Research Programs 1. Cooperative Management and Semantic - - PDF document

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Global Collaborative Research to support ubiquitous Healthcare (u-Health)

A/Prof Pradeep Ray, Director, Asia Pacific ubiquitous Healthcare Research Centre (APuHC), University of New South Wales

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Asia-Pacific u-health research Centre (APuHC)

• UNSW Research Centre set up in Dec 2006

involving UNSW faculties of Business, Engineering and Medicine and UNSW Asia for three years (2007-2009) with a total funding of $3million from various sources

• Strong Partnership with international bodies

(e.g., WHO, ITU-D), Industry (Netstar and CAL2CAL) and overseas institutions

• Inaugurated in UNSW Asia (the only research

centre) in Jan 2007

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Broadband Infrastructure and Ubiquitous Healthcare

• Ability to reach healthcare anywhere at

anytime (e.g., in emergency)

• Need for broadband mobile infrastructure to

carry images, voice and data

• Some Asian countries have highest

broadband coverage (nearly 80%) in the world and growing service sector

• Many problems (e.g., inefficiency and error) in

healthcare system and ageing population in most countries

• Need for privacy and security e-Health

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International Ubiquitous Healthcare (u-Health) Initiative

• Launched at Med-e-Tel (one of the largest

events in e-Health in Europe, organised by the International Society for Telemedicine) 2006 in Luxembourg on April 6, 2006

• Current Partners: Australia, France, Greece,

India, Japan, Singapore, Taiwan, South Korea, USA

• Resolution to set up a series of APuHC nodes

all over the world

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APuHC Research Goals

• u-Health Systems in different layers (Network,

Applications, Service, Process and Governance)

• Ontology-Based Multi Agent Systems (OBMAS)

strategies for semantic interoperability and disaster management

• Studies on the Impact of u-Health
• Models for integrating u-Health in governance and

business processes

• Paradigms for Promoting Healthy Life with the help of

governments and businesses

• Pandemic and Bio-terrorism Control in collaboration

with other global centres, such as WHO GOARN, APEC EAN-HIV, Korean Centre for Genome Sciences and APEC EINET

• To Showcase the u-Health technologies, processes,

and services at IEEE Healthcom

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Research Programs

1. Cooperative Management and Semantic Interoperability- attracted 6 (including four ARC) Research grants since 2000 with UNSW (CSE), WCH (Aust), CGU,SNHU. SJSU (USA) 2. Service Level Management and icare- attracted 5 (including one ARC, one international and 1 industry) research grants since 2004 with NCCU (Taiwan), IBM-Global, Netstar (Aust), UC-Irvine, RPI (USA), I2R Singapore 3. E-Health for Developing Countries- attracted 2 (including WHO and ITU-D initiatives) since 2005 with NTU (Taiwan) and six developing countries (India, China, Vietnam, Thailand and Philippines)

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Program 1 Projects

• Cooperative Management and Semantic

Interoperability (3 Ongoing ARC Grants)

– Australian Research Council (ARC) Discovery2007 Grant- ” Managing E-Business using Ontology-Based Multi-Agent Systems (OBMAS)” (Approx $230,000) for 2007-2009; Chief Investigators: Pradeep Ray, Ram Bhar, N. Parameswaran, R. Jamieson UNSW) and Lundy Lewis(USA) – Australian Research Council (ARC) Linkage-Projects2005 Round 2 Grant- MULTI-AGENT FRAMEWORK FOR SREVICE LEVEL MANAGEMENT (Approx $220,000) for 2005-2008; Chief Investigators: Pradeep Ray, N. Parameswaran (UNSW) and Lundy Lewis(USA), Industry Partner: Netstar – Distributed Autonomic Management: A New Paradigm for Integrated Network Management- 2004-2007 (ARC Discovery 2004) Chief Investigators: Pradeep Ray, N. Parameswaran (UNSW) and Lundy Lewis (USA)

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Program 1 Projects-I

• TOPIC: Intelligent Situation Management: A New

paradigm for Disaster Management (UNSW Goldstar2008)

