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JP 4-02, Joint Health Services Joint Publication 4-02 OF NT TH E E W M I S E' L L H D T E F T E N A R D R A M P Y E D • • U A N C I I T R E E D M S A T F AT E S O Joint Health Services 17 December 2017 Incorporating Change 1 28 September 2018 PREFACE 1. Scope This publication provides doctrine to plan, prepare, and execute joint and combined health services across the range of military operations. 2. Purpose This publication has been prepared under the direction of the Chairman of the Joint Chiefs of Staff (CJCS). It sets forth joint doctrine to govern the activities and performance of the Armed Forces of the United States in joint operations, and it provides considerations for military interaction with governmental and nongovernmental agencies, multinational forces, and other interorganizational partners. It provides military guidance for the exercise of authority by combatant commanders and other joint force commanders (JFCs), and prescribes joint doctrine for operations and training. It provides military guidance for use by the Armed Forces in preparing and executing their plans and orders. It is not the intent of this publication to restrict the authority of the JFC from organizing the force and executing the mission in a manner the JFC deems most appropriate to ensure unity of effort in the accomplishment of objectives. 3. Application a. Joint doctrine established in this publication applies to the Joint Staff, commanders of combatant commands, subordinate unified commands, joint task forces, subordinate components of these commands, the Services, and combat support agencies. b. The guidance in this publication is authoritative; as such, this doctrine will be followed except when, in the judgment of the commander, exceptional circumstances dictate otherwise. If conflicts arise between the contents of this publication and the contents of Service publications, this publication will take precedence unless the CJCS, normally in coordination with the other members of the Joint Chiefs of Staff, has provided more current and specific guidance. Commanders of forces operating as part of a multinational (alliance or coalition) military command should follow multinational doctrine and procedures ratified by the United States. For doctrine and procedures not ratified by the US, commanders should evaluate and follow the multinational command’s doctrine and procedures, where applicable and consistent with US law, regulations, and doctrine. For the Chairman of the Joint Chiefs of Staff: KEVIN D. SCOTT Vice Admiral, USN Director, Joint Force Development i Preface Intentionally Blank ii JP 4-02 SUMMARY OF CHANGES REVISION OF JOINT PUBLICATION 4-02 DATED 26 JULY 2012 • Clarifies United States military roles of medical care. • Clarifies Joint Task Force Surgeon notional office organization. • Clarifies Armed Services Blood Program operational procedures. • Includes new information on comprehensive health surveillance. • Includes new information on chemical, biological, radiological, and nuclear (CBRN) environmental considerations. • Includes new information on elements of Patient Movement System. • Updates Patient Movement Items - Asset Tracking System locations. • Updates definitions, references, acronyms, and eliminates self-defining terms. • Acknowledges tactical combat casualty care integration in support of the joint force. • Acknowledges Medical Planners’ Toolkit and Joint Medical Planners’ Tool as approved means for calculating health services requirements. • Adds a requirement for deploying units that will ensure effective implementation and operation of the new electronic health record across the Joint Force. (CH1) iii Summary of Changes Intentionally Blank iv JP 4-02 (CH1) TABLE OF CONTENTS EXECUTIVE SUMMARY ............................................................................................... ix CHAPTER I OVERVIEW Introduction ................................................................................................................. I-1 Military Health System ............................................................................................... I-1 Principles of Joint Health Services ............................................................................. I-1 Joint Health Services Capabilities .............................................................................. I-3 Defense Health Agency .............................................................................................. I-7 CHAPTER II HEALTH SERVICE SUPPORT Overview ....................................................................................................................II-1 Casualty Management ................................................................................................II-1 Patient Movement ......................................................................................................II-3 Medical Logistics .......................................................................................................II-6 Health Information Management ...............................................................................II-6 CHAPTER III FORCE HEALTH PROTECTION Overview .................................................................................................................. III-1 Casualty Prevention ................................................................................................. III-1 Preventive Medicine ................................................................................................ III-1 Comprehensive Health Surveillance and Risk Management ................................... III-2 Biosurveillance ........................................................................................................ III-3 Combat and Operational Stress Control .................................................................. III-3 Preventive Dentistry ................................................................................................. III-3 Vision Readiness ...................................................................................................... III-4 Hearing Conservation .............................................................................................. III-4 Laboratory Services ................................................................................................. III-4 Veterinary Services .................................................................................................. III-5 CHAPTER IV ROLES AND RESPONSIBILITIES Overview .................................................................................................................. IV-1 Command and Control ............................................................................................. IV-1 Joint Force Surgeon ................................................................................................. IV-1 Organizing the Joint Force Surgeon’s Office ........................................................ IV-11 Joint Force Surgeon’s Office Battle Rhythm ......................................................... IV-25 Joint Force Surgeon Reachback ............................................................................. IV-26 Staff Organizations ................................................................................................ IV-27 v Table of Contents CHAPTER V HEALTH SUPPORT OPERATIONS Overview ................................................................................................................... V-1 Combat Operations ................................................................................................... V-1 Stability Actions........................................................................................................ V-1 Civil-Military Operations.......................................................................................... V-4 Defense Support of Civil Authorities ....................................................................... V-8 Multinational Operations .......................................................................................... V-9 Detainee Operations ................................................................................................ V-14 Operations in a Chemical, Biological, Radiological, and Nuclear Environment ............................................................................................................ V-16 Special Operations Forces....................................................................................... V-19 Operational Contract Support ................................................................................. V-22 CHAPTER VI JOINT HEALTH PLANNING Introduction .............................................................................................................. VI-1 Health Support Planning Considerations ................................................................. VI-1 Planning Joint Medical Logistics ............................................................................. VI-9 Medical Planning Tools ......................................................................................... VI-10 APPENDIX A Patient Movement ..................................................................................... A-1 B Medical Logistics Support .........................................................................B-1 C Casualty Prevention ....................................................................................C-1 D Intelligence Support to Joint Health
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