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Pacific Joint Information Technology Center

The Pacific JITC is the Military Health System's (MHS's) research center for joint concept technology development, prototyping, and piloting of IM/IT products and services to support the Department of Defense (DoD) medical readiness requirements and IT modernization needs across the medical continuum of care. The Pacific JITC is composed of two major components: The Integrated Test and Evaluation Center (ITEC), and the Biotechnology Hui. See below for details about each component.

Based in Hawaii, the mission of Pacific JITC is to rapidly research, test and develop warfighter medical solutions and products through pilots or prototypes that provide mission critical value and actionable information to the DoD, including the Services, Combatant Commanders, and the Department of Veterans Affairs (VA).

Pacific JITC provides services for early-stage (pre-Milestone B) IM/IT development. This early piloting allows the MHS to be agile and flexible in determining what IT solution is best, most cost effective and acceptable to the functional community before a major acquisition is launched. >>Read more about Pacific JITC's offerings

Pacific JITC falls under the administrative purview of the Health IT Directorate's Innovation and Advanced Technology Development (IATD) Division. 

Pacific JITC’s Integrated Test and Evaluation Center

Located in Kihei, HI, the ITEC is the first DoD/VA integrated lab to virtualize critical legacy systems. This center provides an agile computing environment that supports military health and interagency research & development, testing, and evaluation missions. Learn about the ITEC's offerings.

