Medical Simulation & Information Sciences Research Program (MSIS)

Mission

To responsively and responsibly coordinate emerging military medical simulation and health information technologies/informatics research across all stakeholder communities and transfer research solutions and knowledge to meet Military Health System goals.

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Background and Environment

The Joint Program Committee-1 (JPC-1), established in 2010, is part of the United States Army Medical Research and Materiel Command's (USAMRMC) research area directorate. The JPC-1 is responsible for programming research in two distinct portfolio domains: Medical Simulation & Training and Health Information Technology/Informatics. JPC-1 works with all the services and joint agencies to address gaps, threats, and requirements as identified by the Military Health System (MHS).

The JPC-1 is tasked with planning, coordinating, and overseeing a tri-service science and technology program to improve strategic planning and process development related to research in two portfolio areas:

  • Improving military medical training through medical simulation, educational gaming, and objective training metrics
  • Improving health information sciences through increased interoperability and better health information technology applications

The establishment of the JPC-1 has enabled a collaborative process to identify and validate the research initiatives pertaining to the military, thereby allowing USAMRMC to better align its research and development efforts with the needs of the MHS. This program assists in the identification of relevant emerging technologies, the assessment of technologies through a structured process, and the transition of technologies that are of value to the MHS.

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Goals and Objectives

The MSIS seeks to improve patient safety and quality of care through strategic over-the-horizon research; by transitioning more capable healthcare information and medical simulation technologies and systems; by addressing stakeholder driven priorities to bridge existing and future capability gaps in the MHS, and through proactive integration and implementation of emerging technologies into military healthcare relevant applications.

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MSIS JPC-1 Medical Simulation and Training

Research Initiatives

Research Focus Area

Combat Casualty Training Initiative (CCTI)

This research focuses on advancing training in casualty care. It examines the efficacy of modern simulation systems versus current training models with emphasis on multi-trauma and mass-casualty scenarios. The CCTI supports research to inform simulation development and acquisition on ways to develop appropriate fidelity material properties and characteristics that best mimic tissue and responds appropriately to user's interactions; to develop training assets for High State of combat medical readiness; provide resiliency training prior to deployment to better elicit higher performance under pressure when facing anticipated stressors; and to evaluate more efficient and effective ways to deliver team (collective) training.

Research to inform simulation development and acquisition are supported by the following:

  • Researching and developing appropriate fidelity (responsive) tissue behaviors incorporated into trainers / mannequins / components / materials/ virtual reality models;
  • Developing training assets to reflect the continuous changes and modifications in combat related injuries for High State of combat medical readiness;
  • Providing resiliency training prior to deployment to better elicit higher performance under pressure when facing anticipated stressors;
  • Evaluating more efficient and effective ways to deliver team (collective) training.

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Medical Readiness Initiative (MRI)

This initiative focuses on medical provider training systems and assessment of competence for sustained military medical readiness. Research and development will lead to evidence-based clinical skills acquisition and sustainment techniques, along with management techniques to minimize recognizable psychomotor and cognitive skill degradation via technologies aimed to guide training throughout healthcare careers. Patient safety & improvement in Clinical Outcomes are the ultimate underlying themes of the MRI. Research and development efforts will include, but are not limited to, methodologies, techniques, and tools that will allow for ethical, accurate, and appropriate pre-intervention rehearsal with input of potential authorized personalized medical information as well as translation of educational outcomes to mimic real care-giving applications. Additionally, research efforts in this domain need be related to evidence with measurable outcomes. Four significant sub-initiatives or capabilities addressed through MRI are:

  • Research, Development, Test & Evaluation of Assessment (Tutoring) Systems
  • Identify, research, and develop predictive models that may accelerate cognitive, pyscho-motor, and healthcare behavioral skills (tasks) to that of proficiency and develop reliable and predictable tools to minimize skill decay (or degradation)
  • Identify, research, and develop simulation system tools that will improve (or allow) better and more predictable pre-surgical / intervention rehearsal clinical outcomes
  • Identify and research potential predictors of how training transitions to the real world

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Health Focused Initiative

This initiative seeks to develop and test self-care technologies patients use, whenever and wherever they choose, to manage personal health and wellness. Aimed at promoting patient engagement and resilience, this research will deliver technologies that improve the human-machine interface and bridge the gap between patients and clinicians.

  • Advancing medical technologies research targeting the management of acute and chronic health challenges
  • Technologies that encourage health promoting behaviors at home and in theater

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Tools for Medical Education

The research develops and tests trans-disciplinary, open source training platforms, toolkits, and models within all three research initiatives. The intent is to shift the focus from developing basic medical training technology to the generation of evidence-based training content in order to improve patient safety, maximize system and organization-level return on investment, increase available training opportunities, and minimize training burden to the medical modeling, simulation, training, and education community at-large by the following:

  • Resource sharing by advocating open source / open architecture
  • Leveraging collaborative research projects through medical models and libraries
  • Democratization of knowledge and products through training platforms and tools that deliver healthcare content

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MSIS JPC-1 Health Informatics Technology Research

Research Functional and Technical Domains

Research Focus Areas

Theater / Operational Medicine

This research domain provides services to the Armed Forces to promote, improve, conserve and/or restore the mental or physical well-being of military personnel through improved information management and use of emerging technologies. This domain targets technologies and data management for Joint Casualty Management, Joint Patient Movement, Human performance Enhancement, Medical Logistics & Infrastructure Support, Health Surveillance, Intelligence, & Preventive Medicine, and Medical Command & Control.

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Medical Resourcing

The goal of this research domain is to improve the timely and efficient delivery of healthcare resources around the globe in stable and unstable military and humanitarian assistance/disaster relief environments. Research within this domain is on designing and implementing improvements to the management of healthcare human resources and healthcare financial resources. This domain targets technologies and data management for Education and Training, Medical Personnel Resource Planning and Allocation, and Financial-Material Data Management.

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Military Health Services

This research domain aims to positively impact the way patient care is provided and improves medical providers' abilities to treat patients and promote health. Research within this domain is designed to enhance the efficiency and quality of healthcare delivery, improve information accessibility, improve medical intelligence and provide proactive clinical decision support for clinicians. This domain targets technologies and data management in Readiness-centric patient Engagement/Activation, Patient safety-driven Medical Device Information & Systems Interoperability, and Connected Health care Services.

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Information Technology Infrastructure and Data Management

The priority for the Information Technology Infrastructure and Data Management research domain is to improve Health Data Management/Big Data/Analytics, which focuses upon management of healthcare data and HIT Infrastructure, which focuses on management of IT and communications infrastructure and improvements to the MHS enterprise architecture.

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Research to Advance Data Management

This focus area explores data concepts such as semantics, storage, terminology and data standards with the goal of complete patient privacy and data security, semantic data interoperability, and unrestricted data movement and storage in the MHS.

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Research to Advance Analytics

This focus area targets clinical and business analytics that will identify solutions to healthcare challenges by turning data into actionable clinical and business knowledge and intelligence for better outcomes and to ultimately assist in the delivery of safe, effective, and efficient healthcare.

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Research to Advance Human Factors/Interface/Usability

This focus area concentrates on HIT research for the development of new tools, displays, human user interfaces and other improved methods of system usability during clinical encounters, and communicating information with healthcare providers, first responders, administrators, commanders and patients/beneficiaries.

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Last Modified Date: 21-Dec-2015