assist Unified Strategic Direction of Armed Forces Provides Joint/Combined Defense Capabilities Recommends Defense Resource Allocations Plans & Facilitates Joint/Combined Operations, Exercises and Engagements Develops U.S. Joint/Combined Defense Policy, Strategy, Doctrine, Training & Education 4

5. Chairman of Joint Chiefs of Staff ENDS Chairman’s Priorities: • We must… • Achieve our national security objectives in the current conflicts • Develop Joint Force 2020 • Renew our commitment to the Profession of Arms • Keep faith with our Military Family The Chairman GEN Martin E. Dempsey 5

6. DOD GHE Support to Chairman’s Priorities WAYS PARTNERSHIP • GOAL: HN with capable, interoperable military med capacity willing to partner and expeditionary able • Primary: Mil Med • BPC for essential Mil Med functions • Interoperable with US and regional partners • Support: Civ Med • Facilitating and augmenting strategic needs SECURITY STABILITY • GOAL: HN participates and integrated into GHS efforts • Primary: Mil Med • Active ISO HN GHS efforts • Active ISO civilian crisis and all hazards response • Support: Civ Med • Accepting and supportive of mil efforts • GOAL: HN is stable and resilient to threat • Primary: HN Military • Active role in military as pillar of stability within HN • Support: Civ Sector • Stable and resilient through HA and HCA engagement

7. DOD GHE Support to Chairman’s Priorities WAYS

8. MEANS DR as requested through USG, OFDA, UN MIL-CIV as needed to accomplish nat’l security and military objectives MIL-MIL as focus the foundation of all we do

9. DOD GHE Activities and Metrics Gap 1: PN Mil Med Development Capability, capacity Interoperability Gap 2: PN Mil Med ISO Global Health Security IHR, Bio Surveillance Emerging Diseases PN Mil ISO Civ Disaster Response Gap 3: PN Mil as Contributor to Stability Rule of Law Respect Human Rights Prevent Gender Based Violence Desired End State Gap 2 Current Status Gap 1 Gap 3

10. USG Whole of Government Expenditures in Global Health DOD in Mil-Mil Activities Components SPP SOC DOD in GHS and Mil-Civ Activities GEIS DTRA NAMRU WRAIR CBED CBRN ACE Components SPP SOC

11. US Gov in GH Activities Mil BPCl Civ BPC DOS, HHS, AID DOD Gap Overlap

12. Mind the Gap ….. and Overlap This • Gap • We can not ignore our mil-mil obligations • Overlap • It needs to happen on purpose, not by accident • Leverage it through synergy of effort, timing • Avoid duplication • Challenges • Personal Interest Projects • New Kid in the Neighborhood Effect • Limited Resources Not this

13. Whole of Government Approach • Civilian Agencies • HHS • USDA • DOC • DOE • DOL • DOI • DOJ • Civilian Agencies • MOH • MOE • MOJ • MOI • MOC DOD MOD US HN

14. Our Final Exam. Don’t Get it Wrong ! Partner Military Medical Response Rapid Excellent Forward Capable Interoperable Ready Medical Force Medically Ready Force (Not just US, but Partners as well)

15. Way Ahead Suggestions • GCC Surgeon, staff • Assist in GCC maturation of campaign plans • Identify priority countries and lines of effort • Develop medial engagement plans that align with and support Line Objectives • Multi year • Measurable • MOEs supporting strategic objectives • MOPs supporting medical objectives • Work with appropriate J5 and other directorates • Identify component and SPP assets that can execute • Component/SPP surgeon, staff • Obtain and review TCP, CCPs • Work with GCC Surgeon’s Office and J5 • Ensure proper ‘tasking’ by GCC • Develop Campaign Support Plans • Focus on priority counties, LOEs • Work with country team with communication to GCC • Execute with MOEs, MOPs • AAR, Lesson Learned • Communicate to team doing follow-on engagement

16. QUESTIONS / COMMENTS