Presentation on theme: "PATIENT MOVEMENT NDMS Conference Orlando, FL 1-4 May 2005 Mark Mahar."— Presentation transcript:
1PATIENT MOVEMENTNDMS ConferenceOrlando, FL 1-4 May 2005Mark Mahar
2United States Transportation Command (USTRANSCOM) PATIENT MOVEMENTUnited States Transportation Command (USTRANSCOM)ResponsibilitiesGlobal patient movementJoint policy guidance and doctrinePatient Movement Requirement Centers (PMRCs)Develop an Automated Information System (AIS) to support global patient movement: TRAC2ES1) USTRANSCOM is the designated Unified Command responsible for both parts of the PATIENT MOVEMENT process—coordinating for lift and regulating the patient to the correct bed or medical capabilityJoint policy guidance/doctrine was developed and presented to the user communityPATIENT MOVEMENT Requirements Centers (PMRCs) as organizational entities were created to manage and streamline PATIENT MOVEMENT coordinationUSTRANSCOM was tasked to develop an Automated Information System (AIS) to support the global PATIENT MOVEMENT process-- TRAC2ES
3PATIENT MOVEMENT Directives DODD Health Services Operations And Readiness (Jan 98)DODI – Patient Movement (Sep 98)Joint PUB – Joint Tactics, Techniques And Procedures For Patient Movement in Joint Operations (Dec 96)
4TRANSPORTATION COMMAND REGULATING AND C2 COMMAND AND CONTROL PATIENT MOVEMENTTRAC2ESTRANSPORTATION COMMANDREGULATINGANDC2 COMMAND AND CONTROLEVACUATIONSYSTEM
5TRAC2ES MISSION STATEMENT PATIENT MOVEMENTTRAC2ES MISSION STATEMENTCombine transportation, logistics and clinical decision support elements into a seamless patient movement information management system which is capable of visualizing, assessing and prioritizing patient movement requirements, assigning proper resources and distributing relevant data to efficiently deliver patients. In other words: Gather requirements, match with available lift and facility capability. All data will be in an electronic format.
6PATIENT MOVEMENT TRAC2ES Vision USTRANSCOM Manage patient movement with total visibility and worldwide responsiveness.
7PATIENT MOVEMENT What is TRAC2ES? AIS that supports global patient movementInitial Operating Capability (IOC) - Jul 01Primary user interface is web-basedUsed by PMRCs, Medical Treatment Facilities (MTF) fixed and deployed and Command and Control (C2) Units
8PATIENT MOVEMENT What is TRAC2ES? - Cont. Available data consists of: Patient Movement Requests (PMRs)Mission data (routes, timings, patient loads, etc)Patient tracking data (itinerary, last reported location, etc)Facility data (locations, capabilities, contact numbers, etc.)
9PATIENT MOVEMENT What TRAC2ES is NOT! TRAC2ES is not an “Air Force” system It is a Department of Defense system. USTRANSCOM is the primary agent for the management of the patient movement requirements. TRAC2ES does not own any lift capability. Lift information is input into the system. TRAC2ES only tracks patients while they are in the patient movement system. Once they are delivered to final destination, tracking ceases. Does NOT provide In-transit visibility (ITV) of patients while receiving treatment.
102. PMRC: Regulators/PMCC 4. PMRC: Duty Controllers PATIENT MOVEMENT2. PMRC: Regulators/PMCCValidate PMR/Edit PMRError Check PMR/Approve PMR3. PMRC: Duty OfficersCreate MissionsCreate Lift Bed Plan Edit Lift Bed Plan Approve Plan1. MTF:PM Clerks Submit PMREdit PMRView Itinerary View Manifest Submit ITVTRAC2ES Database4. PMRC: Duty ControllersMonitor MissionsMonitor MoveIn-Transit VisibilityTRAC2ES Users Are The Key Patient Movement requires the effort of multiple services and disciplines.
