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Clinical Practice Guidelines (CPGs)

Clinical Practice Guidelines (CPGs) are the backbone of the system-wide JTS Performance Improvement program. Health data abstracted from patient records and after action reports is analyzed and distilled into globally relevant CPGs to remove medical practice variations and prevent needless deaths. The CPGs compiled from DoDTR data and used by healthcare providers worldwide are largely responsible for the decreased Case Fatality Rate for the wars in Iraq and Afghanistan. Examples are better transfusion practices; reduced burn morbidity and mortality; near elimination of extremity compartment syndrome; better patient care documentation; and improved communication across the spectrum of care between geographically dispersed facilities.

CPGs are evidence-based and developed with experts in the military and civilian communities, deployed clinicians, Service trauma/surgical consultants, JTS leadership and formerly deployed Trauma Directors and Coordinators. JTS has a formalized process for developing, reviewing, updating, and approving CPGs. The guidelines are developed and implemented by clinical subject matter experts in response to needs identified in the military area of responsibility. CPGs were developed originally for US Central Command. However, collaborative efforts are ongoing with the other Combatant Commands to customize CPGs to their COCOMs. CPGs have found their way into the civilian medical communities and are freely available for download.

If you are interested in learning more about the process of developing CPGs, please review "CENTCOM JTTS CPG Process." This guide for CPG development will help lead you through the methods used to develop and monitor CPGs. The JTS remains committed to using the highest levels of analytical and statistical analysis in its CPG development process.

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