Cambridge Healthtech Institute and the 7th International … Final.pdf · 2008-02-15 · of health information will develop from the availability and mining of health information

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October 10-11, 2006 • Sheraton Inner Harbor Hotel • Baltimore, Maryland

Improving Quality and Accessibility in Healthcare

Global Digital Healthcare Integrated Delivery Systems

Cambridge Healthtech Institute and the 7th International BioMEMS and NANOtech World present

Final Agenda

Cambridge Healthtech Institute, 250 First Avenue, Suite 300, Needham, MA 02494Phone: 781-972-5400 • Fax: 781-972-5425 • E-mail: [email protected]

Global Digital Healthcare Integrated Delivery Systems

SESSIONS INCLUDE➥➥ Combinatorial Device Technology

➥➥ Interoperability and Inference

➥➥ Standards Development and Global EMR

➥➥ Home as Extension of Provider Care

DISTINGUISHED FACULTY

Gerald E. Loeb, M.D., University of Southern California

Mauro Ferrari, Ph.D., University of Texas Health Science Center

Thomas L. Ferrell, Ph.D., University of Tennessee

Daniel Traviglia, Draper Labs

David Whitlinger, Intel Corp. and Continua Health Alliance

Jeff Robbins, LiveData, Inc.

David A. Epstein, IBM Software Group

John S. Celi, Accenture

Rey Currie, Quovadx

Gurujeet Khalsa, Microsoft Corporation

Tom Jones, Tolvenhealth

David C. Spellmeyer, Ph.D., IBM Almaden Research Center

Jerry C. Collins, Ph.D., Vanderbilt University

Anthony Primavera. Ph.D., Guidant Corp.

Ken Bobis, Ph.D., Mayo Clinic

David Kibbe, M.D., M.B.A., Center for Health InformationTechnology, American Academy of Family Physicians

Geoffrey Clapp, Health Hero Network, Inc.

Michael P. Lynch, Ph.D., ADT Security Services Inc.

Craig Frazier, McKesson Provider Technologies

Steve Sadler, Tunstall

M. Carolina Hinestrosa, M.A., M.P.H., National Breast Cancer Coalition

FEATURED SPEAKERJeffrey R. Davis, NASA Johnson Space ScienceCenter, Houston

Executive Sponsor:

CONNECTING Academics, Government and Industry in anINTERACTIVE FORUM to Forge Alliances and Create Policy

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up to$350!KEYNOTE PRESENTATIONS

Joseph C. Kvedar, M.D., Director, Telemedicine, PartnersHealthCare System, Inc., and Vice Chair, Dermatology,Harvard Medical School

Julian M. Goldman, M.D., Program Director, MedicalDevice “Plug-and-Play” Interoperability Program at CIMITand Massachusetts General Hospital, and PhysicianAdvisor to Partners HealthCare Biomedical Engineering

Donald W. Rucker, M.D., M.S., M.B.A., Vice President andChief Medical Officer, Siemens Medical Solutions USA

Douglas F. Busch, Vice President and Chief TechnologyOfficer, Digital Health Group, Intel Corp.

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Scientific Advisory Board

Tuesday, October 1012:00-1:00pm Registration

2:30 Secure Health and PrivacyRaymond L. Dudley, Director, ARINC Healthcare Solutions, Mark J. Jacobs, Director of Technology, Wellspan Health, and Raymond A. Pedden, ChiefTechnology Officer, TTM Solutions, Inc.

2:40 Refreshment Break, Poster & Exhibit Viewing (Sponsorship Available)

3:15 Chairperson’s RemarksMauro Ferrari, Ph.D., Professor, Brown Institute of Molecular Medicine, University of Texas Health Science Center; Professor of ExperimentalTherapeutics, M.D. Anderson Cancer Center; and Professor of Biomedical Engineering, Rice University

3:50 Neural Prostheses: Crossing the Last Meter in Personal Telecommunications Gerald E. Loeb, M.D., Professor of Biomedical Engineering, Director of Medical Device Development, Alfred Mann Institute for BiomedicalEngineering, Deputy Director, NSF Engineering Research Center for Biomimetic MicroElectronic Systems, University of Southern California Fully implanted medical devices are monitoring and controlling ever more complex bodily functions, including the very senses and muscles with which individuals interact with the exter-nal world. Such devices employ complex and proprietary wireless protocols to send power and data between their internal and external components. Their external components inex-orably become connected to the worldwide web of telecommunications that has now crossed the last kilometer into everyone’s home, facilitating centralized management of medicalrecords and treatment. Eventually, these data could include such personal experiences as the scenes and sounds in the patient’s environment, if and how such data were actually pre-sented to the nervous system, and what autonomic responses and motor behaviors they evoked. There are many technological and socioeconomic reasons why this will all take a greatdeal longer than we either hope or fear, but now might be a good time to start thinking about where we want to go with all this emerging technology.

