Prototype of Joint Evacuation and Transport Simulation (JETS) System

The JETS system provides a global point of demand (POD) and standardized training site capability that is not currently available to the DoD, Military Services, and commanders at all levels. An initial global POD, Live, Virtual, Constructive, Gaming (LVCG) training capability will be implemented with current Component‐level fielded capabilities being connected and integrated. It will deliver effective patient movement training, by utilizing and integrating both a global POD training capability and standardized training sites for classroom training and simulated operational conditions, to better prepare the Joint Warfighter for GPM and en route care from Point of Injury to Role IV military treatment facilities.

Proper medical training is critical to ensure that Service members are prepared for wartime deployment, with a particular emphasis to support the en route care of patients from the initial point of injury through several echelons to continental U.S. (CONUS)‐based military hospitals. Currently, medical training is conducted within each Service “independently” (i.e., Army, Navy, Air Force, etc.). In addition, there is a wide repertoire of tools, devices, and approaches used to provide deployable training to Service members, ranging from devices (e.g., manikins) to computerized simulations to formal didactic training through internet‐based, video, or classroom style instruction. Further, there are deployment specific training locations, such as the U.S. Air Force Critical Care Air Transport Team (USAF CCATT) or U.S. Army Medical Simulation Training Centers (MSTCs), where more realistic “scenario‐driven” training methods are employed to prepare individuals, squads, and units for wartime deployments.

Recent changes to military doctrine now require a multi‐Service/joint response, where many functions will no longer be unique to a particular Service. Therefore, there is a need to develop an operational infrastructure that provides multi‐Service training for joint‐Service responses. The construction of integrated simulations and training modules for the JETS systems is the first step toward a larger effort to integrate several training platforms toward a more standard, interoperable method of instruction with greater accessibility within an integrated and federated DoD Medical Simulation Enterprise. This RPP is focused on developing operational architectures that will build a construct and flow of the JETS system, where the operations, systems, and capability views are integrated using a single set of documents and diagrams. The following paragraphs provide more information on the requirements of the JETS System, which also highlight the complexity and breadth of this operational architectures effort.

The research project award recipients were selected from the Offerors who responded to MTEC’s Request for Project Proposals (17-07-JETS).

Prototype of Joint Evacuation and Transport Simulation (JETS) System

 Project Team: Information Visualization and Innovation Research (IVIR); SimQuest International, LLC; Aptima, Inc.; Pitch
Award Amount: $4,420,743
Project Duration: 42 months
Project Objectives: The mission of this program is to develop architectural models that will be used to guide the construction of integrated simulations and training modules for the JETS system, which will be utilized throughout the Department of Defense’s (DOD) medical departments. The study aims to add to the current body of knowledge by identifying and addressing gaps in joint en route care training and constructing a top-level interoperable architectural framework for a training system of systems.

Phases I and II of this project will focus on creating prototype knowledge products that will interoperate and integrate with future programs within the Medical Simulation Enterprise (MSE). The program will produce designs for an overarching architecture, including a common, objective, and engineering-oriented lexicon, along with a governance strategy and a definition of shared services. The lexicon will be detailed in a draft Medical Modeling and Simulation (MMS) Federation Object Model (FOM). A collection of Department of Defense Architecture Framework (DoDAF) views will be developed and integrated into the Capabilities Development Document (CDD).

Phase I Accomplishments:

  • Conducted a literature search to collect information surrounding the roles of care, CASEVAC/MEDEVAC, en route care, aeromedical evacuation, patient handoffs and transfers, and existing communication tools that are used to facilitate global patient movement along the care continuum.
  • Began to create a MMS FOM as part of the effort to begin defining standards of communication in the medical modeling and simulation field.
  • Developed DoDAF models for the JETS architecture including capability, operational and system views based on the draft JETS CDD.

Phase II Accomplishments:

  • Collected and analyzed information surrounding point of injury (POI) care, roles of care, and global patient movement (GPM) along the care continuum.
  • Developed the Point of Injury Training System (POINTS) Architecture and CDD based on the gathered requirements. The resulting architecture extends the JETS base to encompass POINTS in a comprehensive architecture for the Medical System Enterprise (MSE).
  • Enhanced development of the MMS FOM created during the JETS architecture effort (Phase I) to include support for demonstrating POINTS architecture.
  • Performed proof-of-concept in which we demonstrated the ability to link a full body manikin, a screen-based clinical simulation, a physiology engine, a logistics simulation and an AAR system into an interactive simulation system.
Train Like We Fight: Continuum of Care Graphic
Linde et al. (2017). Multi-Battle Domain-Perspective in Military Medical Simulation Trauma Training. J Trauma Treat, 6:4. DOI: 10.4172/2167-1222.1000391

Prototype of Joint Evacuation and Transport Simulation (JETS) System – PHASE III

Project Team:SimQuest International, LLC; Information Visualization and Innovation Research (IVIR)
Award Amount:  $1,680,767
Project Duration: 35 months
Project Objectives: The Phase III effort will focus on the validation of the architectural design that was created during Phase II.  Expansion of the design and development of an operational trial for the MMS FOM, as a component of a JETS/POINTS system of system, using commercial off the shelf (COTS) and Government furnished equipment (GFE) components. IVIR will also create and initiate a propagation and advocacy plan for the MSE, and develop a Return on Investment (ROI) model of the MSE.