MD PnP Program brief overview for OHT BoD Meeting September 9, 2011 Julian M. Goldman, MD Attending Anesthesiologist, Massachusetts General Hospital Medical.

Slides:



Advertisements
Similar presentations
Connected Health Framework
Advertisements

Safe Composition of Complex Medical System University of Illinois at Urbana-Champaign Computer Science Department Fall 2010.
Jose Jimenez Director. International Programmes Telefónica Digital.
Towards Patient Safety in Closed-Loop Medical Device Systems Authors David Arney, Miroslav Pajic, Julian Goldman, Insup Lee, Rahul Mangharam, Oleg Sokolsky.
ICE + DDS Tracy Rausch, CCE CTO and Founder
Wil Yu, Innovations Dept. of Health and Human Services The Innovation Imperative Within HITECH and Health Reform.
HealthNet connect Telehealth
HIMMA National Conference 2005 Accelerating E-Health Dr Ian Reinecke CEO National E-Health Transition Authority (NEHTA) Geelong 29 July 2005 nehta.
© 2005 Cisco Systems, Inc. All rights reserved. Cisco Confidential IBSG - 1 Connected Health— A Vision for the Future With an introduction of David Brailer,
AHCCCS/ASU Clinical Data Project March 17 th, 2009 Arizona Health Care Cost Containment Health System Medicaid Transformation Grant Program.
Copyright 2012 Delmar, a part of Cengage Learning. All Rights Reserved. Chapter 13 Health Information Systems and Strategy.
Federal HIT Summit Nov 20, 2014 Washington, DC
Optimising Community Care Service Delivery using Mobility and the Cloud Peter Young Managing Director HealthConnex
Nov 2011 Lyman Dennis Organizer & Facilitator. What is Health Information Exchange? Exchange of clinical (and administrative) information among unaffiliated.
A Robust Health Data Infrastructure P. Jon White, MD Director, Health IT Agency for Healthcare Research and Quality
Expanding the Use of a Personal Health Record (PHR) System to California’s Foster Care Population.
Community Information Technology Engagement (CITE): Program Overview
Kevin Larsen MD Medical Director, Meaningful Use Office of the National Coordinator of Health IT Improving Outcomes with HIT ASCO Oct
Initial slides for Layered Service Architecture
Component 2: The Culture of Health Care Unit 3: Health Care Settings— The Places Where Care Is Delivered Lecture 3 This material was developed by Oregon.
by Joint Commission International (JCI)
OHT Medical Device Platform Current thinking and activities
ICE/MDPnP Update HL7/IEEE Standards Meeting 9/12/2012.
Duke Medicine IT Strategy Jeffrey Ferranti, MD Chief Information Officer / VP Medical Informatics Duke Medicine April 17, 2015.
Sandy Lum University of Toronto Candidate MHSc in Clinical Engineering The Totally Integrated Electronic Patient Record (EPR)
0 Presentation to: Health IT HIPPA Workshop Presented by: Stacey Harris, Director of Health IT Innovation September 26, 2014 Division of Health Information.
Product Development Chapter 6. Definitions needed: Verification: The process of evaluating compliance to regulations, standards, or specifications.
ONC FACA HIT Standards Committee Clinical Operations Workgroup Hearing on Barriers & Enablers for Medical Device Interoperability March 28, 2011 ~ Washington,
Chapter 6 – Data Handling and EPR. Electronic Health Record Systems: Government Initiatives and Public/Private Partnerships EHR is systematic collection.
Us Case 5 ED Encounter Resulting in with Follow-up Care at Multi-specialty Clinic Care Theme: Transitions of Care Use Case 8 Interoperability Showcase.
The United States Health Information Knowledgebase: Federal/State Initiatives An AHRQ Research Project J. Michael Fitzmaurice, PhD, AHRQ Robin Barnes,
Updated September 30, 2010 Open Health Tools (OHT) Strategic Plan.
Open Health Tools Strategic Plan. Mission “to significantly contribute to the health and well-being of individuals and communities by improving their.
