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EMR Upgrade Progressing on Schedule

April 22, 2014 posted by Lt. Col. Danny J. Morton

I’m pleased to announce that MC4 has completed Phase 1 of the EMR 2.2.0.0 software upgrade fielding. We were successful in meeting the tight deadline of April 7. We upgraded 3,300 systems in 13 countries for 537 deployed units, deploying units or units actively using MC4.

Among the EMR 2.2.0.0 software suite upgrades for MC4 systems is the Windows 7 operating system. It was imperative to update the Windows operating system prior to the April 8 expiration of the Windows XP license and the expiration of the MC4 Authority to Operate (ATO).

The overall EMR 2.2.0.0 upgrade process did come with a few challenges and hurdles in which we continue to assist units in obtaining PKI-E certificates. The process in obtaining PKI-E Certificates is a unit responsibility through their S6 or SASMO. We’ll have more information in the coming days and weeks as we share the latest and greatest guidance with customers via The Gateway.

This month, the EMR 2.2.0.0 upgrade is moving into Phase 2, which will focus on our established priorities. Phase II will focus on upgrading MC4 systems to units that do not actively use the MC4 system, such as training support organizations.

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EMR 2.2.0.0 Hits the Road in 2014

November 25, 2013 posted by Lt. Col. Danny J. Morton

The dust has settled since the partial government shutdown ended in mid-October. Here at MC4 we’ve been reassessing our software upgrade timeline for EMR 2.2.0.0 and I’m pleased to announce that MC4 will begin our software upgrade for the new EMR suite on 12 January 2013. We are setting a deadline of 31 March 2014 to update about 4,000 laptops.

Lorenson

While the shutdown delayed the execution of the software upgrade, it was not the only thing that postponed the release of EMR 2.2.0.0. The software upgrade has also been delayed because it took more time to coordinate with partners and stakeholders – who were also recovering from the shutdown – to prepare joint efforts to field EMR 2.2.0.0.

Since our last update on the EMR upgrade, no changes have been made to the suite.

Customers can expect to receive the following enhancements to the TMIP-J software applications in EMR 2.2.0.0:

  • Operating system upgrade for Windows
  • AHLTA-T application improvements to include a new Military Acute Concussion
  • Evaluation (MACE) module, additional Alternate Input Method (AIM) forms that are currently in the garrison version of AHLTA
  • Medical reference replacement of MicroMedex to the Lexicomp Service
  • Provider Order Entry (POE) Graphical User Interface (GUI) for TC2
  • DMLSS Customer Assistance Module (DCAM) changes to catalog management, document register, transaction register and request handling which now allow importing and exporting of the local catalog
  • Public Key Infrastructure – Equipment (PKI-E) certificates required for all MC4 laptops and servers and additional PKI-E certificates required for each MC4 system using the DCAM application for medical logistics requirements

It’s important that unit level system administrators (ULSAs) contact their S6/G6 for assistance in acquiring PKI-E certificates. These certificates need to be loaded to the MC4 systems receiving EMR 2.2.0.0.

EMR 2.2.0.0 software upgrade will be completed in two phases. The first phase includes upgrading deployed and forward deployed units, deploying units, active duty and activated special operations units, units routinely using MC4 to electronically document care, all MC4 systems at the Tobyhanna Army Depot and any government furnished equipment issued to support contractors who train unit level system administrators (ULAs) and other personnel involved in systems administration functions. The second phase will include all other staff and customers with MC4 systems.

I appreciate the hard work of the MC4 staff, partners and stakeholders over the past few weeks who have worked tirelessly to ensure that our software is ready to be released. I also appreciate our customers for their patience as we gear up to provide you a better system that will enhance your ability to electronically document care and ultimately improve Soldier care.

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EMR 2.2.0.0 Upgrade Requires Customer Action

September 3, 2013 posted by Lt. Col. Danny J. Morton

Editor’s Note: This blog was updated on September 6, 2013.

MC4 customers will be receiving a new iteration of the EMR system in fiscal year 2014 that includes big changes and improvements to TC2 and DCAM. In preparation for the fielding, all MC4 customers must get Public Key Infrastructure - Equipment (PKI-E) certificates.

