Toward Smart Healthcare Ram D. Sriram Chief, Software and Systems - - PowerPoint PPT Presentation

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Toward Smart Healthcare Ram D. Sriram Chief, Software and Systems - - PowerPoint PPT Presentation

Toward Smart Healthcare Ram D. Sriram Chief, Software and Systems Division URL: http://www.nist.gov/itl/ssd/ sriram@nist.gov Information Technology Laboratory, National Institute of Standards and Technology Levels of Biological Information


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Information Technology Laboratory, National Institute of Standards and Technology

Toward Smart Healthcare

Ram D. Sriram Chief, Software and Systems Division URL: http://www.nist.gov/itl/ssd/ sriram@nist.gov

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Information Technology Laboratory, National Institute of Standards and Technology

HEALTH CARE

Levels of Biological Information

Hood

BIOSCIENCES

Ecologies Societies/Populations Individuals Organs Tissues Cells Protein and gene networks Protein interaction networks Protein mRNA DNA

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Information Technology Laboratory, National Institute of Standards and Technology “Genomics” “Transcriptomics” “Proteomics” “Metabolomics” “Cellomics”

From Genomics to Phenotypes

Lucasio

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Information Technology Laboratory, National Institute of Standards and Technology

2D gel electrophoresis 1975 1990 ESI & MALDI 1980 Gene cloning Sequencing 1994 Complex mixture analysis LC-MS(/MS) Chip-based approaches 1996 1944 DNA Genetic material 1953 DNA structure 1980 1990 2000 1960 1970 Recombinant technology Automated sequencing High-throughput at Genome scale, „data rich‟ biology 1995 Haemophilus influenzae first genome sequenced 2001 Human genome sequenced 1931 Non-equilibrium thermodynamics 1952 Self-

  • rganization

1957 1980 1990 1970 Feedback regulation In metabolism Analog simulation, bioenergetics, lac operon Large-scale simulators

  • f metabolic dissipative

structures, energy coupling MAC and BST 2000 „data poor‟ in silico biology, models of viruses, red blood cell Genome-scale models and analysis, large-scale kinetic models

Proteomics Genomics BioAnalysi s Computer Science

Systems Biology (Medicine)

1936 Turing machines 1956 Artificial Intelligence 1960 Programming Languages 1980 Commercial Database 1974 Internet Bioinformatics mid 1980 1990 Major advances in AI 2000

Engineering

1943 Finite element analysis 1950 Systems engineering 1960 Cybernetics Integrated Circuits 1970 1980 Computational FEM Mainframe Computers 1990 VLSI CAD/ CAD/ Geometry Large scale product Process simulation PDM/Knowl. based Engineering 2000 MEMS Nano PLM PC’S Supercomputers Multi-scale Domain Simulation

Bernhard O. Palsson

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Information Technology Laboratory, National Institute of Standards and Technology Future Health Vision Evidence-Based Healthcare Continuum of Care Advances in Healthcare Practice Disease Management

Advances Making Future Health Vision Attainable

Courtesy: Jack Corley

Advances in Healthcare Technology

Human Genome Project Pharmaceuticals and Nutraceuticals Medical Devices mPCD

Networking Communications and Imaging Advances in Computing, Imaging, and Information Technology Speed and Storage

Internet-based Software

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Courtesy: Fred Hosea, Ph.D. Program Director Clinical Technology fred.w.hosea@kp.org

27 Periodic Cart READINESS CHECK (W/LAN access reqd) 42 1 Users are trained on service model and contact # 4 SSS
  • pens Remedy
Incident record 16 BMET ONSITE ASSESSMENT 24 HOT SWAP POOL Prep, Config, Charge, Store, Repair, Warranty, Restore 13 BMET closes any REMAINING task(s) 11 IT Close INCIDENT RECORD 12 IT may escalate, involve Vendor,or refer to Biomed for further action 10 IT Resolves? 8 28 Involve Vendor as needed 21 Activate & verify Cart performance. 2 VRU pick on IT Helpdesk #
  • r HD forwards
call to SSS Some users may call KPIT HelpDesk with cart problems IT Depot Biomed Shop Sept 11, 2006 17 FIX or SWAP unit ? 20 Retrieve Hot Swap Cart from closet 26 HotSwap Restore to Closet completed. Close CART RESTORE task 19 CART Assembly function restored. Close CART REPAIR task/ record. Shop/Depot relationship & procedures will probably vary from facility to facility, depending on local setups, distances, and schedules, but will be standardized
  • ver time.
Biomed Shop: Maintain stock of CART parts Have 1 spare laptop? “Down” unit becomes new hot swap 3 Note: This is a generic model for service management. Actual elements and sequences may vary between service areas and regions. 22 Configure laptop for location, for printing. Close CART SWAP task 25 Repair failed laptop Return fixed laptop to Hot Swap pool Update Asset records 23 Restore HOT SWAP readiness within (24?) hrs. 18 Fix cart COMPONENT problem Battery Barcode reader Elevation motor Wheels Keyboard Mouse Monitor Infection control? Carts should have a service tag with contact info Eventual goal: track both Biomed and Remedy ref. #s in both systems Remedy record may consist of several subtasks and is not considered closed until Hot Swap readiness is restore.d Numbering of steps is for reference purposes and does not necessarily indicate temporal sequence or relationship. 5 Initial Triage 6 Resolution By Quick Fixes or Appication consult 14 Dispatch BIOMED to site 9 Handoff to IT 7 Close Remedy Incident Record 15 IT Triage Laptop Problem? SW Problem? Network, Wireless Problem? Optional phone consult Biomed / IT Peer or Help Desk As needed Fix SWAP 8 Assign Overview of Production Support Model for HC Wireless Cart - rev. 12 BIOMED VENDOR IT/Biomed Coord KEY IT 15 Site Suppt Specialist 3 User calls SSS (Site Support Spec) and describes problem

Smart Healthcare

  • Smart Devices
  • Smart Networks
  • Smart Processes
  • Smart EMRs
  • Smart Medicine
  • Smart Organizations
  • Smart Collaborations
  • Smart Society
  • Smart Planet
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Information Technology Laboratory, National Institute of Standards and Technology

7

Plan Build Run Lifecycle Management Infrastructure

  • System lifecycle
  • Tech assessment
  • Design consultation
  • Standards consultation
  • Contract consultation
  • Systems integration
  • Planned maintenance
  • On-call, Dispatch services
  • Break/fix
  • Hazard alerts, recalls
  • Patches, upgrades
  • Asset retirement
  • Facility upgrades
  • Equipment planning
  • Deployment, staging
  • Testing, safety
  • Asset management

20th Century Medicine: Stand-alone Devices

ENTERPRISE STRATEGY

  • HealthConnect integration
  • Simulations, prototyping
  • System/device testing, certification
  • New allied provider sites
  • ITIL compliance
  • ICE – Integrated Clinical Environments
  • Meaningful Use compliance
  • Major upgrades, conversions: IPv6, ICD-10, HL7 v3
  • Home care technologies, services
  • Self-monitoring, behavioral support
  • Family support technologies
  • PHRs
  • Telehealth
  • Telemedicine
  • Nanotechnologies
  • Genomics
  • Distributed sites of member care
  • mobile clinics
  • ambulance
  • gym
  • retail
  • travel
  • worksite pods
  • skilled nursing facilities
  • assisted living
  • New Hospitals
  • Robotics
  • OR of the future
  • Interoperable clinical systems
  • Clinical decision-support
  • Clinical process re-engineering

21st Century Medicine: Net-New Lifecycle Requirements

fred.w.hosea@kp.org