Combat & Casualty Care

Q2 2016

Military Magazines in the United States and Canada, Covering Combat and Casualty Care, first responders, rescue and medical products programs and news\Tactical Defense Media

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tacticaldefensemedia.com 34 | Combat & Casualty Care | Summer 2016 USAMMA Spotlight Innovation Evolution Joint Enterprise Clinical Imaging The Army and Navy have joined forces to solve one the largest digital logistics problems the military has ever encountered – storing a lifetime of medical images. When the military transitioned from hard copy X-ray films to digital radiography less than 15 years ago, storage of patient medical images also changed. The standard for storing hard copy films was seven years. Digital radiology images, however, are stored for up to 90 years. The project is called the Enterprise Clinical Imaging Archive (ECIA), a 35 million-dollar joint Army/Navy effort to consolidate all of its separate, long-term image archives into a vendor- neutral archive system that shares information across the services. The project is managed by the Navy and Army's Picture Archiving and Communication System (PACS) teams, including the U.S. Army Medical Materiel Agency's Integrated Clinical Systems. When finished, the ECIA will store up to five and a half petabytes worth of medical images in the integrated PACS. This is the data equivalent of more than 100 million four-drawer filing cabinets filled with text. To date, Army Medicine has more than 24 million radiology studies in its PACS system, taking up 750 terabytes – the data equivalent of 62 million phonebooks. But size isn't the only concern. The ECIA will provide a cloud-based architecture to connect all Army and Navy medical treatment facilities and a clinical image viewer that will be accessible to all of their clinicians. The ECIA will serve as a vital component of the Department of Defense's Electronic Health Record solution to provide service-oriented access to medical imaging informatics from any requesting application. "The move from traditional film to digital X-ray created many benefits for both clinicians and patients – the biggest one being that images are immediately available to doctors anywhere on the hospital network. However, military patients don't spend their entire career receiving care from the same medical treatment facility. Service members move around and deploy. We needed an archive that could provide immediate access to patient medical imaging information, regardless of their location," explained Cory Martynski, a biomedical engineer at U. S. Army Medical Materiel Agency (USAMMA), who is managing the ECIA project. Currently, the Image Management Systems (IMS) are responsible for the central management of PACS throughout Army Medicine. The five regional medical commands are managed, upgraded, and replaced separately, with a lifecycle of about five years. The ECIA will be able to centrally manage Army and Navy long- term archives, streamline Information Assurance Accreditations, and eliminate the need for future enterprise data migrations, according to Martynski, a five-year veteran at USAMMA. When the ECIA is fully up and running, around 2017, the Army will be able to decommission 17 separate, long-term archives and minimize the need for costly data migrations in the future. Medical Vital Signs Simulator 'Lightens the Load' The U.S. Army Medical Materiel Agency (USAMMA) has selected and begun fielding a new Medical Vital Signs Simulator (MVSS) for testing, calibrating and repairing medical equipment such as vital signs monitors and pulse oximeters. The MVSS performs the functions of three instruments, providing a lighter load of gear for biomedical equipment specialists in the field. The MVSS is a commercially-made device that is cleared by the U.S. Food and Drug Administration (FDA). "The MVSS is another great example of how Army Medicine works with industry to select, procure, and modify the best medical technology and products to meet the needs of our Warfighters," said Tyler Bennett, Ph.D., Deputy to the Commander for Acquisition, USAMMA. Feedback from the battlefield was an essential part of the decision to go with the new, multi-purpose device, according to USAMMA equipment specialist Dennis Rumple. Biomedical equipment specialists described issues with their gear being too bulky and heavy for some helicopter transports. The MVSS fits into a small carry-on bag and weighs less than 5 lbs., compared to the previous devices that weighed a combined total of more than 20 lbs. The MVSS will eventually phase out the Analyzer Noninvasive Blood Pressure the Simulator Medical Functions and the Simulator Pulse Oximetry. "Maintaining the status quo vital signs simulator for the testing, calibration, and repair of medical equipment was not recommended because two of the existing three devices were non- procurable at this stage as the company is no longer manufacturing these items," said Rumple. Rumple said another reason why biomedical equipment specialists needed the new gear was to be able to adequately test, calibrate and repair more advanced medical equipment. Fielding Critical Capabilities (USAMMA)

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