New medical profile system to enhance communication, readiness Published Aug. 15, 2022 By Gina Marie Giardina Air Force Research Laboratory Public Affairs WRIGHT-PATTERSON AIR FORCE BASE, Ohio -- A new medical profile system aimed at improving communication and overall readiness has been developed by the Air Force Research Laboratory in collaboration with the Air Force Medical Readiness Agency and the Defense Health Agency and is scheduled to roll out to military treatment facilities later this summer. The Airman and Guardian Availability Management system will continue to reside in the Aeromedical Services Information Management System but will be the new way of generating a profile. ASIMS is a web-based application that provides the Air Force the capability to track medical readiness, including immunization data, through a web portal for all personnel both in fixed or deployed facilities, and for security purposes, must be accessed using a Common Access Card. AGAM is currently being tested at 14 locations including Wright-Patterson Air Force Base, Ohio; Fairchild Air Force Base, Washington; Joint Base McGuire-Dix-Lakehurst, New Jersey; Travis Air Force Base, California; Beale Air Force Base, California; Shaw Air Force Base, South Carolina; Ellsworth Air Force Base, South Dakota; as well as seven Air National Guard and Air Force Reserve units. Medical profile systems are communication tools that act as a conduit between medical providers, ill or injured service members and their supervisors or commanders. As part of the treatment plan for ill or injured service members, medical providers document recommended limitations and restrictions with the service members as well as with supervisors and commanders for decision-making purposes in order to support the healing process. After assessing the prior system, teams of experts in AFRL, DHA and AFMRA determined an updated system could improve the management of patients, give them more autonomy over their healing processes and enables better communication with leadership regarding the readiness status of personnel. Additionally, the update could increase medical providers’ occupational and operational awareness as they would better understand the physical requirements of various career fields across the Total Force. "Our hope with this new system is that service members will be more engaged in the profiling process and have more responsibility during recovery. Likewise, commanders will have ready access to information on unit members who are placed on a profile, supporting their ability to determine how service members can contribute to the mission, as well as whether or not certain members can deploy,” explained Maj. Lindsay Johnston, chief of the Base Operational Medicine Clinic (BOMC) Development Branch in AFRL’s 711th Human Performance Wing. AGAM introduces changes to current processes and provides improved communication between commanders and medical providers. This profile system also has a completely new look with dashboards so service members and commanders will have easier access to information. “We designed AGAM to provide improved communication between commanders and medical providers, balancing service members’ medical needs during recovery with duty requirements,” Johnston explained. “Additionally, the improved system will empower Airmen and Guardians, allowing them to take an active role in their health. They’ll not only be responsible for updating their recovery progress, but they can also document in AGAM when more care is needed.” During the development process, the team worked with medical providers in many specialties and built templates for more than 200 diagnoses to give commanders an improved decision-making tool. These templates are standardized based on the most current medical guidance allowing for consistency across the Department of the Air Force. For medical providers, AGAM generates all profile information electronically on the Air Force Form 469, which is the official form providers use to communicate recommendations for fitness, duty and mobility restrictions, which optimizes treatment, stabilization and recovery. Johnston stated that protected health information is not visible on the Air Force Form 469. For service members, the new process will require them to log into their MyIMR and provide status updates at specific intervals prescribed by their providers. “Service members on medical profiles will get an email from AGAM reminding them to make these updates, which will minimize delays in evaluation and treatment,” Johnston explained. “Commanders will also be able to see updates or if service members are due or overdue to either follow-up with their providers or to certify a condition.” In addition to being an enhanced communication tool between providers, service members and commanders, Johnston stated the improved profile data will allow for recognition of trends and focused interventions such as the potential for embedded care teams or changes to equipment within units. “AGAM is designed to enhance readiness all around,” Johnston said. “We strongly believe this new design will not only be user-friendly but offer a stronger support team for ill and injured service members.”