• Chief Investigators: Pradeep Ray, N. Parameswaran,

Fethi Rabhi (UNSW), Lundy Lewis (USA) and Detlef Seese (Germany)

• Collaborators: Karlsruhe Univ (Germany), WHO
• Complex, dynamic, inter-organisational systems (e.g., in e-

Health) often present challenging management problems that expose the weaknesses of current solutions and models in situations as evidenced during some events, such as Katrina in New Orleans, USA. In this project, we propose to develop a new paradigm called Intelligent Situation Management based

• n multidisciplinary inputs from organisations in Australia,

USA, Europe and Asia.

• One M.Phil

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Program 1 Projects-II

• Managing E-Business using Ontology-Based Multi-Agent

Systems (OBMAS): 2007-2009 (ARC Discovery 2007)

• Chief Investigators: Pradeep Ray, R. Bhar, N.

Parameswaran, R. Jamieson (UNSW) and Lundy Lewis (USA)

• Collaborators: NICTA Smart Applications For

Emergencies (SAFE) Program

• Many Internet based e-business applications (e.g. e-finance

and e-Health) are now susceptible to security threats (e.g. fraud, terrorism) and defence against such threats calls for a collaborative approach across organizations all over the

• world. However, automated collaboration is hindered by the

lack of common understanding of cultures, terminologies, processes and tools across organizations. This project aims to develop and validate a methodology using Ontology Based Multi Agent Systems (OBMAS).

• Two PhD, one M.Phil

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Agents for HealthCare

DO C TO R DO C TO R P ATIE NT P ATIE NT

P ATIE N T C OM P LAIN T PA TIE NT C O M P LAINT

INVE S TIG A TIO N HIS TO R Y E XAMINATIO N TE S TS INVE S TIG A TIO N HIS TO R Y E X AM INATIO N TE S TS DIAG NO S IS DIAG NO S IS TR E ATM E NT P LAN TR E ATM E NT P LAN TR E ATME NT C O MP LE TIO N & R E S O LU TIO N TR E ATME N T C O M P LE TIO N & R E S O LU TIO N

S poradic C

• ntact

THE HE A L THC A RE C YC L E

1 2 3 4 5 6 8 8 6 7 7

Most Healthcare Technology is dedicated to the resolution

• f a patient’s complaint

There is a lack of software that fulfills the patient and doctor’s needs when

NOT actively managing a complaint (activities 6-8).

The Agent paradigm offers a solution to this issue.

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Ontology-Based Multi-Agent Systems (OBMAS)

• Development of Ontologies for driving

Intelligent Agents

• A Generic Multi-layer Framework for

Ontologies to work with any Agent Platform

• Applications in Healthcare, Finance and

Telecommunications

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Program 1 Project -III

• Multi-agent Framework for Service Level Management:

2005-2008 (ARC Linkage Projects 2005)

• Chief Investigators: Pradeep Ray, N. Parameswaran

(UNSW) and Lundy Lewis (USA)

• Industry Partner: Netstar
• The Internet based e-services are being used by many

businesses as part of the modern e-business environment (e.g., e-Health). Management of e-services over the Internet involves complex correlation of events, and their sequences

• ver geographically dispersed networks, systems and

software applications. The integration of management information is a challenging problem due to the semantic differences of services across different business sectors (e.g., healthcare). This project aims to develop a new framework for the integrated management of networked services using multiple software agents; some of them are already a part of the current Internet infrastructure. Management of Privacy and Security are major concerns.

