LEARNING OBJECTIVE: Recall the policies and procedures for the drafting of a command medical readiness plan, and recall mobile medical personnel augmentation procedures.

As you advance in the Hospital Corps, you may be involved in assisting in the development of a command readiness plan. This is the process by which wartime medical requirements are filled by active duty and reserve personnel to bring units to their full or partial wartime allowance.

MEDICAL AUGMENTATION PROGRAM (MAP)

The Medical Augmentation Program is a computer-supported program that provides medical personnel to the operating forces during situations requiring medical personnel augmentation (additional personnel). Inherent in this system is the ability to monitor wartime manning readiness and determine the impact of future personnel requirements. The program also allows for the planning of training for Medical Department personnel. Other aspects that must be considered are the establishment of training requirements, the development of a readiness reporting system, and the phased deployment of personnel.

Augmentation Sources
Through MAP, the requirements of the operational commanders are combined with the active duty resources of the augmentation source commands. The commands that are to be supported by MAP are functional units, typically manned only at a minimum level during peacetime and requiring manpower augmentation in order to fulfill their missions during contingency situations. Current manpower authorization levels are not a factor in defining unit augmentation requirements. The augmentation sourcing units are CONUS-based medical and dental treatment facilities. These medical and dental facilities provide and train the augmentees. The sourcing units' assets are matched with the augmentation requirements.

Program Scope
The scope of the MAP is based on a worst-case scenario involving total augmentation to meet the early support requirements of the operational forces. This means bringing all operational units to their full allowances. Limited augmentation scenarios are also within the scope of this program. Double tasking is not permitted under the MAP. The MMART system is a subset of the MAP and should not be viewed as a separate entity. The MMART surgical/surgical support teams are incorporated into the system as the core of an LHA/LPH/LHD augment. Individuals may have both MMART and LHA/LPH/LHD mission assignments, but these are identical, not dual tasks. Specific unit platforms and training requirements are discussed in detail in the current version of Medical Augmentation Program (MAP), BUMEDINST 6440.5.

MOBILE MEDICAL AUGMENTATION READINESS TEAM (MMART)

The MMART system is a peacetime subset of the MAP. The mission of an MMART is to serve as a force of trained Medical Department personnel capable of rapidly augmenting operational forces for limited, short-term military operations, disaster relief missions, fleet and FMF exercises, and scheduled deployments. During contingencies requiring medical augmentation, the MMART surgical and surgical support teams become the integral augment core for LHA/LPH/LHDs. Other MMART teams dissolve into other augment units.

The MMART is a composite of separate teams manned by medical and dental specialists. The nucleus of the MMART is the surgical team. When combined, a number of distinct specialty teams comprise a single MMART. Afull composite MMARTconsists of one of each of the following component specialty teams:

Surgical team
Surgical support team
Head and neck trauma team
Neurosurgical team
Nursing team
Medical regulating team
Special psychiatric rapid intervention team (SPRINT)

Blood bank team
Preventive medicine team
Disaster relief/evacuation team
An MMART may be deployed as a full composite team. However, in most situations, an individual specialty team or a combination of specialty teams is all that is required. The personnel and material organization of the MMART may be modified at BUMED direction to meet the specific operation or disaster mission. MMARTs are generally deployed as intact units to an operational commander. These teams may be augmented or reduced as necessary, but they are deployed to a single unit. The exception to this situation is in medical regulating teams, which are fragmented to various ships to set up a medical regulating communications network. For further information about MMART, see the current version of Mobile Medical Augmentation Readiness Team (MMART) Manual, BUMEDINST 6440.6.