ITEC Pilots, Projects, and Initiatives

Name of Project  Description 
Natural Medicine and Supplement Adverse Reaction Registry (NMSARR) NMSARR prototyped an information system to collect, centralize, and organize data on the use of natural medicine and dietary supplements in the military. The project seeks to improve the reporting of adverse events, provide tools to analyze and better assess effects, and allow a more accurate gauge of supplement usage.
Transition Application Plan Support (TAPS) TAPS researched and demonstrated the utility of using Resource Description Framework to facilitate and accelerate a transition of the Composite Health Care System (CHCS) to a service-oriented architecture (SOA) while also providing enhanced situational awareness. The project developed technical analyses and prototypes to support a stable, reliable and repeatable process to transition, migrate, turn-off or replace existing CHCS capabilities to support the integrated Electronic Health Record (iEHR) program.
National and International Integrated Catastrophic Health Events – Preparedness and Response System (NIICHE-PRS) NIICHE-PRS is a web-enabled tool to provide decision support for complex catastrophes. NIICHE-PRS provides medical planners at all levels (local, state, and federal) with a quantifiable and transparent planning capability. The tool addresses public health and medical requirements and potential resources resulting from natural and manmade disasters. NIICHE-PRS provides the data necessary to develop informed time-phased response plans tailored to regional threats, capabilities, and concepts. In turn, this provides senior leaders with an assessment of the associated risks to patient mortality, responder health and safety, and population health risk management.
Enterprise Data Migration/Interoperability (iDA) iDA researched enterprise data warehousing, data architectures, and data usage to support transitioning data from DoD and VA legacy data storage systems to a new data architecture in support of the iEHR program.
Integrated Electronic Health Record (iEHR) Business Process Optimization (iBO) The iBO project identified, analyzed, and studied feasible transition/migration strategies and optimizing (reuse) legacy data and related processes to provide working prototypes for clinical systems integration within a SOA and enterprise service bus (ESB). The results informed and supported risk reduction activities for the transition to a new health record architecture and determined the capabilities, limitations, benefits, and drawbacks of differing methods used to integrate clinical data in an iEHR environment.
Defense Medical Logistics – Enterprise Systems (DML-ES) Common User Interface (CUI) and Common Services (CS) DML-ES utilizes modern reusable presentation and application layers, data usage, messaging standardization, performance and latency and related activities to inform and support risk reduction activities for the establishment of integrated medical supply chain business operations.
Theater Mobile Blood Management The Theater Mobile Blood Management project is developing a mobile blood management application prototype that can augment and inter-operate with the existing system and excel in low and no-communications environments, including the fleet. The new system will reduce manual documentation, excess handling of products, and manual entry errors, while allowing data captured offline to be synchronized with the Theater Medical Data Store (TMDS) and Medical Situational Awareness in Theater (MSAT) applications, providing total joint asset visibility of theater blood products.
Identity Management for the Nationwide Health Information Network (NwHIN)/eHealth Exchange This project is researching technical alternatives for implementing a new approach toward solving the problem of patient identity correlation and patient discovery within the eHealth Exchange environment (previously called NwHIN). This study focuses on the Araxid Identity Exchange Protocol (IXP) and Identity Exchange Service (IXS) platform, and explores implementation alternatives for how to best utilize this solution for the NwHIN partners toward the goal of validating a single trust framework (i.e., Araxid protocols and services).
Theater Medical Information Program (TMIP) Research Study to Assess Significant Gaps of SOA & ESB-based Electronic Health Record for TMIP The Theater Medical Information Program (TMIP) research study is identifying significant maritime capability gaps and faster implementation strategies for naval platforms that would decrease the current implementation time of three to five years. The objective is to analyze and capture “as-is” architecture of theater systems in an effort to understand, recommend, and demonstrate how the Naval services can migrate the current store and forward architecture to a SOA/ESB-based architecture to enhance Theater capabilities and user experience.
Optimal Vision Care Prototype The Optimal Vision Care Prototype research project is exploring alternatives for vision care documentation by enabling novel data collection to quickly and accurately capture the initial assessment, triage and the continuum of follow-up care. The data elements include the tens of thousands of specific granular clinical exam and patient components that can inform efforts to prevent, diagnose, mitigate, treat and rehabilitate visual system disorders. The Optimal Vision Care prototype is to be inter-operable with the DoD/VA Electronic Health Record to include vision care specific workflow/encyclopedic vision term ontology.
Regionalization for Defense Medical Logistics Enterprise System (DML-ES) This project is researching, designing, providing recommendations of effective techniques, and building a proof-of-concept architecture solution for a DMLES regionalized architecture. The goal is to support the move from a distributed defense medical logistics operating environment of approximately 250 servers to a regionalized operating environment.
