full presentation - Med-e-Tel

TJM 2006
U.S. ARMY MEDICAL RESEARCH & MATERIEL COMMAND
TATRC
TripleTriple-Helix Partnerships
Involving Innovative Enterprises
MG. Eric B Schoomaker, Commanding
Create innovative environments
Create disruptive technologies
Accelerate technology
advancements
Promote technology transfer
and commercialization
Provide value to society
From the Front Lines: Innovating Mobile
Health Care Solutions Bridging the
Technology and Clinical Gap
Tommy Morris
Director, Mobile Computing
Group
TATRC
Telemedicine & Advanced Technology Research Center
Cutting Edge Medical Technology
“Insanely great ideas are our number one priority”
priority”
TATRC
Mobile Computing Mission
TATRC
Why Mobile Computing?
Original business problems 19441944-present
Inadequate integration of occupational & environmental health exposure
exposure data
Identify/develop mobile
computing solutions and
effector systems integrated
with existing wireless
infrastructure
Inadequate Information, Acquisition, Retention beginning at first
first responder level
-Force Health Protection
-Disease surveillance
-Inadequate Automated Interfaces With DOD Systems
Improve military health
care via enhanced training
and more effective decision
making
Rapidly changing Department of Defense missions
-Requirements vary with mission
To maximize the amount of
medical data available for
health surveillance
-Homeland Security
-Peacekeeping
Creating Innovative Solutions
-Urban Warfare
-Disaster Response
Right technology to right person
at the right time
-Humanitarian Assistance
TATRC
Technology Insertion Process
National
Mission Requirements
Defense
Objectives
gy
nolo
Tech
Itera
tive
Res
rtunit
Oppo
Fielded Systems
ies
Medical Mission:
Provide & Document Care
Personnel Readiness
Medical Surveillance
Res
earc
h Pro
ject
s
TATRC
Innovating mobile solutions
Before deciding on technology, we must • Conduct business processes analysis
• Define a strategic interoperable framework
• Understand security requirements
Before implementing, we must assess earc
h
Pro
ces
s
TATRC
Demons
tration
Projects
Acquisition
Objectives
B
JROC
TRADOC/AMEDD C&S
Concepts
Technology
Requirements
Development
Product
Insertion
After implementing, we must measure -
C
Joint
Army
System Development
& Demonstration
• Impact on application performance:
•Complexity of implementation:
•Degree of leverage with existing initiatives:
•Cost:
TMIP
MC4
Production &
Deployment
• Impact to the customer
Operations &
Support
• Speed, reliability, visibility, & efficiency
DoD Acquisition Process
U.S. Army Telemedicine & Advanced Technology Research Center
This presentation is for informational purposes only. TATRC makes no warranties, express or implied, in this summary.
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TJM 2006
BMISTBMIST-J
TATRC
TATRC
Enterprise Deployment
Battlefield Medical Information System Tactical
Joint Force Health Surveillance
Blast Injury decision
support
Electronic Health Record
Medical
References
Top Tem Army’s
Greatest Invention
Provides allall-inin-one suite of
mobile applications that
empower providers via access
to critical medical information
and powerful clinical &
decision support tools to
accurately create an electronic
health record.
Synchronizes with Joint health
surveillance and medical
information systems from the
earliest echelons through
chronic care provided by the
Veterans Administration
180000
Point-of-Care
encounters legacy
systems
160000
140000
Point-of-Care
encounters BMIST/HSS
120000
100000
Point-of-Care
encounters
BMIST/TMIP/AHLTA
80000
60000
Number of systems in
use
40000
20000
Wireless monitoring
0
BMISTBMIST-J is the approved Joint solution for the Department of Defense surveillance
surveillance
need at the forward area of care with more than 20,000 in use world
world--wide
FY 02- FY 05- FY 06- FY 0703
06
07
08
MHS IM/IT
Program
TATRC
.NET Compact Framework
MHS IM/IT
Program
TATRC
Considerations
Rapid development
Decision Support Tool
Re
as
se
ss
me
nt
HX/Physical
Portability between platforms
Assessment
Single development
environment
Diagnosis
Improved development tools
Debugging
Speed
Tools
Support
TATRC
RX/TX
Sp
ec
ial
ty
Kn
ow
led
ge
Ba
se
s
Electronic Information Carrier
“Electronic Dog Tag”
TATRC
Information Architecture
WarFighter
(PIC)
Complete electronic health record
CHCSII
“Enroute Care”
XML File
XML File
HL7 3.0
HL7 3.0
XML FILE
HL7 3.0
JMeWS
Wireless electronic dog tag
Envisioned
TP
SM
Electronic dog tag
MEDIA
SYNC
Battalion Aid Station
MEDIA
Theatre Hospital or
Resuscitative surgery
Garrison Hospital
Interim
Databases
CLINICAL
DATA
REPOSITORY
(CDR)
Envisioned
Web Portal Sync
Top Tem Army’s
Greatest Invention
BMISTBMIST-J
(PDA)
U.S. Army Telemedicine & Advanced Technology Research Center
This presentation is for informational purposes only. TATRC makes no warranties, express or implied, in this summary.