Army medical logisticians Sgt. Kary LeBlanc and Spc. Arron Cobian

In March I blogged about these certificates, which are a new requirement for the EMR system. Prior to receiving the EMR upgrade, customers must ensure they have PKI-E certificates and that they are functional prior to MC4 staff arriving to assist with the fielding.

If MC4 staff arrives and a customer hasn’t already requested and received PKI-E certificates our staff will still upgrade the unit, but the EMR system will not entirely function as designed. Customers will be able to document care, but the information will not flow and MEDLOG orders will not be processed electronically; units will have to revert to email, paper or other means.

Part of the EMR 2.2.0.0 upgrade is the Windows 7 operating system. We have a hard stop of 8 April 2014 to get all MC4 laptops on this new operating system. Customers who aren’t proactive and don’t do their part in preparing for the new EMR system could potentially experience gaps in service.

We will do our part to upgrade your unit to the next iteration of the EMR, but it’s critical that our customers prepare for the upgrade.

Thank you for your understanding and for helping us to maintain service to our Soldiers.

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PKI-E Coming to an MC4 System Near You

March 18, 2013 posted by Lt. Col. Danny J. Morton

Cyber security is everyone’s responsibility. Cyber attacks are becoming an increasing problem for the Army and Department of Defense at large. To help protect our networks, it’s become a requirement to use Public Key Infrastructure - Equipment (PKI-E) certificates. This requirement has posed a challenge for MC4 customers.

When we roll out the next iteration of the EMR system, it will be required that all MC4 systems have a valid PKI-E certificate issued by a valid certificate authority. These certificates are a way for a computer to verify that the other computer it’s talking to is legitimate. To establish this trust between two systems, every MC4 system needs to use PKI-E. Self-signed certificates will no longer be permitted because they won’t be recognized by systems using legitimate
PKI-E and this could ultimately cause a break in the flow of information on the EMR system.

This new business process poses a unique challenge for MC4 users in theater. To request a
PKI-E certificate, specific information will need to be submitted with the initial request; however, this information may not be available to a deploying unit until they arrive downrange. The process of securing DOD-issued certificates is very well established, but will pose a challenge for transient personnel in theater. This is a challenge that will need to be tackled in order to be successful in using the EMR system to accomplish a mission.

PKI-E is a DOD requirement and a necessary one. There will be challenges ahead as we transition to this new process. I know that you may have questions, and we are doing our best to navigate these new waters for you. We will provide additional information as soon as we know more about how these certificates will function with the EMR system.

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Prepping for Medical Info Capture on Smart Devices

March 26, 2012 posted by Lt. Col. William E. Geesey

Mobile electronic devices (MEDs) are a hot topic in the Army right now. While the Mobile Handheld Common Environment Working Group is actively working to determine the requirements for the Army’s ideal MED, MC4 is staying engaged. 

Force XXI Battle Command Brigade and Below (FBCB2) is working on two separate devices; a mounted and hand-held device that will support deployed Soldiers. The Joint Battle Command – Platform (JBC-P) mounted device contains an electronic casualty report (ECR), an application that captures information similar to the Tactical Combat Casualty Care (TCCC) card. MC4 is currently assisting with the development of medical apps that mimic current AHLTA-Mobile capabilities, such as the TCCC card and the Military Acute Concussion Evaluation (MACE) form that could run on the JBC-P hand-held device.

There’s value in having the TCCC card available on a MED that would allow any Soldier the ability to handle and document care. Point-of-injury (POI) care and even buddy care for that matter are critical to an injured Soldier’s lifelong medical record. If we can provide the means for a medic or fellow Soldier to document injuries as soon as a possible, there’s a greater chance that pertinent information will make it into the Soldier’s electronic medical record (EMR).

We are actively collaborating in preparation for the Capability Integration Evaluation (CIE) 13.1, formerly known as Network Integration Evaluation (NIE) 13.1, later this year to demo a mobile medical app on the JBC-P device. MC4 is in discussions with various other offices, such as the Directorate of Combat and Doctrine Development (DCDD), Telemedicine and Advanced Technology Research Center (TATRC), the Office of the Surgeon General (OTSG), and Connecting Soldiers through Digital Applications (CSDA) to name a few, to determine what effective role MC4 can play in the way ahead. Wherever possible, we will assist our partners in successfully capturing electronic health information on various platforms and uploading them into the MC4 system.

