Lisa D. DeDecker RN, MS

Transcription

1 Lisa D. DeDecker RN, MS AE Consultant Office of the Command Surgeon HQ Air Mobility Command Scott AFB, IL

2 Joint Patient Movement Expeditionary System (JPMES) A Joint level enterprise system to provide flexible, scalable, adaptable, and rapidly deployable expeditionary patient movement (PM) teams who will provide coordination, expertise and liaison capabilities for nationaldomestic responses and full spectrum military contingency operations. ~ COL O Brien, USTC SG 2013

3 *** Why We Do This***

4 *** Also Why ***

5 *** And More Why ***

6 *** And More Why ***

7 JPMES Deployments 2002 ~ Current: USCENTCOM ~ OIF/OEF/OND/HOA 2005: Hurricane Katrina, LA 2006: Hurricane Dean, TX 2008: Ultimate Caduceus, Ft Lewis, WA 2008: Hurricane Gustav, TX 2008: Hurricane Ike, TX 2009: Inauguration, Washington, DC 2010: Port-Au-Prince, Haiti, Earthquake, US Southern Command, Miami, FL 2011: Ultimate Caduceus, Springfield, Missouri 2012: Hurricane Sandy, NJ 2013: Ullchi Freedom Guardian, Korea

8 JPMES Teams Patient Movement Situational Awareness Team (PMSAT) 1+ person team that deploys to lead agency operations center (JFO, DCE/JTF) to facilitate SA between GPMIC/PRMC and lead agency Joint Patient Movement Team (JPMT) 4-person team that deploys to coordinate patient movement for domestic responses and military contingencies Joint Patient Reporting Team (JPRT) 2+ person team that deploys to patient transfers points (APOE) to facilitate patient accountability on the ground

9 JPMES Use Simultaneous Deployment Capability 2xJPMT, 4xJPRT, and 2xPMSAT Capabilities/Limitations Deployment limited by primary theater PMRC mission PMSAT Deploy within 12 hours of notice JPMT and JPRT Deploy within 12 hours of notice May deploy for 14 days without augmentation Requires on site base operation support (BOS) Must be directly supported by a theater PMRC

10 JPMT PM enabler consisting of 4 personnel ( 1 operations officer, 2 nurses and 1 PMC/TRAC2ES specialist). Teams may be augmented with a Team Chief, Trainer/Liaison, or a Flight Surgeon Team typically deploys to a state/lead agency Emergency Operations Center, to provide medical regulating support during a domestic response or military contingency operation Provides PM subject matter expertise to Joint Regional Medical Planners (JRMPs) ESF-8, HHS, State, Guard health officials JPRT & PMSAT

11 JPMT Roles and Responsibilities Advises and supports Lead Agency and/or Geographic Combatant Command on PM process/procedures of military contingency or domestic civil support operation Ensures the lead agency, state, COCOM understands the DOD PM regulating process and policies: DSCA and Military Contingency Patient Movement Requirements process TRAC2ES Web and TRAC2ES Mobile (T-Mobile) Patient Movement Requests (PMRs) TRAC2ES Uploadable Contingency Spreadsheet (TUCS) Group PMRs Multiple Disaster PMRs PM communication and coordination

12 Roles and Responsibilities cont The PMRC will validate and spreadsheet the PMRs for mission planning and manifesting in collaboration with TACC. For domestic response a contingency mission manifest (reverse TUCs/Form 5) will be created for distribution to EOC, FCC, JPMT, and JPRT. The JPMT will work with the state EOC representative to ensure ground trans is coordinated per local emergency plan Remain in constant contact with all other JPMES teams to ensure that real time/accurate information is being tracked and provided

13 PMSAT Deploys to the Joint Field Office as part of the Defense Coordinating Element (DCE) 1+ person team O5-O6 (PM Subject Matter Expert) E-5/7 (TRAC2ES Expert) Provides PM subject matter expertise to Joint Regional Medical Planners (JRMPs) ESF-8, HHS, State, Guard health officials Provides JPMES Teams necessary Top Cover

14 JPRT PM enabler consisting of 2 to 4 Trainer/Liaisons Deployed to a patient collection/transfer point (APOE) and collocated with a Disaster Aeromedical Staging Facility (DASF) Mission is to support patient accountability and guidance on PM processes and procedures. The JPRT is not a medical regulating team but a PM process enabler in direct support of a JPMT and/or PMRC The JPRT s job is to assist the JPMT/PMRC with real time eyeson data, including the ability to add or remove patients from a manifest as dictated by the situation at hand.

15 DSCA Federal Patient Evacuation HOSP HOSP HOSP HOSP APOE JFO DCO/E PMSAT JRMPO State EOC DASF MAC-ST JPRT JPMT TRAC2ES PMR Manifest TACC PMRC Manifest APOD FCC (DOD & VA) NDMS Hospital JPATS? TRAC2ES - ITV JPATS? NDMS PATIENT VISIBILITY STATE/HHS USTRANSCOM FCC/HHS/STATE

16 DSCA Patient Movement Sources ESF #6: Mass Care and Evacuation - People without transportation - Elderly - Homeless Ambulatory special medical needs patients or medical needs populations ESF #8: Patient Evacuation Special Medical Needs Population - Nursing home patients - Mental health patients - Home healthcare patients - Outpatients NDMS Patient Evacuation - Medical Regulating - Patient Tracking - AE: Hospital to NDMS Hospital - TRAC2ES - Non-Medical Attendants ESF #8 Patient Evacuation

17 Trac 2 es Uploadable Contingency Spreadsheet (TUCs) Up to 50 Characters allowed Up to 50 Characters allowed SSN- exactly 9 characters NATO or Other- up to 15 characters of any type Drop Down: M, F, or Unknown Up to 2000 Characters Allowed Up to 2000 Characters Allowed Drop Down: Yes Or No Drop Down: Amb or Litter Drop Down: Urgent, Priority, or Routine Drop Down: Valid # of attendants 1-10 Name of each attendant. Up to 500 Characters are allowed Drop down: SSN, NATO, Other Drop Down Select valid Cont Med Spec: Burns Critical Care Med Surg Neg Pressure Isolation Pediatrics Pediatric ICU Psychiatry

18 Contingency Mission Manifest Time will be in Zulu AND Local Departure and Arrival Airfield Patient Load as Litter-Amb + # of Attendants

19 PM Route Current Route from Point of Injury to Definitive Capability First Responder Role 1 CASEVAC or MEDEVAC Forward Resuscitative Capability Role 2 MEDEVAC or INTRATHEATER AE Theater Hospitalization Capability (CSH, EMEDS, EMF) Role 3 SURGICAL CAPABILITY PUSHED FAR FORWARD INTERTHEATER AE Definitive Capability Role 4

20 Contact Information Lisa D. DeDecker, RN, MS AE Consultant Office of the Command Surgeon HQ Air Mobility Command

21 QUESTIONS