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TJM 2006
TATRC
TATRC
Blood Information Program
(BIP) Built on the BMIST Architectural Standard
Better Quality of Care
Provides allall-inin-one suite of
mobile applications that
empower blood teams via
access to critical information
and powerful decision support
tools to manage blood
inventories
Includes:
– Blood Inventory Program
– Blood report generator
– Transfusion/Disposition
Module
Imbedded
References
Wireless inventory System
Army’s Greatest
Invention
BIP is currently be used by our blood teams worldwide
TATRC
Integration Efforts
TATRC
Veterinary Application
BMISTBMIST-V holds Military Working
Dogs’ (MWD) complete medical
records, including immunization
status. During deployment, data is
stored locally. Additionally This data
can be remotely transmitted and
stored by other Department of
Defense Systems.
Future Force Warrior
Virtual Soldier (DARPA)
Warrior Physiologic Status
Monitor (WPSM)
Life Support for Trauma and
Transport (LSTAT)
Provides:
Lifesigns detection
Casualty locator
View remote physiology
Prioritize actions
TATRC
Wireless Sensors
TATRC
Pocket TRAVAX
Pocket Travax is a
handheld tool that allows
users to to locate hospitals
or clinic that can provide
needed emergency
services by country
location or GPS
coordinates
Multiple patient monitoring
Multimedia electronic health record
Providing travelers
information for medical
emergencies
Nearby hospitals and
airfields are displayed
in relation to your
location.
Eventually provide
dynamic/realdynamic/real-time local
capabilities data
Hospitals are listed in
order nearest to you
Hospital description
Contact information &
GPS location
U.S. Army Telemedicine & Advanced Technology Research Center
This presentation is for informational purposes only. TATRC makes no warranties, express or implied, in this summary.
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TJM 2006
TATRC
BMIST Architectural Standard
TATRC
Transforming business processes and driving organizationorganization-wide benefits
Session Summary
BMISTBMIST- J is the approved solution for the DoD
Mobile computing technologies increase responsiveness
to medical situations
Enterprise Visibility
Make it simple to manage medical information
Initiatives reduce medical errors, and ensure that
soldiers have access to appropriate care once they
leave the military
Collaboration
Keep providers in sync
Individual Impact
Increase accuracy
selfself-sufficiency and
effectiveness
Mobile Solutions
applications with workflow
interoperability
Discovery
Make the right information
available to the right people
The BMIST architectural standard has potential to
become a De facto standard for mobile health care…
The Army’
Army’s
Top Ten Greatest
Invention 2003
Fundamentals
Make it secure,
user friendly and reliable
The Army’
Army’s
Top Ten Greatest
Invention 2004
TATRC
For More Information
Finalist U.S. Medicine
Frank Brown Berry Prize
Nominated Wired
RAVE Award
2005 Promising
Practices Award
2006 Agency Award
Fro Innovation
TATRC
TATRC
http://www.tatrc.org
Microsoft Case Study
http://www.microsoft.com/resources/casestud
ies/CaseStudy.asp?CaseStudyID=14900
ies/CaseStudy.asp?CaseStudyID=14900
TATRC
“Insanely great ideas are our number one priority”
Microsoft Video Case Study
http://www.microsoft.com/windowsmobile/_as
sets/video/business/US_Army_BMIS_300K.wv
x
U.S. Army Telemedicine & Advanced Technology Research Center
This presentation is for informational purposes only. TATRC makes no warranties, express or implied, in this summary.
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