Presentation on theme: "Joint Regional Medical Plans & Operations"— Presentation transcript:
1 Joint Regional Medical Plans & Operations USNORTHCOMCommand SurgeonJoint Regional Medical Plans & OperationsNDMS Patient MovementLt Col Tony VoirinUSNORTHCOM JRMP – NW Branch
2 Federal Patient Movement Capabilities National Ambulance Contract300 Amb/3000 para-transit seats/life-flightMilitary Ground Ambulance – HumveeMilitary Helicopters – MEDEVAC/CASEVACNational Guard and Active DutyCivilian Contract AirlinesLow acuity/Ambulatory/Chronic patientsNDMS Fixed Wing Patient Evacuation
3 A public/private sector partnership DHS DHHS DOD DVA National Disaster Medical SystemA public/private sector partnership DHS DHHS DOD DVA
4 Major Components of the NDMS System Three functions that provide a comprehensive, supplemental health care delivery system during events of national significance. Within the partnership the MEDICAL RESPONSE leg is coordinated & managed by NDMS Headquarters. The Operations Support Center (OSC) coordinates personnel/team movement from home base to the mobilization site/staging area. NDMS response operations are also closely coordinated with the NRCC.MEDICAL RESPONSE consist of the “out the door” teams that hit the affected area.PATIENT EVACUATION is coordinated and managed by DoD. TRANSCOM supported lift out of pre-designated APOEs within or near the disaster area. Patients are received at Patient Reception Areas (PRAs) and regulated to local participating treat facilities by the Federal Coordinating Center (FCC).DEFINITIVE CARE is that care delivered once evacuated patients are admitted to the participating hospitals.
5 NDMS Patient Evacuation DoD has primary responsibilityMovement from point of origin to receiving Federal Coordinating Center (FCC) Patient Reception Area (PRA)Primarily relies on airAE = Aeromedical EvacuationSystem ComponentsMovement RequestsStagingRegulatingLiftReception & DistributionTracking (HHS JPATs)
6 System Capability Patient Evacuation can begin 36 hrs from notice System can move 500 patients per day (up to 20% critical)Up to four AirfieldsLimited capability for patientsSuggest the following patients be evacuated by other modesHigh-acuity burnNICU and PICUPsychiatric (if requires medical supervision)
8 What we need to know How many patients over what period (approx) What airfields (coordinated approval)Rate of delivery to the AirfieldAcuity of Patients (higher Acuity, less patients)Litter/Amb – Space, number of patients/planeCritical – CCATT and EquipmentVented – CCATT, Equipment and O2How will Patient Movement Requests flowWill need to know but make best guess
9 Other factors Notice vs No Notice Hurricane vs Earthquake/CBRNECatastrophic or Not (Potential or Just Bad)7.8 Earthquake/Nuke or Prestorm/WildfireState Request Submitted or On FenceMission Assignment Driven ProcessSingle or Multi-State Event
11 Challenges Patient Movement Requests Number of patients; over period of time (approximately)FEMA Mission Assignment (MA) to DoDIdentification and allocation of space on AirfieldsRate of delivery to the Airfield(s)right patientright airheadright order/timeAcuity of patients (higher acuity = less patients)Litter/Ambulatory – space, number of patients/planeCritical – CCATT, Equipment, O2 (20% max)Vented – CCATT, Equipment, O2# Non-medical attendants (i.e. pediatric patients - 20% max)
Your consent to our cookies if you continue to use this website.