Back to Top Skip to main content Skip to sub-navigation

MTFs respond to COVID-19 with increased telehealth, drive-thrus

Military physician sitting at desk, talking to patient on his computer Lt. Adam Hoynacki, a physician at Naval Hospital Jacksonville’s Family Medicine Clinic, conducts a Navy Care virtual health visit. Like other military virtual health systems, Navy Care offers a live, virtual visit with a clinician, from the patient's smartphone, laptop, or computer. Patients can use it from work, home or anywhere that offers privacy. (Photo by Jacob Sippel, Naval Hospital Jacksonville.)

Recommended Content:

Coronavirus | Technology | COVID-19 Vaccine Toolkit | COVID-19 Vaccine Toolkit

The Military Health System’s response to the COVID-19 pandemic included practical solutions to complex medical and logistical problems at military medical treatment facilities.

As COVID-19 has spurred innovations in the way health care is delivered, virtual health, or telemedicine, has risen to the task of maintaining social distancing while offering providers, service personnel, and retirees and their beneficiaries the medical input they so critically need.

Through virtual health, “The Military Health System has coordinated policy, expanded video conferencing capability, increased on-demand clinical access and educated thousands of providers on safely providing care,” said Army Col. (Dr.) Sean Hipp, director, Virtual Medical Center, Brooke Army Medical Center, Texas.

“This is a revolution in military medicine that we hope will continue to expand safe, high quality, convenient care to garrison, but also be leveraged to support our most sacred mission of the deployed service member in harm’s way,” Hipp noted.

Many COVID-19 patients live in areas with limited critical care expertise and capacity. The Joint Tele-Critical Care Network (JTCCN) “leverages virtual health to extend critical-care resources and treatment at a distance, similar in concept to how air traffic control systems track and direct planes to ensure they — and their passengers — safely reach their destinations,” said Dr. Simon Pincus, chief of the Defense Health Agency’s Connected Health Branch, during a recent presentation. “The JTCCN provided almost 1,200 days of coverage to more than 300 unique patients in 61 intensive care unit beds across 11 spoke sites from January 2020 to June 2020.”

The DHA is also exploring a partnership with the Department of Veterans Affairs to establish a single federal tele-critical care network to provide care to any of the 1,700 VA or 400 DHA ICU beds.

The pandemic also saw an expansion in the use of the nursing advice line (NAL) and the implementation of a phone screening tool for COVID, with overall call volume up approximately 25% during the year.

The goal of the NAL is to alleviate patient concerns, provide multiple sources of evidence-based advice and protect patients and medical staff by offering telephone and, in some cases, video visits.

Image of hospital Seaman, wearing a mask, organizing prescriptions on various shelves in a pharmacy
Hospital Seaman Apprentice Gianna Tamburro, assigned to the Naval Medical Readiness Training Command, organizes prescriptions alphabetically by patient name at the Naval Health Clinic Charleston Pharmacy at Joint Base Charleston, S.C. The NHCC Pharmacy altered their customer service operations to have the primary way to obtain a prescription be through the drive-thru because of COVID safety precautions. (Photo by Airman Sara Jenkins, Joint Base Charleston Public Affairs.)

To minimize the risk of exposure to the beneficiaries and military medical treatment facility (MTF) staff, the NAL added capabilities to allow the scheduling of beneficiary virtual (telephone) visits with its care team. At its peak on March 19, the NAL had 10,247 calls. The numbers gradually declined but hit another high in July, DHA Healthcare Optimization Division Chief Regina Julian said. The screening tool uses questions from Centers for Disease Control and Prevention-based guidelines to assess a patient’s risk for having COVID-19.

Between May 12 and Dec. 10, there were 6,602 page views and 5,176 users on the COVID-19 symptom checker website. A total of 576,421 unique patients have viewed their COVID-19-related test results online, Julian reported.

Additionally, the virtual support to operational force (ADVISOR) line, enabled on-demand provider-to-provider teleconsultation.

One onsite effort was to test asymptomatic patients thought to have COVID-19. Patients were sent to Naval Hospital Bremerton, Washington, from their respective commands, along with patients awaiting elective surgeries and those deemed necessary for administrative purposes. This testing led to new insights about the infection rates of the disease.

MTF pharmacies found ways to get patients their prescriptions with a minimum of patient-staff interaction by responding to DHA guidance on prescribing during COVID-19; while adhering to and state and local social-distancing requirements.

Each pharmacy has tailored solutions to fit its physical layout, staffing capacity and patient populations.

Some pharmacies, such as Brooke Army Medical Center, Texas, set up curbside pickup within 48 hours once the need for social distancing during the pandemic became known.

Since March 2020, the drive-through staff at Walter Reed National Military Medical Center (WRNMMC) has served more than 16,066 patients, amounting to approximately 59,444 prescriptions dispensed. That is approximately 10% of total patients served at the drive-through site, according to the medical center’s public affairs office.

The success of drive-throughs and curbside pickup has enabled new, convenient solutions that will continue across MTFs for the foreseeable future.

In September, WRNMMC opened a permanent prescription drive-through pick-up, which replaced earlier, more temporary, iterations.

“When conditions are met, it is the most efficient point of service of all our pharmacies, with wait times averaging one minute or less,” said Army Maj. Hyun Cho, chief, WRNMMC Department of Pharmacy.

You also may be interested in...

