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patients according to the agreement, but it was never passed on to the 
AOR AECC/JMRO, even after numerous inquiries. As a result, patients 
weren't evacuated as effectively and efficiently as they should have 
been. 
 
Recommendation. If an agreement is reached on a matter such as this, 
it should be followed. If, for some reason, the concept agreed upon is 
found to be impractical, it should be readdressed by all parties 
concerned so that a workable solution can be reached. 
 
(~) Preplanned Strategic AE Missions. 
 
Observation. The AOR AECC encountered consistent problems in 
requesting preplanned strategic AE missions that had been previously 
validated by the CENTCOM Joint Movement Control Center. 
 
Discussion. In December, the CENTCOM JMCC prevalidated 11 preplanned 
strategic AE missions in anticipation of hostilities. They also 
designated the CENTAF AECC as the CENTCOM executive agent for the 
request and validation of preplanned strategic AE mission 
requirements. However, each time the AECC requested such missions from 
USTRANSCOM/CAT and HQ MAC/CAT, they were denied. Those agencies 
requested the AECC route their requests back through the JMCC for 
validation. The JMCC became frustrated, stating they had already 
validated up to 11 such missions and given the AECC authority to pass 
on the requirements. In spite of numerous messages and phone calls 
between CENTCOM and TRANSCOM/HQ MAC, difficulties were encountered 
every single time the AECC requested a preplanned AE mission. 
 
Recommendation. The authority and procedures for requesting preplanned 
strategic AE missions need to be readdressed by the major players. ~ 
 
(4) Strategic Hub Concept. 
 
Observation. As the focal points for tactical and strategic AE 
interface, the five strategic hubs became critical points in the AE 
operation. The concept of designating a Director of Aeromedical 
Operations at each hub to standardize AE operating procedures proved 
to be successful, but it also created confusion in its revolutionary 
approach to single-point management. 
 
Discussion. The purpose of the DAO position was to standardize AE 
operating procedures at each of the five strategic 
.AE hubs. The DAO served as the focal point for coordinating and 
directing all aeromedical evacuation activities at each hub. The 
-DAOs were tasked with exercising operational control over all 
elements at the hub which were directly involved in AE operations. 
Those elements included the AECE, ASF, MASF, AE crews, and patient 
reception element. The patient reception element was an Army clearing 
company/platoon or a Navy or Marine Corps collecting and 
 
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