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Subject: MEDICAL  OPERATIONAL                                            

Box  ID: BX000511

Document Number:         10

Folder Title: D-S  SPEC STUDIES PROJECT GENERAL OFFICER STEERING COMMITTEE                                    

Folder Seq #:          7

Unit: ARCENT      

Parent Organzation: CENTCOM     







          ISSUE: The lack of a system in the theater to accommodate the
          demand for current casualty information caused commanders to lose
          accountability of personnel and confidence in the evacuation
          system.

          DISCUSSION: The most consistent critical comment of medical
          support during Operations DESERT SHIELD/STORM was the inability
          of the chain of command to obtain current information on their
          soldiers. Units and the personnel system lost visibility of
          soldiers once they entered medical treatment channels and the
          perception throughout the chain of command was that the medical
          system was a black hole. The problem was prevalent after intra-
          and inter-theater transfers. Commanders involved their
          Inspectors General, sent liaison officers (LOS) to hospitals and,
          in one instance, provided post cards for soldiers to send
          informing the chain of command of their location and condition.
          Personnel service companies positioned LOS with hospitals, but
          an inaccurate personnel data base and the lack of an interface
          between the Theater Army Medical Management Information System
          (TAMMIS) and the Standard Information Division Personnel System
          (SIDPERS) minimized LO ability to alleviate the problem. TAMMIS
          software limitations exacerbated the problem. Patient
          administrators could not query TAMMIS MEDPAR files by name, SSN
          or unit unless they knew the register number and date of
          admission. The Soldier Support Center and PM TAMMIS conducted a
          workshop after the operation to explore the feasibility of a
          TAMMIS/SIDPERS interface. Problems with hardware in the systems
          may be too difficult to overcome. Once TAMMIS is fielded,
          complete with a data communications capability, the system could
          provide current MEDPAR information to a central POC within the
   theater. Current information on patient location and condition
          after an inter-theater transfer to the COMMZ or CONUS will
          require theater access to the Defense Medical Regulating
          Information System (D.MRIS). The AMEDD should not ignore this
          problem. A satisfactory solution will probably require a tri-
          Service information system and joint doctrine. Because TAMMIS
          has been designated as the interim CIM (medical), PM TAMMIS
          should take the lead for the AMEDD in resolving this issue.

          RECOMMENDATIONS:

             a. PM TAMMIS should change MEDPAR software to enable patient
          administration officers to query files by name, SSN and unit
          without knowing register number and date of admission.

             b. PM TAMMIS should modify current TAMMIS software or
          develop a software program to support an automated casualty
          tracking system.

             C. HSC, AHS should coordinate with the Soldier Support
          Center to initiate the process for developing doctrine on
          casualty tracking.            J-3

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Document 10 f:/Week-32/BX000511/D-S SPEC STUDIES PROJECT GENERAL OFFICER STEERING COMMITTEE/medical operational:09069614063528
Control Fields 17
File Room = aug96_declassified
File Cabinet = Week-32
Box ID = BX000511
Unit = ARCENT
Parent Organization = CENTCOM
Folder Title = D-S SPEC STUDIES PROJECT GENERAL OFFICER STEERING COMMITTEE
Folder Seq # = 7
Subject = MEDICAL OPERATIONAL
Document Seq # = 28
Document Date =
Scan Date = 17-AUG-1996
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 06-SEP-1996