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 HEALTH CARE Ecologies Societies/Populations Individuals Organs Tissues BIOSCIENCES Cells Protein and gene networks Protein interaction networks Protein mRNA DNA Information Technology Laboratory, National Institute of Standards and Technology Hood

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

Gene cloning Complex mixture analysis 2D gel Sequencing LC-MS(/MS) electrophoresis Proteomics Chip-based 1996 1975 1994 1980 1990 approaches Genomics ESI & MALDI Automated DNA Recombinant Haemophilus Human genome sequencing Genetic technology influenzae sequenced material first genome sequenced 2001 1944 1953 1960 1970 1980 1990 1995 2000 DNA High-throughput at Genome scale, structure „data rich‟ biology „data poor‟ in silico biology, BioAnalysi Analog simulation, Self- models of viruses, red blood cell s bioenergetics, lac operon organization Systems Biology 1970 1980 1990 2000 1931 1952 1957 (Medicine) Non-equilibrium Feedback regulation Large-scale simulators Genome-scale models and analysis, thermodynamics In metabolism of metabolic dissipative large-scale kinetic models structures, energy coupling MAC and BST Computer Major advances in AI Bioinformatics Artificial Science mid 1980 Intelligence 1936 1974 1980 1956 1960 1990 2000 Programming Multi-scale Domain Turing machines Internet Commercial Large scale product Languages Computational Database Process simulation Simulation Nano Integrated PC’S Engineering Cybernetics FEM Circuits 1943 PLM 1950 1960 1990 1970 1980 2000 MEMS Mainframe PDM/Knowl. Finite element Systems VLSI CAD/ Supercomputers based Computers engineering CAD/ analysis Engineering Geometry Bernhard O. Palsson Information Technology Laboratory, National Institute of Standards and Technology

Advances Making Future Health Vision Attainable Internet-based Advances in Networking Software Computing, Speed and Communications Imaging, and Storage and Imaging mPCD Information Technology Advances Future in Health Healthcare Vision Evidence-Based Continuum of Care Practice Disease Healthcare Management Advances in Medical Pharmaceuticals Healthcare Devices and Human Genome Technology Project Nutraceuticals Information Technology Laboratory, National Institute of Standards and Technology Courtesy: Jack Corley

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

21st Century Medicine: Net-New Lifecycle Requirements • HealthConnect integration • Simulations, prototyping • System/device testing, certification • New allied provider sites ENTERPRISE STRATEGY • 20th Century Medicine: ITIL compliance • ICE – Integrated Clinical Environments Stand-alone Devices • Meaningful Use compliance • Major upgrades, conversions: IPv6, ICD-10, HL7 v3 Lifecycle Management Infrastructure Plan • Home care technologies, services • Self-monitoring, behavioral support • System lifecycle • Family support technologies • Tech assessment • • Design consultation PHRs • • Standards consultation Telehealth • • Contract consultation Telemedicine • Systems integration • Nanotechnologies • Genomics Build • Distributed sites of member care • mobile clinics • Facility upgrades • ambulance • Equipment planning • gym • Deployment, staging • retail • Testing, safety • travel • Asset management • worksite pods • skilled nursing facilities Run • assisted living • New Hospitals • • Planned maintenance Robotics • On-call, Dispatch services • OR of the future • Break/fix • Interoperable clinical systems • Hazard alerts, recalls • Clinical decision-support • Patches, upgrades • Clinical process re-engineering • Asset retirement Information Technology Laboratory, National Institute of Standards and Technology 7 fred.w.hosea@kp.org