Handhelds will also serve as great platforms to access other resources. Since releasing the Commander’s Guide to MC4 available on ATN2GO, there’s a greater interest in accessing MC4 references on an MED. We are also working to determine how the Army Marketplace could serve as a home for MC4 references. We are evaluating what we need to do in terms of establishing business processes, determining roles and responsibilities and testing those processes with approved references and medical mobile apps before making them available to customers.

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The Point of POI

February 27, 2012 posted by Lt. Col. William E. Geesey

There have been a number of ground-breaking efforts by the Army to meet the needs of Soldiers with mobile apps, but one effort that still escapes the Army is documentation of the care provided at point-of-injury. Let's not kid ourselves, charting care does not come before life and limb. Yet, we're tasked with ensuring what's often the Soldiers' first and most important medical footprint is documented, somehow, someway. With that in mind, let's review what's been done and where we might be headed.

There is AHLTA-Mobile, a mobile app that provides the digitized version of the DD 1380 and SF 600, loaded on an MC4 handheld. In some instances it works fine, but in others it may not. Oftentimes, I've heard that many prefer to wait until they are back at their stations to enter all their notes after they've had a chance to shower, eat and refocus after a hard day's work on the battlefield. That's understandable, but we still need to find a way to take notes in real-time.

We can help Soldiers and providers communicate hundreds of miles apart using telehealth capabilities, but we can't figure out how a medic can do the same down range, smartly yet safely?

To add fuel to the fire, medics aren't required to use the handhelds, and Soldiers providing buddy care aren't equipped with handhelds. Finding a way to give fellow Soldiers and medics a tool where they can provide care and document care immediately is really what we need to accomplish.

At MC4, we're dedicated to keeping an eye out for a solution to this frustrating problem. When we are able to provide appropriate apps on mobile electronic devices, this tool will be better than the current AHLTA-Mobile software on the MC70. Voice recognition is an option that keeps surfacing in conversations. I agree that hands-free is a future goal, but only time will tell.

There's also the possibility of adding a smart card reader to the MC70 that would allow medics the ability to record medical information from the handheld in a non-connected environment. This is an inexpensive solution for documenting care and ensuring that information is transmitted to the Soldier's EMR.

Providing a link between the tactical radios and the MC70 would allow transmission of POI and routine medical information to the next level of care. A third solution still is using an audio recorder as a non-network device which would enable audio capture of POI medical information that travels with the patient. Additional information could be added by MEDEVAC.

We're closely tracking these potential solutions and getting involved and anticipating the Army's solution for tactical radios and smart devices so we can use new technology to solve POI care documentation. Participation in NIE adds an additional layer of validation of user requirements, new concepts, training and a chance to get user feedback.

In the next couple of weeks, we'll be talking to Lt. Col. Daniel Kral, the chief technology officer at the Office of the Chief Information Officer with the Army Medical Command, about point-of-injury documentation. He's written a white paper on how to improve electronic health record documentation at all levels of care in theater. He has some interesting insight that we'll be sharing with you in an upcoming feature on The Gateway.

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Modern Soldier...I am not

November 28, 2011 posted by Lt. Col. William E. Geesey

…but I play one in real life! Medical information technology is moving at such as a rapid pace, we sometimes fail to stop and look around. This month is often observed as Military Medical Technologies Month, a perfect time to highlight some of the work our partner organizations are doing to merge science and technology for deployable Soldiers.

Check out what Telehealth and Technology (T2) is up to. Aside from developing and fielding some award winning apps, like the Mood Tracker and Mild Traumatic Brain Injury (mTBI) Pocket Guide, they’re actively involved in delivering capabilities to improve behavioral health downrange.

T2 also has a hand in the new capability being released by Military Pathways to assist Soldiers with mental health and alcohol concerns. They’ve launched a new web-based tool called Video Doctors that provides Soldiers with helpful information on risk factors associated with these health concerns.

