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

Tele-critical care will play increased COVID-19 response role in 2021

Infographic that says "202 tele-critical care successes will help 2021 COVID19 response" The COVID-19 pandemic, the deadliest global health threat in more than a century, galvanized the Military Health System in 2020. Navy Capt. Konrad Davis is director of DHA Tele-Critical Care (Photo by: Savannah Blackstock).

Recommended Content:

Coronavirus | Military Health System Transformation

The Military Health System's success in adapting and expanding tele-critical care programs for critically ill patients in 2020 during the COVID-19 pandemic will play an essential role in bringing the virus under control in 2021.

The Defense Health Agency's tele-critical care programs have cared for thousands of patients, leveraging information and communications technologies to dynamically allocate and extend critical care capacity to the point of need, anytime and anywhere, especially to community hospitals and smaller intensive care units in remote locations.

"The number of COVID-19 cases continues to underscore the need for proactive virtual health planning and implementation," said U.S. Navy Capt. (Dr.) Konrad Davis, MHS director of tele-critical care. “The recent, rapid maturation of virtual health capabilities have made it possible to not only respond to the COVID-19 pandemic but to also prepare for future disasters as well — both natural and human-made."

Tele-critical care and other virtual health programs help sustain care while keeping beneficiaries and health care teams at a safe distance, said Jamie L. Adler, lead of the Virtual Health Clinical Integration Office at the Defense Health Agency Connected Health Branch.

The effectiveness of the virtual health programs has made tele-critical care an ever more important enterprise capability, and its popularity with providers and patients alike has made it integral to health care going forward, he said.

Joint Tele-Critical Care Network

A notable DHA success in 2020 was the expansion of the Joint Tele-Critical Care Network, an important force multiplier that leverages virtual health resources to extend critical care expertise and treatment at a distance. Critical care physicians, also known as intensivists, and critical care nurses located at three hub sites treat patients located at a growing number of spoke sites worldwide.

Once fully deployed, the JTCCN will allow intensivists to monitor hundreds of intensive care unit beds simultaneously through a setup conceptually similar to how air traffic control systems ensure planes — and their passengers — safely reach their destinations, Davis said.

The system tracks and analyzes vital signs, lab results, progress notes, and other real-time data, which helps providers quickly identify patients at risk for deterioration and more effectively intervene to improve outcomes.

In response to the COVID-19 pandemic, the JTCCN added seven new spoke site hospitals during calendar year 2020, nearly doubling the number of participating locations. In all of 2020, the JTCCN provided over 2,200 days of ICU coverage to 432 unique patients in 109 ICU beds spread across 15 spoke site hospitals. The JTCCN plans to add one additional spoke site hospital in calendar year 2021.

National Emergency Tele-Critical Care Network

In addition to leveraging existing resources such as the JTCCN, the DHA is working with the Telehealth and Advanced Technology Research Center, leaders at the Department of Health and Human Services Office of the Assistant Secretary for Preparedness and Response, academia, and industry to develop a rapidly deployable, hardware-light TCC capability. Launched in March 2020, the National Emergency Tele-Critical Care Network seeks to expand capabilities and capacity by augmenting bedside personnel who may lack the knowledge and skills to care for critically ill patients.

One NETCCN prototype has already demonstrated its effectiveness at a civilian hospital in Guam, Davis said.

In late August 2020, COVID-19 case numbers there spiked to more than 200 percent their normal volume, outstripping local resources. Guam Memorial Hospital reached out to the Federal Emergency Management Agency, which coordinated with the Defense Security Cooperation Agency. Roughly 72 hours after receiving its official DSCA mission assignment, the DHA shared a NETCCN mobile technology solution enabling the JTCCN to provide cyber-secure and HIPAA-compliant on-demand consultative support and monitoring for critically ill civilian patients.

Intensivists and nurses at DHA tele-critical care hub sites in California, Texas, and Washington state provided real-time guidance to bedside staff providing hands-on care. The system - still in use - vastly improved the ability of Guam's civilian providers to treat patients and save lives. Over a one-month period at the peak of the surge, the JTCCN fielded 64 physician calls and supported the care of 473 patient-ICU days, including 14 events of cardiac arrest.

Partnerships Key to Success

The on-the-ground successes of the JTCCN, NETCCN, and tele-critical care would not have been possible without partnerships the Department of Defense is cultivating among its own components, between itself and other U.S. government agencies, and between DOD and commercial and non-governmental organizations, said Dr. Simon Pincus, chief of the DHA Connected Health Branch. These collaborations help ensure tele-critical care capabilities can seamlessly reach across organizations through compatible technology, training, and protocols.

To increase surge capacity and technologic resiliency, the DOD is also pursuing a partnership with the Department of Veterans Affairs to create a single federal tele-critical care network for all U.S. forces globally, Davis said.

This network would enable any DOD or VA hub site to provide tele-critical care to any of the 1,700 VA or 400 DOD ICU beds through real-time distribution of workload to locations with capacity. The resulting partnership will enhance technological resiliency while also improving surge capability in response to pandemics and other crises. The goal is to have completely interoperable systems between the two largest users of tele-critical care in the U.S. government.

You also may be interested in...

Got Your 6 - May 26, 2021

Video
5/26/2021
Video screen image for the May 26, 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:

COVID-19 Vaccine Efforts | COVID-19 Vaccine Toolkit

Alignment of Hospitals and Clinics by Market Type

Publication
5/26/2021

Recommended Content:

Military Health System Transformation

COVID-19 Town Hall with RADM Anne M. Swap

Article
5/24/2021
MHS and Military OneSource NCR COVID-19 Town Hall with Rear Admiral Anne M. Swap, Director, National Capital Medical Directorate, Wednesday, May 26 at 11:50 a.m. ET

The purpose of this event is to inform National Capital Region (NCR) beneficiaries of DHA’s efforts with battling coronavirus (COVID-19) and encourage them to not delay care.

Recommended Content:

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

Adirim, Place laud DHA response to COVID-19 in briefing

Article
5/21/2021
Defense Health Agency Director Lt. Gen. (Dr.) Ronald J. Place speaking at a press conference

Dr. Terry Adirim, acting assistant secretary of defense for health affairs, and Army Lt. Gen. (Dr.) Ronald J. Place, director of the Defense Health Agency, provided a COVID-19 update during a Pentagon press briefing.

Recommended Content:

COVID-19 Vaccine Toolkit | Coronavirus

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

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

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:

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

COVID-19 Vaccine Efforts | COVID-19 Vaccine Toolkit

DHA leadership recognizes, advances 60th MDG mission

Article
5/14/2021
Army Lt. Gen. Ronald Place visits Travis Air Force Base

DHA leadership visit 60th Medical Group at Travis AFB.

Recommended Content:

Coronavirus | COVID-19 Vaccine Toolkit | MHS GENESIS

Teamwork, adaptability, service – MTFs shine during COVID-19 pandemic

Article
5/14/2021
People at screening area

MHS readiness was put to the test at the onset of the COVID-19 pandemic, in early 2020.

Recommended Content:

May Toolkit | May | COVID-19 Vaccine Toolkit | Coronavirus

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 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
<< < 1 2 3 4 5  ... > >> 
Showing results 16 - 30 Page 2 of 43

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.