internal structure of the geographic naval medical
The objectives of establishing geographic
naval medical commands are to:
. Monitor the delivery of health care services
to active duty personnel and other eligible
l Assess and improve patient, staff, and
command satisfaction with the health care service
l Achieve more efficient, economical, and
effective use of health care resources.
. Achieve organizational uniformity within
the naval regional health care system, to simplify
and expedite the efficient provision of health
. Collect and submit accurate management
. Orient personnel in initial and subsequent
. Administer medical care programs, as
established by the COMNAVMEDCOM,
throughout the regional health care system.
. Decentralize coordination of readiness
issues such as MMARTs and unit augmentation
through the local contingency planning officer.
Naval Hospitals, Medical Clinics,
And Dental Clinics
Naval hospitals, medical clinics, dental clinics,
and subordinate branches and annexes are
assigned responsibility for the care and treatment
of the sick and injured in the following order:
. Primary Mission
. The care and treatment of military
personnel to expedite their return to full duty.
. The prompt disposition of patients who
require special treatment not satisfactorily avail-
able, or who are physically unfit for retention in
. To maintain a staff of manpower to
meet mobilization requirements (peacetime versus
l Secondary Mission
l Instruction of assigned medical and
. Care and treatment of all other eligible
. Authorized research and development.
l Cooperation with other military and
civil authorities in matters pertaining to health
The basic organization of naval hospitals,
medical clinics, and dental clinics is outlined in
figures 8-4, 8-5, and 8-6.
Detailed descriptions of component directo-
rates, special assistants, and committees are
contained in NAVMEDCOMINST 5450.1,
Organizational Manual for Geographic Naval
Medical Commands, Naval Hospitals, Naval
Medical Clinics, and Naval Dental Clinics.
Hospital and clinic directorates for medical,
nursing, administrative, and support functions are
responsible for direction of day-to-day operations
associated with health care delivery. These
directorates are generally comprised of a number
of departments and divisions. In addition to the
directorates, a variety of committees and special
assistants provide staff assistance to the CO/XO.
Medical Treatment Facilities
Medical treatment facilities of the DON are
classified as either fixed or nonfixed.
. Fixed Medical Treatment Facilities
. Hospital. A health treatment facility
capable of providing limited definitive inpatient
care. It provides emergency diagnostic,
therapeutic, and related services in general
medicine, surgery, preventive medicine, and
l Clinic. A health treatment facility that
provides limited emergency treatment and out-
patient care. A clinic also performs certain
nontherapeutic services, such as physical exami-
nations, immunizations, medical administration,
and preventive medicine services necessary to sup-
port a primary military mission. A clinic maybe
equipped with beds for observing patients
awaiting transfer to a hospital and for the care of
patients who cannot be cared for on an outpatient
basis, but who do not require admission to a hos-
pital facility. Patients cannot be kept overnight.