Proposed Multinational Medical Treatment Facility operational readiness framework
| Planning (preparation) | Initial operational capability (pre-deployment) | Full operational capability (deployment) | Postoperational capability (redeployment) | Maintenance of interoperability (readiness) | |
|---|---|---|---|---|---|
| Individual | Coalition cultural awareness | Mission-specific preparation | Establish integrated battle rhythm | Members consolidate equipment and supplies | Physical fitness and common military skills |
| Unit | Coordinate medical HQ communications | High-fidelity simulation exercises | In-theatre simulation training | Review mission specific training | Participate in annual coalition health care conference |
| Command | Establish command and control (C2) framework | Health record and administration conformity | Facilitate ongoing educational rounds | Submit AAR with actionable points | Regular multinational comined field hospital exercises |
| National | Respect member capabilities and preferences | Implement theatre communication and information (CIS) training | Acquisition of aggregated MTF statistics/data | Appropriate rest cycle | Develop unified medical standards and CPGs |
| Coalition | Define national responsibilities, tasks, and SOPs | Standardize medical equipment and mechanism of resupply | Re-evaluate roles of care and evacuation through theatre-wide VTC | Lessons learned | Adoption of NATO STANAGs |
AAR = after action report; CIS = communication and information system; CPGs = clinical practice guidelines; HQ = headquarters; MTF = Medical Treatment Facility; NATO = North Atlantic Treaty Organization; SOPs = standard operating procedures; STANAGs = standardization agreement; VTC = video teleconference.