Health Activities and Internet2 Mike McGill, Director, Internet2 Health Sciences, Heather Boyles, Director, Internet2 International Relations, APAN Medical Workshop APAN 24 Meeting, Xi’an, China 30 August 2007

Internet2 introduction National research and education networking organization in the United States Membership and Community-based US universities, state/regional networks, government research labs, other non-profit organizations (National Geographic), industry, k12, libraries, museums, rural healthcare clinics Provides national-scale infrastructure and services to its membership and beyond Network infrastructure and services, federated identity management infrastructure and services, application infrastructure and services Convenes advanced research and education networking community to progress network infrastructure, technology, services and the uses of these in support of research, teaching, learning, clinical care and outreach

Key Health Science Members 112 Academic Medical Colleges (AAMC) and their medical centers 130 Health Science related colleges Public Health, Nursing, Dentistry, Pharmacy Affiliate Members NIH Howard Hughes Medical Institute, Charles R. Drew University, Children’s Hospital of Philadelphia, Healthcare Information and Management Systems Society (HIMSS), Ruth Lily Health Education Center Industry: Pharmaceutical Companies Johnson & Johnson, Pfizer, Eli Lilly Partnership with Health Information Management Systems Society (HIMSS) On the way: rural health clinics 3

The FCC has initiated a pilot funding program To connect public and private non-profit health care providers in rural and urban locations Specifically called out connections to the Internet2 network as desirable Many state/regional networks have worked with rural health networks to respond 4

5 Network Architecture Nationwide Internet2 Network State or Regional Network Metro Network Government Lab University Commercial Internet K20 Org. University

6 Internet2 Network Environment: 2006

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The scope of the Internet2 Health Science Initiative includes medical and related biological research, education, and advances in clinical practice.

Why Physicians/ Pharmacists Participate in Internet2 Distributed data sharing Electronic Health Record National Health Initiatives (ONCHIT) Remote and Assisted Surgery Remote Instrumentation Real time access to remote images Collaboration independent of boundaries Geography: Second Opinion Networks Time: Learning Technology (Distance Education) Computation: Knowledge Management Center of Excellence New techniques and procedures Surgical Planning Digital Anatomy 10 Clinical:

Remote Pathology Consult Using DVTS (Digital Video Transport System) at 30 Mbps, Multicast Pathology faculty across four regional hospitals can conduct regular virtual consults with superior high quality images and minimal delay in transmitted slide manipulation 11 Dr. Michael Feldman, UPENN

Clinical Network requirements Reliability Minimal / No Congestion Capacity Then --- Security and Privacy Plus -- Services that make it easier 12

Why Scientists Participate in Internet2 Need for continually increasing bandwidth to support the increasingly finer resolution of data resources To address policy issues such as the security and privacy requirements that must be met for the use of information that originates with or about a patient To remove roadblocks as they confront the increasing need to collaborate across political (including state and federal government), academic, defense and security, and commercial boundaries 13 Research:

Biotech Data's BIG BANG 14 It's like Moore's Law on steroids: The total volume of biological data worldwide, having doubled every 18 months in recent years, is now doubling every half a year to three months. And this isn't a momentary spike, but a long-term trend that may require new ways to measure, analyze and mine biological databases. Chappell Brown EE Times EE Times (04/25/2005)

15 EACH BRAIN REPRESENTS A LOT OF DATA Comparisons must be made across several image sets Slide courtesy of Arthur Toga (UCLA)

New Methods of Health Science Research 16

Research Team of the Future: Cancer Biomedical Informatics Grid Global Cancer Research Community Grid deployment to Cancer Centers Bioinformatics infrastructure Public data sources 17 Funded by: NCI/NIH

Why Faculty Participate in Internet2 Increasingly specialized information Access to expertise at remote locations Multiple learning modalities Access to resources not otherwise available 18 Education:

Some specialties disappearing 19

Improved Medical Training High bandwidth human interaction Low latency virtual reality Reliable access to computational resources Secure retrieval of medical images and data 21 Source: Parvati Dev Stanford

Internet2 Health Science Activities Working Groups Orthopaedic Surgery Special Interest Groups Cardiovascular, Health Science Education, Advances of Relevance to Clinical Activities, Health Science Research & Research Infrastructure Workshops Immersive Medical Telepresence Workshop – 2 nd coming in May 2008 Support for community proposals to FCC rural health initiative HIMSS partnership Support for demos/presentations at discipline conferences: RSNA, etc. 22

International collaborations of the Internet2 community World Bank GDLN-Latin America Central American Network of Disaster Health Information (CANDHI) International Technical Collaboration meeting Johns Hopkins University Hospital – National Aids Research Institute in India RNP “Rede Universitária de Telemedicina” (RUTE) and Internet2 Health Sciences formalizing partnership 23

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