Skip to main content

Military Health System

ADVISOR brings support to medical personnel in austere environments

Image of Photo of Michael Kile, LPN, the operational readiness program manger. ADVISOR provides support to medical personnel in remote operating locations (Courtesy of DHA Connected Health).

Recommended Content:

Health Care Technology | Health Readiness & Combat Support | Health Readiness & Combat Support

U.S. military medical personnel often serve in remote operating locations with limited external communications and often a sparse health care infrastructure. Traditional land-line phones remain their primary connection to the outside world.

When these highly trained clinicians encounter medical emergencies beyond their considerable skills and local resources, having experts on the other end of the line to guide them can vastly improve outcomes for forward-deployed patients. Providing a single point of contact makes it easier for those frontline personnel to get the immediate assistance they need, which is why the Military Health System offers the Advanced Virtual Support for Operational Forces program, or ADVISOR.

The only program of its type across the Department of Defense, ADVISOR provides global on-demand access to a full spectrum of medical tele-consultation services for emergent and urgent care. ADVISOR also delivers those services 24/7/365 in austere environments that have limited to no local specialty support.

Field medical personnel anywhere in the world can call one phone number – 1-833-ADVSRLN (1-833-238-7756 or DSN 312-429-9089) – and get immediate live help in 13 different medical specialties, from emergency care and critical care, to infectious diseases and toxicology.

Think of ADVISOR as a "phone-a-friend" capability that connects field medical personnel with the MHS' best experts for when medical situations require assistance far from home – similar in spirit to NASA's Mission Control. Field personnel are not on the Moon, but handling a medical crisis in faraway, resource-constrained locations can feel that way.

Imagine being hundreds of miles from the nearest medical facility and having to answer the question, "I have two intravenous saline bags, three bandages, and a lollipop stick from last night's Meals Ready to Eat – how do I keep this patient alive until the chopper comes?"

With ADVISOR, field medics get real-time access to capabilities they otherwise lack and guidance on improvising care using whatever resources are at hand – huge confidence and capability boosters that can make a life-or-death difference for patients.

Goal: 100 percent survival

ADVISOR aims to provide the same level of clinical accuracy as in-facility care and achieve a 100% survivability rate of casualties with potentially survivable wounds. The program enables virtual access to advanced monitoring and decision support systems to improve remote casualty location, triage, and treatment for:

  • Emergent care, including combat casualty care, advanced critical care, and prolonged care when evacuation is delayed
  • Urgent care, including specialty and emergency care consults and remote medical and behavioral health diagnosis and treatment
  • Routine care by connecting field medics to the MHS' Global Teleconsultation Portal system

ADVISOR's integrated, interoperable system works across all DOD platforms and networks and flexibly scales to whatever technology resources field clinicians have available, from text message to video. At all times, callers can reach two staff providers for each specialty, who have both operational and virtual health experience.

ADVISOR currently has 127 volunteer providers from all three services, many of whom are chiefs of departments at their respective medical institutions. Providers commit to helping service members solve problems in the field based on real-time conditions, resources, and challenges on the ground.

Hundreds of Consultations

ADVISOR started in June 2017 as a pilot program for Special Operations Forces. Since then, it has supported clinicians throughout all combatant commands, as well as from NATO and other partners in multi-national operations.

To date, ADVISOR has provided 322 real-world emergent care or urgent care consultations, mostly in emergency care and infectious disease cases. Additionally, ADVISOR has been a valuable resource for garrison care as a centralized consultation line, supporting smaller military hospitals and clinics lacking onsite specialty capabilities.

ADVISOR has also aided pre-deployment training to help increase field clinicians' skills in prolonged field care and delayed evacuation care. Additionally, the program has provided 427 training consultations across all military branches, predominantly in critical care and general surgery.

User feedback for ADVISOR has been overwhelmingly positive. More than 90% of those surveyed said ADVISOR was easy to access, and the quality of their remote consultant's recommendations were above average or exceptional.

COVID-19 Response

ADVISOR's capabilities became profoundly useful in addressing the COVID-19 pandemic that swept the globe in March 2020. All U.S.-based MHS medical treatment facilities faced an unprecedented surge in cases while enforcing distancing requirements to keep patients and providers safe. These constraints limited providers' ability to evacuate many patients to higher-level care and made ensuring continuity of care and high-quality outcomes more challenging.

