Project HOPE volunteers and the Navy Hospital Ship Mercy.

This article describes, from the perspective of Project HOPE volunteers, the precedent-setting, military-civilian partnership in staffing the USNS Mercy as part of the rapid response of the United States to the overwhelming devastation and loss of life resulting from the tsunami off the coast of Indonesia. The article discusses the designation of Project HOPE as the non-governmental organization to be the single source of volunteers for the USNS Mercy mission (providing approximately 100 volunteers for each of two 30-day rotations), some issues facing Project HOPE and the contingent of volunteers in recruiting, orienting, training, and preparing for the mission, steps taken to make this a successful mission despite the ambiguity and uncertainties involved in arriving in the relief area 1 month after the disaster, and some recommendations for similar future missions. The Project HOPE volunteers quickly integrated with the cadre of Navy health professionals to deliver a broad range of high-quality care, including tertiary care, attesting to the professionalism and standards common to military and civilian medicine.

Meta-manager: a requirements analysis.

The digital imaging network-picture-archiving and communications system (DIN-PACS) will be implemented in ten sites within the Great Plains Regional Medical Command (GPRMC). This network of PACS and teleradiology technology over a shared T1 network has opened the door for round the clock radiology coverage of all sites. However, the concept of a virtual radiology environment poses new issues for military medicine.

Virtual management of radiology examinations in the virtual radiology environment using common object request broker architecture services.

In the Department of Defense (DoD), US Army Medical Command is now embarking on an extremely exciting new project--creating a virtual radiology environment (VRE) for the management of radiology examinations. The business of radiology in the military is therefore being reengineered on several fronts by the VRE Project. In the VRE Project, a set of intelligent agent algorithms determine where examinations are to routed for reading bases on a knowledge base of the entire VRE.