U.S. Department of Defense (DoD) Initiatives

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U.S. Department of Defense (DoD) Initiatives



Clinical Information Technology Program Office (CITPO)

- CITPO is an acquisition office for centrally managed MHS clinical IT systems that support the delivery of health services throughout the MHS. The following are CITPO projects: the Military Electronic Health Record AHLTA (formerly known as CHCS II), Composite Health Care System Legacy, Clinical Information System (CIS), Preventive Health Care Application (PHCA), Encoder Grouper (EG), Special Needs Program Management Information System (SNPMIS), TRICARE Online (TOL), Nutrition Management Information System (NMIS), and Veterinary Services Information Management System (VSIMS).

The Composite Healthcare System II (CHCS II), now called AHLTA, is a computer-based patient record for the U. S. miltary (Harmon BJ, Wah R, Inae T. Theater Style Demonstration of the Composite Health Care System II the Miltary Health System Computer-Based Patient Record. AMIA Symposium Proceedings. 2003: 1068). This system provides an "integrated clinical graphical user interface", a clinical data repository, and a "migration architecture" to allow upgrades in the system without changing the user interface. It can be used when troops are deployed away from their home base. This system can be used in conjunction with the DMSS and birth defects registry to monitor hazardous exposures of military members in the field.

The DMSS (Defense Medical Surveillance System) is the central source for medical data on the U.S. armed forces. There are also links to 27.6 million serum specimens (as of 2002) (Ruberton MV, Brundage JF. The Defense Medical Surveillance System and the Department of Defense Serum Repository: Glimpses of the Future of Public Health Surveillance. American Journal of Public Health. 2002; 92(12): 1900-1904). The U.S. Department of Defense also maintains a birth defects registry (Ryan MA, Pershyn-Kisor MA, et al. The Department of Defense Birth Defects Registry: overview of a new surveillance system. Teratology. 2001; 64 suppl 1: S 26-29). This registry is being used to monitor active duty women due to concerns over potential and actual hazardous exposures. Both of these resources are critical for monitoring the health of active duty military personnel including concerns regarding infectious disease exposure (natural or due to biological weapons).

Defense Medical Logistics Standard Support (DMLSS)

- DMLSS replaces aging military departments' (Army, Navy, and Air Force MilDeps) specific legacy medical logistics systems with one standard DoD medical logistics system. DMLSS also manages Joint Medical Asset Repository (JMAR), Customer Support on the Web (CSW), Facility Management (FM), Customer Area Inventory Management (CAIM), Equipment & Technology Management (E&TM), Stockroom/Readiness Inventory Management (SRIM), Assemblage Management (AM), Universal Data Repository (UDR), Prime Vendor Program (PV), DMLSS - Wholesale (DMLSS - W), Customer Demand Management Information Application (CDMIA), National Mail Order Pharmacy (NMOP), Readiness Application (RMA), Medical Electronic Customer Assistance (MECA), Distribution and Pricing (DAPA) Management System (MS), Defense Blood Standard System (DBSS), and Electronic Catalog (ECAT).

Executive Information/Decision Support (EI/DS)

- The EI/DS program provides timely, accurate, and appropriate decision information supporting the TRICARE Management Activity (TMA) and DoD MHS mission. The EI/DS program currently consists of a data warehouse and several operational data marts supporting nearly 3,000 system users, providing a robust database and suite of decision support tools to empower the effective management of MHS health care operations. The EI/DS systems support decision making by senior MHS personnel and post-decision monitoring of the effects of decisions. EI/DS products include: MHS Management Analysis and Reporting Tool (MHS MART), Managed Care Forecasting and Analysis System (MCFAS), Population Health Operational Tracking and Optimization (PHOTO), Medical Surveillance, TMA Reporting Tools (TMART), CHAMPUS/TRICARE Medical Information System (CMIS), CHAMPUS/TRICARE Utilization Reporting and Evaluation Systems (CURES), Care Detail Information System (CDIS), and Patient Encounter Processing and Reporting (PEPR).

Resources Information Technology Program Office (RITPO)

- The RITPO initiative is a project that consists of a family of capability-specific applications/systems that support the MHS "Manage the Business" and "Access to Care" and information technology requirements. The RITPO project scope includes providing information technology support for MHS personnel, scheduling, workload forecasting, and patient safety initiatives. The following are RITPO projects: Defense Medical Human Resources System - internet (DMHRSi), Central Credentials Quality Assurance System (CCQAS), Enterprise Wide Scheduling and Registration (EWS-R), Enterprise Wide Workload Forecasting (EWF), Patient Safety Reporting (PSR), Defense Occupational and Environmental Health Readiness System (DOEHRS), and Patient Accounting System (PAS).

Expense Assignment System IV (EAS IV)

- EAS IV is a standard DoD cost accounting/assignment information technology system that consists of a cost-assignment application and a data repository. The system receives information electronically from a variety of DoD financial, manpower, and workload systems, and allocates this expense information to Medical Treatment Facility/Dental Treatment Facility (MTF/DTF) direct and indirect work centers.

Theater Medical Information Program (TMIP)

- TMIP provides a seamless, interoperable medical information system to support theater health services during combat or contingency operations within and across all echelons of care. The primary goal is to provide a global capability linking theater medical information databases and integration centers that are accessible to the warfighter anywhere, any time to support the mission. TMIP includes the following programs: Composite Health Care System in the Theater of Operations (CHCS NT), Composite Health Care System II - Theater (CHCS II-T), TRANSCOM Regulating and Command and Control Evacuation System (TRAC2ES), Defense Medical Logistics Standard Support Assemblage Management (DMLSS-AM), Medical Analysis Tool (MAT), Shipboard Non-Tactical Automated Data Processing Program Automated Medical System (SAMS), Medical Surveillance System (MSS), and Defense Blood Standard System (DBSS). Note from a clinician whose guys use this system: at least aboard ships, this system is fairly unreliable, but when it works, you can then pull up those encounters in AHLTA, which is nice.

Third Party Outpatient Collection System (TPOCS)

- TPOCS is the MHS information system used to bill for ambulatory services.

Telehealth

- The use of electronic information and telecommunications technologies to provide or support clinical health care, patient and professional health-related education, public health and health administration when distance separates the participants. Current projects include Business cases, e-Learning, Policy, Teleconsultation, Pediatric Consultation, Telecardiology, Teledermatology, TeleENT, Tele Mental Health, Teleneurosurgery, Teleorthopedics, Telepathology, Teleradiology, Telementoring, and Telemonitoring.

--Michael 15:30, 17 April 2006 (CDT)