Morris9 28 05

Battlefield Medical Information System: Mobile Healthcare Case Study: 

Battlefield Medical Information System: Mobile Healthcare Case Study Tommy Morris Director, Mobile Computing Group Telemedicine & Advanced Technology Research Center Cutting Edge Medical Technology TATRC “Insanely great ideas are our number one priority” U.S. ARMY MEDICAL RESEARCH & MATERIEL COMMAND Brig. Gen. Eric B Schoomaker, Commanding

TATRC Mission: 

TATRC Mission To apply physiological and medical knowledge, advanced diagnostics, simulations, and effector systems integrated with information and telecommunications for the purposes of enhancing operational and medical decision-making, improving medical training, and delivering medical treatment across all barriers The program scope is to identify, explore, and demonstrate key technologies and biomedical principles required to overcome technology barriers that are both medically and militarily unique. Department of Defense, Joint Warfighting Science and Technology Plan, Chapter IX, Joint Readiness and Logistics, 1999 TATRC

Mobile Computing Mission: 

Mobile Computing Mission Identify/develop mobile computing solutions and effector systems integrated with existing wireless infrastructure Improve military health care via enhanced training and more effective decision making To maximize the amount of medical data available for health surveillance TATRC

Why Mobile Computing? Original business problems 1944-present: 

Why Mobile Computing? Original business problems 1944-present Inadequate integration of occupational & environmental health exposure data Inadequate Information, Acquisition, Retention beginning at first responder level -Force Health Protection -Disease surveillance -Inadequate Automated Interfaces With DOD Systems Rapidly changing Department of Defense missions -Requirements vary with mission -Homeland Security -Peacekeeping -Urban Warfare -Disaster Response -Humanitarian Assistance Right technology to right person at the right time TATRC

Technology Insertion Process: 

Technology Insertion Process Fielded Systems Technology Development System Development & Demonstration Production & Deployment DoD Acquisition Process Operations & Support Technology Opportunities JROC Joint TMIP TRADOC/AMEDD C&S Army MC4 Concepts Requirements Product Insertion National Defense Objectives Mission Requirements Acquisition Objectives Iterative Research Process Demonstration Projects Research Projects Medical Mission: Provide & Document Care Personnel Readiness Medical Surveillance TATRC

Battlefield Medical Information System Tactical (BMIST-J): 

Battlefield Medical Information System Tactical (BMIST-J) BMIST-J is the approved Joint solution for the Department of Defense surveillance need at the forward area of care with more than 10,000 in use world-wide Wireless patient monitoring Electronic Health Record Medical References Top Tem Army’s Greatest Invention Joint Force Health Surveillance Blast Injury decision support Provides all-in-one suite of mobile applications that empower providers via access to critical medical information and powerful clinical & decision support tools to accurately create an electronic health record. Synchronizes with Joint health surveillance and medical information systems from the earliest echelons through chronic care provided by the Veterans Administration

Civil-Military Application: 

Civil-Military Application Humanitarian Disaster Response Peacekeeping Homeland Defense

International Interest: 

International Interest …And Developing Countries United Kingdom France Norway Canada Australia Poland Japan

Enterprise Deployment: 

Enterprise Deployment

Why Windows Mobile Platform: 

Why Windows Mobile Platform Ease of use Mobility Multi-threading Security Screen Resolution Expansion Slots

.NET Compact FrameworkConsiderations: 

.NET Compact Framework Considerations Rapid development Portability between platforms Single development environment Improved development tools Debugging Speed Tools Support

Training: 

Training Minimal training required Familiarity (Greater ROI) All-in-one tool

Security: 

Security SIPRNet DITSCAP HIPAA Compliant SSAA Device Security POINTSEC FIPS 140-2 Certified PDA Defense FIPS 140-2 Certified

Decision Support Tool Workflow: 

Decision Support Tool Workflow Specialty Knowledge Bases Reassessment RX/TX CHCSII Diagnosis Assessment HX/Physical

Electronic Information Carrier“Electronic Dog Tag”: 

Electronic Information Carrier “Electronic Dog Tag” Complete electronic health record Electronic dog tag Wireless electronic dog tag Top Tem Army’s Greatest Invention

Information Architecture: 

Information Architecture WarFighter (PIC) XML File HL7 3.0 XML File HL7 3.0 XML FILE HL7 3.0 “Enroute Care” BMIST-J (PDA) MEDIA SMTP Web Portal Sync MEDIA SYNC CLINICAL DATA REPOSITORY (CDR) TMIP CHCSII-T TMIP CHCSII-T Battalion Aid Station Theatre Hospital or Resuscitative surgery Garrison Hospital Envisioned Envisioned

Mobile CAC Card Reader: 

Mobile CAC Card Reader Interface can be enabled Smart Card reader compatible with ISO 7816 smart cards, including US DoD Common Access Card (CAC)

Blood Information Program (BIP): 

Blood Information Program (BIP) BIP is currently be used by our blood teams worldwide Wireless inventory System Imbedded References Army’s Greatest Invention Better Quality of Care Provides all-in-one suite of mobile applications that empower blood teams via access to critical information and powerful decision support tools to manage blood inventories Includes: Blood Inventory Program Blood report generator Transfusion/Disposition Module

Slide19: 

Provides Basic Hybrid Adaptive Beam forming Array (HAB) to PDA Enable first responder Army medics to input, control, store, and retrieve medical data via speech in high-noise environments using a portable computer platform Speech Capable PDA (SCPDA)

Integration Efforts : 

Integration Efforts Provides: Lifesigns detection Casualty locator View remote physiology Prioritize actions Future Force Warrior Virtual Soldier (DARPA) Warrior Physiologic Status Monitor (WPSM) Life Support for Trauma and Transport (LSTAT)

Veterinary Application: 

Veterinary Application BMIST-V holds Military Working Dogs’ (MWD) complete medical records, including immunization status. During deployment, data is stored locally. Additionally This data can be remotely transmitted and stored by other Department of Defense Systems.

Wireless Sensors: 

Wireless Sensors Multiple patient monitoring Multimedia electronic health record

Pocket TRAVAX: 

Pocket TRAVAX Pocket Travax is a handheld tool that allows users to to locate hospitals or clinic that can provide needed emergency services by country location or GPS coordinates Providing travelers information for medical emergencies Eventually provide dynamic/real-time local capabilities data Nearby hospitals and airfields are displayed in relation to your location. Hospitals are listed in order nearest to you Hospital description Contact information & GPS location

Patient-Centric InfospherePersonal Health Record: 

Patient-Centric Infosphere Personal Health Record Enhance Quality Healthcare Delivery Health Surveillance Longitudinal Record More effective medical care Better health surveillance Bioterrorism preparedness

BMIST Architectural StandardTransforming business processes and driving organization-wide benefits: 

BMIST Architectural Standard Transforming business processes and driving organization-wide benefits

Session Summary: 

Session Summary BMIST- J is the approved solution for the DoD Mobile computing technologies increase responsiveness to medical situations Initiatives reduce medical errors, and ensure that soldiers have access to appropriate care once they leave the military The BMIST architectural standard has potential to become a De facto standard for mobile health care… The Army’s Greatest Invention 2003 Finalist U.S. Medicine Frank Brown Berry Prize Nominated Wired RAVE Award 2005 Promising Practices Award

For More Information: 

For More Information TATRC http://www.tatrc.org Microsoft Case Study http://www.microsoft.com/resources/casestudies/CaseStudy.asp?CaseStudyID=14900 Microsoft Video Case Study http://www.microsoft.com/windowsmobile/_assets/video/business/US_Army_BMIS_300K.wvx