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MC4 Plays Integral Part in the U.S. Army’s Casualty Care System for Roles 1-3

By MC4 Strategic Communications Office

Fort Detrick, MD. - The Medical Communications for Combat Casualty Care (MC4) systems support Roles 1-3 of the U.S. Army’s modern health services support system covering the operational environment to the hospital facility. The U.S. Army supports the effective distribution of resources across facilities at various levels of command, across different locations, each with differing levels of capability. The goal for the U.S. Army is to provide the most efficient means to save the Soldier’s life and “ensure the stabilization and survivability of the patient through advanced trauma management and far-forward resuscitative surgery prior to movement between medical treatment facilities,” as stated in DoD’s fourth revision of Emergency War Surgery.

MC4 plays a key part in support of Roles 1-3 by integrating and fielding the Army capability to digitally capture medical treatment data, specifically the Soldiers’ electronic health record (EHR), in these dynamic operational environments. The EHR is accessible by the Soldier and his/her medical treatment providers throughout their military career and retirement, and eventually by Veterans Affairs (VA).

In support of the Soldier’s EHR in operational environments, MC4 enables the clinical documentation and management software application called AHLTA-Theater. The AHLTA-Theater application suite is available at all Roles (1-3) and includes access to Defense Medical Logistics Standard Support (DMLSS) Customer Assistance Module (DCAM), a logistical support tool for ordering medical supplies, access to medical references, the Medical Situational Awareness in the Theater (MSAT) which combines information to provide decision support and a common operating picture, the Theater Medical Data Store (TMDS) and DoD’s Clinical Data Repository (CDR).

The Roles 1-3 process begins when the patient moves from the point of injury (POI) into the care of specialized medical professionals trained in tactical combat casualty care, stabilizing surgical treatment and trauma management. Depending on the critical or urgent nature of the patients’ condition, it is possible to bypass a role in order to move to a higher level of capability that matches the needs of trauma management, resuscitative care and stabilization.

Point of Injury (POI):

Before Roles 1-3 even begins the actual start of the process occurs at the POI. At this early stage, first-aid care is provided by a combat medic, buddy or combat lifesaver (non-medical team or squad member trained in enhanced first-aid) in order to take immediate lifesaving measures to the injured Soldier.

Role 1: Role 1 is the battalion aid station where the patient is treated by a physician, physician assistant or medic. If necessary, after triage, treatment and stabilization, the Soldier either returns to duty or is evacuated to a role 2 or appropriate medical treatment facility (MTF). Treatment in Role 1 does not have to be combat related. Patients with non-battle injuries, disease, and behavioral and operational stress conditions can also be treated. Role 1 facilities do not have the capability for patient holding (inpatient type treatment).

MC4 provides systems support at the POI and Role 1 stages with Mobile Computing Capability (MCC) and AHLTA-Theater.

Role 2: Role 2 MTFs are brigade level support with levels of care that range from basic primary care to lifesaving emergency treatment. This role can provide advanced trauma management and emergency measures that go beyond Role 1. Role 2 provides an advanced level of capabilities than Role 1 which can include 72-hour patient hold, blood transfusions, x-ray, clinical labs, dental support, optometry services, physical therapy and combat operational stress control when augmented. A forward surgical team (FST) can be collocated with the medical company to provide resuscitative surgical care. The main assets that make up Role 2 are located in medical companies (brigade support battalion) assigned to armored, infantry and Stryker battalion combat teams and area support units that directly support divisions and echelons above brigade.

MC4 provides systems support at the Role 2 stage with AHLTA-Theater and DCAM.

Role 3: In Role 3, patients are treated at a non-mobile facility known as a Combat Support Hospital (CSH) that is equipped to provide care to all categories of patients: wound surgery, resuscitation, damage control surgery and postoperative treatment. The CSH provides inpatient (emergency room (ER), intensive care unit (ICU), operating room (OR), nursing care) and outpatient (pharmacy, psychiatry, public health nursing, physical therapy, clinical laboratory, blood banking, radiology and nutrition care services) capabilities. Patients who cannot survive movement over long distance are treated at a Role 3 CSH. The Role 3 CSH can support as many as 248 patients for up to six OR tables. Surgical specialties at a Role 3 CSH include general, orthopedic, thoracic, urological, gynecological, and oral and maxillofacial surgery.

MC4 provides systems support at the Role 3 level with AHLTA-Theater, which includes TC2 server and inpatient documentation.

Finally, it is important to note that MC4 systems indirectly support Role 4 hospitals as well. The TMDS cloud application transmits patient medical treatment information from the combat zone through theater levels of care (Roles 1-3). These theater levels of care and MTFs access and share patient data with hospitals and the VA (Role 4). In essence, MC4’s support of the lifelong digital record enables that Soldier’s EHR to be transmitted from the battlefront to the homefront.

Posted March 24, 2017

PEO EIS Defensive Cyber Operations Hosts Industry Day

By Ms. Jennifer L. Smith, Army Contracting Command

The Department of the Army, Program Executive Office- Enterprise Information Systems (PEO-EIS) Product Manager Defensive Cyber Operations (PdM DCO) announces an Industry Day for seven Program Capabilities. Requests for Information (RFIs) for each of the seven programs will be released prior to the scheduled Industry Day. There will be two sessions to accommodate the anticipated number of attendees. Each session will cover the same material. It is requested that each Vendor choose either the morning or afternoon session to attend and that no more than two representatives from each Vendor participate, due to space constraints.

