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The
Committee of the Chiefs of
Military Medical Services in NATO
COMEDS
Outline
1
New Requirements
2
COMEDS Structures
3
COMEDS Mission & Function
4
Current Examples
Medical in Cold War Era
Operational
Health
Theatre
Risk
Preparation
National
Timelines
Responsibility
“Driving Factors”
Economic Situation
Impact of Globalization
Politics and Strategy
Health Environment
“Medical Transformation”
Remote Locations
Health Risk
Short Notice
Preventive Med
Highly Mobile
Expeditionary Forces
Preparation
Force Protection
Reduced
Logistic Footprint
Multinational
Integration
Background: Log & Med ?
• Med Intel
Medical
• Force Prot
• Med CIS
• Med CIMIC
• Spec care
• Med Plans
• Deployment...RSOM
• Medical Supplies
Logistics
• Transportation
 Strat. Aeromedevac
COMEDS History
1949
???
1960
1970
1968
EUROMED
1993
COMEDS
2005/06
COMEDS
1980
1990
2000
Reorganization
NORTH ATLANTIC
COUNCIL
DPC
CIVIL
MILITARY
Sec Gen
Civilian
Committees
Fora
and
Agencies
NPG
MILITARY
COMMITEE
Fora
and
COMEDS
Agencies
IMS
IS
ACO
ACT
Military Command Structure
COMEDS Structure
NATO Nations
Chairman
26
NCS
4
Other
Observers
PfP Countries
5
23
MD
7
COMEDS Mission
Enhance the overall military medical
posture of the Alliance by :
 Advising the Military Committee
 Acting as coordinating body
COMEDS Function
• Report to/guidance from Military Committee
• Principles : MC326/2, AJP 4.10, Series of
STANAGS and Allied Medical Publications
• Liaison with all relevant organizations
• Act as facilitator:
• Consensus between national med positions
• Balance medical needs in military framework
COMEDS Organization
MILITARY COMMITTEE
COMEDS
LEADERSHIP
Liaison Officer
Military Medical Steering Group
Main
Working
Groups
Health
Care
Operations
Procedures
Medical
CBRN
Secretary
Standardization
(Doctrine)
IER
EXPERT
Panels
MPM
EM
MT
DS
FHTVS
MedN
MedCIS
MP
BIOMEDAC
MMMP
SGPME
COMEDS Expert Panels
MPM
Military Preventive Medicine
MT
Medical Training
EM
Emergency Medicine
MMMP
DS
FHTVS
MP
Dental Service
Food Hygiene Technology Veterinary Services
Military Psychiatry
MedCIS
Medical Communication and Information Systems
SGPME
Standing Group Partners Medical Experts
BioMedAC
NAVAL
(
Medical Material and Military Pharmacy
IER
Biological Medical Advisory Council
Medical Naval
Medical Information Exchange Requirements Function
)
Organisation of Work
1
COMEDS
Level 1
Vision & Objectives
2
MMSG
Level 2
Requirements
Working Groups
Level 3
Requirements
=
Program of
Work
3
Expert Panels
Vision & Objectives
4 Main Themes
Operational
Environment (OE)
Professional Medical
Development (PD)
8 Objective areas
• medical policy & doctrine
• sustainability of forces
• relation mil – civ IOs
•deployability of forces
• availability of forces
Societal Influences (SI)
• medical command & control
• medical information systems
Efficency (EF)
• interoperability with partner nations
Policy & Doctrine
POLICY
Advisory
Committee
Military Committee
Delegated
Tasking Authorities
DOCTRINE
Standardization
Board
Working Groups
Working Groups
Expert Panels
Expert Panels
“Two-fold approach” at COMEDS
: MEDICAL Standardization
: MEDICAL Policy
Military Committee
MCJSB
COMEDS
MCMedSB
MM Steering Group
MedStdWG
MMSOP
MilHC
MedCBRN
Expert Panels
NSA
MCLSB
MCMSB
MCASB
Working Groups
Expert Panels