National Institute of Standards and Technology • Technology Administration • U.S. Department of Commerce

NIST/ATP Initiatives in NIST/ATP Initiatives in TelehealthTelehealth

Richard N. Spivack, Ph.D.Richard N. Spivack, Ph.D.Economic Assessment Office Economic Assessment Office

(tel.) 301-975-5063(tel.) 301-975-5063(fax) 301-975-4776(fax) 301-975-4776

richard.spivack@nist.gov richard.spivack@nist.gov www.atp.nist.gov

PHDSC ConferencePHDSC Conference March 17, 2004March 17, 2004

National Institute of Standards and Technology • Technology Administration • U.S. Department of Commerce

NIST and Advanced Technology NIST and Advanced Technology Program...Program...

Overview of presentation:• Advanced Technology Program

(ATP);• ATP and the NHII;• NIST Efforts in Telehealth;• ATP Funded Projects.

National Institute of Standards and Technology • Technology Administration • U.S. Department of Commerce

Advanced Technology Program...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.

National Institute of Standards and Technology • Technology Administration • U.S. Department of Commerce

ATP Awarded ATP Awarded Projects….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

National Institute of Standards and Technology • Technology Administration • U.S. Department of Commerce

ATP and NHII Awarded ATP and NHII Awarded Projects….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.

National Institute of Standards and Technology • Technology Administration • U.S. Department of Commerce

NIST Efforts in NIST Efforts in Telehealth…Telehealth…

Telediagnosis• Flat panel display

measurement standard

• Standards for color to improve fidelity of display

• Efforts in the physics of beam quality to support advances in digital imaging

National Institute of Standards and Technology • Technology Administration • U.S. Department of Commerce

• Integration and Interoperability

• Centralization of patient records

• Remote computer access

• Improvements to the information systems dealing with patient records

NIST Efforts in NIST Efforts in Telehealth…Telehealth…

National Institute of Standards and Technology • Technology Administration • U.S. Department of Commerce

NIST Efforts in NIST Efforts in Telehealth...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 ApproachExperts from all disciplines: IT, camera & reader

equipment, clinicians, administrators, policy decision-makers

Series of three workshops (IT, Clinical, Business Rules)

National Institute of Standards and Technology • Technology Administration • U.S. Department of Commerce

NIST Efforts NIST Efforts in Teleheath…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 EffectsImproved and Consistent Medical ServicesTechnical and Clinical InteroperabilityBusiness Model and Yardstick for

Reimbursement

National Institute of Standards and Technology • Technology Administration • U.S. Department of Commerce

ATP Funded ATP Funded Project…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.

National Institute of Standards and Technology • Technology Administration • U.S. Department of Commerce

ATP Funded ATP Funded Project…Project…

Surgency, Inc., formerly Benchmarking Partners, (Cambridge, MA)—Funded in 1994.

Supply Chain Software offering: Forecasting accuracy;Inventory reduction;Expanded customer feedback;Sales growth.

National Institute of Standards and Technology • Technology Administration • U.S. Department of Commerce

ATP Funded ATP Funded Project…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.