Telemedicine and Business Process Redesign at the Department of Defense

Author(s):  
James A. Rodger ◽  
Parag C. Pendharkar

This case is designed to relate the rationale used by the Department of Defense and the Test and Evaluation (T&E) Integrated Product Team, in order to determine the military utility of the Joint Medical Operations – Telemedicine Advanced Concept Technology Demonstration (JMO-T ACTD). The case also develops critical operational issues (COI) and measures of effectiveness (MOE) as methodologies for investigating military utility of telemedicine. In order to meet increasing global crises, the U.S. military must find ways to more effectively manage manpower and time. Joint Medical Operations –Telemedicine (JMO-T) has been developed by the Department of Defense (DOD) to collect and transmit near-real-time, far-forward medical data and to assess how this improved capability enhances medical management of the battlespace. JMO-T has been successful in resolving uncertain organizational and technological military deficiencies and in improving medical communications and information management. The deployable, mobile telemedicine teams are the centerpieces of JMO-T. These teams have the capability of inserting essential networking and communications capabilities into austere theaters and establishing an immediate means for enhancing health protection, collaborative planning, situational awareness, and strategic decision-making. This case also focuses on developing a holistic model of transformation. The model synthesizes current thinking on transformation into a holistic model and also explains the integrative influence of vision on the other four model components—environment, people, methodology, and IT perspective.. The model was tested by T&E on the JMO-T ACTD. JMO-T ACTD has developed a very successful training program and is very aware of the importance of planned change. Top military officials are actively involved in change and are committed to people development through learning. The model served an applied purpose by allowing us to see how well the military organization fit current theory. The model also fit a theoretical purpose by organizing a holistic, comprehensive framework. Accordingly, we have organized and synthesized the literature into five interrelated components that act as a fundamental guide for research. The model also helped us to identify a theoretical link and apply it to the internal operations of the military.

Author(s):  
James A. Rodger

This chapter is designed to relate the rationale used by the Department of Defense (DoD), for the military to adapt the principles of Mobile and Voice Commerce to meet increasing global crises and to find ways to more effectively manage manpower and time. A mobile Telemedicine package has been developed by the Department of Defense to collect and transmit near-real-time, far-forward medical data and to assess how this Web-based capability enhances management of the battlespace. Telemedicine has been successful in resolving uncertain organizational and technological military deficiencies and in improving medical communications and information management. The deployable, mobile teams are the centerpieces of this telemedicine package. These teams have the capability of inserting essential networking and communications capabilities into austere theaters and establishing an immediate means for enhancing health protection, collaborative planning, situational awareness, and strategic decision making through Web-based internet applications. In order to supplement this mobile commerce aspect of telemedicine, U.S. Navy ships have been utilized to integrate voice commerce interactive technologies to improve medical readiness and mobility. An experimental group was tasked to investigate reporting methods in health and environmental surveillance inspections to develop criteria for designing a lightweight, wearable computing device with voice interactive capability. This chapter is also designed to relate the rationale used by the Department of Defense and the Test and Evaluation (T&E) Integrated Product Team, in order to determine the military utility of the Joint Medical Operations—Telemedicine Advanced Concept Technology Demonstration (JMO-T ACTD) and continuous voice activation applications. Voice interactive computing devices are used to enhance problem solving, mobility and effectiveness in the battlespace. It improves efficiency through automated user prompts, enhanced data analysis, presentation, and dissemination tools in support of preventive medicine. The device is capable of storing, processing, and forwarding data to a server. The prototype devices have enabled quick, efficient, and accurate environmental surveillance. In addition to reducing the time needed to complete inspections, the device supported local reporting requirements and enhanced command-level intelligence. This chapter further focuses on developing a holistic model of implementing a strategy for mobile telemedicine. The model synthesizes current thinking on transformation into a holistic model and also explains the integrative influence of vision on the other four model components: environment, people, methodology, and IT perspective. The model was tested by Testing and Evaluating (T&E) the JMO-T ACTD. JMO-T ACTD has developed a very successful training program and is very aware of the importance of planned change. Top military officials, such as the Commander in Chief (CINC), are actively involved in change and are committed to people development through learning. The model served an applied purpose by allowing insights into how well the military organization fit current theory. The model also fit a theoretical purpose by organizing a holistic, comprehensive framework. Accordingly, we have organized and synthesized the literature into five interrelated components that act as a fundamental guide for research. The model also helped to identify a theoretical link and apply it to the internal operations of the military and its adaptation of mobile e-commerce principles to more effectively deliver telemedicine benefits to military personnel.


