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PATIENT MOVEMENT

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UNITED STATES TRANSPORTATION COMMAND (USTRANSCOM)

TCSG Responsibilities

• Global patient movement.

• Joint policy guidance and doctrine.

• Patient Movement Requirement Centers

(PMRCs).

• Maintain an Automated Information System to

support global patient movement: TRAC2ES.

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• DODD 5158.04, United States Transportation

Command (Jul 12).

• www.dtic.mil/whs/directives/corres/pdf/515406p.pdf

• DODI 6000.11 – Patient Movement (04 May, 2012).

• www.dtic.mil/whs/directives/corres/pdf/600011p.pdf

• Joint PUB 4-02 – Health Services and Support (12

July 2012).

• www.dtic.mil/doctrine/new_pubs/jp4_02.pdf

REFERENCES

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TRANSPORTATION COMMAND

REGULATING

AND

C2 COMMAND AND CONTROL

EVACUATION

SYSTEM

TRAC2ES

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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.

TRAC2ES MISSION STATEMENT

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• Manage patient movement with total visibility and worldwide responsiveness.

TRAC2ES VISION

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• Initial Operating Capability - Jul 01.

• Primary user interface is web-based.

• Used by PMRCs, Medical Treatment Facilities (MTF) fixed and deployed and Command and Control (C2) Units.

• TRAC2ES is an enterprise system consisting of four components:

- Web, Mobile, Exercise, and Web Based Training

TRAC2ES

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• Available data consists of:

• AF IMT 3899.

• 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.).

TRAC2ES - CONT.

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• Recommended browsers:– Internet Explorer 7.0 or current version.

• Security Features • Safeguards Sensitive But Unclassified

information. • Creates a permanent record.• Provides an audit trail of all data.

• TRAC2ES URL:https://www.TRAC2ES.transcom.mil

System Requirements / Security Features

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• TRAC2ES is not an “Air Force” system; It is a Department of Defense system.

• USTRANSCOM is the process owner for the management of the patient movement requirements.

• USTRANSCOM does not own any lift capability. Lift information is submitted into the system.

• TRAC2ES only tracks patients while they are in the patient movement system.

PATIENT MOVEMENT

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First Aid/Buddy Care/Aid Station

Inter-Theater Airlift

CONUS Medical Facilities

LRMCLandstuhl Regional

Medical Center

CASEVAC/ MEDEVAC

Inter-Theater Airlift

Intra-Theater Airlift

PATIENT VISIBILITY CONCEPT

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Patient Movement (PM) Clerks• Prepare patients and documents for movement.• Coordinate ground movement to and from airfield.• Coordinate directly with PMRC for all patient

movement requests.• 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.

Medical Treatment Facilities: Any Service

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TRANSCOM Patient Movement Requirements Centers AMERICAS / EAST / WEST

Joint Patient Movement Requirements Centers CENTCOM / NOTIONAL IN KOREA

• Responsibilities• Validate requests for movement within their theater.• Pass validated requirements to available lift agencies.• Monitor clinical status and trends of patients being moved.• Coordinate special requirements for patient movement.• TRAC2ES Subject Matter Experts.• Control access to TRAC2ES servers.• Patient movement exercise participation.

Patient Movement Requirements Centers

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PMRCs AREAS OF RESPONSIBILITY

TPMRC-EastRamstein AB, Germany

JPMRCAl Udeid, Qatar

TPMRC-WestHickam AFB, HI

TPMRC-Americas

Scott AFB, IL

TPMRC-Korea (Notional)

Korea

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PATIENT MOVEMENT PROCESS

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Patient Movement Support in Disasters

• USTRANSCOM provides disaster PM, at the direction of the President or upon approval of the SECDEF after receipt of a Mission Assignment issued by FEMA.

• TRANSCOM Surgeon General (TCSG) provides deployable PM capability in support of declared disasters.

• Joint Patient Movement Expeditionary System (JPMES)• A Joint level enterprise ‘system’ to provide a flexible,

scalable, adaptable, and rapidly deployable expeditionary patient movement (PM) coordination, expertise and liaison capability deployed to augment a theater PMRC in support of the full spectrum of military or civilian contingency operations.

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• Roles are assigned based on your job description and requirement to access the database.

• C2 access allows users to track patients without revealing personal medical information.

• Users are expected to access only information required to perform their duties.

• Violation of patient’s confidential information using data acquired in TRAC2ES is an offense.

USER ROLES

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• Replication occurs between a primary and secondary site every 10 minutes. This ensures that data will be available at all times.

• Archive server maintains a record of all PMRs. Records are moved to the archive server 60 days after they are placed in the COMPLETED state.

SERVER INFORMATION

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TRAC2ES Mobile provides the user the ability to enter PMR data and save data to a storage disk or to the computer hard drive to be transmitted when communication becomes available. TRAC2ES Mobile works on a send and request information system. Unlike TRAC2ES Web you have to manually request and send the information to the server.

TRAC2ES MOBILE

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THE BOTTOM LINE

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!

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??QUESTIONS??