NIST/ATP Initiatives in Telehealth

1. NIST/ATP Initiatives in Telehealth Richard N. Spivack, Ph.D. Economic Assessment Office (tel.) 301-975-5063 (fax) 301-975-4776 richard.spivack@nist.gov www.atp.nist.gov PHDSC Conference March 17, 2004

2. NIST and Advanced Technology Program... Overview of presentation: • Advanced Technology Program (ATP); • ATP and the NHII; • NIST Efforts in Telehealth; • ATP Funded Projects.

3. Advanced Technology Program... Advanced Technology Program Purpose: • To further the development and dissemination of “high-risk” technologies which offer the potential for significant, broad-based economic benefits for the nation; • To support industry leadership in planning and implementing projects; • With a focus on civilian technologies.

4. ATP Awarded Projects…. • Since 1990, 6,054 proposals submitted to 43 competitions, requesting $12.9 B from ATP • 709 projects awarded with 1,433 participants and an equal number of subcontractors • 207 joint ventures and 502 single companies • $4.1 billion of high-risk research funded • ATP share = $2.11 billion • Industry share = $1.98 billion • Small businesses are thriving • 65% of projects led by small businesses • Over 160 universities participate • Over 25 national laboratories participate

5. ATP and NHII Awarded Projects…. • During 1994, 1995, and 1997, the NHII focused program awarded funds to: • 32 projects totaling $295M in which industry contributed $149M; • 7 additional projects from the Open Competition totaling $27M in which industry contributed $14M. • Average award per project is $2.5M over 3 years.

6. NIST Efforts in Telehealth…

7. NIST Efforts in Telehealth… • Integration and Interoperability • Centralization of patient records • Remote computer access • Improvements to the information systems dealing with patient records

8. NIST Efforts in Telehealth... • Collaboration with the American Telemedicine Association • Area of focus: Use of teleophthamalogy for diabetic retinopathy (DR) screening and treatment • Develop a standards profile that includes IT standards, clinical guidelines and business rules standards • All Inclusive Team Approach • Experts from all disciplines: IT, camera & reader equipment, clinicians, administrators, policy decision-makers • Series of three workshops (IT, Clinical, Business Rules)

9. NIST Efforts in Teleheath… • Ensure measurement and conformance are defined where possible • Validation of system is based on Outcome of System • Quality of Image outcome based on Functional System Category Levels (screening, assessment, reference) • Long term Effects • Improved and Consistent Medical Services • Technical and Clinical Interoperability • Business Model and Yardstick for Reimbursement

10. ATP Funded Project… Caresoft, Inc., (Mountain View, CA)—Funded in 1995. • Healthcare website for personal health maintenance offering private and secure access to the following: • Lab Services; • Medications; • Health Checkup; • Tools and information to empower one to determine conditions and make informed decisions.

11. ATP Funded Project… Surgency, Inc., formerly Benchmarking Partners, (Cambridge, MA)—Funded in 1994. • Supply Chain Software offering: • Forecasting accuracy; • Inventory reduction; • Expanded customer feedback; • Sales growth.

12. ATP Funded Project… Beth Israel Deaconess Medical Center, (Boston, MA)—Funded in 1997. • Web-based program offering: • Private and secure Internet videoconference between parents and hospital staff; • Private and secure Internet access to medical records; • Cost Savings: • Parents took their babies home an average of two days earlier from the $2,500 per day neonatal intensive care unit.