Urban Lambda Grids for Advanced Biomedical Collaboration

Jonathan C. Silverstein

iGrid 2005

September 27, 2005

Team Members & Collaborative Partners• ABC Laboratory

• Computation Institute of The University of Chicago and Argonne National Laboratory

• University of Chicago Hospitals

• Departments of Surgery, Anesthesia, Medicine, and Radiology

• General Devices

• International Emergency Medicine Disaster Specialists

• Rhode Island Hospital Medical Simulation Center

• Northwestern University, University of Illinois at Chicago

Funding

• National Library of Medicine / National Institutes of Health

• University of Chicago and University of Chicago Hospitals

• Searle Family Funds of The Chicago Community Trust

• Northwestern University, University of Illinois at Chicago

• Access Grid Team funded by DOE, NSF, and FusionGrid

(Administrative - Cost)

Crisis in U.S. Medicine• Medical Malpractice Insurance Reform

Needed

• 80 - Hour Workweek Mandated

• Increasing Complexity of Care and Technology

• Nursing Shortage

• Decreasing Reimbursement More Difficult to Manage

Hope for U.S. Medicine

• Effective Utilization of Information and Computation for Quality (Safety) and Efficiency (Collaboration)

• Medical Malpractice - Define and Assure Quality

• 80 - Hour Workweek - Improve Efficiency

• Increasing Complexity - Improve Safety

• Nursing Shortage - Improve Collaboration

• Reimbursement More Difficult - Reward Quality

Biomedical Data Stores

Clinical Care Basic Science ResearchTranslational Research

Patient CarePatient medical record

Clinical billing

ClinicalData

Store

IRB Management

Clinical Trial Mgmt .

TissueCore

GenomicData Store

Characterize newprotein

Protein ClassificationSystem

CAArray

Transactional /Analytic

Identified /Anonymous

IACUCMgmt

I-Wire

Chicago Biomedical Consortium

This conceptual diagram symbolizes our goals of tightly collaborative scientific advancement and education across our institutions, which will be achieved by weaving together our substantial existing enterprises, enhancing them in strategic focus areas, and leveraging them with other international resources.

Immersive Team Training through

Simulation - Planning

Control-Sim-Debrief

EMS Real-Time Communication

EMS Real-Time Communication –

AmbulanceRosetta-VC Vehicular Controller

EMS Real-Time Communication – E.R.

and Mobile CAREpoint Motion LS800

EMS Workstation Wireless Tablet PC

Integrating Surgical Systems for AutonomyThe Operating Room (personnel) of the Future

Satava March, 2000

Surgeon Assistant Scrub Nurse Circulating nurse

Considerations of Applications, Middleware

and Network Infrastructure to Support Medicine• Adherence to Open Standards - Many Entities

Participating

• On-Demand Bandwidth with Massive Capacity - Highly Variable, but Immediate, Real-Time Needs

• High Reliability / Redundancy - Zero Tolerence for Error

• Secure Channels (auditable?) - Privacy is Paramount

• Auto and Manual Bandwidth Throttles - Wireless Design Points