Enterprise Knowledge Portal for Online Training This project is identifying, analyzing, and studying feasible transition, migration, and consolidation strategies to optimize the use of MHS eLearning systems from a distributed operating environment of approximately 35 learning management systems (LMSs) into one centralized knowledge portal. The objective is to provide one-stop access to training that is critical in maintaining regulatory readiness, work-related competencies, and continuing education requirements.
Software Development Kits (SDK) for Medical Applications This project developed a software development kit (SDK) for medical applications for AHLTA-T and Theater Medical Information Program Composite Health Care System (CHCS) Cache (TC2). The goal is to make a repeatable straightforward process for developers to integrate commonly accessed military health information into their software on any network.
Electronic Surveillance System for Early Notification of Community-Based Epidemics (ESSENCE) Capabilities ESSENCE enables public health practitioners to observe abnormal behavior of health indicators across jurisdictions and view the geographical spread of outbreaks that span across regions. The aim of executing the requirements discovery/definition and system design is to shorten market delivery time of these capabilities to the field by an estimated nine months.
Joint Medical Logistics Readiness Tool (JMLRT) JMLRT developed a web-based data warehouse/repository which captures logistics inventory and transactions from Defense Medical Logistics Standard Support and other retail and wholesale medical logistics systems to provide visibility, business intelligence and flexible reporting on blood inventory/medical product inventory/medical equipment status and location as well as facility management data.
Medical Situation Awareness in the Theater (MSAT) MSAT developed a tool that enhances situational awareness by providing a SOA framework for accessing and fusing medical and non-medical data into a tailored operational picture. MSAT provides net-centric data service interfaces to personnel, intelligence, operational, logistics and other communities of interest to share data for critical decision making.
Mobile Computing/Care En-route This project conducted technical research and provided a proof of concept to determine the most appropriate mobile computing software and hardware platform to serve the medical mission in Theater. Research evaluated the best combination of software/hardware, communications methodology and graphical user interface that would be needed for point-of-care treatment and clinical documentation on the battlefield and designed secure mobile medical applications that meet Theater needs. This translated into a mobile development framework capable of providing quickly developed mobile apps which are highly intuitive and fit right into the existing legacy frameworks without disruption of legacy services.
Pacific Operations Center Proof of Concept (PACOPS)  This project provided a basis for evaluating the effect of configuration changes (equipment upgrades, application changes, etc.) and network traffic changes (outages, re-routes, Quality of Service (QOS), etc.). Enterprise-level (node-to-node, gateway-to-gateway) simulation models of the current and alternative MHS network topologies were created to evaluate configuration changes and network traffic.
Theater Barcode Integration and COTS-Based Radio Frequency Identification (RFID) This project conducted research and provided an analysis of alternatives to identify the optimal Commercial Off-the-Shelf (COTS) product and strategy for barcode use and RFID tracking for the MHS. The project demonstrated the use of RFID/barcode integration in the TMIP suite so patient data could be easily transferable on to a barcode and the EHR.
Theater Warfighter Blood Application This project prototyped a new, independent Warfighter Blood Management Application for use in theater, remote, low-communication/no-communication environments with a focus on stabilizing the current blood inventory application.
Unified Theater Server Platform (UTSP) This project developed a prototype of a unified server computing platform maximizing the use of Commercial Off-the-Shelf (COTS) components and non-developmental items for Theater hospitals. This effort focused on ruggedizing a server for field locatable services and developing the next generation communications kit for all centralized service delivery into the field.
Janus Joint Legacy Viewer (JLV) The Janus JLV is a graphical user interface that links the DoD electronic medical record systems to the VA electronic medical record systems. JLV was developed to meet increasing needs for seamless interoperability of standards based health data to support high quality care for our nations’ Wounded Warrior and Veterans members. The interface is a front-end web application that provides a common data view of view-only, real-time patient information from separate and distinct electronic medical record systems. The JLV is the only interagency application to provide an integrated, chronological view of electronic health record information from all DoD and VA facilities where a patient has received care in a workflow configurable display.
Medical Informatics Fusion Decision Support (MIF-DS) The Medical Operations Center (MOC) is a key component of the military planning scheme where planners, commanders, and operators work together to execute the Operations Plan. MIF-DS solutions will demonstrate, through research and prototypes, the capability of presenting comprehensive information to medical readiness planners and decision makers in real time. The MIF-DS solutions will exhibit the capabilities and value of business intelligence functionality, to support and refine the medical readiness and decision-making process.

