PATIENT MOVEMENT
TCSG
Together, we deliver.
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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.
TCSG
Together, we deliver.
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REFERENCES
• 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
TCSG
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TRAC2ES
TRANSPORTATION COMMAND
REGULATING
AND
2
C COMMAND AND CONTROL
EVACUATION
SYSTEM
TCSG
Together, we deliver.
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TRAC2ES MISSION STATEMENT
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.
TCSG
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TRAC2ES VISION
• Manage patient movement with total
visibility and worldwide responsiveness.
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TRAC2ES
• 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
TCSG
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TRAC2ES - CONT.
• 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.).
TCSG
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System Requirements / Security Features
• 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
TCSG
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PATIENT MOVEMENT
• 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.
TCSG
Together, we deliver.
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PATIENT VISIBILITY CONCEPT
CASEVAC/
MEDEVAC
First Aid/Buddy Care/Aid Station
Intra-Theater Airlift
Inter-Theater Airlift
Inter-Theater Airlift
TCSG
CONUS Medical Facilities
LRMC
Landstuhl Regional
Medical Center
Together, we deliver.
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Medical Treatment Facilities: Any Service
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.
TCSG
Together, we deliver.
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Patient Movement Requirements Centers
TRANSCOM Patient Movement Requirements Centers
AMERICAS / EAST / WEST
Joint Patient Movement Requirements Centers
CENTCOM / NOTIONAL IN KOREA
• Responsibilities
•
•
•
•
•
•
•
TCSG
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.
Together, we deliver.
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PMRCs AREAS OF RESPONSIBILITY
TPMRCAmericas
TPMRC-East
Ramstein AB, Germany
TPMRC-Korea
(Notional)
Korea
Scott AFB, IL
TPMRC-West
Hickam AFB, HI
JPMRC
Al Udeid, Qatar
TCSG
Together, we deliver.
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PATIENT MOVEMENT PROCESS
TCSG
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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.
TCSG
Together, we deliver.
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USER ROLES
• 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.
TCSG
Together, we deliver.
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SERVER INFORMATION
• 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.
TCSG
Together, we deliver.
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TRAC2ES MOBILE
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.
TCSG
Together, we deliver.
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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!
TCSG
Together, we deliver.
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??QUESTIONS??
TCSG
Together, we deliver.
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