Electronic medical records go into combat

 

Connecting state and local government leaders

As an Army medic responding to medical emergencies in Macedonia in the early 1990s, Sgt. Tommy Morris thought there had to be a better way to keep patients' records.

As an Army medic responding to medical emergencies in Macedonia in the early 1990s, Sgt. Tommy Morris thought there had to be a better way to keep patients' records.Morris lugged around thick medical reference manuals and a Leader's Book in which to jot down a patient's diagnosis and treatment. It was tough for medics to keep complete records of a soldier's medical history.'Mostly that information wasn't captured until soldiers got evacuated to a hospital facility,' said Morris, who now serves in a civilian role as chief IT officer and director of mobile computing for the Telemedicine and Advanced Technology Research Center at Fort Detrick, Md. The center is part of the U.S. Army Medical Research and Materiel Command.When he returned from Macedonia, Morris began researching ways to automate and simplify medical record-keeping. The result is the Battlefield Medical Information System-Tactical, which military medical personnel use to capture a patient's medical history on the battlefield. It has been so successful in making medical record-keeping more accurate and efficient that the Army is speeding rollout of the devices. Three years ago, Morris and his division developed a prototype of BMIST based on Microsoft Windows Mobile software running on ruggedized Hewlett-Packard iPAQ Pocket PCs. The devices store data such as immunizations, dental and vision records, and drug allergies, which can also be transmitted to a central medical repository.With BMIST, 'you're tracking the entire medical record from the point of injury so they can get the appropriate care,' Morris said.Users also can download health care reference manuals via BMIST. The devices have a Simple Technologies Compact Flash Card with 128M of RAM, an iPAQ PC CARD Expansion and a Simple Technologies Compact Flash Adapter.Last year, the Defense Department approved BMIST as the main handheld system supporting military health surveillance missions.Today, there are 5,000 BMIST devices in use, including by brigades of Army Stryker armored combat vehicles in Iraq and the White House Medical Unit. Recently, the Marine Corps has been devising plans to use BMIST in Iraq. The military expects to deploy 50,000 more of the units in the next three years.Morris said the devices can 'save lives and reduce medical errors' while helping the government comply with the president's Health IT Plan, which requires federal agencies to begin keeping electronic health records of personnel and their families. The goal of the 10-year initiative is to move from paper to electronic medical records, which is expected to save money and reduce errors.Morris said BMIST is making life easier for medics.'We wanted to give them a more intuitive way to do their jobs and to provide them with decision support,' Morris said.When a medic treats an injured soldier, he removes an electronic device that is worn around the soldier's neck, like a dog tag, and can store medical records for 20 years. The medic then enters the personal information carrier into BMIST to gain instant access to such data as the soldier's allergies and medications. 'The information goes with the patient, so when the patient gets to the next level of care, they can see what has been done for the patient to help reduce medical errors,' Morris explained.BMIST, which is part of the joint Theater Medical Information Program, interfaces with the Defense Department's Composite Health Care System II program and the military's Clinical Data Repository.Since the deployment of BMIST, other military units have expressed interest in applying the handheld devices to their own disciplines. For example, veterinarians envision using the devices to maintain medical records on military pets.

'You're tracking the entire medical record from the point of injury so they can get the appropriate care.'

'Former Army medic Tommy Morris

BMIST reduces errors, makes medics' job easier

















At the White House













NEXT STORY: Feed the Network

X
This website uses cookies to enhance user experience and to analyze performance and traffic on our website. We also share information about your use of our site with our social media, advertising and analytics partners. Learn More / Do Not Sell My Personal Information
Accept Cookies
X
Cookie Preferences Cookie List

Do Not Sell My Personal Information

When you visit our website, we store cookies on your browser to collect information. The information collected might relate to you, your preferences or your device, and is mostly used to make the site work as you expect it to and to provide a more personalized web experience. However, you can choose not to allow certain types of cookies, which may impact your experience of the site and the services we are able to offer. Click on the different category headings to find out more and change our default settings according to your preference. You cannot opt-out of our First Party Strictly Necessary Cookies as they are deployed in order to ensure the proper functioning of our website (such as prompting the cookie banner and remembering your settings, to log into your account, to redirect you when you log out, etc.). For more information about the First and Third Party Cookies used please follow this link.

Allow All Cookies

Manage Consent Preferences

Strictly Necessary Cookies - Always Active

We do not allow you to opt-out of our certain cookies, as they are necessary to ensure the proper functioning of our website (such as prompting our cookie banner and remembering your privacy choices) and/or to monitor site performance. These cookies are not used in a way that constitutes a “sale” of your data under the CCPA. You can set your browser to block or alert you about these cookies, but some parts of the site will not work as intended if you do so. You can usually find these settings in the Options or Preferences menu of your browser. Visit www.allaboutcookies.org to learn more.