Biotechnology Hui

Located in Honolulu, HI, the Pacific JITC’s Biotechnology Hui provides expertise in support of biotechnology and telehealth research, funding and execution. The “Hui,” a Hawaiian word for partnership or association, complements Pacific JITC’s overall mission to “rapidly research, test, and develop Warfighter medical solutions and products through pilot programs or prototypes, that provide mission-critical value and actionable information to the DoD and the VA.”

The Hui delivers a number of different services, including program management, regulatory compliance, research design and methods, proposal writing, statistical analysis and subject matter expertise in informatics, medicine and health psychology. This blending of biotechnology research and IM/IT stands to transform battlefield/humanitarian first responder care, strengthen triage guidelines and merge cutting-edge biotechnology research into information capture and documentation while still in prototype/development.

Ongoing Research

Research Project  Description 
Clinical Validation of Adipose-derived Regenerative Cells for Tissue Repair Peripheral vascular disease (PVD) affects between 8 and 20 million people in the US, with approximately 25% of patients progressing to limb-threatening critical limb ischemia (CLI). The icellator® is an automated system that isolates adipose-derived stromal cells (ASCs), which can be delivered directly to ischemic tissue to improve distal circulation, relieve symptoms of PVD, and circumvent the need for surgery and amputation.
Rapid Active Injury/Distress Enhanced Recovery Therapy (RAIDER) This Congressionally funded research program has evolved from constructing functionalized carbon nanotubes for use in identifying Type 1 hypersensitivity reactions. The program has now evolved into nano-based wound therapy that can assist with immediate coagulopathy, and heal wounds at upper echelons of care.
Simulation Learning: PC Screen-Based vs. High Fidelity Training Civilian and military trauma nurses are trained using computer-based computer simulation and/or high-fidelity simulation mannequins. Differences in competency-based learning outcomes and cost-effectiveness are then examined to determine optimal methods for training trauma nurses in a variety of specific scenarios.
Reparation of Ligaments Using Autologous Stem Cells One of the most difficult challenges in regenerative medicine is developing a viable replacement tissue graft for anterior cruciate ligament (ACL) reconstruction. Tissue engineering and regenerative medicine provide a much more clinically viable and preferred solution for complete joint repair.

Small Business Innovation Research

The Small Business Innovation Research (SBIR) Program provides small, high-tech U.S. businesses and academia with an opportunity to provide innovative research and development solutions that respond to critical Army needs. The PJITC Biotechnology Hui manages several successful SBIR research projects that are designed to serve both military and commercial markets. >>Read more about this effort

Research Project  Description
Advanced Military Footwear System with Composite Orthotic This Phase II SBIR program has developed a new combat boot that can reduce lower extremity overuse injuries in Soldiers during training and operational deployment.  The boot features a new footbed assembly with a high-performance energy storage and return orthosis. Biomechanical and physiological testing has demonstrated the prototype’s improved function through lower energy expenditure, compared with today’s standard issue Army Combat Boot.
Disposable Coagulation Profiler (DCP) In order to treat traumatic injuries, it is essential to diagnose blood coagulation abnormalities as far-forward as possible. The DCP is a SmartPhone-based analyzer designed to interface with disposable cartridges and evaluate blood viscoelasticity. The complete system is handheld, and provides real-time data in the form of a coagulation profile, identical to that of expensive laboratory testing equipment.
Mobile Application for Improved Sleep: Nighttime Alleviation Play and Practice (NAPP) NAPP is a mHealth game that uses a novel step-wise approach based on personal needs and goals to provide individualized solutions facilitating behavioral change underlying bad sleep hygiene. NAPP identifies individual levels of motivation to better increase self-efficacy, provide customized feedback and support sleep hygiene self-management.
Self-Powered BioSensors This Phase II SBIR program has developed a biomonitoring sensor that is powered by simple respiratory activity of the user. The sensor can be used to monitor vital signs, such as activity level, breathing, heart rate, blood pressure, skin conductance, and sleep quality. The sensor will be embedded in clothing, so as to be inauspicious and non-intrusive. The platform design is both flexible and scalable, so it can be used for Warfighter monitoring, athletic training, and first responder diagnostics.

