Health Activities and Internet2Mike McGill, Director, Internet2 Health Sciences, mmcgill@internet2.edu

Heather Boyles, Director, Internet2 International Relations, heather@internet2.edu

APAN Medical WorkshopAPAN 24 Meeting, Xi’an, China30 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

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• 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

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Network Architecture

NationwideInternet2 Network

State or RegionalNetwork

MetroNetwork

Government Lab

University

CommercialInternet

K20 Org.

University

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Internet2 Network Environment: 2006

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Internet2 Network Environment: 2006

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

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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

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Dr. Michael Feldman, UPENN

Clinical

• Network requirements• Reliability• Minimal / No Congestion• Capacity• Then --- Security and Privacy

• Plus -- Services that make it easier

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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

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Research:

Biotech Data's BIG BANG

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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 (04/25/2005)

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EACH BRAIN REPRESENTS

A LOTOF DATA

Comparisons must be made across several image sets

Slide courtesy of Arthur Toga (UCLA)

New Methods of Health Science Research

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www.nbirn.net

Research Team of the Future:Cancer Biomedical Informatics Grid

• Global Cancer Research Community

• Grid deployment to Cancer Centers

• Bioinformatics infrastructure

• Public data sources

17Funded by: NCI/NIH http://cabig.nci.nih.gov/

Why Faculty Participate in Internet2

• Increasingly specialized information

• Access to expertise at remote locations

• Multiple learning modalities

• Access to resources not otherwise available

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Education:

Some specialties disappearing

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Improved Medical Training

• High bandwidth human interaction

• Low latency virtual reality• Reliable access to

computational resources• Secure retrieval of

medical images and data

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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 – 2nd coming in

May 2008• Support for community proposals to FCC rural health

initiative• HIMSS partnership• Support for demos/presentations at discipline

conferences: RSNA, etc.

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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

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http://www.internet2.edu/health