U.S. ARMY MEDICAL RESEARCH & MATERIEL COMMAND
Broadband Medical Networks
Telemedicine & Advanced Technology Cutting Edge Medical Technology
iGRID 27 September 2005
Mr. Jan PattersonDirector, TATRC West Coast Field OfficeTelemedicine & Advanced Technology Research Center (TATRC)
Ms. Mary Kratz Special Advisor to the Director, Broadband Medical Networks Telemedicine & Advanced Technology Research Center (TATRC)
TATRC
Medical Biological Defense• Vaccines/therapies• Field-portable diagnostic
systems• Medical readiness• Biotechnology
Military Infectious Diseases• Medical readiness• Vaccines• Biotechnology• Prophylaxis/treatment drugs• Diagnostics/prognostics• Vector control
Combat Casualty Care• Lightweight medical
equipment• Medical C4ISR• Trauma care• Health monitoring and
diagnostic technology
Military Operational Medicine• Soldier selection
and sustainment • Soldier performance• Warrior system modeling• Health hazards protection• Diagnostics/prognostics• Health monitoring
Medical Chemical Defense• Medical management of
chemical warfare casualties
• Medical readiness• Drug prophylaxes/
pretreatments• Diagnostics/therapeutics
Combat Casualty Care
9%
Military Infectious Diseases
28%
Military Operational
Medicine10%
MedicalBiologicalDefense
37%
MedicalChemicalDefense
16%
U.S. Army Medical Research and Materiel CommandCore Medical S&T Program Areas
$1.5bn
Apply physiological and medical knowledge, advanced diagnostics, simulations, and effector systems integrated with information and telecommunications for the purposes of enhancing operational and medical decision-making, improving medical training, and delivering medical treatment across all barriers.
The program scope is to identify, explore, and demonstrate key technologies and biomedical principles required to overcome technology barriers that are both medically and militarily unique.
Telemedicine & Advanced Technology Research Center Cutting Edge Medical Technology
Department of Defense,Joint Warfighting Science and Technology Plan, Chapter IX, Joint Readiness and Logistics, 1999
Mission
Total Funding
$0
$50,000,000
$100,000,000
$150,000,000
$200,000,000
$250,000,000
$300,000,000
$350,000,000
Telemedicine & Advanced Technology Research Center Cutting Edge Medical Technology
TATRC
TATRC Funding Programs
Congressional Special Interest Dual Use Science & Technology Small Business Innovative
Research Defense Health Small Business Technology
Transfer Federal Partnerships
Leverages Academic Partnerships…For Basic and Applied Research
Georgetown University (CA-Medical Vangaurd) Howard University (CRDA-Urban Telemed) Harvard University (CA-CIMIT) Mass Institute of Technology (CA-CIMIT) University of Maryland (IPA/CA – ORF) University of Utah (Contract-Teleopth) Rutgers University (CA-CEMBR) Saint Francis University (CRDA-CERMUSA) Drexel University (CA-CIMERC) Loma Linda University (CA-NMTB/Proton Beam) University of Tex - Houston HSC (CA-DREAMS) University South Florida (CA-Telerad/Adv Cancer Detect) University of Hawaii (CA-Telemed Curric’lm) University of Pittsburgh (Contract-GGTS) Stanford University (Contract-Affiliates Prog) Yale University (IPA-Adv Tech Watch) Texas A & M (CA-DREAMS) Johns Hopkins University (CA-Periscopic MIS) University of Southern Calfornia (CA-NGI) University of Oregon (CA-BBM)
Telemedicine & Advanced Technology Research Center Cutting Edge Medical Technology
Uses DoD & Federal Partnerships
…for Non-Medical and Supporting Technologies
* Distributed, Synchronized Databases
* Advanced, Adaptive Multilevel Security
* Data Mining of Disparate Databases
* Secure Global Positioning System
* Network Management Tools
* Info Warfare Surveillance & Defense Tools
* Artificial Intelligence - Expert Systems
* Fault Avoidance and Recovery Systems
* Hands Free, Wireless Telecom
* Wireless Networking
* Data Compression
* High Bandwidth Datalinks
* Low Power Electronics
* Multi-platform, Interoperable Software
* Complex Modeling and Simulation
•U.S. Army Research Laboratory
• Los Alamos National Laboratory
• Sandia National Laboratory
• U.S. Army, Signal Battle Laboratory
• Commo & Electronic Command
• Oak Ridge National Laboratory
• Veterans Administration
• NASA
• DARPA
• National Library of Medicine (NIH)
• Agency for Health Research & Quality
•Food & Drug Administration
•Centers for Disease Control & Prevention
Telemedicine & Advanced Technology Research Center Cutting Edge Medical Technology
TATRC is a network of “Best of Breed” public/private advanced medical technology
partnerships.
