Air Force Mobile Forward Surgical Team (MFST): Using the Estimating Supplies Program to Validate Clinical Requirement

摘要

The Air Force Medical Support Agency, Surgeon General Support Logistics Office, requested the Naval Health Research Center (NHRC) to conduct a proof-of-concept study to assess the validity and feasibility of using a medical modeling tool developed by NHRC's Medical Modeling and Simulation laboratory in U.S. Air Force Allowance Standard (AS) development and management. The Mobile Forward Surgical Team (MFST) Unit Type Code AS was selected for this study with the goal of developing an inventory validation process using databases in NHRC's Medical Modeling and Simulation Laboratory. The primary objective of the study was to provide the Air Force with the ability to validate clinical requirements of the MFST assemblage, with the goal of using NHRC's Estimating Supplies Program (ESP) to establish a viable audit trail linking clinical requirements with supply items. The approach was to use the reliable system NHRC has in place, utilizing ESP to create patient streams, then allowing its underlying relational database structure to attach task profiles and supplies to the patient conditions (PCs) in the stream. The MFST supply and equipment inventory was mapped to clinical tasks and PCs in ESP using the Forward Resuscitative Surgical System (FRSS) model as a template. The matches from the FRSS model were identified in the MFST inventory, providing a pathway to align clinical tasks and PCs required to develop the MFST ESP model. To ensure that the MFST patient stream to be entered into ESP represented an accurate picture of what might potentially occur, a panel of subject matter experts (SMEs) was assembled to offer experience and guidance concerning likely PCs the MFST would treat. Using a patient stream that reflected the MFST mission, its concept of employment and likely PCs treated there ESP generated an appropriate supply list. The units of measure, units of issue, weight, cost, and cube data were then compared with those in the current MFST AS inventory.