In the past several weeks we’ve been highlighting telehealth. If you haven’t had a chance yet, I recommend reading Col. Ron Poropatich’s blog about expanding telehealth in Afghanistan. As the deputy director for the Telemedicine and Advanced Technology Research Center (TATRC), he and his group remain at the forefront of new technology and will be blogging on The Gateway more regularly, so stay tuned.

On the MC4 side, I recently attended a technology transition integrated process team meeting in San Antonio. There, vendors demonstrated their latest tools for medics and other first responders to use downrange to assist in capturing health care data. I even got a chance to try out some of the equipment for size.

We’re continually on the lookout for hardware and software that will improve health care documentation, medical logistics capabilities and enhance training efforts. In fact, we’ll be spotlighting Col. Aaron Silver, the Defense Health Information Management System (DHIMS) program manager, soon. He’ll cover the latest projects DHIMS has underway and what, if any, changes may be coming down the pike for TC2. I’m looking forward to hearing about any new capabilities that may be fielded in the near future. Stay tuned for this feature in the upcoming issue of The Gateway Monthly.

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MAJ Ellis

Nice article Sir! Hope all is well with you and thanks for all the assistance you provided me while I was in Kandahar!

December 1, 2011

EMRs Gone in 60 Seconds

October 17, 2011 posted by Lt. Col. William E. Geesey

Each day the Army's getting closer to identifying an approved mobile electronic device for Soldiers downrange. Meanwhile, we’re continuing to test how our systems and processes will fare in enabling medics to better document care—on the move—using that device.

Army soldier using a smartphone device

A few months ago, we worked with our partners at the Telemedicine and Advanced Technology Research Center (TATRC) and the Communications-Electronics Research, Development and Engineering Center (CERDEC) to successfully transmit electronic point-of-injury (POI) data from a commercial device to a central repository. The pilot successes and the medical transmission of data occurred in 60 seconds!

During an exercise at Fort Dix, N.J., medical personnel completed a digital version of the Tactical Combat Casualty Care (TCCC) card and a Military Acute Concussion Evaluation (MACE) form using the Samsung Galaxy S and the Dell Streak 5 (Android version 2.2 based operating system as reference platforms). The system worked as it was designed and the data was transmitted in less than 60 seconds from the hand-held device to AHLTA-T using a cradle connected to an MC4 laptop. Once the data was synched with AHLTA-T, it was then submitted directly to the Theater Medical Data Store (TMDS), the web-based application used to view Service members' medical treatment information recorded in the combat zone. The Motorola XOOM tablet was also used to capture the TCCC.

We set out to evaluate how well mobile hardware and accompanying apps would perform in a field environment and whether these were practical devices for medics to use when documenting patient care downrange. We used a prototype app, Patient, which was developed specifically for interfacing with the TCCC and MACE prototype apps. The two-day evaluation provided us the insights we need to make some adjustments.

The Android-based devices were pretty popular among the staff, but they did pose some difficulties for individuals who have larger fingertips. The Motorola XOOM tablet was definitely the favorite among the group because of the 10-inch touch screen, but its size and shape aren't practical for a medic on the move.

Overall, the handheld devices themselves were well received, but the tablets in particular need some improvements. We had to break out the beach umbrella to compensate for the sun glare on the touch screens. Thankfully, upcoming versions of these devices will correct this environmental concern so we don't have to arm every deployed medic with a beach umbrella, too.

These initial evaluations are encouraging and I do believe we can take this process overseas, but we're still waiting to hear from the Army as to which mobile hand-held devices/platforms will be chosen for use downrange. In the meantime, we're already seeing how the MC4 system can operate on commercial devices.

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SGT Wesley

The challenge in the selection of a device, should be based on signal transmission and power output.

With signal transmission, in Garrison, we can piggy back off of soldier's commercial data plan, but what about in theater? With power output, the larger the screen, the more battery it consumes, so in garrison, the device needed to be plugged in pretty much at least once during mid-day, but what about FTX, or on a 72 hour patrol? Food for thought.