Author(s):  
James A. Rodgers ◽  
Parag C. Pendharkar

This case is designed to relate the rationale used by the Department of Defense and the Test and Evaluation (T&E) Integrated Product Team, in order to determine the military utility of the Joint Medical Operations Telemedicine Advanced Concept Technology Demonstration (JMO-T ACTD). The paper also develops Critical Operational Issues (COI) and Measures of Effectiveness (MOE) as methodologies for investigating military utility of telemedicine. In order to meet increasing global crises, the U.S. military must find ways to more effectively manage manpower and time. Joint Medical Operations Telemedicine (JMO-T) has been developed by the Department of Defense (DOD) to collect and transmit near-real-time, far-forward medical data and to assess how this improved capability enhances medical management of the battlespace. JMO-T has been successful in resolving uncertain organizational and technological military deficiencies and in improving medical communications and information management. The deployable, mobile Telemedicine Teams are the centerpieces of JMO-T. These teams have the capability of inserting essential networking and communications capabilities into austere theaters and establishing an immediate means for enhancing health protection, collaborative planning, situational awareness, and strategic decision-making.


Author(s):  
James A. Rodger ◽  
Parag C. Pendharkar ◽  
Mehdi Khosrow-Pour

The general perspective of this chapter is designed to relate the rationale used by the Department of Defense (DoD) for the military to adapt the principles of e-commerce to Telemedicine to meet increasing global crises, and to find ways to more effectively manage manpower and time. A mobile telemedicine package has been developed by the Department of Defense to collect and transmit near-real-time, far-forward medical data and to assess how this Web-based capability enhances medical management of the battlespace. Telemedicine has been successful in resolving uncertain organizational and technological military deficiencies and in improving medical communications and information management. The deployable, mobile teams are the centerpieces of this telemedicine package. These teams have the capability of inserting essential networking and communications capabilities into austere theaters and establishing an immediate means for enhancing health protection, collaborative planning, situational awareness, and strategic decision-making through Web-based Internet applications.


2005 ◽  
Author(s):  
Barbara Barrett ◽  
James Kimsey ◽  
Arnold Punaro ◽  
Dov Zakheim ◽  
Henry Dreifus ◽  
...  

2021 ◽  
Vol 14 (3) ◽  
pp. 348-373
Author(s):  
Vitalii E. Boldyrev ◽  

The article proposes a new understanding of the phenomenon of security as the desire of the state to achieve the most favourable trajectory of development under existing constraints. The concept of a favourable trajectory depends on objective factors and its subjective interpretations that are fixed in strategies and programs. In order to make these interpretations systematic and form a holistic model consisting of them, a new algorithm for strategical and program documents has been developed. According to the algorithm, every priority should be marked by code (or its combination) which corresponds to one of the subsystems of the global system and its component to create a database. The analysis of the database makes it possible to isolate problems whose relevance was artificially overestimated prior to elections, to forecast the directions of sequestration of their priorities, to determine the degree of continuity, to rank areas of the policy, to identify probable interconnections among them and to predict the foundations of a promising strategy. In regard to Biden’s program, the algorithm made it possible to achieve the following results. It was revealed that the program is more a succession to Trump’s strategy than innovative. The priority of the economic, social and financial spheres was artificially overestimated and the degree of their importance will be reduced after Biden’s inauguration. Economic, energy and legal spheres will be the cornerstones of Biden’s future strategy. Cyber, raw materials and technological subsystems will be assigned the role of drivers of development. Their successful functioning will be dependent on the dynamics of the military and agricultural sectors. In turn, demographic, trade, financial and credit, civil, humanitarian and cultural subsystems will acquire a more subordinate position and their role will be determined by the solution of specific issues. At the same time, it is difficult to determine the concrete positions and roles of future social and ecological policies because they had been overdeveloped or unclearly prioritized in the electoral program.