To help MHS clinicians, ADVISOR immediately reworked its workflows to provide on-demand COVID-19-related services for pediatric and adult critical care, infectious disease, and palliative care to all military hospitals and clinics. ADVISOR continues to contribute to the MHS' five-tier COVID-19 response plan, which supports virtual health throughout the enterprise from a foundation of telephone-based communication all the way up to tele-critical care.

Looking Forward

Offering access to capabilities across the MHS anytime, anywhere by phone and other electronic means is a dream MHS providers have had for decades. For instance, when I was chief wardmaster of the 47th Combat Support Hospital at the former Fort Lewis in Washington state, during Operation Iraqi Freedom, I brought a copy of Madigan Army Medical Center's phone book with me on every deployment. ADVISOR helps fulfill that dream and is a successful example of virtual health technology solutions that make it easy to deliver more capability wherever and whenever needed.

The COVID-19 pandemic accelerated demand for such solutions, which will be a permanent and growing part of the health care landscape going forward. This ongoing evolution will in turn improve operational readiness while decreasing the costs and complexities of care delivery.

Through ADVISOR and other virtual health programs, the MHS can leverage the capabilities of the largest health care system in the world to improve the readiness, health, and well-being of all MHS beneficiaries.

You also may be interested in...

Dental Health Aboard USS Tripoli

Article Around MHS
7/14/2022
Military dental personnel working on a patient

The USS Tripoli is operating in the U.S. 7th Fleet area of operations to enhance interoperability with allies and partners and serve as a ready response force to defend peace and maintain stability in the Indo-Pacific region.

Recommended Content:

Health Readiness & Combat Support | Dental Health | Global Health Engagement

Fort Hunter Liggett First in Army to Receive Prehospital Whole Blood Transfusion Capability

Article Around MHS
7/14/2022
Military medical personnel standing by EMS vehicle

Army Garrison Fort Hunter Liggett’s remoteness, and the robust efforts of Fire Captain Devon Haggie allowed the installation to be the first in the Army and Department of Defense to receive the life-saving capability to transfuse whole blood by its Emergency Medical Service (EMS).

Recommended Content:

Health Readiness & Combat Support | Health Readiness & Combat Support | French Freeze-Dried Plasma Use in the DOD

Medical readiness exercise provides real world humanitarian relief to local Moroccan population

Article Around MHS
7/11/2022
Medical readiness exercise provides real-world humanitarian relief to local Moroccan population

The Utah Army National Guard Medical Detachment, the U.S. Army 30th Medical Brigade, and the Royal Moroccan Army collaborated to provide real-world humanitarian assistance to the local population here while simultaneously conducting medical readiness training during African Lion 2022.

Recommended Content:

Humanitarian Assistance and Disaster Relief | Health Readiness & Combat Support

The Dangers of Dietary Supplements

Video
7/11/2022
The Dangers of Dietary Supplements

Did you know that 75% of service members use at least 1 dietary supplement? Experts from the Uniformed Services University discuss the risks and safety concerns of dietary supplements. Learn more about dietary supplements at www.OPSS.org and The Consortium of Health & Military Performance (CHAMP).

Recommended Content:

Nutritional Fitness | Performance Nutrition: Fuel Your Body and Mind | Health Readiness & Combat Support

What is Performance Nutrition

Video
7/11/2022
What is Performance Nutrition

Learn more about Performance Nutrition and healthy eating habits at the Consortium for Health & Military Performance. https://champ.usuhs.edu/. For more information about the Dietician Approved Fueling stations at your local commissary, go to https://www.commissaries.com/fueling_stations

Recommended Content:

Performance Nutrition: Fuel Your Body and Mind | Health Readiness & Combat Support | Nutritional Fitness

Performance Nutrition: The Best Ways to Eat

Video
7/11/2022
Performance Nutrition: The Best Ways to Eat

USU professor and nutrition specialist, Jonathan Scott PhD, gives advice on eating healthy. Learn more about the Dietician Approved Fueling stations at your local commissary here: https://www.commissaries.com/fueling_stations

Recommended Content:

Health Readiness & Combat Support | Performance Nutrition: Fuel Your Body and Mind | Nutritional Fitness

137th SOMDG Medical Personnel Conduct SPP Visit to Azerbaijan

Article Around MHS
7/8/2022
Military medical personnel conducting simulation

Members of the Air Force's 137th Special Operations Medical Group (SOMDG) traveled to Azerbaijan to conduct a combat casualty care knowledge exchange with Azerbaijan Operational Capabilities Concept (OCC) Battalion doctors and medical noncommissioned officers during a State Partnership Program (SPP) visit to Baku, Azerbaijan in late June.

