ATP 4-02.55 Army Health System Support Planning MARCH 2020 DISTRIBUTION RESTRICTION: Approved for public release; distribution is unlimited. This publication supersedes ATP 4-02.55, dated 16 September 2015. Headquarters, Department of the Army This publication is available at the Army Publishing Directorate site (https://armypubs.army.mil), and the Central Army Registry site (https://atiam.train.army.mil/catalog/dashboard). *ATP 4-02.55 Army Techniques Publication Headquarters No. 4-02.55 Department of the Army Washington, DC, 30 March 2020 Army Health System Support Planning Contents Page PREFACE................................................................................................................... vii INTRODUCTION ......................................................................................................... ix Chapter 1 ARMY HEALTH SYSTEM IN UNIFIED LAND OPERATIONS ................................ 1-1 Section I – The Role of Army Health System ........................................................ 1-1 Doctrine ..................................................................................................................... 1-1 Army Health System .................................................................................................. 1-1 Roles of Medical Care ............................................................................................... 1-4 Section II — The Application of Army Health System ......................................... 1-6 Chapter 2 ARMY HEALTH SYSTEM MEDICAL FUNCTIONS ................................................. 2-1 Section I – Medical Command and Control .......................................................... 2-1 Medical Command and Control Organizations.......................................................... 2-1 Communications ........................................................................................................ 2-4 Primary Task and Purpose ........................................................................................ 2-5 Section II — Medical Treatment (Organic and Area Support) ............................. 2-5 Organization and Personnel ...................................................................................... 2-5 Primary Task and Purpose ........................................................................................ 2-6 Section III — Medical Evacuation .......................................................................... 2-6 Medical Evacuation System ...................................................................................... 2-6 Planning Medical Evacuation .................................................................................... 2-7 Organizations ............................................................................................................ 2-7 Primary Task and Purpose ........................................................................................ 2-7 Evacuation Precedence ............................................................................................. 2-8 Responsibilities .......................................................................................................... 2-8 Theater Evacuation Policy ......................................................................................... 2-8 Combat Support Hospital and Hospital Center ....................................................... 2-10 Augmentation Teams .............................................................................................. 2-11 Primary Task and Purpose ...................................................................................... 2-11 Section V — Dental Services ................................................................................ 2-12 Categories of Dental Care ....................................................................................... 2-12 Primary Task and Purpose ...................................................................................... 2-13 Section VI — Preventive Medicine Services ....................................................... 2-13 Organization and Personnel .................................................................................... 2-14 DISTRIBUTION RESTRICTION: Approved for public release; distribution is unlimited. This publication supersedes ATP 4-02.55, dated 16 September 2015. ATP 4-02.55 i Contents Primary Task and Purpose ..................................................................................... 2-14 Section VII — Combat and Operational Stress Control .................................... 2-15 Organization and Personnel ................................................................................... 2-15 Primary Task and Purpose ..................................................................................... 2-15 Section VIII — Veterinary Services ...................................................................... 2-16 Veterinary Functions ............................................................................................... 2-16 Primary Task and Purpose ..................................................................................... 2-16 Section IX — Medical Logistics ........................................................................... 2-18 Medical Logistics Functions .................................................................................... 2-18 Primary Task and Purpose ..................................................................................... 2-19 Section X — Medical Laboratory Services ......................................................... 2-20 Clinical Laboratory Services ................................................................................... 2-20 Area Medical Laboratory Services .......................................................................... 2-20 Primary Task and Purpose ..................................................................................... 2-21 Chapter 3 Army Health System Support Plans and Orders ................................................. 3-1 Section I – Principles of planning ......................................................................... 3-1 Section II — Army Health System Support Planning .......................................... 3-2 Section III — The Army Health System Support Estimate .................................. 3-4 Format of the Army Health System Support Estimate .............................................. 3-4 Mission .................................................................................................................... 3-11 Courses of Action .................................................................................................... 3-11 Army Health System Support Analysis ................................................................... 3-11 Evaluation and Comparison of Courses of Action .................................................. 3-13 Conclusion .............................................................................................................. 3-13 Section IV — Running Estimate .......................................................................... 3-13 Section V — The Army Health System Support Plan and Order ...................... 3-14 Preparation of the Plan ........................................................................................... 3-14 Responsibility .......................................................................................................... 3-14 Purpose and Scope................................................................................................. 3-15 Format ..................................................................................................................... 3-15 Chapter 4 Computations .......................................................................................................... 4-1 Section I – Terminology ......................................................................................... 4-1 Casualty .................................................................................................................... 4-1 Hostile Casualty ........................................................................................................ 4-1 Nonhostile Casualty .................................................................................................. 4-2 Section II — Classification of Patients.................................................................. 4-3 Army Health System Support for Other Special Category Patients .......................... 4-4 Army Health System Support for Enemy Prisoners of War ...................................... 4-4 Section III — Patient Admission Rates ................................................................. 4-4 Section IV — Patient Admission Rate Computation ........................................... 4-6 Section V — Calculation of Patient Evacuation Requirements .......................... 4-6 Ambulances .............................................................................................................. 4-6 Air Ambulances ......................................................................................................... 4-7 Time Factors ............................................................................................................. 4-8 Computations ............................................................................................................ 4-8 Section VI — Automated Methodologies ...........................................................