John Winston

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  • -On behalf of MG Parker, CG, USAMRMC and COl Roller, Director, Advanced Technology, I thank for this opportunity to discuss Military Medicine Investment Strategies for the 21st Century
  • On behalf of USAMRMC, TATRC pursues non-traditional strategies of advanced medical technology research and development. Non-traditional in two respects. Traditionally, U.S. Department of Defense medical research and development medical investment has been limited to infectious disease, chemical and biological warfare defense, military operational medicine (occupational and environmental health studies) and trauma or combat care casualty care research. The telemedicine and advanced technology research program is the first devoted solely to technology driven change as opposed to threat based research. Secondly, the program is differentiated from more traditional programs in its execution. Approximately 80% of the resources are derived from congressional special interest appropriations and it also is committed to a strategy of rapid prototyping, partnering and opportunistic expploitation as opposed to deliberate long range plans. This imbues the telemedicine and advanced technology program with a flexibility and agility uncharacteristic of more typical miliatry medical research and development programs.
  • On behalf of USAMRMC, TATRC pursues non-traditional strategies of advanced medical technology research and development. Non-traditional in two respects. Traditionally, U.S. Department of Defense medical research and development medical investment has been limited to infectious disease, chemical and biological warfare defense, military operational medicine (occupational and environmental health studies) and trauma or combat care casualty care research. The telemedicine and advanced technology research program is the first devoted solely to technology driven change as opposed to threat based research. Secondly, the program is differentiated from more traditional programs in its execution. Approximately 80% of the resources are derived from congressional special interest appropriations and it also is committed to a strategy of rapid prototyping, partnering and opportunistic expploitation as opposed to deliberate long range plans. This imbues the telemedicine and advanced technology program with a flexibility and agility uncharacteristic of more typical miliatry medical research and development programs.
  • On behalf of USAMRMC, TATRC pursues non-traditional strategies of advanced medical technology research and development. Non-traditional in two respects. Traditionally, U.S. Department of Defense medical research and development medical investment has been limited to infectious disease, chemical and biological warfare defense, military operational medicine (occupational and environmental health studies) and trauma or combat care casualty care research. The telemedicine and advanced technology research program is the first devoted solely to technology driven change as opposed to threat based research. Secondly, the program is differentiated from more traditional programs in its execution. Approximately 80% of the resources are derived from congressional special interest appropriations and it also is committed to a strategy of rapid prototyping, partnering and opportunistic expploitation as opposed to deliberate long range plans. This imbues the telemedicine and advanced technology program with a flexibility and agility uncharacteristic of more typical miliatry medical research and development programs.
  • We will also continue our strategy of actively pursuing and more fully leveraging academic partnerships through a variety of relationships ...
  • We will also continue our strategy of actively pursuing and more fully leveraging academic partnerships through a variety of relationships ...
  • We will also continue our strategy of actively pursuing and more fully leveraging academic partnerships through a variety of relationships ...
  • MEDCOM is a busy place as this slide indicates with it’s thousands of clinic visits and medical procedures each day. It is thru that MEDCOM structure, previously shown, by which we manage this workload and the title 10 accountabilities of the AMEDD, while simultaneously preparing for the execution of our readiness responsibilities as a force provider.
  • On behalf of USAMRMC, TATRC pursues non-traditional strategies of advanced medical technology research and development. Non-traditional in two respects. Traditionally, U.S. Department of Defense medical research and development medical investment has been limited to infectious disease, chemical and biological warfare defense, military operational medicine (occupational and environmental health studies) and trauma or combat care casualty care research. The telemedicine and advanced technology research program is the first devoted solely to technology driven change as opposed to threat based research. Secondly, the program is differentiated from more traditional programs in its execution. Approximately 80% of the resources are derived from congressional special interest appropriations and it also is committed to a strategy of rapid prototyping, partnering and opportunistic expploitation as opposed to deliberate long range plans. This imbues the telemedicine and advanced technology program with a flexibility and agility uncharacteristic of more typical miliatry medical research and development programs.
  • John Winston

