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Advanced Virtual Support for Operational Forces: A 3-Year Summary.

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Area of Science:

  • Military Medicine
  • Telemedicine
  • Health Services Research

Background:

  • The Military Health System requires robust medical support for service members globally, even in austere locations.
  • Telemedical solutions are crucial for extending medical capabilities where in-person support is limited.
  • The ADvanced VIrtual Support for OpeRational Forces (ADVISOR) program evolved from earlier tele-critical care services to offer broad remote expert support.

Purpose of the Study:

  • To evaluate the return on investment (ROI) of the ADVISOR program.
  • To assess the impact of ADVISOR consultations on medical evacuation planning and resource utilization.
  • To determine the perceived value of the ADVISOR system for military healthcare providers.

Main Methods:

  • Review of ADVISOR program data from 2017-2020, including synchronous consultation records.
  • Analysis of patient demographics, consultation purpose, recommendations, technology used, and patient disposition.
  • Calculation of cost savings based on downgraded or avoided medical evacuations.

Main Results:

  • 156 real-world consultations were analyzed.
  • Total cost savings of $1,097,027 were achieved through optimized evacuation plans.
  • Consultations led to downgrading or avoidance of planned medical evacuations, demonstrating significant financial benefits.

Conclusions:

  • The ADVISOR program demonstrates a positive financial ROI, exceeding its operational costs.
  • The telemedicine system is valued by both local caregivers and remote experts.
  • ADVISOR effectively optimizes evacuation planning, enhancing efficiency and potentially patient outcomes in operational environments.