Recommended Content:

Health Readiness & Combat Support

Wagging tails and smiling faces: Therapy dogs bring comfort to Medical Center staff

Article Around MHS
7/6/2022
Military personnel with support dog

Naval Medical Center Camp Lejeune staff are receiving comfort and support from four-legged friends. For the past several months, Beasley the Basset Hound, has been making her rounds in her Red Cross volunteer vest, providing treats for humans in the form of pets and cuddles.

Recommended Content:

Health Readiness & Combat Support | Psychological Fitness

Operational Readiness Training A Littoral Away for NMRTC Bremerton Corpsmen

Article Around MHS
7/5/2022
Navy Hospital Corpsman 1st Class Don Wilwayco

NMRTC Bremerton has formed a unique partnership to help ensure there’s a ready medical force capable of supporting fleet mission – and medical - readiness.

Recommended Content:

Health Readiness & Combat Support | Health Readiness & Combat Support

Army Experts: Rabies Risk is Not Worth It

Article
7/5/2022
Army Experts: Rabies Risk is Not Worth It

Almost 60,000 people around the world die from rabies each year. Despite the common belief that rabid animals are easily identified by foaming at the mouth and aggressive behavior, infected animals may not look sick or act strangely.

Recommended Content:

Health Readiness & Combat Support | Public Health | Rabies

Task Force Med Soldiers compete in Crusader Challenge during Kosovo deployment

Article Around MHS
7/1/2022
Military medical personnel in rescue drill

Army Soldiers with the 547th Medical Company (Area Support), 56th Multifunctional Medical Battalion, 62nd Medical Brigade, participate in Crusader Challenge 2022.

Recommended Content:

Health Readiness & Combat Support

MSMR Vol. 29 No. 07 - July 2022

Report
7/1/2022

A monthly publication of the Armed Forces Health Surveillance Division. This issue of the peer-reviewed journal contains the following articles: Surveillance trends for SARS-CoV-2 and other respiratory pathogens among U.S. Military Health System Beneficiaries, Sept. 27, 2020 – Oct. 2,2021; Establishment of SARS-CoV-2 genomic surveillance within the MHS during March 1 – Dec. 31 2020; Suicide behavior among heterosexual, lesbian/gay, and bisexual active component service members in the U.S. Armed Forces; Brief report: Phase I results using the Virtual Pooled Registry Cancer Linkage system (VPR-CLS) for military cancer surveillance.

Recommended Content:

Health Readiness & Combat Support | Public Health | Medical Surveillance Monthly Report

Provider Soldiers Learn Mental Health First Aid

Article Around MHS
6/30/2022
Military personnel in classroom

Soldiers assigned to the 3rd Division Sustainment Brigade, 3rd Infantry Division and members of the unit Soldier and Family Readiness Group, participated in the Mental Health First Aid training in Hinesville, Georgia

Recommended Content:

Psychological Fitness | Health Readiness & Combat Support

Final Days in Afghanistan: Lab Techs Stepped Up to Support Withdrawal

Article
6/30/2022
Final Days in Afghanistan Lab Techs Stepped Up to Support Withdrawal

“Prior to the attack, teams were preparing to leave the area. Suddenly, everything changed, and our main goal shifted from COVID-19 support to blood supply and triage.”

Recommended Content:

Health Readiness & Combat Support

Beating the Stigma: Workhorse Battalion and H2F Team Up to Improve Physical Readiness

Article Around MHS
6/24/2022
Military personnel bench pressing

To help counter that stigma of being "broken", the 10th Division Sustainment Troops Battalion “Workhorse,” 10th Mountain Division Sustainment Brigade, and the brigade’s Holistic Health and Fitness team, also known as H2F, joined forces to create the Unbreakable Warrior program, also known as UBW.

Recommended Content:

Health Readiness & Combat Support | Physical Fitness
<< < 1 2 3 4 5  ... > >> 
Showing results 31 - 45 Page 3 of 46
Refine your search
Last Updated: July 20, 2022
Follow us on Instagram Follow us on LinkedIn Follow us on Facebook Follow us on Twitter Follow us on YouTube Sign up on GovDelivery