Open Health Tools Strategic Plan. Discussion of Person Centered Health Discussion of Health and Wellbeing Foundation Precepts.
Andrew Howard Chief Executive OfficerClinical Advisor Mukesh Haikerwal.
Clinical Collaboration Platform Overview ST Electronics (Training & Simulation Systems) 8 September 2009 Research Enablers  Consulting  Open Standards.
Open Health Tools Membership Presentation G&B Solutions Soori Kani Vice President, Health Strategy September 9, 2011.
Presented to: Scottsdale Institute CIO Panel Date: April 28, 2011 By: Timothy R. Zoph, SVP Administration & CIO Key IT Issues, Challenges and Innovations.
Mobilizing for Action Through Planning and Partnership MAPP What the MAPP Process has taught US.
Summary Report Project Name: Medical Devices Interoperability Platform (MDIP) Brief Project Description: –MDIP is a software research and development project.
ICE-PAC Tracy Rausch, Founder, DocBox Inc Todd Cooper President Breakthrough Solutions Foundry.
Clinical Computing Secure, reliable technology that improves clinical workflow at the point of care.
Achieving Interoperability in Medical Device Technology to Support Innovation Julian M. Goldman, MD Director, Program on Interoperability, Mass General.
This material was developed by Duke University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information.
Bill Van Hout Aspect 3/1/2010 Uniting Healthcare Communications for Improved Health Outcomes and Patient Satisfaction.
Solutions for Multi Discipline Healthcare Practice.
Moving the National Health Information Technology Agenda Forward The Fourth Health Information Technology Summit March 28, 2007 Robert M. Kolodner, MD.
Creating an Interoperable Learning Health System for a Healthy Nation Jon White, M.D. Acting Deputy National Coordinator Office of the National Coordinator.
California Telehealth Network eHealth Broadband Adoption Grant National Telecommunications and Information Agency (NTIA) Broadband Technology Opportunities.
Collaborating With Your Health Plan 03/07/05 To paraphrase A. Einstein: We cannot solve today’s problems with the same level of thinking that created them.
Author : Elliot B. Sloane, Ph.D. American College of Clinical Engineering, President Villanova University Department of Decision.
Office of the National Coordinator for Health Information Technology ONC Update for HITSP Board U.S. Department of Health and Human Services John W. Loonsk,
1 Session 3:Healthcare Provider, Clinician & Patient Perspective Julian M. Goldman, MD Medical Director, Biomedical Engineering Partners HealthCare, Boston,
Component 6- Health Management Information Systems Unit 5-2 Clinical Decision Support Systems This material was developed by Duke University, funded by.
Medical Device CPS Testbeds: Candidate Testbed for Research and Development on Cyber Physical Medical Device Systems Julian M. Goldman, MD Medical Director,
© 2013 TM Forum | 1 V Catalysts and Innovation Projects Rapid Technology Innovation Projects The Hub at Management World 2013.
United States Health Information Knowledgebase: An Online Metadata Registry J. Michael Fitzmaurice Agency for Healthcare Research and Quality ANSI HITSP.
Dr Robert V Kelly MD MBA FRCPI
IT Solutions – Improving Timely Access to Health Care
ICE-PAC Tracy Rausch, Founder, DocBox Inc Todd Cooper
Testbed for Medical Cyber-Physical Systems
California Telehealth Network eHealth Broadband Adoption Grant
The Integrated Clinical Environment-- Creating Big Data
Data Quality: Practice, Technologies and Implications
INTER-Iot kick-off meeting
Electronic Health Information Systems
Electronic Health Record Update
Language, Culture, Disparities of Care & Data
Our Telepsychiatry Model
Presentation transcript:

