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U S T R A N S C O M USTRANSCOMUSTRANSCOM PATIENT MOVEMENT NDMS Conference Orlando, FL 1-4 May 2005 Mark Mahar.

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Presentation on theme: "U S T R A N S C O M USTRANSCOMUSTRANSCOM PATIENT MOVEMENT NDMS Conference Orlando, FL 1-4 May 2005 Mark Mahar."— Presentation transcript:

1 U S T R A N S C O M USTRANSCOMUSTRANSCOM PATIENT MOVEMENT NDMS Conference Orlando, FL 1-4 May 2005 Mark Mahar

2 U S T R A N S C O M USTRANSCOMUSTRANSCOM PATIENT MOVEMENT United States Transportation Command (USTRANSCOM) Responsibilities Global patient movement Joint policy guidance and doctrine Patient Movement Requirement Centers (PMRCs) Develop an Automated Information System (AIS) to support global patient movement: TRAC2ES

3 U S T R A N S C O M USTRANSCOMUSTRANSCOM PATIENT MOVEMENT 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) Directives

4 U S T R A N S C O M USTRANSCOMUSTRANSCOM PATIENT MOVEMENT TRAC2ES T RANSPORTATION COMMAND R EGULATING A ND C2 COMMAND AND CONTROL E VACUATION S YSTEM

5 U S T R A N S C O M USTRANSCOMUSTRANSCOM TRAC2ES MISSION STATEMENT Combine 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. PATIENT MOVEMENT

6 U S T R A N S C O M USTRANSCOMUSTRANSCOM U S T R A N S C O M USTRANSCOMUSTRANSCOM TRAC2ES Vision Manage patient movement with total visibility and worldwide responsiveness.

7 U S T R A N S C O M USTRANSCOMUSTRANSCOM AIS that supports global patient movement Initial Operating Capability (IOC) - Jul 01 Primary user interface is web-based Used by PMRCs, Medical Treatment Facilities (MTF) fixed and deployed and Command and Control (C2) Units PATIENT MOVEMENT What is TRAC2ES?

8 U S T R A N S C O M USTRANSCOMUSTRANSCOM 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.) PATIENT MOVEMENT What is TRAC2ES? - Cont.

9 U S T R A N S C O M USTRANSCOMUSTRANSCOM 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. What TRAC2ES is NOT! PATIENT MOVEMENT

10 U S T R A N S C O M USTRANSCOMUSTRANSCOM TRAC2ES Users Are The Key Patient Movement requires the effort of multiple services and disciplines. 1. MTF: PM Clerks Submit PMR Edit PMR View Itinerary View Manifest Submit ITV 2. PMRC: Regulators/PMCC Validate PMR/Edit PMR Error Check PMR/Approve PMR 3. PMRC: Duty Officers Create Missions Create Lift Bed Plan Edit Lift Bed Plan Approve Plan 4. PMRC: Duty Controllers Monitor Missions Monitor Move In-Transit Visibility TRAC2ES Database PATIENT MOVEMENT

11 U S T R A N S C O M USTRANSCOMUSTRANSCOM USTRANSCOMUSTRANSCOM Patient Movement

12 U S T R A N S C O M USTRANSCOMUSTRANSCOM Patient Movement Clerks: Prepare patients and documents for movement Coordinate ground movement to airfield Coordinate directly with PMRC for urgent, priority and any special moves Receive patients regulated to their facility Enter ITV events for patients leaving and arriving at their facility Bed reporting and medical capabilities Update facility contact info in TRAC2ES PATIENT MOVEMENT Medical Treatment Facilities: Any Service

13 U S T R A N S C O M USTRANSCOMUSTRANSCOM PMRC LOCATIONS

14 U S T R A N S C O M USTRANSCOMUSTRANSCOM Global Patient Movement Requirements Center: USTRANSCOM Theater Patient Movement Requirements Centers: EUCOM/PACOM Joint Patient Movement Requirements Centers: CENTCOM/ Notional in Korea Responsibilities: –Validate requests for movement within their theater –Pass validated requirements to lift agencies –Monitor clinical status/trends of patients being moved –Coordinate special requirements for patient movement –TRAC2ES Subject Matter Experts –Control access to TRAC2ES servers –Exercise participation PATIENT MOVEMENT Patient Movement Requirements Centers

15 U S T R A N S C O M USTRANSCOMUSTRANSCOM 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. PATIENT MOVEMENT How do you access TRAC2ES?

16 U S T R A N S C O M USTRANSCOMUSTRANSCOM Must be from.mil or.gov computer Recommended browsers: Mozilla or Internet Explorer 6.0 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 PATIENT MOVEMENT Logging on to TRAC2ES

17 U S T R A N S C O M USTRANSCOMUSTRANSCOM -Handles 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 PATIENT MOVEMENT TRAC2ES: Security Features

18 U S T R A N S C O M USTRANSCOMUSTRANSCOM 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 patients confidential information using information acquired thru TRAC2ES is an offense. PATIENT MOVEMENT TRAC2ES: User roles

19 U S T R A N S C O M USTRANSCOMUSTRANSCOM -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. PATIENT MOVEMENT TRAC2ES: Tidbits

20 U S T R A N S C O M USTRANSCOMUSTRANSCOM -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. PATIENT MOVEMENT TRAC2ES: Tidbits, cont.

21 U S T R A N S C O M USTRANSCOMUSTRANSCOM -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. PATIENT MOVEMENT TRAC2ES: Limitations

22 U S T R A N S C O M USTRANSCOMUSTRANSCOM -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. PATIENT MOVEMENT TRAC2ES: Limitations, cont.

23 U S T R A N S C O M USTRANSCOMUSTRANSCOM peace warefficient, effective, integrated Timely, customer-focused global mobility in peace and war through efficient, effective, and integrated transportation from origin to destination. RIGHT TIME RIGHT MODE RIGHT CARE The Bottom Line

24 U S T R A N S C O M USTRANSCOMUSTRANSCOM Questions? (618) DSN:


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