The Joint Trauma System is an overarching operation comprised of the following mission-critical components.
Trauma Care Operations: Provides oversight of clinical care, ensuring clinical data capture.
Data Acquisition Branch (DAB): Responsible for data abstraction and entry of concurrent and retrospective records into DoD Trauma Registry (DoDTR), as well as the quality assurance of the data. DAB is responsible for data received from the integrated module owners and participating COCOMs. As directed by DoD Instruction 6040.47, this branch assumes responsibility for data received from CONUS participants. Consistent with the founding goals of the JTS, this branch will be responsible for obtaining and abstracting data from previous wars and conflicts (e.g., Korea, WWII, Vietnam). Data Acquisition also provides support applications and services to DoDTR users such as training and monitoring of JTS abstractors.
Quality Assurance Data Validation: Responsible for validating through multiple sources the data that to be included in the DoDTR. Data cannot be automatically imported into the DoDTR due to strict data definitions for abstraction of data. This branch is responsible for correcting (cleaning) the data by validating through other resources. This branch is supported by dual-hatted staff from the Data Acquisition Branch.
Data Release Branch: Responds to both internal and external requests for trauma data, which can be released once regulatory requirements are met. It is also responsible for accessing classified data sources necessary for JTS functions. Services include:
- Review and determination of suitability and availability of data for research and PI protocol submissions.
- Guidance on compliance with Army, Defense Health Agency and federal regulations.
- Health Information Management specialists on staff for coding selection and verification.
Information Management/Information Technology (IM/IT) Branch: Supports the information technology needs of the JTS including the DoDTR, specialty modules and data-related special projects. The team creates proof of concept and prototypes, and implements database applications and related architecture. IM/IT maintains currency of all required certifications and all DoD and Army annual requirements. It manages all documentation needs for JTS including Defense Business Transformation submissions, CONOPS, Risk Management Framework.IM/IT also handles the documentation needs of JTS and delivers educational literature to allow users to fully leverage the DoDTR and special registries.
Prehospital Care: Responsible for creating the Tactical Combat Casualty Care (TCCC) guidelines. TCCC is a set of evidence-based, best-practice trauma care guidelines customized for use on the battlefield. The Prehospital Branch supports the work accomplished by its Committee of Tactical Combat Casualty Care (CoTCCC) which creates the TCCC guidelines.
Performance Improvement (PI) Branch: Coordinates the PI activities and medical readiness across the spectrum of trauma care. It helps develop PI course content and training, and reviews trauma system patient-care issues. These reviews, are designed to provide an organized approach to improved trauma care at all care levels. DoDTR data enables JTS to conduct PI activities and gap analyses for medical capabilities to direct ongoing and future combat casualty care research, trauma skills training, and direct combat casualty care.
Education Branch: JTS conducts pre-deployment training of the US Central Command, Joint Theater Trauma System (JTTS) teams, DoDTR user training, and JTS staff training. The Education Branch facilitates the development of educational products for Combatant Command trauma system. The group also coordinates and manages continuing education opportunities and performance improvement courses.
Research and Data Analysis: JTS employs a staff of data analysts who support the tri-service military medical community. JTS collaborates with military and civilian personnel serving as principal investigators, research associates and performance improvement specialists. JTS has signed over nearly 140 agreements which support 95 organizations. These organizations include leading military medical research facilities, Congressional committees and educational institutions.
Continuing Education Programs: JTS offers clinicians, nurses and medics the ability to earn Continuing Education (CE) credits to maintain certification and licenses while deployed. The global teleconferences keep remote users up to date on the latest techniques, clinical guidelines, policy updates, research initiatives, and meet licensure/board requirements. Annually, 84 CEs credits are available per provider.
Combat Casualty Care Curriculum (CCCC) Conferences: JTS PI teams and Education teams discuss care practices and document those variations at global CCCC teleconferences. JTS has presented over 500 video teleconferences discussing over 3,600 trauma patients. Multiple sites around the globe participate weekly in discussions of recently evacuated casualties from point of injury through each level of care and follow the selected patients through their rehabilitative phase and Veteran's Affairs. Following the clinical discussion, subject matter experts present trauma-specific topics to drive advancements and promulgate JTS CPGs. The ability to capture lessons learned on the battlefield for the next generation of trauma surgeons, nurses, pre-hospital providers, and key administrators has contributed to trauma care improvements and military medical readiness.
The Military Orthopaedic Trauma Registry (MOTR): Manages the MOTR registry which houses trauma care information about Warriors from all Services who sustain extremity injuries.
Military En Route Care Registry (MERCuRY): Manages the MERCuRY registry which houses trauma care information about Warriors from all Services during transport.
Traumatic Brain Injury (TBI): Manages the TBI registry which house trauma care information about Warriors from all Services who sustain head and neurological injuries.