Date: Wednesday, April 19, 2017
Location: Wood Theater, Post Building #2120n, Fort Belvoir, Va. 22060
Time (Morning Session): 9:00 a.m. – 11:00 a.m. Eastern Standard Time (EST)
Time (Afternoon Session): 1:30 p.m. – 3:30 p.m. EST

Vendors who have not previously submitted a Company Compliance Statement (reference FBO notification: 1cb3edaa1&tab=core&tabmode=list&= ) must do so before the scheduled Industry Day in order to receive any of the RFI’s for the seven Program Capabilities. See instructions included as attachments in this announcement for submitting these statements.

For Vendors who have completed and submitted a Company Compliance Statement and are interested in attending this event, please reply to this Notification and provide the following information to the Army Contracting Command – Rock Island (ACC-RI) via email to Ms. Jennifer Smith,; by Friday, April 14, 2017 Central Standard Time (CST).

  • Vendor name and address
  • No more than two Points of Contact with their titles, emails and phone numbers
  • Indication of choice of session

Additional Information: Details such as Agenda, Instructions on Post Access, etc. will be provided as an amendment to this announcement after receipt of the above requested information. Responses to Section One questions from the RFI’s will be due on Friday, April 14, 2017 to the contracting office point of contact listed above.


Posted March 23, 2017



Quality control over acquisition financial management involves requirements that are validated, developed and delivered as well as meet a specific need within a program manager’s (PM) mission. For over 10 years, the U.S. Air Force has used the Comprehensive Cost and Requirements (CCaR) system, a government off-the-shelf system, to document program and financial requirements and track the execution of appropriated funds. Recently, Defense Communications and Army Transmission Systems (DCATS) and Acquisition Business (AcqBusiness) began collaborating on implementing the CCaR system as a proof-of-concept (PoC) to assess the benefits and impacts of using CCaR as a standardized program management and reporting tool within PEO EIS.

In CCaR, identified requirements include the duration, cost, basis of estimate, period of performance, funding type, funding amount and financial execution status of each item or service. It also includes capabilities that support contract management, program management and executive reporting. “There are many possible benefits for adopting CCaR,” said Ms. Kelly Waymire, business management director, DCATS. “One of the key PoC success criteria is to reduce the time and effort needed to support the DCATS quarterly performance review.”

DCATS anticipates that CCaR will provide the program management office with key information for use in activities associated with the annual budget cycle, such as the program objective memorandum and budget cut drills. Other efficiencies may include reducing the time and effort for creation, review and approval of spend plans and service contract approval request.

For more information on CCaR, visit

Posted March 17, 2017

Congratulations, PEO EIS -- 2017 Commander's Cup Racquetball Tournament Champions!

By PEO EIS/DCATS Communications Team

Fort Belvoir’s annual Commander’s Cup Racquetball Tournament ran from February 27 – March 2. The competition consisted of nine teams with 60 participants. Team PEO EIS won gold medals in all three divisions. Of note, Team PEO EIS dethroned the three-time defending champs, Defense Threat Reduction Agency, to win this championship title.

Participants include:

  • Adam Hood
  • Amp Phommachanh
  • Andy Wong
  • Anthony Howard
  • Edgardo Edwards
  • Jonathan Jones
  • Joshua Prible
  • Ray Burke
  • Roy Hare
  • Ruben Albert
  • Sarah Tran

Click on the images below to view:

Posted March 10, 2017

CHESS Product Lead Talks Category Management at Washington Technology Industry Day

By Tricia Shelley, Public Affairs Support, CHESS

On Feb. 16, 2016, Computer Hardware Enterprise Software and Solutions (CHESS) Product Lead (PL) Doug Haskin spoke at the Washington Technology Industry Day in McLean, Virginia.

“With many in industry concerned about Category Management's financial impacts to their bottom line, I thought this event would be a great opportunity to highlight a few ways that the Army through CHESS has been able to successfully implement it, in a way that has been beneficial to the government and our vendors," said Mr. Haskin.

Washington Technology’s Industry Day theme was Category Management: A New Way of Doing Business. The events initiative was for the federal government to collaborate with industry. Executives from leading civilian and defense agencies offered insights into how category management is reshaping the federal IT market-and how suppliers can adapt and thrive. During the panel discussion, key members of GSA and Mr. Haskin discussed how government is addressing Category Management for IT hardware and software and provided feedback on challenges and lessons learned.

Mr. Haskin briefed IT industry on CHESS’ continuous efforts to support the Army’s goal for Category Management through the Consolidated Buy periods. Mr. Nick Wakeman, Editor-in-Chief for Washington Tech, concluded the discussion with a brief question and answer forum allowing the panelist to hear from industry.

“Although OMB's formal Category Management policies are only a couple years old, CHESS has been practicing key aspects of it for over a decade through our hardware Consolidated Buy events and our hardware, software, and services IDIQ contracts,” said Mr. Haskin.

Mr. Haskin’s appearance at the Washington Tech Industry Day is another example of CHESS’ ongoing vision to be the Army's center of excellence and provided IT acquisition through continuously competitive contracts that provide economical, value-added, Networthy IT products and superior, performance-based IT services for the Army.

Posted March 01, 2017