• One APAI PhD, Two M.Phil, two honours (completed)

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Security and Privacy of u-Health

• Integrate e-Business (incl e-Health) Security

Management based on Ontology Based Multi-Agent Systems (OBMAS)

• Facilitate automated negotiation of security

(including fraud) services for u-Health

• Cooperative Management of Privacy in

Consumer Health

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Privacy and Technology

Notice Collect Consent Enforce Privacy Policy Audit Compliance

P3P

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Program 1 Project -IV

• Distributed Autonomic Management: A New Paradigm for

Integrated Network Management- 2004-2006 (ARC Discovery 2004)

• Chief Investigators: Pradeep Ray, N. Parameswaran

(UNSW) and Lundy Lewis (USA)

• This project aims to develop a new paradigm (based on the

biological phenomena of antibiotics) for integrated network management solutions that would be suitable for the next generation of dynamic networked services that would have to be protected from cyber-terrorism. Besides, these solutions would be able to cater for evolving, increasingly intelligent network components, without using too much resources in the

• network. We have been working on paradigms, such as

Artificial Immune Systems for this purpose.

• One PhD, four honours (completed)

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Program 2 Projects

• Service Level Management and I-care (One

International and one DEST grant)

– Milestone 2 “Development of Interactive Management Environment for eHealth” (Approx $245,000), part of of DEST Innovation Science Linkage Competitive Grant titled "Efficient Management of Information Resources Over Ad- Hoc Data Grids" in Round 10 funding of $832,772 led by A/Prof Fethi Rabhi – International Service Science Award- IT-Shaped Service Innovation for Optimizing Business Objectives in e- Caring Industry (Approx $400,000) for 2006-2008; Chief Investigators: Prof Soe-Tsyr Yuan et al (NCCU, Taiwan),

• Prof. Kwei-Jay Lin, (Univ of California-Irvine, USA), Prof

James Tien (RPI, USA) and P.Ray (UNSW), jointly supported by IBM Shared University Research (SUR) Grant 2006 and participant organisations

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Program 2 Project -I

• Development of Interactive Management

Environment: 2008-2009 (part of DEST ISL Grant 2006 on Ad-hoc Data Grids led by Fethi Rabhi in collaboration with European universities)

• Chief Investigators: Pradeep Ray, Fethi Rabhi,

Boualem Benatallah, Mike Briers and Schahram Dustdar (Austria)

• This is a collaborative project to develop tools for

managers to automate the analysis of ad-hoc data based on domain-specific descriptions (e-Health in this case). We will also deliver an interactive environment where the processed data is summarized, clustered and visualized in the context

• f a e-Health situation, using ad-hoc data grids.
• One Post Doc, One PhD

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Program 2 Project-II

• IT-Shaped Service Innovation for Optimizing

Business Objectives in e-Caring Industry:International Service Science Award jointly supported by IBM Shared University Research (SUR) Grant 2006 and participant

• rganizations in US, Taiwan and Singapore
• Chief Investigators: Prof Soe-Tsyr Yuan et al

(NCCU, Taiwan), Dr. Chen (NTU, Taiwan) Prof. Kwei-Jay Lin, (Univ of California-Irvine, USA), Prof James Tien (RPI, USA) and P.Ray (UNSW)

• This project aims to develop and validate the

business and software architecture models for comprehensive intelligent care (e.g., aged care) in the modern e-enabled society. The project plans to use the Service Oriented Architecture and the evolving Service Science paradigm.

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IBM SUR Project

SS Enabling Technologies SS Enabling Technologies IT-Shaped Service Innovation IT-Shaped Service Innovation Strategy Strategy Business models Business models Industry Industry Architecural Strategies Architecural Strategies

allows Levier to change Allows impact impact

Ecosystem Ecosystem

standard infrastructure integration Brand Promotion Business effificency Brand Promotion Business effificency Costs Diffusion time Learning Costs Diffusion time Learning New services New channels New businesses New services New channels New businesses ... improve reduce create Customer Relationship Customer Relationship Values of service Innovation Values of service Innovation Process/policy infrastructures Process/policy infrastructures Finance Revenue Finance Revenue

Value chain Value chain

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Program 3 Projects

• E-Health in Developing Countries (Grants from

various sources)