Sale of Personal Data, Targeting & Social Media Cookies

Under the California Consumer Privacy Act, you have the right to opt-out of the sale of your personal information to third parties. These cookies collect information for analytics and to personalize your experience with targeted ads. You may exercise your right to opt out of the sale of personal information by using this toggle switch. If you opt out we will not be able to offer you personalised ads and will not hand over your personal information to any third parties. Additionally, you may contact our legal department for further clarification about your rights as a California consumer by using this Exercise My Rights link

If you have enabled privacy controls on your browser (such as a plugin), we have to take that as a valid request to opt-out. Therefore we would not be able to track your activity through the web. This may affect our ability to personalize ads according to your preferences.

Targeting cookies may be set through our site by our advertising partners. They may be used by those companies to build a profile of your interests and show you relevant adverts on other sites. They do not store directly personal information, but are based on uniquely identifying your browser and internet device. If you do not allow these cookies, you will experience less targeted advertising.

Social media cookies are set by a range of social media services that we have added to the site to enable you to share our content with your friends and networks. They are capable of tracking your browser across other sites and building up a profile of your interests. This may impact the content and messages you see on other websites you visit. If you do not allow these cookies you may not be able to use or see these sharing tools.

If you want to opt out of all of our lead reports and lists, please submit a privacy request at our Do Not Sell page.

Save Settings
Cookie Preferences Cookie List

Cookie List

A cookie is a small piece of data (text file) that a website – when visited by a user – asks your browser to store on your device in order to remember information about you, such as your language preference or login information. Those cookies are set by us and called first-party cookies. We also use third-party cookies – which are cookies from a domain different than the domain of the website you are visiting – for our advertising and marketing efforts. More specifically, we use cookies and other tracking technologies for the following purposes:

Strictly Necessary Cookies

We do not allow you to opt-out of our certain cookies, as they are necessary to ensure the proper functioning of our website (such as prompting our cookie banner and remembering your privacy choices) and/or to monitor site performance. These cookies are not used in a way that constitutes a “sale” of your data under the CCPA. You can set your browser to block or alert you about these cookies, but some parts of the site will not work as intended if you do so. You can usually find these settings in the Options or Preferences menu of your browser. Visit www.allaboutcookies.org to learn more.

Functional Cookies

We do not allow you to opt-out of our certain cookies, as they are necessary to ensure the proper functioning of our website (such as prompting our cookie banner and remembering your privacy choices) and/or to monitor site performance. These cookies are not used in a way that constitutes a “sale” of your data under the CCPA. You can set your browser to block or alert you about these cookies, but some parts of the site will not work as intended if you do so. You can usually find these settings in the Options or Preferences menu of your browser. Visit www.allaboutcookies.org to learn more.

Performance Cookies

We do not allow you to opt-out of our certain cookies, as they are necessary to ensure the proper functioning of our website (such as prompting our cookie banner and remembering your privacy choices) and/or to monitor site performance. These cookies are not used in a way that constitutes a “sale” of your data under the CCPA. You can set your browser to block or alert you about these cookies, but some parts of the site will not work as intended if you do so. You can usually find these settings in the Options or Preferences menu of your browser. Visit www.allaboutcookies.org to learn more.

Sale of Personal Data

We also use cookies to personalize your experience on our websites, including by determining the most relevant content and advertisements to show you, and to monitor site traffic and performance, so that we may improve our websites and your experience. You may opt out of our use of such cookies (and the associated “sale” of your Personal Information) by using this toggle switch. You will still see some advertising, regardless of your selection. Because we do not track you across different devices, browsers and GEMG properties, your selection will take effect only on this browser, this device and this website.

Social Media Cookies

We also use cookies to personalize your experience on our websites, including by determining the most relevant content and advertisements to show you, and to monitor site traffic and performance, so that we may improve our websites and your experience. You may opt out of our use of such cookies (and the associated “sale” of your Personal Information) by using this toggle switch. You will still see some advertising, regardless of your selection. Because we do not track you across different devices, browsers and GEMG properties, your selection will take effect only on this browser, this device and this website.

Targeting Cookies

We also use cookies to personalize your experience on our websites, including by determining the most relevant content and advertisements to show you, and to monitor site traffic and performance, so that we may improve our websites and your experience. You may opt out of our use of such cookies (and the associated “sale” of your Personal Information) by using this toggle switch. You will still see some advertising, regardless of your selection. Because we do not track you across different devices, browsers and GEMG properties, your selection will take effect only on this browser, this device and this website.