NDMS Patient Movement

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NDMS Patient Movement USNORTHCOM Command Surgeon Joint Regional Medical Plans & Operations Lt Col Tony Voirin USNORTHCOM JRMP – NW Branch

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USNORTHCOM Command Surgeon Joint Regional Medical Plans & Operations. NDMS Patient Movement. Lt Col Tony Voirin USNORTHCOM JRMP – NW Branch. Federal Patient Movement Capabilities. National Ambulance Contract 300 Amb/3000 para-transit seats/life-flight Military Ground Ambulance – Humvee - PowerPoint PPT Presentation

Transcript of NDMS Patient Movement

Page 1: NDMS Patient Movement

NDMS Patient Movement

USNORTHCOMCommand Surgeon

Joint Regional Medical Plans & Operations

Lt Col Tony Voirin

USNORTHCOM JRMP – NW Branch

Page 2: NDMS Patient Movement

Federal Patient Movement Capabilities

• National Ambulance Contract– 300 Amb/3000 para-transit seats/life-flight

• Military Ground Ambulance – Humvee

• Military Helicopters – MEDEVAC/CASEVAC– National Guard and Active Duty

• Civilian Contract Airlines– Low acuity/Ambulatory/Chronic patients

• NDMS Fixed Wing Patient Evacuation

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A public/private sector partnership

DHS DHHS DOD DVA

National Disaster Medical System

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Major Components of theNDMS System

DHHS

DHS

VADefinitive

Care

DoD

MedicalResponse

PatientEvacuation

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NDMS Patient Evacuation

• DoD has primary responsibility – Movement from point of origin to receiving Federal

Coordinating Center (FCC) Patient Reception Area (PRA)

– Primarily relies on air• AE = Aeromedical Evacuation

• System Components– Movement Requests– Staging – Regulating– Lift– Reception & Distribution– Tracking (HHS JPATs)

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System Capability

• Patient Evacuation can begin 36 hrs from notice • System can move 500 patients per day (up to

20% critical) – Up to four Airfields

• Limited capability for patients – Suggest the following patients be evacuated

by other modes • High-acuity burn • NICU and PICU • Psychiatric (if requires medical supervision)

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Reception Sites(FCC)

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What we need to know

• How many patients over what period (approx)• What airfields (coordinated approval)• Rate of delivery to the Airfield • Acuity of Patients (higher Acuity, less

patients)– Litter/Amb – Space, number of patients/plane– Critical – CCATT and Equipment– Vented – CCATT, Equipment and O2

• How will Patient Movement Requests flow• Will need to know but make best guess

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Other factors

• Notice vs No Notice– Hurricane vs Earthquake/CBRNE

• Catastrophic or Not (Potential or Just Bad)– 7.8 Earthquake/Nuke or Prestorm/Wildfire

• State Request Submitted or On Fence – Mission Assignment Driven Process

• Single or Multi-State Event

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LOCAL HOSP

AE System Overview

LOCAL HOSP

LOCAL HOSP

Regional Hospital

Coordinator

State EOCJPMT (GPMRC)

GPMRC

AMC (TACC)

Mission Built

Crews Alerted

APOE/AMP

State/Local IC

MASF/AELT

PM

R

PMR

PMR

NDMS HOSP

PMR

Pts moved to APOE

and loaded

APOD/FCC

AmbulanceControl

Ambulances dispatched

to hospitals

NDMS HOSP AE

movement to APOD

Mission Specifics(MSN #, Times, Etc.)

NDMS HOSP

PT MAN

PMRPT MAN

CRE/CRT

JPRT/QRC

Situational

Awareness

NDMS DMAT/CCT

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Challenges• Patient Movement Requests • Number of patients; over period of time (approximately) • FEMA Mission Assignment (MA) to DoD • Identification and allocation of space on Airfields • Rate of delivery to the Airfield(s)

– right patient – right airhead – right order/time

• Acuity of patients (higher acuity = less patients) – Litter/Ambulatory – space, number of patients/plane – Critical – CCATT, Equipment, O2 (20% max) – Vented – CCATT, Equipment, O2

• # Non-medical attendants (i.e. pediatric patients - 20% max)

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Questions?


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