4:20 Homeostasis By Networked Implants: Toward A Technological Immuno/Endocrine System?Mauro Ferrari, Ph.D.A major component of the concept of digital health is the distribution of networked sensing, monitoring and therapeutic delivery stations. These will have the objective of maintaining suit-able balances of molecular actors and counteractors, in a dynamic response to varying physiological, pathological, and environmental conditions. For these stations ever to be deployedwithin the body as implants, it will be necessary to solve a number of daunting technical problems, each in broad generality, as opposed to approaches limited to a subset of sensedmolecules, physical conditions, and delivery agents. The problems include the time-controlled release of agents, starting with sustained zero-order, and progressing to remotely activat-ed, preprogrammed, and self-regulated release in response to a detected set of conditions - all within the context of functional biocompatibility for the desired applications. Our grouphas been active in these fields for several years - a report on our progress and unsolved challenges will be presented in this talk.

4:50 Implantable Telesensor Integrated CircuitsThomas L. Ferrell, Ph.D., Research Professor, Physics, University of Tennessee Telesensor capsules have been developed for the NIAAA for implantation into mammals. The capsules report the concentration of administered ethanol and the metabolite acetaldehydeand the body temperature. In vivo test data from WiStar rats will be shown along with details of the sensors and telemetry.

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Jeffrey R. Davis, M.D., M.S., Director of Space Life Sciences, NASA Johnson Space Science Center, Houston This presentation will include a brief overview of space flight and the lessons learned for health care in microgravity. It will describe the development of pol-icy for health care for international crews, and conclude with a discussion of an integrated health care system.

COMBINATORIAL DEVICE TECHNOLOGY

1:10 Vision for Global Digital HealthcareDouglas F. Busch, Vice President and Chief Technology Officer, Digital Health Group, Intel Corp.

1:00 Keynote IntroductionCeleste Null, M.S.E., C.Q.A., Principal Engineer and Director of Biomedical Engineering, Strategy and Platform Development, Digital Health Group, Intel Corp.

KEYNOKEYNOTE SESSIONTE SESSION

1:40 TBA

2:10 Beyond the Electronic Medical RecordDonald W. Rucker, M.D., M.S., M.B.A., Vice President and Chief Medical Officer, Siemens Medical Solutions USA

Over the last two decades, much of clinical computing has been around lab results and narrative text. Work has focused on making the paper chart electronic. In the next two decades, clinical computing will shift from passive data storage to an active role automating steps in the care process. Learn how today's cutting edge technologies such as computerized physician order entry will blend into tomorrow’s workflow automation.

Alan Boucher, Director of Worldwide Healthcare Architecture, Strategy and Platform Development, Digital Health Group, Intel Corp.

Carol A. Dahl, Ph.D., Director, Global Health Technologies, Bill & Melinda Gates Foundation

Mauro Ferrari, Ph.D., Professor, Brown Institute of Molecular Medicine, University of Texas Health Science Center, Professor of ExperimentalTherapeutics, M.D. Anderson Cancer Center, and Professor of Biomedical Engineering, Rice University, Co-chairperson

Celeste Null, M.S.E, C.Q.A., Principal Engineer and Director of Biomedical Engineering, Strategy and Platform Development, Digital Health Group,Intel Corp., Co-chairperson

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5:20 Development of Wearable Sensors for Physiological MonitoringDaniel Traviglia, Member of Technical Staff, Draper Laboratories The development of wearable sensors will enable individuals to monitor their health on a real-time basis without interfering with daily activities or reducing quality of life. These sensorswill empower patients with increased physiological information and facilitate the transition of healthcare from the clinic to the home, and from treatment to prevention. The challenge,however, is to develop wearable sensors that complement lifestyle and provide both accurate and relevant physiological information. Military interest in wearable sensors has providedthe ability to remotely acquire cardiopulmonary data from deployed soldiers. Physiological monitoring by the military also reduces the risk to medical personnel via remote triage andcommunicates important health status during the “golden hour” that follows many traumatic injuries. Additionally, the introduction of wearable sensors for battlefield soldiers would helpmedical facility preparation for combat injuries. The development of new wearable sensors could benefit directly from the integration of enabling technologies such as MEMs sensors,distributed intelligence, robust fault-tolerant software, signal processing and sophisticated data encryption for the secure transfer of sensitive information.

