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...

Protecting Your Hearing and Vision is a Personal Readiness Mission

Photo
6/14/2022
Protecting Your Hearing and Vision is a Personal Readiness Mission

Aviation Ordnanceman 3rd Class Dominique Campbell drives a forklift on the flight deck of the Nimitz-class aircraft carrier USS Harry S. Truman (CVN 75) during a vertical replenishment. She is wearing proper hearing and vision protection.

Recommended Content:

Health Readiness & Combat Support

Medical Readiness Training Exercise strengthens local partnerships and skills

Article Around MHS
6/13/2022
Military personnel working together during a global health engagement

As part of the U.S. Southern Command’s enduring partnership to Central America, Joint Task Force-Bravo executed a three-day Global Health Engagement in Comayagua, Honduras, June 1-3, working side by side with local military and Ministry of Health personnel.

Recommended Content:

Health Readiness & Combat Support

Expectant Moms Have Group Option for Prenatal Care

Article Around MHS
6/10/2022
Midwife helps expectant military mom during pregnancy

The San Antonio Market offers a group obstetric model for pregnant women at Brooke Army Medical Center.

Recommended Content:

Health Readiness & Combat Support | Women's Health

DGMC Trains Medics on TCCC, Boost Readiness for Next Battle

Article Around MHS
6/9/2022
Military medical personnel in classroom

Medics at David Grant USAF Medical Center on Travis Air Force Base, California, are being trained monthly during a week-long course on tactical combat casualty care in an Air Force-wide initiative to standardize medical readiness training for all service members.

Recommended Content:

Health Readiness & Combat Support | Health Readiness & Combat Support

How Military Medicine Is Preparing for the Next Conflict

Article
6/8/2022
As the Pentagon prepares today’s force for a “near-peer” fight against a large military adversary, the Military Health System is challenged to provide life-saving support for large-scale and dispersed operations.

As the Pentagon prepares today’s force for a “near-peer” fight against a large military adversary, the Military Health System is challenged to provide life-saving support for large-scale and dispersed operations. That’s especially true for the medics supporting troops on the front lines.

Recommended Content:

Health Readiness & Combat Support | Health Care Technology | Education & Training | Medical Education and Training Campus

BDAACH Enhances Its Surgical Capability Through Robotic Surgical System

Article Around MHS
6/6/2022
Surgical hospital

Three years of dedication to activating the robotic surgical system in the Brian D. Allgood Army Community Hospital (BDAACH) finally came to fruition on May 16, 2022.

Recommended Content:

Health Care Technology | Research & Innovation

Army Doctor Earns Top Honors at Air Assault School at Fort Campbell

Article
6/3/2022
Army Doctor Earns Top Honors at Air Assault School at Fort Campbell

This Army doctor finished at the top of his class at the Air Assault School at Fort Campbell. It's a 10-day course that is both physically and academically challenging, teaching soldiers the foundations of heliborne operations to include troop transportation, sling loaded cargo and equipment transportation, medical and casualty evacuation operations, and air assault operations.

Recommended Content:

Health Readiness & Combat Support

Medical Readiness Key to Lead-Wing Deployment

Article Around MHS
6/2/2022
2rd OMRS medical insignia patch

Air Combat Command has tasked the 23rd Wing to be Lead-Wing ready in October of 2022 and medically preparing Airmen for a Lead-Wing deployment is no small feat.

Recommended Content:

Health Readiness & Combat Support | Health Readiness & Combat Support

Could a Therapy Dog Help with Your Dental Anxiety?

Article
6/2/2022
Air Force Brig. Gen. Goldie, a facility therapy dog at Walter Reed National Military Medical Center, helps reduce anxiety in a patient with complex dental conditions that require multiple appointments. The use of therapy dogs is part of an ongoing study with these patients.

A first-of-its-kind study at Walter Reed National Military Medical Center is researching whether using facility therapy dogs in dentists’ offices could reduce patient anxiety and improve outcomes for military dental treatment programs.

Recommended Content:

Health Readiness & Combat Support | Total Force Fitness

Tips for Military Parents Planning PCS Moves with Children

Article
6/2/2022
Moving can be hard on military families, especially on children. Moving to a new home, going to a new school, finding new friends – it can be unsettling for kids of any age. Yet there are things that service members can do to prepare for a permanent change of station move that can make for a smoother transition for the children.

Moving can be hard on military families, especially on children. Moving to a new home, going to a new school, finding new friends – it can be unsettling for kids of any age. Yet, there are things that service members can do to prepare for a permanent change of station move that can make for a smoother transition for the children.

Recommended Content:

Health Readiness & Combat Support | Total Force Fitness

MSMR Vol. 29 No. 06 - June 2022

Report
6/1/2022

A monthly publication of the Armed Forces Health Surveillance Division. This issue of the peer-reviewed journal contains the following articles: Absolute and relative morbidity burdens attributable to various illnesses and injuries, active component, U.S. Armed Forces, 2021; Hospitalizations, active component, U.S. Armed Forces, 2021; Ambulatory visits, active component, U.S. Armed Forces, 2021; Surveillance snapshot: Illness and injury burdens, re¬serve component, U.S. Armed Forces, 2021; Surveillance snapshot: Illness and injury burdens, recruit trainees, U.S. Armed Forces, 2021; Medical evacuations out of the U.S. Central and U.S. Africa Commands, active and reserve components, U.S. Armed Forces, 2021; Morbidity burdens attributable to various illnesses and injuries, deployed active and reserve component service members, U.S. Armed Forces, 2021; Absolute and relative morbidity burdens attributable to various illnesses and injuries, non-service member ben¬eficiaries of the Military Health System, 2021

Recommended Content:

Health Readiness & Combat Support | Public Health

378th Medical Partnerships Sustain Life and Mission

Article Around MHS
6/1/2022
Military medical personnel perform mock emergency care

Air Force medical contingency response team members, with the 378th Expeditionary Medical Squadron, perform mock emergency medical care for a simulated casualty at Prince Sultan Air Base, Kingdom of Saudi Arabia.

Recommended Content:

Health Readiness & Combat Support | Warrior Care

Multiservice medical providers, medics take on dive injuries, treatments

Article Around MHS
5/31/2022
Military personnel in pool for training

A group of medical providers and medics recently spent two weeks at the National Oceanic and Atmospheric Administration’s National Dive Center here learning how to treat patients who may have suffered a dive injury.

Recommended Content:

Health Readiness & Combat Support | Warrior Care

Corneal Collagen Cross Linking in the Military a Game Changer

Article
5/27/2022
Corneal collagen cross-linking, known as CXL, the first and only treatment to date that is proven to stop Keratoconus, KCN, progression.

Corneal collagen cross-linking, known as CXL, the first and only treatment to date that is proven to stop Keratoconus, KCN, progression.

Recommended Content:

Health Readiness & Combat Support

Facility Dogs Play a Vital Role in Recovery for Patients Across the MHS

Article
5/27/2022
Luke is a German Shephard facility dog.

Each dog has his or her own rank, service, and uniform and is inducted in an enlistment or commissioning ceremony. Today, the Facility Dog Program at WRNMMC includes Sully, a yellow Lab who was former President George H.W. Bush’s service dog.

Recommended Content:

Our History | Health Readiness & Combat Support
<< < 1 2 3 4 5  ... > >> 
Showing results 61 - 75 Page 5 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