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U.S. A RMY M EDICAL R ESEARCH & M ATERIEL C OMMAND

TATRC. Telemedicine & Advanced Technology Cutting Edge Medical Technology. U.S. A RMY M EDICAL R ESEARCH & M ATERIEL C OMMAND. Broadband Medical Networks. iGRID 27 September 2005 Mr. Jan Patterson Director, TATRC West Coast Field Office

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U.S. A RMY M EDICAL R ESEARCH & M ATERIEL C OMMAND

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  1. TATRC Telemedicine & Advanced Technology Cutting Edge Medical Technology U.S. ARMY MEDICAL RESEARCH & MATERIEL COMMAND Broadband Medical Networks iGRID 27 September 2005 Mr. Jan Patterson Director, TATRC West Coast Field Office Telemedicine & Advanced Technology Research Center (TATRC) Ms. Mary Kratz Special Advisor to the Director, Broadband Medical Networks Telemedicine & Advanced Technology Research Center (TATRC)

  2. Military Infectious Diseases • Medical readiness • Vaccines • Biotechnology • Prophylaxis/treatment drugs • Diagnostics/prognostics • Vector control Military Infectious Diseases 28% Combat Casualty Care 9% Military Operational Medicine 10% Medical Biological Defense 37% Medical Chemical Defense 16% • Medical Chemical Defense • Medical management ofchemical warfare casualties • Medical readiness • Drug prophylaxes/pretreatments • Diagnostics/therapeutics • Combat Casualty Care • Lightweight medicalequipment • Medical C4ISR • Trauma care • Health monitoring and diagnostic technology • Military Operational Medicine • Soldier selectionand sustainment • Soldier performance • Warrior system modeling • Health hazards protection • Diagnostics/prognostics • Health monitoring • Medical Biological Defense • Vaccines/therapies • Field-portable diagnosticsystems • Medical readiness • Biotechnology U.S. Army Medical Research and Materiel CommandCore Medical S&T Program Areas $1.5bn

  3. Telemedicine & Advanced Technology Research Center Cutting Edge Medical Technology Mission 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. Department of Defense, Joint Warfighting Science and Technology Plan, Chapter IX, Joint Readiness and Logistics, 1999

  4. TATRC Telemedicine & Advanced Technology Research Center Cutting Edge Medical Technology Total Funding

  5. TATRC Funding Programs • Congressional Special Interest • Dual Use Science & Technology • Small Business Innovative Research • Defense Health • Small Business Technology Transfer • Federal Partnerships

  6. Telemedicine & Advanced Technology Research Center Cutting Edge Medical Technology 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)

  7. 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

  8. TATRC is a network of “Best of Breed” public/private advanced medical technology partnerships.

  9. 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)

  10. 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

  11. Eschatological Approach of Health Paradigms G O D T R U T H Genes, molecules, virus GLOBAL INFORMATION SOCIETY R E C O V E R Y F A U L T / P U N I S H M E N T R E C O N C I L I A T I O N E R R O R S Slide Courtesy Jean-Claude Healy, WHO

  12. 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??

  13. 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)

  14. 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

  15. 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

  16. 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

  17. PC-based Interactive VR/Multimedia Digitally EnhancedMannequins VirtualWorkbenches Total ImmersionVirtual Reality TATRC Advanced Distributed Learning To meet multiple training needs, TATRC is actively developing computer imaging technologies & telecommunications to achieve the most effective training possible.

  18. µ CANARY MEMS Sensor System 64-element sensor TATRC Homeland Defense Chemical/Biological/Nuclear Threat Detection • MEMS Sensor System • High Sensitivity • Nanoliter Samples • Short Analysis Time • High-density Information • Low Cost Typical of TATRC programs for threat detection is the MicroElectroMechanical sensor for detection of anthrax, developed through the Harvard Medical School Center for Integrating Medicine and Innovative Technology, the Draper Research Laboratory and MIT.

  19. 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. Home Health Congestive Heart Failure Protocol base data collection. Parameters: Blood Pressure Heart Rate Respirations Oral Temperature Heart and Lung Assessment with Stethoscope ECG Oxygen Saturation Assessment of general appearance, pedal edema and mental status will be obtained through the video camera, as well as questions presented by the telemed nurse.

  20. 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?

  21. Questions? More information? • http://www.tatrc.org • Points of Contact: • Mary Kratz • 734-763-5505 • mkratz@tatrc.org • (mkratz@umich.edu) • Jan M. Patterson • 310-574-8401 • patterson@tatrc.org

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