Authorized Medical Allowance Lists (AMAL) and the Authorized Dental Allowance List (ADAL) Review Process in the Department of the NAVY

Abstract

The AMAL and ADAL are clinically driven documents that specify the minimum quantity of equipment and consumable items required by the U.S. Navy’s operating forces Health Services Departments. These lists ensure that the necessary medical capability and capacity are met based on Required Operational Capabilities (ROC) and Projected Operating Environment (POE). To enhance the AMAL/ADAL Review process, the study employed the Define Measure Analyze Improve Control (DMAIC) methodology. Process Mapping was used to visualize the steps in the current process, identify areas with limited value, and understand the flow of materials and information. The goal is to create an improved process flow, establish roles and responsibilities, and align with the National Defense Authorization Act (NDAA) requirements. In summary, DMAIC provides a structured approach to optimize and stabilize business processes, ultimately enhancing medical and dental readiness for Navy forces. Key Terms — Department of Defense Instruction (DODINST); Distributed Maritime Operations (DMO); Joint Capability and Integration Development System (JCIDS); Required Operational Capability and Projected Operational Environment (ROC/POE).