Medical Readiness:

The U.S. Army Can Improve Its Management of POMCUS Hospital Equipment in Europe

NSIAD-86-197: Published: Sep 9, 1986. Publicly Released: Sep 9, 1986.

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GAO reviewed the Army's management of Prepositioned Overseas Materiel Configured to Unit Sets (POMCUS) hospital equipment in Europe.

GAO found that: (1) the U.S. Army, Europe, and Seventh Army (USAREUR) may be requisitioning unnecessary equipment for 11 POMCUS hospitals that will continue to have minimal capabilities until they receive deployable medical systems (DEPMEDS); (2) USAREUR cannot effectively manage its POMCUS medical equipment because of systematic weaknesses in the requisitioning procedures; (3) five USAREUR POMCUS general hospitals are capable of providing only limited medical support; and (4) USAREUR needs to more closely monitor the equipment status of its POMCUS hospitals.

Recommendations for Executive Action

  1. Status: Closed - Implemented

    Comments: The Army Surgeon General identified those items common to DEPMEDS and MUST systems, and cancelled all due ins for MUST peculiar items.

    Recommendation: To ensure that CEGE efforts to requisition equipment for pre-DEPMEDS POMCUS hospitals are properly coordinated with the Department of the Army's efforts to field DEPMEDS, the Commander-in-Chief, USAREUR, should direct the Commander, CEGE, to not requisition any additional equipment for these 11 hospitals until the Department of the Army identifies which items of equipment are common to both DEPMEDS and pre-DEPMEDS hospitals.

    Agency Affected: Department of Defense: Department of the Army: U.S. Army, Europe

  2. Status: Closed - Implemented

    Comments: The Army Surgeon General identified those items common to DEPMEDS and MUST systems, and cancelled all due ins for MUST peculiar items.

    Recommendation: The Commander-in-Chief, USAREUR, should direct the Commander, 7th Medical Command (MEDCOM) to coordinate with the Department of the Army to determine which items: (1) are common to both the pre-DEPMEDS and DEPMEDS hospitals; and (2) will not be included in the DEPMEDS fielding package.

    Agency Affected: Department of Defense: Department of the Army: U.S. Army, Europe

  3. Status: Closed - Implemented

    Comments: The Standard Army Intermediate Logistics System (SAILS), coupled with the MILSTRIP system, will provide the status of requisitions. CEGE has become a USAMMCE customer and will submit MILSTRIP requisitions for Class VIII POMCUS requirements. Requisitions will be placed into the routine SAILS cycle, which provides customer status.

    Recommendation: The Commander-in-Chief, USAREUR, should improve the requisitioning procedures and coordination among CEGE, the U.S. Army Medical Materiel Center, Europe (USAMMCE), and the U.S. Army Medical Materiel Agency (USAMMA) to ensure that CEGE receives timely and continuous information on the status of outstanding requisitions for POMCUS medical equipment.

    Agency Affected: Department of Defense: Department of the Army: U.S. Army, Europe

  4. Status: Closed - Implemented

    Comments: The verification was accomplished during August 1986. Requisitioned items were checked against open build directives and receipt notification from Burtonwood open document numbers were validated by USAMMA at that time.

    Recommendation: To ensure that the capabilities of the five pre-DEPMEDS POMCUS general hospitals are developed in an efficient and an effective manner, the Commander-in-Chief, USAREUR, should direct the Commander, 7th MEDCOM, to verify the current equipment status of these hospitals.

    Agency Affected: Department of Defense: Department of the Army: U.S. Army, Europe

  5. Status: Closed - Implemented

    Comments: USAMMA has all medical equipment items on order. A11 99 build directives were closed and the last items were to be shipped by March 1987.

    Recommendation: To ensure that the capabilities of the five pre-DEPMEDS POMCUS general hospitals are developed in an efficient and an effective manner, the Commander-in-Chief, USAREUR, should direct the Commander, 7th MEDCOM, to determine the status of USAMMA efforts to fill medical equipment shortages in these hospitals and take appropriate actions to ensure that all authorized medical equipment items are either on hand or being procured.