2021 ◽  
Vol 33 (4) ◽  
pp. 373-400
Author(s):  
JOHN WORSENCROFT

AbstractArchitects of social welfare policy in the Kennedy and Johnson administrations viewed the military as a site for strengthening the male breadwinner as the head of the “traditional family.” Daniel Patrick Moynihan and Robert McNamara—men not often mentioned in the same conversations—both spoke of “salvaging” young men through military service. The Department of Defense created Project Transition, a vocational jobs-training program for GIs getting ready to leave the military, and Project 100,000, which lowered draft requirements in order to put men who were previously unqualified into the military. The Department of Defense also made significant moves to end housing discrimination in communities surrounding military installations. Policymakers were convinced that any extension of social welfare demanded reciprocal responsibility from its male citizens. During the longest peacetime draft in American history, policymakers viewed programs to expand civil rights and social welfare as also expanding the umbrella of the obligations of citizenship.


This chapter is a brief history of the military developments leading to the creation of the Military Advanced Regional Anesthesia and Analgesia Initiative (MARAA) and eventually the Department of Defense Center of Excellence for Pain the Defense and Veterans Center for Integrative Pain Management.


2012 ◽  
Vol 53 (1) ◽  
pp. 22-25 ◽  
Author(s):  
Björn Asdecker ◽  
Wolfgang Kruck ◽  
Reinhold Kohler

In Zeiten knapper Kassen und sinkender Budgets gab das US-Verteidigungsministerium 2001 bekannt, zukünftig verstärkt das Konzept der „Performance-based Logistics“ (PBL) zur Verschlankung der militärischen Supply Chain einzusetzen. Bestärkt durch die bisherigen Erfolge im angelsächsischen Raum, findet der Ansatz mittlerweile auch in Europa große Beachtung. Der vorliegende Beitrag verfolgt das Ziel, den PBL-Begriff zu erläutern und den Innovationsgehalt des Konzepts kritisch zu hinterfragen. Darauf aufbauend gelingt die Identifikation von Anwendungspotenzialen in der zivilen Logistik. In 2001, when money was tight and budgetary resources limited, the United States Department of Defense announced the further implementation of “Performance-based Logistics” (PBL), a concept which was supposed to streamline the military supply chain. After some quite impressive success stories in the Anglo-Saxon world, the concept now attracts some interest in Europe. Therefore, this article pursues the goal of answering the following three questions: (1) What does PBLactually stand for? (2) What is the innovative contribution of the concept? (3) What potentials exist for the application of PBL in civil logistics? Keywords: performance based logistics


2010 ◽  
Vol 175 (5) ◽  
pp. 298-300 ◽  
Author(s):  
Ellen P. Embrey ◽  
Robert Clerman ◽  
Mark F. Gentilman ◽  
Fred Cecere ◽  
William Klenke

1970 ◽  
Vol 14 (2) ◽  
Author(s):  
Joseph Pugliese

The International Association of Chiefs of Police (IACP) document, ‘Training Keys #581: Suicide (Homicide) Bombers: Part 1,’ is designed to assist law enforcement authorities in the pre-emptive capture of prospective suicide bombers. In this essay, Pugliese focuses on the training key to examine the manner in which essentialised biotypologies are mobilised and reproduced within the context of the so-called ‘war on terror.’ The use of biotypologies by both the military and law enforcement agencies reproduces a disciplinary biopolitical regime premised on normative conceptualisations of race, gender and bodily behaviour. Pugliese discusses these regimes in the context of the US Department of Defense and its advocacy of ‘identity dominance’ through the development of new technologies such as gait signature biometrics. Situated in this context, he shows how biotypologies of targeted subjects are instrumental in fomenting cultural panics concerning the Arab and/or Muslim and/or figure ‘of Middle Eastern appearance’.


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