USTRANSCOM

USTRANSCOM

PATIENT MOVEMENT

NDMS Conference

Orlando, FL 1-4 May 2005

Mark Mahar

USTRANSCOM

USTRANSCOM

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

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USTRANSCOM

PATIENT MOVEMENT

• DODD 6000.12 - Health Services Operations And

Readiness (Jan 98)

• DODI 6000.11 – Patient Movement (Sep 98)

• Joint PUB 4-02.2 – Joint Tactics, Techniques And

Procedures For Patient Movement in Joint

Operations (Dec 96)

Directives

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PATIENT MOVEMENT TRAC2ES

•TRANSPORTATION COMMAND•REGULATING •AND•C2 COMMAND AND CONTROL•EVACUATION•SYSTEM

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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

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TRAC2ES VisionManage patient movement with total visibility and

worldwide responsiveness.

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• 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?

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• 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.

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TRAC2ES is not an “Air Force” systemIt 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

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TRAC2ES Users Are The Key Patient Movement requires the effort of multiple services and disciplines.

1. MTF:PM Clerks Submit PMREdit PMRView Itinerary View Manifest Submit ITV

2. PMRC: Regulators/PMCC Validate PMR/Edit PMR

Error Check PMR/Approve PMR

3. PMRC: Duty Officers

Create MissionsCreate Lift Bed Plan Edit Lift Bed

Plan Approve Plan

4. PMRC: Duty ControllersMonitor Missions

Monitor MoveIn-Transit Visibility

TRAC2ES Database

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Patient Movement

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Patient Movement

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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

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22UNCLASSIFIED

SCOTT AFB

RAMSTEIN AB

HICKHAM

KOREA KOREA (notional(notional))

JPMRCJPMRC

PMRC LOCATIONSPMRC LOCATIONS

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•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

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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?

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Must be from .mil or .gov computer

Recommended browsers: Mozilla 1.7.3 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

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-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

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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.

PATIENT MOVEMENT TRAC2ES: User roles

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-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

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-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.

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-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

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-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 email 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.

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“Timely, customer-focused global mobility in peacepeace and warwar through efficient, effective, efficient, effective, and integrated integratedtransportation from origin to destination.”

RIGHT TIME RIGHT MODE

RIGHT CARE

The Bottom Line The Bottom Line

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Questions?mark.mahar@hq.transcom.mil

(618) 229-7172

DSN: 779-7172