5:50 TBA

6:20–7:30 Reception, Poster & Exhibit Viewing

Wednesday, October 11

8:20am Chairperson’s RemarksAlan Boucher, Director of Worldwide Healthcare Architecture, Strategy and Platform Development, Digital Health Group, Intel Corp.

10:30 Coffee Break, Poster & Exhibit Viewing (Sponsorship Available)

11:15 Chairperson’s RemarksGlen Vaughn, D.B.A., Chief Technologist, Medtronic Microelectronics Center

11:20 Patient Centric Healthcare as a Catalyst for New Business ModelsDr. Joseph Jasinski, Senior Manager, Compuational Biology Center, IBM TJ Watson Research CenterFinancial considerations along with regulatory, health and consumer-driven goals are driving the healthcare industry toward adoption of electronic information with easy secure access.The first benefits to be reaped from this transformation will be improved healthcare, increased patient safety and decreased costs. And we are certain to see additional benefits. Markets

STANDARDS DEVELOPMENT AND GLOBAL EMR

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9:45 Health Care Interoperability & Integration: Challenges and Issues• Managing competing standards• Role of web services and XML in interoperability• Linking private vs. public processes• Leveraging new technology with legacy operations

Panelists:David A. Epstein, Director, Public Sector Solutions, IBM Software Group John S. Celi, Senior Architect, Accenture Rey Currie, Vice President, Product Management, Integration Solutions Quovadx Gurujeet Khalsa, Federal Healthcare Architect, Microsoft Corporation Tom Jones, Chief Medical Officer, Tolvenhealth

PANEL

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9:00 Medical Device Interoperability and Acute Instrument Control• Why do we need this? How can medical device interoperability and acute instrument control improve the quality and

efficiency of healthcare?• Where is the greatest bang for the buck? What is the priority order of interoperability and control-related problems for

the healthcare industry to tackle? • How do you see vendors and healthcare institutions collaborating to develop and support interoperability standards?

(Is it in vendors’ interests to work together to make interoperability a reality?)• What can the users of medical devices do today and how can they be agents of change?

Panelists:David Whitlinger, Director of Health Device Standards and Interoperability, Intel Corp. and Continua Health Alliance Ken Fuchs, Director of Clinical and Systems Engineering, Dräger Medical, Inc.Jeff Robbins, Chief Executive Officer, LiveData, Inc.

PANEL

8:30 Medical Device Interoperability: Enabling Improvements in Safety and Efficiency in Support of theNational HIT MissionJulian M. Goldman, M.D., Program Director, Medical Device “Plug-and-Play” Interoperability Program at CIMIT and Massachusetts

General Hospital, and Physician Advisor to Partners HealthCare Biomedical Engineering Medical devices are essential to the practice of modern medicine. Physiologic measurements of blood pressure, oxygen level, and body weight; acquisition of x-ray and ultra-sound images; and support of breathing and heart rate, are all routine procedures that require the use of medical devices. However, despite our growing reliance on sophisti-cated medical devices, each device stands alone as an island making it difficult to bring together multiple devices into interoperable systems to improve patient care and to avoidunnecessary accidents. An open interoperability framework to support medical device data communication and device control is necessary to create accurate and completeelectronic health records, error-resistant medical device systems with safety interlocks, effective clinical decision support tools, and decrease the total cost of ownership of net-worked medical systems.

KEYNOKEYNOTE PRESENTTE PRESENTAATIONTION

INTEROPERABILITY AND INFERENCE

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of health information will develop from the availability and mining of health information in curative, preventive and wellness activities across traditional and nontraditional ecosystem partic-ipants. The emergence of new businesses with new business models is already evident both in the United States and elsewhere. We can expect that additional innovation in business mod-els will form around electronic health records and other health information as consumers use this information in as yet unanticipated ways. There are major opportunities for secure IT infra-structure providers and new services in this field.

11:50 Ethical Challenges with Global Digital HealthcareJerry C. Collins, Ph.D., Research Associate Professor of Biomedical Engineering, Vanderbilt University Digital health is a promising, challenging frontier. Access to RFID, monitoring and databasing technology holds promise to the individual for more comprehensive medical knowledge,possibility of preventive and earlier interventions, and lower-cost health care, and in general freer, healthier, more carefree living. These technological advances also raise fears of lossof privacy, less free living, discovery of uninsurable disease and genetic conditions. Challenges to the emerging digital health industry involve educating the public and the health carecommunity about the benefits and risks of digital health and charting a course that maximizes the risk/benefit ratio in a way that generates enthusiasm and eventual adoption by publicand private sectors.

