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Department of Defense Trauma Registry (DoDTR) Mission

The Department of Defense Trauma Registry (DoDTR), the combination of the Store-and-Forward and web-based Joint Theater Trauma Registry (JTTR), is the backbone of JTS.

It is the data repository for DoD trauma-related injuries. The goal of this registry is to document, in electronic format, information about the demographics, injury-producing incident, diagnosis and treatment, and outcome of injuries sustained by US/Non-US military and US/Non-US civilian personnel in wartime and peacetime from the point of wounding to final disposition.

The DoDTR provides data that leads to improved care of wounded warriors from point of injury through rehabilitation. Also, it generates actionable medical information leading to advancements in trauma care.

The DoDTR interfaces with and feeds additional trauma-related registries. The current injury specific registries are:

  • Infectious Disease Registry
  • Military Orthopaedic Trauma Registry (MOTR)
  • Ophthalmology Registry
  • Traumatic Brain Injury Registry
  • Acoustics Registry
  • Outcomes Registry

Joint Trauma System


MISSION

The mission of the JTS is to improve trauma care delivery and patient outcomes across the continuum of care utilizing continuous performance improvement and evidence-based medicine driven by the concurrent collection and analysis of data maintained in the DoD Trauma Registry.

JTS defines Continuum of Care as an integrated system of all events, phases, levels and intensities of trauma patient care across the DoD including but not limited to prevention, point of injury, pre-hospital, patient movement, medical treatment facility acute, subacute, chronic care and life-long rehabilitation.

The JTS vision is to expand globally as a resource.

JTS GOALS

  • Provide the ability to perform data driven battlefield level process improvement of trauma care that drives morbidity and mortality to the lowest possible levels.
  • Expand across DoD to bring trauma systems into fixed facility care as well as theater care thus enhancing readiness to provide optimal trauma care to deployed Service members.
  • Emphasize continuous improvement in medical record documentation quality.
  • Capture and share patient data across all levels of care to enable evaluation and adherence to theater clinical practice guidelines and standard operating procedures (SOPs).
  • Identify training requirements, capture injury epidemiology, support research initiatives, and assess success of interventions and outcomes.

JTS BRANCHES

Analysis Branch – Develop queries and provide data from the DoDTR in response to all requests for information (RFIs); coordinates special projects for specific injury diagnoses, such as massive transfusions, and colon injury studies, etc. The Analysis Branch is responsible for conducting classified and non-classified data analysis. The classified projects to date have been in support of the Joint Trauma Analysis and Prevention of Injury in Combat (JTAPIC), and the MEDEVAC ‘Golden Hour’ project. MEDEVAC study – this specialty project authorized by the MEDCOM Chief of Staff, evaluates all MEDEVAC patients transport time from point of injury to final treatment at an MTF. One of the goals is to look at the “Golden Hour” rule and also assist planners on how large they need to draw their MEDEVAC evacuation circles in the theater of operations.

Automation Branch – Supports all the information technology for the DoDTR and related special projects databases. The Automation Branch is responsible for design and development of databases in addition to architecture and documentation. It handles all documentation needs for JTS including Defense Business Transformation (DBT) submissions, CONOPS, Defense Information Assurance Certification and Accreditation (C&A) Process (DITSCAP). (DoD Information Assurance Certification and Accreditation Process (DIACAP) has replaced DITSCAP.)

Data Acquisition – Mines the medical records to abstract, code, and enter critical trauma data into the DoDTR database for use in support of the JTS mission.

Education and Training – Develops and conducts the pre-deployment training of the Joint Theater Trauma System (JTTS) teams, DoDTR user training, and JTS staff training. This branch also secures continuing education credits and coordinates performance improvement and other trauma related courses.

Performance Improvement (PI) – Coordinates all PI activities, participates in the development, maintenance and adherence to CPGs, develop performance improvement course content and training, and resolve trauma system patient care issues.

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