MD PnP Program brief overview for OHT BoD Meeting September 9, 2011 Julian M. Goldman, MD Attending Anesthesiologist, Massachusetts General Hospital Medical Director, Partners HealthCare Biomedical Engineering Director, CIMIT/MGH Program on Medical Device “Plug-and-Play” Interoperability (MD PnP) Mike Robkin, MBA President, Anakena Solutions Technical Lead, NIH Quantum Interoperability grant C I M I T

Essential Healthcare Needs Needs: Significant innovation in patient safety and healthcare efficiency require innovative, innovative system solutions. Barriers: Medical systems cannot be fully integrated due to the lack of effective interoperability of medical devices and Health IT systems. Even incomplete integration is expensive. Solutions: – “integrate the clinical environment” to create complete EHRs and error-resistant systems – Define a regulatory pathway in partnership with the FDA and other regulators – Investigate safety of proposed engineering solutions

Most ICU systems are not integrated … but should be

Interoperability should enable error-resistance Example of a clinical procedure and associated safety issues -> (From our “Clinical Scenarios” research repository)

Typical PCA System PCA Pump (With patient button) Nurse call Patient PCA = Patient-Controlled Analgesia Patient can call to request more analgesia, but, cannot call for help when over-medicated.

“A particularly attractive feature may be the ability to automatically terminate or reduce PCA (or PCEA) infusions when monitoring technology suggests the presence of opioid- induced respiratory depression. To facilitate such capabilities, we strongly endorse the efforts to develop international standards for device interoperability and device-device communication. It is critical that any monitoring system be linked to a reliable process to summon a competent health care professional to the patient's bedside in a timely manner.”

Implementation: What is required to safely integrate these devices and implement a better, safer PCA system? Need … Combine devices from multiple vendors at the point of care (or 1 integrated product) Reliable, effective plug-and-play connectivity “App platform” to efficiently develop clinical decision support apps that can acquire data from, and control medical devices in real-time. Device/network data log at system and device level forensic analysis

Medical Device Mobile Plug-and-Play PCA Cart Research Platform “MD MP3” Research supported by TATRC, CIMIT, and NSF

What could we accomplish in healthcare with open, interoperable platforms? Innovation – Rich contextual data (for clinical decision support) – Means for rapid prototyping of new sensors and algorithms – Facilitate validation for regulatory clearance – Swap devices as needed to optimize selection And what we have seen in other domains – Crowd-sourcing of “Apps”: If device platform is standardized, apps can be developed by global expert community

Medical Device “Plug-and-Play” Interoperability Program (MD PnP) Founded in 2004, the MD PnP research program is a multi-institutional community with Lab based at CIMIT, and supported by Massachusetts General Hospital (MGH), CIMIT, and Partners HealthCare. Mission: lead the adoption of open standards and technologies for medical device interoperability to improve patient safety Funding and Collaboration: DoD/TATRC, NSF, NIST, FDA, AHRQ, NIH, VAH

Standard for the “Integrated Clinical Environment” ASTM F “Essential safety requirements for equipment comprising the patient-centric integrated clinical environment (ICE) — Part 1: General requirements and conceptual model” Provides a standards-based system architecture intended to support safe medical system composition

ICE Supervisor Network Controller ICE Interface Data Logger External Interface Medical Device ICE Interface Other Equipment Integrated Clinical Environment (ICE) Functional Elements of the Integrated Clinical Environment ASTM standard F Published January 2010 Clinician Functional Elements of the Integrated Clinical Environment Patient

MD PnP NIH Quantum Grant Development of a Prototype Healthcare Intranet for Improved Health Outcomes Translation: The creation of an eco-system for interoperability of medical device and CISs in high-acuity environments to support innovation in patient safety and healthcare quality Award: 5 Years: $10M Collaborating Organizations: CIMIT/Massachusetts General Hospital (Julian Goldman P.I.) Anakena Solutions, California (Michael Robkin) DocBox Inc, Waltham, MA (Tracy Rausch) Penn (Insup Lee) Kansas State University (J. Hatcliff) Moberg Research, Ambler, PA (Dick Moberg) University of Illinois at Urbana-Champaign (Lui Sha) Tim Gee - Medical Device integration consultant FDA – CDRH/OSEL/DESE VA – OHI/Office of JIV An HHS ONC Health IT SHARP affiliated program

Reference information Program:

Summary of 5-year NIH Quantum Grant” Scenarios P.I. J Goldman, MGH, Boston, Mass, USA 1.PCA Safety Interlock, example of component- level medical device interoperability 2.ICU preparedness, example of in-hospital patient transfer and rich clinical context 3.Tele-health (TH) devices in hospital, example of transferring care from home to hospital and use of TH devices for high-acuity care 4.FDA regulatory – staged implementation of framework for levels of interoperability and associated levels of hazards and their mitigation

Integration of the clinical environment is required to: Acquire healthcare data comprehensively Support distributed healthcare workers in managing high-acuity patients Add error-resistance to patient care Enable compliance with data security, integrity, and privacy requirements Manage the connected devices Enable Apps for high-acuity healthcare These needs are present across continuum of high-acuity healthcare: hospital, home, transport, etc.