FIELDING THE FUTURE


UP AND RUNNING


Soldiers of the 627th Hospital Center use MC4 system laptops during the COVID-19 response at the CenturyLink Field Event Center in Seattle on April 7. (Photo courtesy of KOMO ABC 4 News)


is network connectivity, EHRs can be transmitted in seconds and are then viewable by medical personnel with network access. Electronic records also aren’t as easily lost when compared to paper records. Information in the electronic record can be data- mined to support medical research and to provide leadership with near-real-time information for use in decision-making. Finally, a comprehensive, lifelong EHR provides medical information to ensure that the service member gets the right care at the right time—whether in service or when their care transitions to the [U.S. Department of Veterans Affairs] or civilian sector upon separation.


Clark: What operational challenges does this present?


Ellis: In operational settings, the No. 1 issue is that network communications are not always available or can become


degraded—the term used by the military is disconnected, inter- mittent or low bandwidth. Tat is why there’s a requirement that deployed operational health IT systems have the ability to continue to document health care in a degraded network envi- ronment. While the legacy AHLTA-T [Armed Forces Health Longitudinal Technology Application – Teater] EHR software provides this capability, it depends on a server to store the patient encounter. If the connection between the provider’s computer (i.e., the client) and the server is lost, it requires reconfiguring the provider’s computer as a client-server to operate in this envi- ronment. Tis is normally handled by deployed personnel with systems administration expertise—who may or may not even be co-located with you. HALO was designed specifically to allow electronic documentation to continue and then forward the patient encounters once communications are restored, with no additional steps required.


https://asc.ar my.mil 65


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