Back to Top Skip to main content

Military to bring eye care to front lines with mobile app

Air Force Lt. Col. Peter Carra, 379th Expeditionary Medical Group optometry officer in charge, performs an eye exam for a Soldier at Camp As Sayliyah, Qatar. (U.S. Air Force photo by Tech. Sgt. Christopher Hubenthal) Air Force Lt. Col. Peter Carra, 379th Expeditionary Medical Group optometry officer in charge, performs an eye exam for a Soldier at Camp As Sayliyah, Qatar. (U.S. Air Force photo by Tech. Sgt. Christopher Hubenthal)

Recommended Content:

Technology | Vision Loss

FALLS CHURCH, Va. — Eye injuries in a deployed setting can be a significant setback for any service member, but new telemedicine capabilities are helping to keep them in the fight.

With funding from the 59th Medical Wing, Joint Base San Antonio, Texas, Air Force and Army medical researchers are developing a HIPAA-compliant smart phone application to connect providers downrange with on-call ophthalmologists either in-theater or at a clinic.

“Ten to 15 percent of combat injuries involve the eye,” said Air Force Maj. (Dr.) William G. Gensheimer, ophthalmology element leader, and chief of cornea and refractive surgery at the Warfighter Eye Center, Joint Base Andrews, Maryland. “There may not be many ophthalmologists in a deployed setting.”

The smart phone application, called FOXTROT, which stands for forward operating base expert telemedicine resource utilizing mobile application for trauma, will bring specialty eye care much closer to the point of injury. Specifically, it will allow providers downrange to conduct eye exams and assist with diagnosis and the management of eye injuries.

“If there is Wi-Fi connectivity, the user can video teleconference an ophthalmologist either in theater, in a clinic in Germany or back in the United States and receive real-time consultation for their patient,” said Gensheimer. “When there is no connectivity, the application will function like secure email and the medic can send the necessary information.”

According to Army Lt. Col. (Dr.) Jennifer Stowe, an optometrist and deputy director of administration at the Virtual Medical Center, Fort Sam Houston, Texas, FOXTROT addresses the need for specialized telemedicine capabilities that specifically focuses on treating eye trauma downrange.

“As it stands, the current technology does not have the technical requirements necessary for deployed eye care,” said Stowe. “As an optometrist, it is without a doubt an expected capability to speed up recovery in a deployed setting.”

As Gensheimer explains, having this type of technology downrange could ensure the readiness of service members, improving the chances they can return to duty much sooner.

“With the application a downrange provider can consult an ophthalmologist and the service member can receive treatment much sooner than before,” said Gensheimer. “This improves the chances of preserving their eyesight and potentially return them to duty much more quickly.”

In addition to improved care downrange, Stowe says that the application could have a positive impact on the readiness of military medical providers. Increased exposure to a wider variety of patients through the application gives them a deeper and broader experience of practice.

“The more complex patients we see, the more our case mix increases, and the more talented as providers we become,” said Stowe. “This application will increase our medical readiness as providers by increasing our knowledge base in how we care for eye trauma.”

Currently, the application is being developed in collaboration with the U.S. Army Medical Research and Materiel Command’s Telemedicine and Advanced Technology Research Center.

The next steps are to test the application to ensure it functions well downrange and develop standardized protocols for the use of the application.

“We want to make sure that the application can transmit the necessary information and assist ophthalmologists in making correct diagnoses and developing treatment plans,” said Gensheimer. “Having access to this type of care can have a significant impact on readiness, reducing eye injury evacuations and improving health outcomes.”

Disclaimer: Re-published content may have been edited for length and clarity.  Read original post.

You also may be interested in...

Special Needs Program Management Information System (SNPMIS)

Fact Sheet
8/15/2019

SNPMIS documents and reports on services provided to TRICARE patients with special needs.

Recommended Content:

Technology | Solution Delivery Division

DHA IPM 18-007: Service Delivery Management Program

Policy

This Defense Health Agency-Interim Procedures Memorandum (DHA-IPM), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (e): - Establishes the Defense Health Agency’s (DHA) procedures for implementing and managing high quality information technology (IT) services by the Chief Information Officer (CIO), Deputy Assistant Director Information Operations (DAD IO/J-6), Military Health System (MHS). The DHA Service Delivery Management program provides customers requesting IT services from the DAD IO/J-6 or Defense Information Systems Agency service catalogs with an on-demand, automated system that provides a single-entry point to submit service requests. The automated system enables DAD IO/J-6 to align business needs and use repeatable and scalable processes to holistically track, manage, and report on customer submitted requests for IT services from submission to fulfillment. - Is binding on DoD Components and supports the Director’s, DHA, responsibility to develop appropriate management models to maximize efficiencies in the activities carried out by the DHA. - This DHA-IPM is effective immediately; it will be converted into a DHA-Procedural Instruction (DHA-PI). This DHA-IPM will expire effective 12 months from the date of issue.

  • Identification #: 18-007
  • Date: 8/7/2019
  • Type: DHA Interim Procedures Memorandum
  • Topics: Technology

DHA PI 3201.05: Technology Transfer (T2) Program

Policy

This Defense Health Agency-Procedural Instruction (DHA-PI) based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (t), establishes responsibilities, procedures, and guidance for the Defense Health Agency’s (DHA) T2 program.