November 2, 2011

Is it possible to integrate USB/power outlet in theater vehicles, and to add portable wifi capability for mobile devices?

November 2, 2011

Andrews

It is a great stuff, planned operation is very important for the Army, I am sure this will help to work more systematically and planned...........

October 24, 2011

Pretty cool stuff! Now, if only the rest of the Army would get it together and select a device so Soldiers can move forward with planning and implementation.

October 19, 2011

Putting Future Systems to the Test

February 15, 2011 posted by Lt. Col. William E. Geesey

This summer, the Army will conduct the 2011 Integrated Network Baseline Evaluation (INBE). This six-week test at Fort Bliss, Texas, and White Sands Missile Range, N.M., will evaluate developmental tactical networks, as well as network and systems integration for future brigade combat team (BCT) modernization efforts.

MC4 was selected to participate in order to determine the requirements to operate current and emerging medical IM/IT systems in a deployed environment. The 2nd BCT, 1st Armored Division, will utilize MC4 in conjunction with Army Battle Command Systems and new MC4 enhancements, such as telemedicine capabilities at the battalion aid station and brigade medical company levels.

MC4's involvement is a direct result of engagement by Army Col. Brian Lien, Forces Command (FORSCOM) surgeon, and Army Lt. Col. Dan Kral, medical communications capabilities manager at the Army Medical Department (AMEDD) Center and School, Directorate of Combat and Doctrine Development, on behalf of MC4. This is an excellent opportunity to ensure that AMEDD requirements are represented and tested in support of the Army's brigade modernization efforts. During the coming months, we'll train the 2nd BCT, 1st Armored Division, to use and support MC4 systems with new capabilities for the event, as well as in their garrison aid stations.

Other systems to be used throughout the evaluation include the Joint Tactical Radio Program (JTRS), Ground Mobile Radio (GMR) and Force XXI Battle Command Brigade and Below (FBCB2). By testing system capabilities in the BCT structure, the multi-week scenario will help to create a baseline of network requirements, as well as uncover any gaps and vulnerabilities in the current network. This information will be invaluable as we deploy new technology to the field.

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MC4 has come a long way with Army leadership now wanting to involve the program in studies like the INBE. The test can be beneficial to determine the network load to operate the various systems and to improve the efforts for future BCTs.

February 17, 2011

Looking forward to see the results from the INBE. Hopefully it leads to better integration efforts and greater bandwidth in the deployed environment to use the various programs. When you're located away from the major hubs, connectivity can be terrible making systems useless.

February 16, 2011

I hope this doesn't mean that we're just now testing the tactical network capacity close to 10 years into the war.

February 16, 2011

Testing Smart Phones and Mobile Devices for Battlefield EMR Feasibility

November 19, 2010 posted by Lt. Col. William E. Geesey

MC4 continuously evaluates the latest technologies to help deployed providers, commanders and logisticians record, track and share medical data. Case in point, check out MC4’s support of the Tele-consultation Project in Iraq, the Hands-free EMR Pilot and the Tele-behavioral Health Initiative.

Testing Smart Phones Mobile Devices Battlefield EMR

Now we’ve turned our attention to mobile devices and their feasibility versus the thick clients MC4 deploys. We’re testing tactical EMR apps, specifically AHLTA-T and TC2, on the iPad, iPod Touch, iPhone, HTC EVO and Samsung Epic. Early results show that both apps can technically operate on the Apple iOS and the Droid OS using the devices’ stretch, tap and swipe functionality.

While the initial tests show promise, there is still a long way to go before we consider fielding these technologies. They must clear a myriad of hurdles, including data-at-rest encryption requirements, clearance for wireless use in theater, and a bevy of DOD and local signal certifications.

Testing remains a big part of what we do at MC4. Some of the hardware and apps we evaluate pass with flying colors; in turn we field them as soon as possible. Others never make it out of the lab. I’ll continue to keep you posted on this endeavor and welcome your thoughts on this topic, so post away!

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Any plans to add the PTSD coach app to the MC4 handheld? Seems to me apps are the way of the future and would be an easy addition to the MC4 system since it's been so popular. http://www.fiercegovernmentit.com/story/va-dod-healthcare-apps-prepare-next-wave-features/2011-06-28?utm_medium=nl&utm_source=internal

June 29, 2011

km

Good info - actually found it separately during a Google search.

