1/21/2016. b. H. NDMS patients will arrive in Smyrna and/or Nashville in stable medical condition, or will be given advance notice of any patients in need of critical care. The NDMS tracks all patients who are transported via Federal assets and thus, are eligible for coverage under this program. Federal Patient Movement: NDMS Definitive Care Program Fact Sheet. Definitive Medical Care Date of Publication. capabilities for NDMS patient movement, medical regulating, staging, reception, tracking, and definitive medical care in NDMS participating hospitals. “NDMS has three main missions: the emergency medical response by NDMS medical teams including the equipment and supplies to a disaster area; movement of ill and injured patients from a disaster area to areas unaffected by the disaster; and the definitive care of patients at hospitals in areas unaffected by the disaster,” Raheem said. An available bed for NDMS reporting: – Vacant as of midnight previous day, available immediately for NDMS admission – Functional and ready for all aspects of patient care-under normal circumstances – Excluded are: Observation beds, bassinets, incubators, labor & recovery beds When a PRA report shows 10 beds available, unless I. An NDMS facility also has the potential to receive military patients should the Department of Defense (DoD) Military Health System (MHS) and the Department of Veterans Affairs (VA) Contingency Hospital System be overwhelmed during a military contingency. hundred (100) patients in need of definitive medical care utilizing NDMS in a 24-hour period. A condition of NDMS coverage is that the patient is transported via Federal assets, processed through a FCC, and referred to facilities or practitioners for Definitive Medical Care. This September, Carson Valley Medical Center joined the National Disaster Medical System (NDMS) team as a definitive care provider facility. Patients will be triaged using the Simple Triage and Rapid Treatment (START) standard. U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response. The facilities must make available up to 25 beds for NDMS patients. c. Integrate NDMS operations into the Command’s exercises conducted under the Federal Definition. More than 1,900 hospitals across the country participate in NDMS’ Definitive Care Reimbursement Program. definitive care. Develop plans, as directed, that support this issuance and the NRF. This article reviews the history and structure of the National Disaster Medical System (NDMS), with an emphasis on its definitive care component. NDMS's capacity to handle very large mass casualty events, such as those included in the National Planning Scenarios, is examined. 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