– World Health Organisation (WHO) Initiative “Research on Assessment of e-Health for Health Care Delivery (eHCD)”, Total Outlay approx $2000,000 involving eight countries Principal Investigators: Dr. Steffen Groth (WHO) and Pradeep Ray (UNSW) with collaborators from India, China, Vietnam, Philippines, Thailand and Sri Lanka – IEEE/ITU-D Mobile e-Health Initiative for Developing Countries (20 countries in the consortium) in disaster management, Pandemic/ Bioterrorism control, Joint Leaders: A/Prof Pradeep Ray, UNSW and Prof Isao Nakajima, Tokai University, Japan – Chronic Illness Management, Chief Investigators: P.Ray, L.Pilotto, N. Parameswaran and S. Chattopadhyay (UNSW),

• P. Snelling (RPA), D. Gration (GSAHS) and H.S. Chen

(NTU)

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Comparison of Issues In Developed and Developing Countries

• Developing Countries

– Stand to gain a lot from e-Health to reach healthcare to masses – Suffer from many problems including lack of infrastructure and frequent disasters- – Mobile wireless technologies offer solutions

• Developed Countries

– Face the problem of ageing population – Interoperability Problems – Need sophisticated IT Solutions, such as intelligent agent systems – Emerging Concerns on Privacy for Web-based Consumer Health

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Program 3 Projects-I

• World Health Organisation (WHO2006) Initiative “Research
• n Assessment of e-Health for Health Care Delivery

(eHCD)”, involving six countries in the Asia-Pacific (India, China, Vietnam, Philippines, Thailand and Sri Lanka)

• Principal Investigators: Pradeep Ray (UNSW) and Dr.

Steffen Groth (WHO) + R. Jayasuriya and Lesley Land

• There have been claimed successes by technologists on

Telemedicine and e-Health. However, the recent studies by the European Union e-Health research funding group show that the uptake of e-Health technologies has been slow in Europe and some other developed countries. It seems many of the findings

• f IT researchers do not conform to “evidence-based research”

methodologies used by healthcare researchers. This project aims to address this problem by using evidence-based research in pilot projects in e-Health (to assess the use of e-Health for Healthcare Delivery) formulated by healthcare professionals in a number of developing countries in the Asia-Pacific region.

• One Post Doc , One M.Phil

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Pilot projects

1. Demonstration of cost-effectiveness in introducing EPR in PHCs in a country 2. Demonstration of value of e-referrals of the patients in a country 3. Demonstration of training effects and improved quality through teleconsultation in dermatorlogy 4. Demonstration of training effects and improved quality through teleconsultation in cardiology (ECG) 5. Demonstration of training effects and improved quality through Tele-consultation in Radiology 6. Demonstration of training effects and improved quality through teleconsultation in histopathology 7. Demonstration of the effects of EPR, email and consultation services on referral pattern in PHCs 8. Evaluation of the usage of e-learning modalities in PHCs

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Program 3 Project-II

• Topic: ITU-D Mobile eHealth Initiative for

Developing Countries

• Leaders: P. Ray (UNSW) and I. Nakajima (Tokai

Univ, Japan) + Mahbub Hassan, N.Parameswaran,

• S. Chattopadhyay and Pieter Aquilia (Singapore)
• Collaborators: CAL2CAL-USA, Rockefeller

Foundation, IPSTAR (under discussion)

• This initiative is developing eHealth kiosks for

emergency telemedicine, pandemics and bioterrorism

• One PhD, One honours (completed)

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ITU-D/IEEE Mobile eHealth Initiative for Developing Countries

• Joint Effort of ITU-D Q14 and IEEE

Healthcom started in 2004 (consortium of twenty countries)

• Use of Mobile Wireless Technologies for

supporting eHealth for applications, such as – Emergency Telemedicine – Epidemic Control – Combating Bioterrorism

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Internet-based eHealth System Tsunami Affected Areas in Aceh Indonesia

The Internet e-Health Kiosks (mobile units) DKK Banda Aceh

Zainal Abidin Hospital

AI3 Unsyiah

Kiosk #1 Kiosk #2 Kiosk #3 Kiosk #n

Medical Faculty Unsyiah Wireless/Microwave LAN Internet through JCSat satellite

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Trials in Tsunami Affected areas

• Trials in Indonesia and India
• Collaboration with the Healthcare IT vendors
• Mobile unit with diagnostic equipment and

communication link-up with natural referral hospital (s) (district / medical college / specialty hospitals)

• Communication link between remote site and

major hospital through various wireless mobile technologies, such as satellites, GSM cellular, WiFi, WIMAX etc.