December 26, 2010

Maybe those smart phones can be used in the behavioral health initiative COL Pak mentions. Seems like Soldiers would use a mobile device more often to connect with specialists since they're on the move and it's easier than finding a private place to start up their laptop.

November 23, 2010

If these phones and iPADs can run the EMR system, I hope it doesn't take two years to get them into the hands of Soldiers. It's cool to see what the Army can do so long as it does it smart and fast.

November 22, 2010

JMeWS Absorbed by MSAT

November 18, 2010 posted by Lt. Col. William E. Geesey

Users now have a new web-based tool for medical surveillance. The Medical Situational Awareness in the Theater (MSAT) portal combines JMeWS with enhanced mapping and reporting capabilities. The new functionality gives commanders more resources to perform command and control activities, thus improving the decision-making process on the battlefield.

Commanders can geographically view outbreaks and potential health threats. Armed with this information, they can reallocate resources to best protect the fighting force. They can also generate a large number of reports using the new Business Objects functionality based upon the medical data captured by units using MC4 systems in the field. This is a significant upgrade from the 12 canned reports built into the JMeWS-only website.

Registered JMeWS users can use the same login credentials to access the MSAT portal. The old JMeWS website will remain active until the end of the year. Users can access training videos and the MSAT user manual on AKO, as well as contact the medical surveillance helpdesk for more information.

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a good summary of MSAT.

November 20, 2010

Eyes on Hands-Free Medical Recording

August 27, 2010 posted by Lt. Col. William E. Geesey

Point-of-injury medical data recorded by first responders is a critical piece of a Service member's medical history. The data provides key information for clinicians throughout the continuum of care, informs research for the development of material solutions designed to improve Soldier protection and improve trauma care, as well as validates future claims for VA medical benefits. While critically important, initial battlefield care is rarely recorded.

Eyes Hands Free Medical Recording

First responders and medics have their hands full treating wounded warriors before they're medevaced to the nearest treatment facility. At best, medics use a grease pencil to write notes on tape attached to the injured Soldier or, in some cases, directly on the Soldier. Obviously, this information never makes it into the Soldier's medical history.

To eliminate this documentation vacuum, MC4 is working with military stakeholders to test hands-free devices to capture point-of-injury care. At the forefront of this effort are digital voice recorders. The devices must overcome the challenge of minimizing battlefield noises while preserving the human voice. Also, the unstructured recording needs to be converted into a structured, mineable patient note and be compatible with DOD EMR systems, including MC4.

After testing the hands-free voice recorders in simulated battlefield conditions, Army medics plan to field-test prototypes to determine the feasibility of use by medics and first responders in real-world situations. A poster, developed for the Advanced Technology Applications for Combat Casualty Care Conference in Tampa, Fla., describes this hands-free EMR effort.

I'll continue to provide updates in future blogs of our involvement of the research process with this endeavor, as well as our continued efforts with the Telemedicine and Advanced Technology Research Center (TATRC) and Defense Advanced Research Projects Agency (DARPA).

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This is a great patient care initiative. It'll also help support the Soldier and Marine with obtaining care and resources downstream.

August 31, 2010

The idea of the digital pen is nothing more than a pipe dream. That horrible idea should just go away. Those people that don't want to use a computer to chart notes should take a typing class. Computers aren't something for the future, they're the present

August 31, 2010

The voice recroders are interesting. I think that digital pen technology should also be considered for these applications.

August 30, 2010

Articles are very informative. I am looking forward to hearing about the results of using hands-free EMR in the real- world.

August 30, 2010

Flight Medics, Trauma Coordinators Utilize New AIM Form

April 26, 2010 posted by Lt. Col. William E. Geesey

In April, flight medics in Afghanistan initiated the use of a new tool to electronically chart the care given during medical evacuations (medevacs), as well as at the point of injury. MC4 technical support personnel worked with OTSG, as well as with medics and flight surgeons assigned to C Company, 2-3rd Aviation Regiment at Bagram Airfield, to develop an Alternative Input Method (AIM) form for in-transit care that works with the outpatient application, AHLTA-T.

