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## Introduction: Complexities of Medical Transfers in the Navy

Even under ideal conditions, the urgent or emergent movement of ill or injured Sailors and Marines from ship to shore can be a complex operation. These transfers can occur at night and in poor weather conditions, adding an extra layer of challenges. Furthermore, the unplanned nature of these medical movements can impact the degree of operational risk management associated with planned movement missions. These factors can lead to increased safety risks, accountability issues, information gaps, and incomplete or difficult communications with the originating command.

## The Need for Improvement: Request for Navy Medicine Support

In 2019, the Pacific Fleet surgeon requested Navy Medicine support to apply Get Real, Get Better principals to improve Patient Movement safety, communications, and outcomes, while protecting privacy, when Service Members are moved for medical reasons from at-sea units (to include units in port) to any shore-based civilian or MTF across the enterprise. This request highlighted the need for a solution to address the challenges faced during these medical transfers.

## Introducing the AI legalese decoder: Improving Communication and Efficiency

To address the issues surrounding ship-to-shore Patient Movement (PM), the AI legalese decoder was implemented as a solution. This innovative tool utilizes artificial intelligence (AI) technology to decode and translate complex legal jargon and policies into simple and understandable language. By doing so, the AI legalese decoder streamlines the communication process and ensures that all involved parties have a clear understanding of the procedures and requirements.

The AI legalese decoder helps bridge the gap between different commands, ensuring effective communication and coordination. It simplifies the pre-coordination process by providing clear instructions and guidelines for both Fleet and Operational Forces Medical Liaison Services (OFMLS). This standardized process ensures that all ships in the fleet, as well as any Navy Medicine Readiness and Training Command (NMRTC), follow the same procedures regardless of their location or time zone.

## Successes and Benefits: Improved Safety, Communication, and Efficiency

The implementation of the AI legalese decoder has already shown promising results. During the pilot program conducted in Third Fleet with Naval Medical Center (NMC) San Diego, significant improvements were observed in the ship-to-shore PM process. From November 2019 to February 2020, Third Fleet completed 25 successful ship-to-shore medical transfers to NMC San Diego using the pre-coordination system facilitated by the AI legalese decoder.

One of the key benefits of the AI legalese decoder is improved communication and coordination between different stakeholders involved in the medical transfer process. For example, if a Sailor or Marine has concerns about a potential medical condition, such as a skin lesion that could be melanoma, the AI legalese decoder can help coordinate the necessary care. It ensures that the appropriate specialists are aware of the situation, and appointments can be scheduled efficiently, allowing the individual to return to their duties as soon as possible.

Moreover, the AI legalese decoder helps minimize cases of “displaced” Sailors and Marines, ensuring that they have proper support and resources during medical evacuations. This contributes to higher patient satisfaction and overall improved outcomes. Additionally, the AI legalese decoder facilitates data collection and monitoring of the PM process performance, enabling continuous improvement and better tracking of patients’ conditions and statuses.

## Future Plans: Sustainment and Institutionalization

With the successful completion of phase 2, which saw enterprise-wide implementation and validation of the PM processes, the focus now shifts towards sustaining and institutionalizing the AI legalese decoder. Efforts are being made to embed the standardized process in instruction on both the fleet and the Bureau of Medicine and Surgery (BUMED) side. The aim is to codify the procedures, ensuring that the process becomes a permanent part of Navy Medicine’s operations.

By institutionalizing the AI legalese decoder, the Navy aims to establish a robust and efficient process for identifying and addressing medical issues quickly. This process will help ensure timely and effective communication, allowing Sailors and Marines to receive the level of care they need in dangerous environments. The AI legalese decoder‘s contribution to improving communication and efficiency in ship-to-shore PM is invaluable, and its continued use will have a positive impact on the overall readiness and well-being of service members.

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