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...

Sailors continue to receive COVID-19 vaccine

Article
5/20/2021
Military personnel wearing a face mask receiving the COVID-19 vaccine

Sailors continue to voluntarily receive one of the three available COVID-19 vaccines.

Recommended Content:

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

COVID Vax Fact Children Get Vaccine

Infographic
5/19/2021
that the Pfizer vaccine is approved for children ages 12 to 15 and that children should be vaccinated. Graphic includes the TRICARE logo on the bottom right, and outlines of medical related items on the left of the page. Links include www.tricare.mil/COVIDVaccine

Graphic saying that the Pfizer vaccine is approved for children ages 12 to 15 and that children should be vaccinated. Graphic includes the TRICARE logo on the bottom right, and outlines of medical related items on the left of the page.

Recommended Content:

COVID-19 Vaccine Toolkit | COVID-19 Vax Facts

DHA Director visits MCAGCC to hear from the ‘Boots on the Ground’

Article
5/19/2021
Military personnel wearing face masks walking

DHA Director visits Marine Corps Air Ground Combat Center Twentynine Palms.

Recommended Content:

Electronic Health Record: MHS GENESIS | Military Health System Transformation | Coronavirus | COVID-19 Vaccine Toolkit

MHS quickly adapted to improve patient experience during pandemic

Article
5/19/2021
Military health personnel waiting for the next phone call on the COVID-19 advice line

MHS adapted technology to boost patient experience during pandemic

Recommended Content:

COVID-19 Vaccine Toolkit | Coronavirus

Choosing Safer Activities

Fact Sheet
5/17/2021

This fact sheet outlines safer activities that fully vaccinated people can resume without wearing a mask or physically distancing. Source: Centers for Disease Control and Prevention.

Recommended Content:

COVID-19 Vaccine Toolkit | Prevent COVID-19

Pharmacy Home Delivery

Fact Sheet
5/17/2021

This Fact Sheet describes three ways to get a 90-day supply of your medications, and how to change your prescription to home delivery.

Recommended Content:

COVID-19 Vaccine Toolkit | Pharmacy Operations Toolkit

Pharmacy Beneficiary Options

Infographic
5/17/2021
This Infographic describes your pharmacy options if your military pharmacy is closed due to COVID-19.

This Infographic describes your pharmacy options if your military pharmacy is closed due to COVID-19.

Recommended Content:

COVID-19 Vaccine Toolkit | Pharmacy Operations Toolkit

Pharmacy Options During COVID-19

Infographic
5/17/2021
This infographic describes the way your military pharmacy's operational status may change based on local COVID-19 conditions.

This Infographic describes the ways your military pharmacy's operational status may changed based on local COVID-19 conditions.

Recommended Content:

COVID-19 Vaccine Toolkit | Pharmacy Operations Toolkit

Palliative care provides comfort to COVID-19 patients, families

Article
5/17/2021
Military health personnel taking care of a patient

Medical Center team develops palliative care toolkit for COVID-19 patients

Recommended Content:

COVID-19 Vaccine Toolkit | Coronavirus

Military medicine heroes recognized for COVID-19 pandemic response

Article
5/17/2021
Photo of the virtual "Heroes of Military Medicine" award ceremony

COVID-19 pandemic will affect military medicine for years to come, DHA Director Place tells HJF awards ceremony.

Recommended Content:

COVID-19 Vaccine Toolkit | Coronavirus

Got Your 6 - May 16, 2021

Video
5/16/2021
Video screen image for the May 16, 2021 Got Your Six video

"Got Your 6" is TRICARE's COVID-19 vaccine video series that delivers important information and updates, three times a month. It includes the latest information about DoD vaccine distribution, the TRICARE health benefit, and vaccine availability for a DoD-affiliated, and TRICARE beneficiary audience.

Recommended Content:

MHS Toolkits and Branding Guidance | MHS Toolkits and Branding Guidance | COVID-19 Vaccine Efforts | COVID-19 Vaccine Toolkit

Vaccines Save Lives

Infographic
5/14/2021
Polio and smallpox are almost non-existent because of vaccines. We can eliminate COVID-19 if you get vaccinated. Graphic showing that vaccines work and save lives. Includes a black and white image on the top half listing polio and smallpox on the left hand side. Includes a QR code to schedule vaccination appointments, and the TRICARE logo on the bottom right of the page.

Polio and smallpox are almost non-existent because of vaccines. We can eliminate COVID-19 if you get vaccinated. Graphic showing that vaccines work and save lives. Includes a black and white image on the top half listing polio and smallpox on the left hand side. Includes a QR code to schedule vaccination appointments, and the TRICARE logo on the bottom right of the page.

Recommended Content:

COVID-19 Vaccine Toolkit | Get to Know the COVID-19 Vaccines

Vaccinations for Adolescents Social Media Post

Infographic
5/14/2021
A social media graphic saying that the Pfizer-BioNTech vaccine approved for those ages 12 and over. Includes a photo of adolescents on the left of the graphic, has the TRICARE logo at the bottom right. Links in the content include www.TRICARE.mil/VaccineAppointments and www.Vaccines.gov.

A social media infographic saying that the Pfizer-BioNTech vaccine is approved for those ages 12 and older.

Recommended Content:

COVID-19 Vaccine Toolkit | Vaccine Eligibility

Vaccinations for Adolescents Printed Letter

Infographic
5/14/2021
A graphic saying that the Pfizer-BioNTech vaccine approved for those ages 12 and older. Includes a photo of adolescents at the top of the page, has the TRICARE logo at the bottom right. Links in the content include www.TRICARE.mil/VaccineAppointments and www.Vaccines.gov.

An infographic saying that the Pfizer-BioNTech vaccine is approved for those ages 12 and older.

Recommended Content:

COVID-19 Vaccine Toolkit | Vaccine Eligibility

Vaccinations for Adolescents Flyer

Infographic
5/14/2021
A graphic saying that the Pfizer-BioNTech vaccine approved for those ages 12 and older. Includes a photo of adolescents at the top of the page, has the TRICARE logo at the bottom right. Links in the content include www.TRICARE.mil/VaccineAppointments and www.Vaccines.gov.

An infographic saying that the Pfizer-BioNTech vaccine is approved for those ages 12 and older.

Recommended Content:

COVID-19 Vaccine Toolkit | Vaccine Eligibility
<< < ... 6 7 8 9 10  ... > >> 
Showing results 106 - 120 Page 8 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.