Cpr Card Template

SYSTEM DESCRIPTION & CONTRIBUTION TO JOINT VISION 2020

First alien in 1989, the Composite Bloom Affliction Arrangement (CHCS) is a tri-Service, medical administering Automatic Advice Arrangement (AIS) now acclimated in all DoD aggressive Medical Analysis Accessories (MTFs) common to abutment hospital administering and analytic bloom care. CHCS II, which expands on and will eventually comprise the aboriginal CHCS, is the ambition automatic advice arrangement for the analytic business breadth of DoD's Aggressive Bloom Arrangement (MHS). It is an evolutionary affairs advised to accommodate the functionalities of over 40 altered DoD and Service-unique AISs in capricious stages of development, and actualize Computer-based Accommodating Annal (CPRs) for all MHS beneficiaries. About all of the new applications actuality chip into CHCS II are commercial-off-the-shelf products. CHCS II supports the Collective Vision 2020 abstraction of advice ahead by amalgam all the analytic systems of the three Services into a distinct collective system, accretion admission to information, demography advantage of avant-garde business practices, accumulation the noncombatant bloom affliction sector, and acceptance MTFs to be added able in attention lives and resources.

BACKGROUND INFORMATION

OT&E has been conducted continuously on CHCS back its birth in 1989. When CHCS II was placed beneath OSD blank in 1997, the aboriginal CHCS became a bequest arrangement and was removed from oversight. Although a few standalone applications that will be chip into CHCS II accept undergone OT&E, CHCS II has yet to be activated as an chip system. OT&E on two antecedent applications were conducted beneath the advocacy of a CHCS II TEMP accustomed by DOT&E in 1997.

The aboriginal appliance to abide OT&E in April 1998 was the Analytic Advice Arrangement (CIS). CIS supports inpatient affliction by acceptance bloom affliction providers to electronically appearance annal of analysis and medication summaries, access orders and analysis notes, and adviser basic signs of patients. It offers a foundation for CPRs, which is the ultimate cold of CHCS II. The Army Analysis and Evaluation Command (ATEC), the absolute OTA, begin CIS to be operationally effective, suitable, and survivable. An absolute DOT&E appraisal bent that CIS offers cogent advance over paper-based procedures and auspiciously performs the functions it was advised to do.

The additional appliance to abide OT&E was the Antitoxin Bloom Affliction Appliance (PHCA), which is acclimated to certificate accommodating history, clue immunizations, and acclaim adapted antitoxin care. OT was conducted on PHCA in September and October 1998, at Beaufort Naval Hospital, SC, and at two MTFs in San Antonio, TX. Abounding of the antecedent analysis after-effects were unsatisfactory, mostly due to abnormal arrangement accession and workstation configurations. Afterward IOT&E, the PHCA Project Administrator adapted the problems and FOT&E accustomed that aggregate was agreeably resolved. ATEC again assured that the arrangement was operationally effective, suitable, and survivable. DOT&E concurred.

TEST & EVALUATION ACTIVITY

In April and May 1999, ATEC conducted an OA on a CHCS II ancestor arrangement that was installed in alone three clinics in Hawaii. The analysis after-effects adumbrated that the ancestor arrangement was neither operationally able nor suitable, and was not accustomed by the users-most of whom accomplished to use it afterward the OA. However, the OA after-effects provided admired advice acclimated to architecture the aboriginal above absolution (Release 1) of CHCS II afterwards abundant operational and abstruse architectural changes were incorporated.

In August 2000, ATEC conducted an abbreviated OA in Hawaii on an aboriginal adaptation of Absolution 1. Most of the users agreed that Absolution 1 was above to the adaptation activated the year before, but they additionally complained that it was still apathetic and unstable. Some Hawaii users were balked with the system's complexity, common "crashes," and disability to abundance addendum reliably.

Release 1 has now been installed at beta analysis sites in the Tidewater breadth of Virginia, and DT&E continues in an accomplishment to actual the kinds of problems credible during the abbreviated OA. Meanwhile, the CHCS II ORD has been revised and is accustomed by the Collective Requirements Blank Council. Afterward the achievement of DT&E, and DOT&E approval of the TEMP and analysis plan, OT&E is tentatively appointed for November 2000 (more apparently later) at Portsmouth Naval Hospital, VA; Langley AFB, VA; and Seymour-Johnson AFB, NC.

TEST & EVALUATION ASSESSMENT

CHCS II is actual complex, and planning for IOT&E of the chip arrangement has been problematic. The PM has actual finer implemented the Chip Artefact and Action Development initiative, but with so abounding clearing and bequest systems (each with its own artefact manager), and with such ample Chip Artefact Teams (IPTs), the action can be cumbersome. DOT&E actively participates in these IPTs to accommodate acknowledging OT&E advice and accumulate their activities. However, the allotment fluctuations and connected architectural changes accept fabricated it difficult to authorize a baseline for planning.

Since it will be DoD's arch bloom affliction system, CHCS II will accept a amazing operational appulse on the angry force. The CPR will be the aboriginal (military or civilian) cradle-to-grave automatic bloom affliction record―one that can accommodate the capability of the MHS by accouterment direct accommodating advice to bloom affliction providers worldwide. An associated "smart card" alleged the Personal Advice Carrier will accredit the warfighters to backpack some of this advice with them, appropriately acceptable action capability by expediting bloom affliction at all levels.

CHCS II faces abounding austere challenges. Technically, it is on the arch bend of technology and charge articulation assorted commercial-off-the-shelf articles together, both aural and amid about 170 MTFs and dental accessories worldwide, in a way that is not actuality done or is alike achievable in the noncombatant sector. Operationally, it agency a new way of accomplishing business for abounding bloom affliction providers appropriate to become added and added "computer literate." CHCS II additionally introduces some new procedures, such as the use of templates to almanac accommodating encounters in an accomplishment to assimilate the CPR. As a aftereffect of these and added challenges, the CHCS II development agenda has been revised several times.

DOT&E will abide to actively abutment the IPT action and anon abetment in analysis planning so that IOT&E can booty abode as anon as practicable. Once the analysis after-effects are in and DOT&E has completed its absolute assessment, its recommendations should aid the PM in fielding the best accessible arrangement to abutment the aggressive bloom system.

FY00 COMPOSITE HEALTH CARE SYSTEM II (CHCS II)

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