• Operated by trained general practitioner

/health worker from within the public health system

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Tackling Pandemic/Bioterrorism

Stakeholders / Communities: 1 – Intelligence Agencies, Law Enforcements, ... 2 – Researchers, Scientists, ... 3 – Public, Farmers, ... Events: A – Traditional Terrorist Attacks B – Bioterrorism C – Natural Outbreaks

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Multi-layer Information Model

Process Level Service Level Application Level ICT Infrastructure Level Provide infrastructure and technologies Provide standardized, efficient, and sufficient services & applications that are accessible anywhere, anytime Establish and maintainence of process models Organization / Government Regulatory and Governance Issues

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A Global u-Health Framework for Pandemic Control

e.g., connectivity

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Program 3 Project-III

• Topic: Chronic Illness Management
• Leaders: P.Ray, L.Pilotto, N. Parameswaran and S.

Chattopadhyay (UNSW), P. Snelling (RPA), D. Gration (GSAHS) and H.S. Chen (NTU)

• Collaborators: Greater Southern Area Health

Service (GSAHS), NTU (Taiwan)

• This project aims to develop an Ontology-Based

Intelligent System for the Management of Chronic Illnesses of a number of types, such as renal illnesses, mental illnesses and cancer through collaborations with organisations in Australia (e.g., GSAHS) and overseas (e.g., NTU Taiwan)

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APuHC Performance

15

3

12

10

10

• No. of International conferences presentations

100% 100% 100% % of research completed within budget 100% 100% 100% % of research completed before or on time 80% 80% 50% % of research used by external party/s 3

2

2

1

1

• No. of community presentations (eg, workshops)

7

6

6

5

5

• No. of collaboration/partner based projects

7

2

4

2

2

• No. of publications (peer-reviewed journals)

10

9

8

8

8

Total Number of Projects

Target09 Achieved0 8 Target 08 Achieved0 7 Target 07 Indicator

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Research Collaborations

• Academic Collaborators:

– *National Taiwan University and National Cheng-Chi University, Taiwan – *Claremont Graduate University and SNHU, USA – *LORIA and IMAG-France – *Karlsruhe University-Germany – *International University Geneva, Switzerland – *Inje University-South Korea – *SGPGIMS-India,

• Government and Industry partners:

– *Netstar Networks, Australia – *CAL2CAL, USA – *IBM – *Institute for Infom Research (I2R), Singapore – *WHO, Geneva – *ITU-D, Geneva – *Ministry of Health in India, China, Vietnam and Philippines

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Plans for 2007 and 2008

• WHO Collaborating Centre on eHealth for Health Care Delivery

(eHCD) expected approval in 2008, involving Zixiu Guo, Louis Pilotto, A. Whelan

• Two ARC Grants Applications Submitted, more planned in 2008
• Ten refereed articles (including 3 ISI-listed journal papers)

accepted in 2007, more under development

• Hosting IEEE Healthcom2008/2009 involving Greg Stephens,

Rajan Shankaran, Nina Mistillis, Steve Bleistein and others

• Rockefeller Foundation Project Mekong Delta Basin

Surveillance (Khon Kaen University, Thailand) involving Farhad Daneshgar, Geoff McDonnel

• New Projects on e-Health for Chronic Illness Management

(UNSW Asia Internal grant+ GSAHS) in collaboration with NTU Taiwan involving Steve Tipper

• New Collaborative research project on Bio Terrorism and

Disaster management (ARC/ABCRC-Aust, CAL2CAL, NDU- USA, Karlsruhe Univ-Germany, LORIA-France) involving Ali Abbas