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

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

  APAN Medical Workshop
  APAN 24 Meeting, Xi’an, China
  30 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

4
  Network Architecture


  University
                                          Nationwide
                                      Internet2 Network
                 State or Regional
                     Network
  University

        Metro                        Commercial
       Network                        Internet


Government Lab
  5                  K20 Org.
Internet2 Network Environment: 2006




6
Internet2 Network Environment: 2006




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


10
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

                 Dr. Michael Feldman, UPENN


11
 Clinical

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

     • Plus -- Services that make it easier


12
     Research:
     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


13
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 (04/25/2005)




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                                       EACH BRAIN
                                       REPRESENTS
                                          A LOT
                                         OF DATA




Comparisons must be made
 across several image sets

   15
Slide courtesy of Arthur Toga (UCLA)
New Methods of Health Science Research
     www.nbirn.net




16
  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
     17              http://cabig.nci.nih.gov/
Education:

 Why Faculty Participate in Internet2

 •   Increasingly specialized information
 •   Access to expertise at remote locations
 •   Multiple learning modalities
 •   Access to resources not otherwise
     available



18
 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




                                       Source:
                                       Parvati Dev
                                       Stanford

21
 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.

22
 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


23
 http://www.internet2.edu/health




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