1. Urban Lambda Grids for Advanced Biomedical Collaboration Jonathan C. Silverstein iGrid 2005 September 27, 2005

2. 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

3. 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

4. (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

5. 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

6. Biomedical Data Stores

7. 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.

9. Immersive Team Training through Simulation - Planning

10. Control-Sim-Debrief

13. EMS Real-Time Communication

14. EMS Real-Time Communication – Ambulance Rosetta-VC Vehicular Controller

15. EMS Real-Time Communication – E.R. and Mobile CAREpoint Motion LS800 EMS Workstation Wireless Tablet PC

16. Integrating Surgical Systems for Autonomy The Operating Room (personnel) of the Future Satava March, 2000 Surgeon Assistant Scrub Nurse Circulating nurse

17. 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