12Medical Treatment Facilities: Any Service PATIENT MOVEMENTMedical Treatment Facilities: Any ServicePatient Movement Clerks:Prepare patients and documents for movementCoordinate ground movement to airfieldCoordinate directly with PMRC for urgent, priority and any special movesReceive patients regulated to their facilityEnter ITV events for patients leaving and arriving at their facilityBed reporting and medical capabilitiesUpdate facility contact info in TRAC2ES
13PMRC LOCATIONS PATIENT MOVEMENT REQUIREMENT CENTERS -RESPONSIBLE FOR REGULATING AND OVERSIGHT OF STRATEGIC PATIENT MOVEMENT INTO/WITHIN THEIR AOR-VALIDATE THE PATIENT MOVEMENT REQUESTS AND PASS THE REQUIREMENT ON TO THE OWNERS OF THE LIFT; 99.99% OF LIFT PROVIDED BY AMCGPMRC- GLOBAL PATIENT MOVEMENT REQUIREMENT CENTER LOCATED AT SCOTT AFB, TRANSCOM ELEMENT. SERVES AS GLOBAL OVERSIGHT FOR PATIENT MOVEMENT AND TPMRC FOR CONUS, SOUTHCOM AND NEAR OFFSHORE (GITMO, PEURTO RICO0TPMRC(E)- LOCATED AT RAMSTEIN AFB GERMANY, RESPONSIBLE TPMRC FOR EUCOM, ICELAND AND GREENLANDTPMRC(P)- LOCATED AT HICKHAM AFB HAWAII, RESPONSIBLE FOR PATIENT MOVEMENT IN PACOMJPMRC- JOINT PMRC LOCATED IN QATAR, AOR IS CENTCOM
14Patient Movement Requirements Centers Global Patient Movement Requirements Center: USTRANSCOMTheater Patient Movement Requirements Centers: EUCOM/PACOMJoint Patient Movement Requirements Centers: CENTCOM/ Notional in KoreaResponsibilities:Validate requests for movement within their theaterPass validated requirements to lift agenciesMonitor clinical status/trends of patients being movedCoordinate special requirements for patient movementTRAC2ES Subject Matter ExpertsControl access to TRAC2ES serversExercise participation
15How do you access TRAC2ES? PATIENT MOVEMENTHow do you access TRAC2ES?PMRCs: Responsible for the area where you are located. Issue: User Logins and Passwords to access their server. EUCOM, PACOM and CENTCOM users: routed thru GPMRC server Back Up server up and running in CONUS User Logins issued to individual users. No “office” logins permitted. No sharing Logins or Passwords.
16PATIENT MOVEMENT Logging on to TRAC2ES Must be from .mil or .gov computer Recommended browsers: Mozilla or Internet Explorer Will work with other versions but performance may be sub-optimal URL: https://www.trac2es.transcom.mil Exercise Servier: https://www.exercise.trac2es.transcom.mil/etdbs2
17TRAC2ES: Security Features PATIENT MOVEMENTTRAC2ES: Security FeaturesHandles unclassified information to provide patient and mission information - Security features include the following * Safeguards Sensitive But Unclassified (SBU) information * Creates a permanent record * Provides an audit trail of all data There is a High Side TRAC2ES * “One way” Guard to transfer data low to high
18PATIENT MOVEMENT TRAC2ES: User roles What you see in TRAC2ES will depend on the role you are assigned by the system administrator. Roles are assigned based on your job description and requirement to access the database. Possible to assign C2 leadership access to track their soldiers without revealing personal medical information. Users are expected to access only information required to perform their duties. Violation of patient’s confidential information using information acquired thru TRAC2ES is an offense.
19PATIENT MOVEMENT TRAC2ES: Tidbits -Will not accept a PMR for the same person, based on ID number, from the same originating facility with the same ready date. Prevents duplication of requests to move a patient. -Has a “Time Out” feature of 20 minutes after inactivity. Make sure you save often or you will lose work. -Primary and back up servers replicate to each other. Replication normally takes between 5-10 minutes. Ability to see all move requests worldwide. - Archive server maintains record of PMRs forever. Records are moved from active to the archive server 60 days after they are placed in the COMPLETED state.
20PATIENT MOVEMENT TRAC2ES: Tidbits, cont. -Has a download file that takes data from TRAC2ES and imports it into an Excel spreadsheet. Data can then be manipulated to suit user requirements.-Download file only available to Surgeon General offices and only contains data on that services movement.-Has capability to generate reports on movement data such as aircraft usage and inter/intra theater moves.
21PATIENT MOVEMENT TRAC2ES: Limitations -Users have access to a vast amount of information contained in the database and can modify the data Solution: Users must only access and edit records that are from their MTF -When the server goes down at one location, this affects replication and records that are in the system. These records may not be visible to users looking at the system from another server. Solution: Call the PMRC. They may have visibility that you do not have access to.
22TRAC2ES: Limitations, cont. PATIENT MOVEMENTTRAC2ES: Limitations, cont.-If bandwidth is narrow, TRAC2ES is very slow and can take HOURS to submit a single PMR Solution: The PMRC has a form you can or fax to them and they will input the record. TRAC2ES Mobile(T-mobile) is designed to work offline with connection to the internet only required to send and receive data. T-mobile also allows users to save data to a disk.
23The Bottom Line“Timely, customer-focused global mobility in peace and war through efficient, effective, and integratedtransportation from origin to destination.”RIGHT TIMERIGHT MODERIGHT CAREMy bottom line leaves you where we beganUSTRANSCOM is a peace and wartime forceWe work hard to be both efficient and effective in leading the Defense Transportation System