    Agency Affected: Department of Defense: Department of the Army: U.S. Army, Europe

  6. Status: Closed - Implemented

    Comments: Two hospitals have been warm-based. Efforts are being made to warm-base the remaining three. USAREUR has located sites for two of these hospitals, and continues to search for a fifth site.

    Recommendation: To ensure that the capabilities of the five pre-DEPMEDS POMCUS general hospitals are developed in an efficient and an effective manner, the Commander-in-Chief, USAREUR, should direct the Commander, 7th Medical Command (MEDCOM), to expedite efforts to acquire and develop warm-based sites.

    Agency Affected: Department of Defense: Department of the Army: U.S. Army, Europe

  7. Status: Closed - Implemented

    Comments: There is an approval Army TOE for the general hospital. This TOE identifies all equipment and personnel requirements for the general hospital.

    Recommendation: To ensure that the capabilities of the five pre-DEPMEDS POMCUS general hospitals are developed in an efficient and an effective manner, the Commander-in-Chief, USAREUR, should direct the Commander, 7th MEDCOM, to coordinate with other appropriate Army organizations to ensure that nonmedical equipment and personnel requirements are identified and that a Table of Organization and Equipment (TOE) is developed.

    Agency Affected: Department of Defense: Department of the Army: U.S. Army, Europe

  8. Status: Closed - Implemented

    Comments: All excess items have been identified and are being redistributed.

    Recommendation: To ensure that the capabilities of the five pre-DEPMEDS POMCUS general hospitals are developed in an efficient and an effective manner, the Commander-in-Chief, USAREUR, should direct the Commander, 7th MEDCOM, to identify and redistribute any excess items.

    Agency Affected: Department of Defense: Department of the Army: U.S. Army, Europe

  9. Status: Closed - Implemented

    Comments: The list of items not authorized for prepositioning were reviewed on December 15, 1986, by the Army Office of the Surgeon General. All items met the criteria for this program.

    Recommendation: To ensure that the capabilities of the five pre-DEPMEDS POMCUS general hospitals are developed in an efficient and an effective manner, the Commander-in-Chief, USAREUR, should direct the Commander, 7th MEDCOM, to determine whether any of the equipment that is not authorized for prepositioning is essential to support these hospitals' missions and, if it is, take appropriate action to ensure that the equipment is added to the list of authorized equipment.

    Agency Affected: Department of Defense: Department of the Army: U.S. Army, Europe

  10. Status: Closed - Implemented

    Comments: USAMMCE no longer replaces potency and dated items for these hospitals. Warm-based replacement of potency and dated items will be reinstituted.

    Recommendation: To ensure that the capabilities of the five pre-DEPMEDS POMCUS general hospitals are developed in an efficient and an effective manner, the Commander-in-Chief, USAREUR, should direct the Commander, 7th MEDCOM, to defer the replacement of potency and dated items until most of the equipment shortages are filled and the hospitals are warm-based.

    Agency Affected: Department of Defense: Department of the Army: U.S. Army, Europe

  11. Status: Closed - Not Implemented

    Comments: USAREUR does not intend to reduce any of its non-medical equipment requirements for its POMCUS general hospitals when they are warm-based. Their contention is that, even after warm-basing these hospitals, they will need all of their authorized non-medical equipment.

    Recommendation: To ensure that the capabilities of the five pre-DEPMEDS POMCUS general hospitals are developed in an efficient and an effective manner, the Commander-in-Chief, USAREUR, should direct the Commander, 7th MEDCOM, to determine what nonmedical equipment is available at the warm-based sites or through host nation support.

    Agency Affected: Department of Defense: Department of the Army: U.S. Army, Europe

  12. Status: Closed - Implemented

    Comments: During August 1986, the equipment status of the five hospitals was identified. The items requisitioned were checked against open build directives, and receipt notification from Burtonwood open document numbers were validated by USAMMA at that time.

    Recommendation: The Commander-in-Chief, USAREUR, should direct the Commander, CEGE, to request cancellation of all equipment requisitions for these five general hospitals and defer submitting any additional requisitions until: (1) the hospitals' equipment status and equipment requirements have been determined; and (2) 7th MEDCOM has determined what nonmedical equipment is available at the warm-based sites and/or through host nation support.