Leverages International Partnerships
…to Accelerate Development US/Norway Telemedicine (Wireless, Handheld) European Union Collaboration NATO – Telemedicine Standardization Committee Canada: International Space Station (Telesurgery) South African Military Health Service (Peacekeeping) International Global Satellite System: Poland (CME) Landmine Victim Assistance: Central America > Bosnia > Afghanistan Partnership for Peace – Romanian Needs Assessment Fellowship Programs: Pakistani, Polish Yuma Proving Ground - Panama Telepathology – Hyperspectral Imaging Argentina – Civilian Medical Emergency Response Israeli Trauma Simulator South Korean Exchange Program ATA Symposiums
EU (2001) – Africa (2002) - Latin America (2003) - E.Europe (2004) – Asia (2005) – W. Europe (2006)
Doing Business with TATRC
MRMC Broad Agency Announcement (BAA 05-1)
http://www.usamraa.army.mil/pages/index.cfm
General process Submit pre- proposal to MRMC/TATRC Review for scientific and
programmatic merit Award funding Project monitoring and accountability
Eschatological Approach of Health Paradigms
F A
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P U
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M E
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G O DG O D
G O DG O D
T R U T HT R U T HGenes,
molecules, virus
T R U T HT R U T HGenes,
molecules, virus
R E
C O
N C
I L
I A
T I
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R E
C O
V E
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GLOBAL GLOBAL INFORMATIOINFORMATION SOCIETYN SOCIETY
GLOBAL GLOBAL INFORMATIOINFORMATION SOCIETYN SOCIETY
E R
R O
R S
Slide Courtesy Jean-Claude Healy, WHO
LambdaGRID Challenges Federation of databases Content-based knowledge Management of personal data Security Social Anthropology
Ethical and legal Regulatory compliance
What is a GRID ? HealthGRID http://www.healthgrid.org What is a LambdaGRID??
TATRC Broadband Medical Networking:
State-Based Initiatives Linking regional TeleHealth programs National Health Information
Infrastructure Regional Health Information Organizations
(RHIO) Regional Optical Network (RON)
Disaster Relief /Preparedness Advanced Distributed Learning Simulation Environments Advanced Visualizations
Gaming industry Entertainment industry
Ubiquitous Broadband (urban/rural)
TATRC Broadband Medical Networks:
Patterns of Content Computational Models of the Human Body
Advanced Distributed Learning Modeling and Simulation
Epidemiological Networks Public Health sector ‘SensorNets’ Predictive modeling
Biomedical Informatics Medical Imaging PharmaGRID (RxNorm) Life Sciences GRID
Veterinary Medical Agriculture Animal to human vectors
National Health Information Infrastructure
TATRC Broadband Medical Networks:
GRID Computing GRID Bio-patterning Resources such as TeraGRID/Supercomputers
Data GRID Biomedical Informatics (storage?) Terminology mediation
Knowledge GRID Semantic Mining Business intelligence
Collaboration GRID Teleconsultation Telementoring
TATRC Broadband Medical Networks:
Current TATRC Activities Developing networks for sharing medical data Funding projects for planning, implementing,
and demonstrating the value of health IT Providing technical assistance to solve
problems and identify lessons learned Regional Optical Networks Regional Health Information Organizations
Global Collaborations European HealthGRID Pacific Rim PRAGMA Life Sciences GRID Africa PEPFAR program
WHO/ITU MoU Latin America/Caribbean/Canadian in discussion
TATRC Advanced Distributed Learning
To meet multiple To meet multiple training needs, training needs, TATRC is actively TATRC is actively developing computer developing computer imaging technologies imaging technologies & telecommunications & telecommunications to achieve the most to achieve the most effective training effective training possible. possible.
PC-based Interactive VR/MultimediaPC-based Interactive VR/Multimedia
Digitally EnhancedMannequinsDigitally EnhancedMannequins
VirtualVirtualWorkbenchesWorkbenchesVirtualVirtualWorkbenchesWorkbenches
Total ImmersionVirtual Reality
Total ImmersionVirtual Reality
TATRC Homeland Defense
MEMS Sensor System High Sensitivity Nanoliter Samples Short Analysis Time High-density Information Low Cost
Typical of TATRC programs for threat detection is the Typical of TATRC programs for threat detection is the MicroElectroMechanical sensor for detection of anthrax, MicroElectroMechanical sensor for detection of anthrax, developed through the Harvard Medical School Center developed through the Harvard Medical School Center for Integrating Medicine and Innovative Technology, the for Integrating Medicine and Innovative Technology, the Draper Research Laboratory and MIT.Draper Research Laboratory and MIT.
Chemical/Biological/Nuclear Threat DetectionChemical/Biological/Nuclear Threat Detection
µ CANARY MEMS Sensor System
64-element sensor64-element sensor64-element sensor64-element sensor
TATRC Life Cycle Health Care Management
Telemedicine is the cornerstone of TATRC geriatric care, such as the home monitoring equipment being developed in collaboration with the Mercy Health System to improve the management of congestive heart failure.
Assessment of general appearance, pedal edema and mental status will Assessment of general appearance, pedal edema and mental status will be obtained through the video camera, as well as questions presented be obtained through the video camera, as well as questions presented by the telemed nurse.by the telemed nurse.
Home Health Congestive Heart Failure Protocol base data collection.Home Health Congestive Heart Failure Protocol base data collection.
ParametersParameters::Blood PressureBlood PressureHeart RateHeart RateRespirationsRespirationsOral TemperatureOral TemperatureHeart and Lung Heart and Lung Assessment with Assessment with StethoscopeStethoscopeECGECGOxygen SaturationOxygen Saturation
TATRC Broadband Medical Networking: Next Steps
TATRC Integrated Research Team Seek advice for setting BMN
priorities Develop a program for supporting
development and adoption Spring 2006
Don’t wait for IRT http://www.usamraa.army.mil/pages/index.cfm
Help answer: what is a LambdaGRID?
Questions? More information?
http://www.tatrc.org
Points of Contact: Mary Kratz
734-763-5505 [email protected] ([email protected]
u) Jan M. Patterson
310-574-8401 [email protected]
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