The template allows for the capture of data from multiple sources used during medevacs into one streamlined template, including any data recorded by medics at the point of injury and forms completed en route by flight medics. The development of the new AIM form builds upon a template created last year by a flight medic to better document the care administered while in the air.

The new AIM form also augments the efforts under way by trauma nurse coordinators (TNCs), who collect trauma data to populate the Joint Theater Trauma Registry (JTTR). Previously, TNCs gathered in-transit data only from paper forms. As a result, staff had to scan and manually transfer data to the trauma database.

This AIM form should assist TNCs to populate JTTR faster and more accurately with data from AHLTA-T and the Theater Medical Data Store (TMDS). Flight medics will continue to use paper run sheets during treatment, but now have a digital form available to better transfer the information into a Service members’ longitudinal health record.

The new medevac template not only bolsters Service members’ electronic medical records with information previously not documented, but also provides researchers additional information to assist with the development of future life-saving technologies for the battlefield.

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Fielding the Next Generation of MC4 Hardware

July 18, 2009 posted by Lt. Col. William E. Geesey

I have frequently mentioned that MC4 continuously evaluates the latest technology to help deliver the best products and services to help you, the user, to successfully achieve your EMR and medical logistics missions. In May, MC4 began fielding one of these new products—the Dell Latitude E6400 ATG laptop—as part of our technical refresh in support of the next generation of software.

The Area Support Group-Qatar at Camp As Sayliyah was the first unit to receive the new ruggedized Dell laptops with faster processor speeds, longer battery life and lighter weight compared to the current MC4 laptops used on the battlefield and in garrison clinics.

The hardware fielding coincides with MC4 Basis of Issue Plans (BOIPs), established by the Army as the objective baseline for the distribution of equipment by type of unit.

Questions regarding when, or if, your unit will receive new laptops, as well as specifics about the hardware, can be directed to your local MC4 region office. Technical documents regarding the new hardware are available for download in the hardware section of our Web site.

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MC4 to Deploy the Next Version of EMR Software

July 17, 2009 posted by Lt. Col. William E. Geesey

In June, MC4 received approval to field the latest release of DHIMS’ tactical software on MC4 systems, EMR version 2.1.1.1—also well-known as Block Two, Release One (B2R1). The authorization to operate (ATO) spans three years.

This summer, MC4 will deploy multiple technical support teams consisting of operations leadership, systems administrators, trainers and DHIMS subject matter experts to ensure the transition from EMR 1.5 to EMR 2.1.1.1 goes smoothly and is well-coordinated.

The upgrade brings improved network security with the migration to Windows XP and Server 2003. The long-anticipated additions of Alternate Input Method (AIMS) forms and Military Acute Concussion Evaluation (MACE) forms will improve user efficiency and better facilitate the capture and evaluation of traumatic brain injury data. Additionally, Block Two includes significant upgrades to the outpatient application (AHLTA-T), patches to the inpatient system (TC2) and new ad hoc reporting features.

We will provide additional details on this upgrade, as well keep you updated on the fielding progress, in both the newsletter and on the MC4 Web site.

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New Medical Reference Tool—UpToDate—Approved for Use on MC4 Systems

April 24, 2009 posted by Lt. Col. William E. Geesey

UpToDate is an evidence-based, peer-reviewed, preferred medical resource designed to provide medical professionals access to current clinical information. With UpToDate, medical personnel get specific, detailed answers to clinical questions in their office, exam room or bedside. It covers more than 7,700 topics in 14 medical specialties and includes more than 80,000 pages of text, graphics, links to Medline abstracts, more than 260,000 references and a drug database.

Medical personnel have been requesting permission to install this medical reference tool on their MC4 laptops. After extensive testing, UpToDate is now listed on MC4’s qualified software list, permitting users to install UpToDate on their MC4 systems.

The software is not automatically loaded onto MC4 systems, so users need to request the most current version of UpToDate, by contacting Ann Potter, Library Program Office, U.S. Army Medical Command.

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