Transitioned Projects

Research Project  Description 
Accelerated Optimization of Small Molecule Inhibitors of Botulinum A Light Chain This proof-of-concept program involved screening and testing of potential compounds that could be used in the future development of a Botulinum inhibitor drug.
Advanced Technologies Addressing Asia-Pacific Infectious Diseases Utilizing the unique position of the University of Hawaii's Asia-Pacific Institute of Tropical Medicine and Infectious Diseases, this project addressed emerging infectious disease threats as a mean to developing a trans-disciplinary research program.
Bioengineered Corneas for Transplantation This project constitutes follow-on work to improve the formulation of a bioengineered polymer to replace damaged corneas, set up a GMP ISO-9001-compliant manufacturing laboratory, and explore new polymer formulations that can be used for ocular drug delivery.
Biomedical Applications of Micro-Raman and Surface-Enhanced Raman Scattering (SERS) Technology Funding for this project established the Biomedical Raman Center at the University of Hawaii in collaboration with Tripler Army Medical Center and others. The initial study focused on creating an improved detection method for prostate cancer tumor biomarkers using a variation of micro-Raman scattering called SERS.
Broad-range Respiratory Virus Surveillance in the Pacific Regional Medical Command Utilizing Ibis T5000 Universal Biosensor Technology This project developed proactive surveillance systems which recognize the emergence of respiratory viruses, such as H1N1, at the earliest possible stage, of Botulinum A through an iterative testing procedure.
Cell Networks on Matrix Chips for Detection of Toxic Threat Agents The focus of this effort was to create a handheld device from commercial, off-the-shelf components to be used during a single day for wide area sweep detection purposes to assess toxic agent-induced changes in the activity of a network of spontaneously contracting cardiac cells.
Cell-Phone-Based Expert Systems for Smoking Cessation This research project both developed and tested a computerized, tailored intervention with tailored text messages in order to reduce tobacco use in veterans. This randomized controlled trial resulted in unprecedented smoking cessation rates of more than 40% in only three months.
Computerized Tailored Interventions for Behavioral Sequelae of PTSD  This study examined the feasibility of delivering a computerized, tailored intervention to reduce PTSD symptoms in veterans through the reduction of smoking, depression and stress. This study resulted in significant reductions in smoking, depression and stress, in addition to fewer symptoms of PTSD.
Development of the versaHSDI System to Assist in Endoscopic Cancer Screening This completed the development of a computer-assisted gastrointestinal detection system intended to improve the efficacy of endoscopic colorectal cancer screening, particularly in locating flat and depressed lesions.
Does a Personalized Health Portal for Diabetes Retinal Imaging Affect Motivational Readiness to Change? The project conducted a longitudinal examination of the impact of presenting images of retinal deterioration to Type 2 diabetes (T2D) patients on their readiness to positively change behavior.
Economic and Quality of Life Impact of Remote Technologies on High Risk Patients and Their Caregivers This project compared both clinical outcomes and economic impacts between a home-based remote technology intervention and usual care in patients with end-stage renal disease.
Effect of Interactive Simulations on Exercise Adherence with Overweight and Obese Adults This study examined if pairing exercise with highly reinforcing interactive stimulations such as video games could improve exercise adherence and result in increased weight loss and cardiovascular fitness.
Hawaii Comprehensive Heart Program (HCHP) The purpose of this project was to conduct stem cell research for the treatment of congestive heart failure by examining the potential and mechanism of hematopoietic stem cells to treat damaged or diseased heart tissue.
ICU Multipoint Military Pacific Consultation Using Telehealth (IMMPACT) The IMMPACT project was set up to validate effectiveness of critical-care teams when team leaders or specialists are remotely located. Remote technologies were used to operate a clinical program of remote critical care consultation between an eICU® hub at Tripler Army Medical Center and spokespersons at Naval Hospital Guam and the Brian Allgood Army Community Hospital (BAACH) in Korea.
Improved Medical Logistics for Chemical and Biologics Decontamination for Deployed Military
This research program is developing a broad-spectrum decontaminant that is safe, non-corrosive, has relatively long shelf-life, and is effective against chemical, biological, toxicological, radiological, and nuclear weapons.
Pacific Pediatric Advanced Care Initiative Funding for this effort established an extracorporeal membrane oxygenation (ECMO) center and web resource in the Hawaii-Pacific region for pediatric patients.
A Recombinant Human Collagen Corneal Adhesive This project developed and characterized corneal adhesives using recombinant human collagen for corneal tissue repair and suture-less corneal transplantation.
Intelligent PTSD Classification and Treatment-Augmentation Technology This project sought to determine the feasibility of using physiological data to build diagnostic classifiers to help accurately identify warfighters who suffer from posttraumatic stress disorder (PTSD) in a more timely cost-effective fashion.
Personal Intelligent Medical Assistant - Phase 4 (PIMA-4) The work conducted under PIMA-4 examined the effectiveness of Rapid Response Teams, augmented with an early warning system integrated into a hospital's information system.
Portable Hazardous Agent Detection (PHAD) Phase 2 Phase 2 of the PHAD project is follow-on work from previously completed to develop an eight-channel signal processing platform that can quantify the amount of anthrax in a non-pristine sample, and provide faster and more accurate results than current assays.

For more information on Pacific JITC, please Email Us.

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

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