Hand Sanitizer Parent and Child

Infographic
5/12/2021
Parent giving child hand sanitizer

Parent giving child hand sanitizer

Recommended Content:

COVID-19 Vaccine Toolkit | Prevent COVID-19

TOL Test Result MHS GENESIS

Infographic
5/12/2021
tol toolkit graphic showning how to get health records on MHS GENESIS

TOL toolkit graphic showing how to get health records on MHS GENESIS

Recommended Content:

COVID-19 Vaccine Toolkit | COVID-19 Testing

Helpline Graphic

Infographic
5/12/2021
COVID helpline graphic

COVID-19 helpline graphic

Recommended Content:

COVID-19 Vaccine Toolkit | Staying Resilient

Updated COVID Symptoms

Infographic
5/12/2021
updated cdc symptoms for covid19

Updated CDC symptoms for COVID-19

Recommended Content:

COVID-19 Vaccine Toolkit | Symptoms of COVID-19

TOL Test Results TRICARE

Infographic
5/12/2021
you can get your covid19 test results on tol

TOL toolkit graphic showing how to get health records on TRICARE

Recommended Content:

COVID-19 Vaccine Toolkit | COVID-19 Testing

Teleworking New Normal Get a Good Nights Sleep

Infographic
5/12/2021
sleep while teleworking

Get a good nights sleep

Recommended Content:

COVID-19 Vaccine Toolkit | Staying Resilient

Hand Sanitizer with Methanol

Infographic
5/12/2021
You should avoid using hand santizers that contain the wood alcohol, Methanol.

You should avoid using hand sanitizers that contain the wood alcohol, Methanol.

Recommended Content:

COVID-19 Vaccine Toolkit | Prevent COVID-19

Join Us!! Sixth Live COVID-19 Town Hall

Article
5/12/2021
Image describing today's Town Hall with Dr. Paul Scott and COL Clinton K. Murray, MD.  They are with the Walter Reed Army Institute of Research, and will discuss COVID-19 Vaccine Advancement and Trials.

Join us for today's Town Hall with Dr. Paul Scott and COL Clinton K. Murray, MD. They are with the Walter Reed Army Institute of Research, and will discuss COVID-19 Vaccine Advancement and Trials.

Recommended Content:

Coronavirus | COVID-19 Vaccine Efforts | COVID-19 Vaccine Toolkit

MHS Celebrates National Hospital Week

Video
5/12/2021
Image for National Hospital Week with text, "A Week in the Life."

During National Hospital Week, we highlight all of the training efforts and safety protocols the Military Health System has put in place during the COVID-19 pandemic.

Recommended Content:

COVID-19 Vaccine Toolkit | Mental Health Toolkit | May

MHS Town Hall, May 12, 2021

Video
5/12/2021
MHS and Military OneSource COVID-19 Townhall, Walter Reed Army Institute of Research, Wednesday 12 May

Tune in for another MHS and Military OneSource Town Hall with the Walter Reed Army Institute of Research

Recommended Content:

COVID-19 Vaccine Toolkit | Coronavirus | COVID-19 Vaccine Efforts

Is It Allergies or COVID-19?

Infographic
5/11/2021
Infographic that describes the difference between symptoms of allergies and those related to COVID-19

This Infographic provides a chart that outlines how to tell the difference between COVID-19 and allergy symptoms

Recommended Content:

Symptoms of COVID-19 | Coronavirus | COVID-19 Vaccine Toolkit

DHA-PI 6205.01: Medical Logistics Guidance for the DoD Coronavirus Disease 2019 (COVID-19) Vaccination 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 (n), establishes the Defense Health Agency's (DHA's) procedures for ordering, receiving, and managing COVID-19 Vaccines inventory and ancillary kits.

Navy nurse steps into Jacksonville community for COVID-19 vaccinations

Article
5/7/2021
Military health personnel wearing face mask discussing the COVID-19 vaccine program

Navy Cmdr. Glenn “Pete” Bradford is aiding the underserved Jacksonville community in COVID-19 vaccination mission

Recommended Content:

COVID-19 Vaccine Toolkit | Coronavirus | COVID-19 Vaccine Efforts

DHA-IPM 20-004: Department of Defense (DoD) Coronavirus Disease 2019 (COVID-19) Vaccination Program Implementation

Policy

This Defense Health Agency (DHA) Interim Procedures Memorandum (IPM), based on the authority of References (a) through (d), and in accordance with the guidance cited in References (e) through (aa), establishes the DHA’s procedures to implement instructions, assign responsibilities, and prescribe procedures for the COVID-19 Vaccination Program. This DHA-IPM applies to DHA, DHA Components (activities under the authority direction, and control of the DHA), Military Departments (MILDEP), and the United States Coast Guard (CG). This DHA-IPM cancels and replaces DHA-IPM 20-004, “Department of Defense (DoD) Coronavirus Disease 2019 (COVID-19) Vaccination Program Implementation,” December 13, 2020.

Nurse and Tech Week: Air Force airmen are battle-tested and ready

Article
5/6/2021
12 COVID-19 patients aboard a C-17 Globemaster III aircraft

For the past year, Air Force nurses and medical technicians have found themselves on the front lines in the battle against the COVID-19 disease.

Recommended Content:

COVID-19 Vaccine Toolkit | National Nurses Week | Technology | Nurses Week | Mental Health Toolkit | COVID-19 Vaccine Toolkit | Coronavirus
<< < ... 6 7 8 9 10  ... > >> 
Showing results 136 - 150 Page 10 of 49

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.