Prototype of Joint Evacuation and Transport Simulation (JETS) System

Proper medical training is critical to ensure that Service members are prepared for wartime deployment, with a particular training emphasis on supporting the en route care of patients from initial point of injury to continental U.S. (CONUS)-based military hospitals through several echelons.  Currently, medical training is conducted within each Service “independently” (i.e., Army, Navy, Air Force, etc.).  Additionally, there is a diverse 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 approach where many functions will no longer be unique to a particular Service.  Therefore, there is a need for a multi-Service training program for joint-Service responses.  The construction of integrated simulations and training modules for the JETS systems is the first step in a larger effort to integrate several training platforms toward a more standard, interoperable method of instruction with greater accessibility to an integrated and federated DoD Medical Simulation Enterprise.

The candidate JETS system delivers a modular, integrated, sustained, maintained, and modernized training platform to the DoD that will support training for individual, team, and unit skills across the complete chain of evacuation in the continuum of care.

This program 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 research project award recipients, Information Visualization and Innovative Research (IVIR) Inc. and Simquest, were selected from among 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: Co-Primes: Information Visualization and Innovative Research (IVIR) Inc.; Simquest
Major Subcontractors: Aptima, Inc.; Pitch
Award Amount: $3,973,122
Project Duration: 18-24 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: Information Visualization and Innovative Research (IVIR) Inc.
Award Amount:  $2,445,006
Project Duration: 24 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.