12:20 Reliability Assessment of Life Sustaining Medical ElectronicsAnthony Primavera, Ph.D., Senior Advisor, Advanced Process Development, Boston Scientific - Cardiac Rhythm ManagementWhile military, aerospace and automotive electronics must endure extreme end use conditions, few applications require a more robust overall product reliability than life sustaining med-ical products. Life sustaining medical / implantable devices have extremely high demands placed on them for very obvious reasons: They sustain a person’s life. Therefore, the prod-ucts must work consistently for long periods of time (in many cases > 10 years) without the benefit of downtime, battery recharging, or repair. In addition, the products should not causepatients adverse effects under any circumstances. While the implantable electronics device enjoys one of the most benign end use environments (37C)+/- 2 degrees, the overall relia-bility concerns are extremely high. Patients expect and deserve to lead a healthy and active life after receiving an implanted device. To further complicate matters, each patient providesa unique set of needs and requirements. Examples of unique needs includes product therapy, patient age, weight, activity level, living environment, and regional / country regulatoryrequirements. In an attempt to ensure a robust product, extreme reliability and process testing is required to prove long term reliability. This presentation discusses reliability require-ments and approaches to assess long term robustness of implantable medical devices.

12:50 Lunch on Your Own (Luncheon Workshop Sponsorship Available)

2:00 Mobile Device Selection and MethodologyKen Bobis, Ph.D., Chief Technology Officer and Director, Development & Software Engineering, Mayo Clinic The Arizona campus of Mayo Clinic is implementing Computerized Provider Order Entry (CPOE) in the summer of 2006. In preparation for this implementation, we have conducted aproject to select mobile devices for the hospital stall. This included a usability lab and field test, supported by user requirements and participant surveys. The project culminated in theselection of two mobile devices which will be offered to staff. Due to the rate of change, this decision will be reviewed periodically to ensure the best device for this critical health carefunction.

2:30 Medical Records in your Pocket: Integrating Personal Health Information with Electronic Medical Records

using an iPod®David Kibbe, M.D., M.B.A., Director, Center for Health Information Technology, American Academy of Family Physicians We will present a scenario where patients can better manage their own care and providers can eliminate unnecessary treatment by using PHR and EMR applications with standard fileformats and making medical information available for transport on a patients iPod. This example will demonstrate the need to adhere to standards for data interchange and push the lim-its of integrating (and gaining control over) patient information from the home to the office and beyond. Using accepted standards and readily available technology, we believe this inte-gration concept can improve patient compliance in the management of their own conditions and give practitioners more actionable information to improve patient care.

3:00 Refreshment Break, Poster & Exhibit Viewing (Sponsorship Available)

3:30 Chairperson’s RemarksMark N. Blatt M.D., M.B.A., Director of Global Healthcare Strategies, Digital Health Group, Intel Corporation

4:50 Integrating Consumers as Executives into the Decision Making Process and as Key Drivers inHealthcare Decisions

M. Carolina Hinestrosa, M.A., M.P.H., Executive Vice President for Programs and Planning, National Breast Cancer Coalition, Philadelphia Desbribe a model of consumer advocate involvement that has sparkled significant increases in federal funding of research, successfully challenged traditional mechanisms of fundingand decisionmaking, and improved public policy to guarantee access to cancer care for thousands of uninsured.

5:20 Conference-Wrap UpCeleste Null

5:35 Close of Conference

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n 4:05 Extending Hospital Systems to the Home • State of patient data collection in the home• Impact on both ROI and patient behavior modification• Integration of such data into existing EMRs

Panelists:Geoffrey Clapp, Chief Technology Officer, Health Hero Network, Inc.Michael P. Lynch, Ph.D., Director, ADT WellHealth and ADT Security Services Inc.Craig Frazier, General Manager and Vice President, Extended Home Solutions, McKesson Provider Technologies

PANEL

3:35 Extending Chronic Patient Care to the HomeJoseph C. Kvedar, M.D., Director, Telemedicine, Partners HealthCare System, Inc., and Vice Chair, Dermatology, Harvard MedicalSchool“Connected health” is imperative for adopting connected health strategies today.Connected Health focuses on patient-centric care, delivering quality healthcare where and whenit is needed. Best practices in this nascent industry will be discussed, including some at Partners, and how they are fundamentally changing the way care is delivered. In addi-tion to best practices, an overview will be given of most significant barriers to adoption, and what is being done to mitigate those barriers.

KEYNOKEYNOTE PRESENTTE PRESENTAATIONTION

HOME AS EXTENSION OF PROVIDER CARE

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