    Agency Affected: Department of Defense: Department of the Army: U.S. Army, Europe

  13. Status: Closed - Implemented

    Comments: USAREUR recommended to the Army Surgeon General, and the Surgeon General concurred, that DEPMEDS equipment not be purchased for the five general hospitals. The hospitals were deleted from the DEPMEDS distribution schedule.

    Recommendation: In view of ongoing efforts to enhance the readiness of the five general hospitals, the Commander-in-Chief, USAREUR, should advise the Department of the Army that it is not necessary to replace these equipment sets with DEPMEDS equipment.

    Agency Affected: Department of Defense: Department of the Army: U.S. Army, Europe

  14. Status: Closed - Implemented

    Comments: CEGE will submit standard MILSTRIP requisitions for all Class VIII POMCUS requirements. The requisitions will be forwarded to USAMMCE and placed in the routine SAILS cycle, which provides customer automatic status. By using MILSTRIP and SAILS, requisitions are validated and the status is furnished to CEGE and USAMMA.

    Recommendation: To ensure that USAREUR can effectively manage its POMCUS hospital equipment and properly prepare for its wartime medical mission, the Commander-in-Chief, USAREUR, should direct the Commander, 7th MEDCOM, to verify the medical equipment status of all POMCUS hospitals and provide the results to CEGE.

    Agency Affected: Department of Defense: Department of the Army: U.S. Army, Europe

  15. Status: Closed - Implemented

    Comments: CEGE will submit standard MILSTRIP requisitions for all Class VIII POMCUS requirements. The requsitions will be forwarded to USAMMCE and placed in the routine SAILS cycle which provides customer automatic status. By using MILSTRIP and SAILS, requisitions are validated and the status is furnished to CEGE and USAMMA.

    Recommendation: To ensure that USAREUR can effectively manage its POMCUS hospital equipment and properly prepare for its wartime medical mission, the Commander-in-Chief, USAREUR, should direct the Commander, 7th MEDCOM, to validate POMCUS hospitals' outstanding medical equipment requisitions and provide the results to CEGE and USAMMA.

    Agency Affected: Department of Defense: Department of the Army: U.S. Army, Europe

  16. Status: Closed - Implemented

    Comments: A locally developed computer system has been implemented that gives USAMMC visibility over medical equipment sets in POMCUS.

    Recommendation: To ensure that USAREUR can effectively manage its POMCUS hospital equipment and properly prepare for its wartime medical mission, the Commander-in-Chief, USAREUR, should direct the Commander, 7th MEDCOM, to coordinate the development and installation of a medical equipment set management information system for USAMMCE.

    Agency Affected: Department of Defense: Department of the Army: U.S. Army, Europe

  17. Status: Closed - Implemented

    Comments: The Army Surgeon General identified those items common to DEPMEDS and MUST systems, and cancelled all due ins for MUST peculiar items.

    Recommendation: To ensure that U.S. Army Combat Equipment Group, Europe (CEGE) efforts to requisition equipment for pre-DEPMEDS POMCUS hospitals are properly coordinated with the Department of the Army's efforts to field DEPMEDS, the Commander-in-Chief, USAREUR, should direct the Commander, CEGE, to request that the appropriate National Inventory Control Points cancel all outstanding requisitions for the 11 hospitals that currently have little, if any, of their authorized medical equipment sets and will not receive any additional medical equipment sets prior to receiving DEPMEDS.

    Agency Affected: Department of Defense: Department of the Army: U.S. Army, Europe

  18. Status: Closed - Implemented

    Comments: The Army will use SAILS and MILSTRIP to ensure visibility over equipment status of POMCUS hospitals. Status reports can be obtained from USAMMCE and CEGE, which provide the necessary visibility.

    Recommendation: To ensure that USAREUR can effectively manage its POMCUS hospital equipment and properly prepare for its wartime medical mission, the Commander-in-Chief, USAREUR, should direct the Commander, 7th MEDCOM, to establish reporting requirements for USAMMCE that will ensure greater visibility over the equipment status of POMCUS hospitals' medical equipment and that will allow management to: (1) identify equipment problems that have a critical impact on readiness; and (2) take timely and appropriate action to correct these problems.

    Agency Affected: Department of Defense: Department of the Army: U.S. Army, Europe

 

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