  • Identification #: 3201.05
  • Date: 6/20/2019
  • Type: DHA Procedural Instruction
  • Topics: Technology

Nutrition Management Information System (NMIS)

Fact Sheet
6/19/2019

NMIS is a fully integrated nutrition management system supporting military readiness and the war fighter worldwide.

Recommended Content:

Technology | Solution Delivery Division

Defense Occupational and Environmental Health Readiness System – Hearing Conservation (DOEHRS-HC)

Fact Sheet
6/17/2019

The Defense Occupational and Environmental Health Readiness System – Hearing Conservation (DOEHRS-HC) is an information system designed to support personal auditory readiness and help prevent hearing loss through early detection.

Recommended Content:

Technology | Hearing Loss | Solution Delivery Division

Coding and Compliance Editor (CCE)

Fact Sheet
6/11/2019

CCE supports the Department of Defense efforts to improve coding accuracy and reimbursements for inpatient and outpatient services.

Recommended Content:

Technology | Solution Delivery Division

Expense Assignment System (EAS IV)

Fact Sheet
6/11/2019

EAS IV is a Web-based tool essential to the Department of Defense because it assists the Defense Health Agency in identifying the total cost of providing health care to TRICARE patients.

Recommended Content:

Technology | Solution Delivery Division

Patient Encounter Processing and Reporting (PEPR)

Fact Sheet
6/11/2019

PEPR allows analysis of purchased care claims data created by the TRICARE Managed Care Support Contractors.

Recommended Content:

Technology | Solution Delivery Division

Military Health System (MHS) Population Health Portal (PHP)

Fact Sheet
6/11/2019

Military Health System (MHS) Population Health Portal (PHP) Fact Sheet

Recommended Content:

Technology | Solution Delivery Division

BATDOK improves, tailors to deployed medics

Article
6/7/2019
Air Force Chief Master Sgt. Robert Bean, a pararescueman, demonstrates how BATDOK can be worn on the wrist, providing awareness of the health status of multiple patients. (U.S. Air Force photo)

BATDOK is under user evaluations by Air Force Pararescuemen and Army Rangers

Recommended Content:

Technology

Surgeons perform first bioengineered blood vessel transplant in military patient

Article
5/28/2019
Development of the Human Acellular Vessel, or HAV, starts by taking living cells from a human blood vessel and placing them onto a tube-shaped frame. These vascular cells are kept alive in an organ chamber, growing around the tube-shaped lattice. Over time, the lattice that was used to seed the original vascular cells dissolves, and scientists remove the original cells so the new vessel doesn’t cause an immune response when it’s implanted. What is left is a solid, tubular structure made of human vascular material that looks and acts like a blood vessel -- thus, the bio-engineered and newly-grown blood vessel, or HAV. (USU medical illustration by Sofia Echelmeyer)

Injury to major blood vessels of the body is the most common cause of death and disability in combat

Recommended Content:

Research and Innovation | Technology

Combatting hearing loss remains top priority

Article
5/22/2019
Hearing Center of Excellence audiologist Dr. Amy Boudin-George conducts an audiogram using the Enterprise Clinical Audiology Application, known as ECCA, which is being deployed and implemented at military treatment facilities throughout the Department of Defense to improve the way data is computed and patient information is shared in a centralized environment.  (DoD photo)

The DoD recognizes May as Better Hearing and Vision Month

Recommended Content:

Hearing Loss | Vision Loss

Dummies for doctors

Article
5/14/2019
Air Force Col. Christine Kress (center) observes use of a medical canine mannequin designed to create training environments that prepare medical professionals for events they may face in the field. (MHS photo)

How technology is preparing the next generation of docs for the battlefield

Recommended Content:

Technology | Combat Support

Smartphone Apps for Psychological Health: A Brief State of the Science Review

Publication
5/14/2019

In this brief state of the science review, we provide a synopsis of the literature on psychological health mobile applications (apps) and discuss the impact of mobile technology on psychological health practice. We describe the variety of psychological health app uses from self-management, skills training, and supportive care to symptom tracking and data collection; and we summarize the current evidence for the efficacy and effectiveness of psychological health apps. Finally, we offer some pragmatic suggestions for evaluating psychological health apps for quality and clinical utility.

Recommended Content:

Technology | Connected Health

Mobile Applications for Client Use: Ethical and Legal Considerations

Publication
5/14/2019

Mobile applications (apps) to support behavioral health are increasing in number and are recommended frequently by medical providers in a variety of settings. As with the use of any adjunct tool in therapy, psychologists adopting new technologies in clinical practice must comply with relevant professional ethics codes and legal standards. However, emerging technologies can outpace regulations regarding their use, presenting novel ethical considerations. Therefore, it is incumbent upon providers to extrapolate current ethical standards and laws to new technologies before they recommend them as adjuncts to face-to-face treatment. This article identifies best practices for incorporating apps into treatment, including competence in the use of smartphones in general and familiarity with the specific apps recommended.

Recommended Content:

Technology | Connected Health
<< < 1 2 3 4 5  ... > >> 
Showing results 1 - 15 Page 1 of 9

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

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing: Download a PDF Reader or learn more about PDFs.