1. Internet2 Health Sciences Networking Indian Health Service Michael McGill, Ph.D. January 11, 2007

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

3. McGill3 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, NSF, NASA, NOAA Howard Hughes Medical Institute Pharmaceutical Companies Johnson & Johnson, Pfizer, Eli Lilly Industry Prous Science, Cisco, IBM, Microsoft, SUN, Polycom, Haivision Partnership with Health Information Management Systems Society (HIMSS)

4. McGill4 More than a backbone… It’s the system! Applications Middleware Network Security Policy Community is key

5. McGill5 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 Clinical:

6. McGill6 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 Dr. Michael Feldman, UPENN Remote Pathology Consult

7. McGill7 Center for Surgical Innovation Courtesy: HaiVision

8. McGill8 Clinical Network requirements Quality of Service Reliability Minimal / No Congestion Capacity Then --- Security and Privacy Plus -- Services that make it easier

9. McGill9 Map of Upper and Core Middleware Land

10. McGill10 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 Research:

11. McGill11 Biotech Data's BIG BANG 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)

12. McGill12 Health Science’s Grand Challenge (1m)(10 -3 m) (10 -6 m) (10 -9 m)(10 -12 m) (10 -15 m) Systems models Continuum models (PDEs) ODEs Stochastic models Pathway models Gene networks Courtesy: Peter Hunter, University of Auckland

13. McGill13 EACH BRAIN REPRESENTS A LOT OF DATA Comparisons must be made across several image sets Slide courtesy of Arthur Toga (UCLA)

14. McGill14 Research Team of the Future: Cancer Biomedical Informatics Grid Global Cancer Research Community Grid deployment to Cancer Centers Bioinformatics infrastructure Public data sources Funded by: NCI/NIH http://cabig.nci.nih.gov/

15. McGill15 messaging Communal note taking lecture Second screen Dynamic charts Why Faculty Participate in Internet2 Increasingly specialized information Access to expertise at remote locations Multiple learning modalities Access to resources not otherwise available Slide courtesy: Parvati Dev, Stanford University Education:

16. McGill16 Some specialties disappearing

17. McGill17 The Vision (tenants) Health is a discipline comprised of: Research Education Clinical Care Patients deserve the best care we can afford Advanced communications technologies have proven their ability to allow change processes and cultures

18. McGill18 Vision for the Health Community A ubiquitous national health network Integrating regional or sub-networks Strategically managed by the Health Community Interconnected with Research and Education

19. McGill19 Options for achieving the vision Dedicated Resource (Lambda) Secure, Reliable, Expensive Dedicated portion of a Resource (sub- Lambda) Not as secure, Reliable, Not as expensive MPLS Tunnel Less Secure, Reliable, Least Expensive

20. McGill20 The Real Challenge Policies and Regulations Culture and Trust Benefits Credibility

21. McGill21