    1. 1. U.S. A RMY M EDICAL R ESEARCH & M ATERIEL C OMMAND MG Eric Schoomaker, Commanding Deputy for Advanced Technologies Colonel (Dr) Jeffrey Roller, MC, USAF Director, Telemedicine & Advanced Technology Research Center (TATRC) Mr. John Winston Telemedicine & Advanced Technology Research Center (TATRC) Director for Business Development / Program Manager AAMTI IPA, Henry M. Jackson Foundation for the Advancement of Military Medicine M EDICAL M ATERIEL D EVELOPER Telemedicine & Advanced Technology Research Center Cutting Edge Medical Technology
    2. 2. AMEDD Advanced Medical Technology Initiative (AAMTI) Telemedicine & Advanced Technology Research Center Cutting Edge Medical Technology The U.S. Army Medical Research and Materiel Command’s (USAMRMC) mission is to provide solutions to medical problems of importance to the American war fighter at home and abroad. The AMEDD Advanced Medical Technology Initiative (AAMTI) plays a vital role in the fulfillment of these objectives. Through this program, Army Medical Department leaders have the resources to conduct advanced technology development, demonstration and limited validation of important new technologies.
    3. 3. AMEDD Advanced Medical Technology Initiative (AAMTI) Telemedicine & Advanced Technology Research Center Cutting Edge Medical Technology Open to AMEDD Personnel with Collaboration from Industry and Academia Designed to Foster “Medical Technology Entrepreneurship” Demonstrates Technology’s Impact on Cost, Access, Quality of Care Seeks “Low Hanging Fruit” Utilizing COTS Technology Typical Award is $175-$225K Period of Performance is 18 Months Proposals Submitted Via the Web Once per Fiscal Year url: www.tatrc.org click on the AAMTI Link
    4. 4. AMEDD Advanced Medical Technology Initiative (AAMTI) Telemedicine & Advanced Technology Research Center Cutting Edge Medical Technology Fiscal # pre-proposals #projects year submitted selected FY00 80 16 FY01 76 20 FY02 156 25 FY03 79 24 FY04 70 23 FY05 123 27 FY06 86 22
    5. 5. AAMTI Leverages ……….. ……………Technology Telemedicine & Advanced Technology Research Center Cutting Edge Medical Technology * Information Minning Technology * Optimal Retinal Camera * Natural Language Computer-Based Patient Record * Virtual Colonoscopy * Teleretinology and Teleopthalmology * Voice Recognition * Computerized Neuropsychological Screening * Training Simulation * Internet Enabled Neuro-psychological Assessment * Surgical Robotics * Ad-Hoc Mobile Sensor System * Computer-Assisted Decision Support * Web-Based Automated Mental Health Intake System * Remote Echocardiography * 3D Videoconferencing * Dynamic Motion X-Ray * Ophthalmic Simulation * Robotic and Virtual Slide Telepathology * Multi-Site Phonocardiography * Diagnostic Algorithms * Computer-Based Problem Knowledge Couplers * Bar Code Technology * Immunohistochemical Staining Technology * Kiosk for Patient Check-in and Pre and Post Deployment Health Assessment * Indirect Opthalmoscopic Video Imaging * Paperless Physical Exam * Robotic Microsurgery * Wireless Wearable Ultrasound Scanner
    6. 6. To Address … ………. ………Medical Concerns <ul><li>* Orthopedic Injuries * Pathology * Traumatic Brain Injury </li></ul><ul><li>* Ergonomics * Patient Safety * Phalangeal Fractures </li></ul><ul><li>* Hepatitis C * Weight Loss/Weight Management </li></ul><ul><li>* Mental Health * Chronic Disease Management </li></ul><ul><li>* Attention Deficit Disorder * Continuing Education </li></ul><ul><li>* Cardiology * Burn Research * Neurosurgery </li></ul><ul><li>* Asthma * Forensic Investigation * Surgical Skills </li></ul><ul><li>* Sleep Medicine * Concussion * PTSD * Medical Records </li></ul><ul><li>* Stroke * Lumbar Disk Herniation * Occupational Therapy </li></ul><ul><li>* Oncology * Chemical Hazard Emergencies </li></ul><ul><li>* Opthalmology/Optometry/Refractive Surgery </li></ul><ul><li>* Diabetes * Patient Tracking * Gastroenterology </li></ul><ul><li>* Trauma * Adverse Events Case Management </li></ul>Telemedicine & Advanced Technology Research Center Cutting Edge Medical Technology
    7. 7. By Delivering …………. …………..Results <ul><li>* Peer-Reviewed Articles </li></ul><ul><li>* Presentations </li></ul><ul><li>* Prototypes </li></ul><ul><li>* Process Improvements </li></ul><ul><li>* Studies </li></ul><ul><li>* Techniques </li></ul>Telemedicine & Advanced Technology Research Center Cutting Edge Medical Technology
    8. 8. Average Day in MEDCOM 68 Births 6,400 Dental Visits 1,784 Beds Occupied 476 Patients Admitted 57,479 Laboratory Procedures 41,693 X-rays 40,386 Clinic visits 6,012 Immunizations 66,942 Pharmacy Procedures 5,577 Outpatient Visits $21M of Food Inspected
    9. 9. Telemedicine & Advanced Technology Research Center Cutting Edge Medical Technology
    10. 10. Mr. John Winston 301-619-7674 [email_address] Telemedicine & Advanced Technology Research Center Cutting Edge Medical Technology

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