ATP Initiatives in Healthcare Informatics
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- Letitia Katrina Day
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1 ATP Initiatives in Healthcare Informatics Richard N. Spivack, Ph.D. Economic Assessment Office (tel.) (fax) richard.spivack atp.nist.gov Advanced Technology Program... Overview of presentation: Advanced Technology Program (ATP). ATP Information Infrastructure for Healthcare (IIH) Focused Program, ( ) ATP vision of healthcare informatics for the 21 st century. ATP Initiatives in Healthcare Informatics 1
2 Advanced Technology Program... Advanced Technology Program Mission: 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. Advanced Technology Program... ATP addresses the funding gap : that exists between invention and innovation; in which technical innovators face a valley of death in institutional support between a scientific breakthrough and a market-ready prototype. ATP Initiatives in Healthcare Informatics 2
3 Advanced Technology Program... Information Infrastructure for Healthcare (IIH) Focused Program: Three solicitations: 1994, 1995, 1997; Infrastructure Development Technologies (1994); User Interface and Efficiency Enhancement Technologies (1995); Healthcare-Specific Technologies (1997). IIH Focused Program ATP Initiatives in Healthcare Informatics 3
4 Information Infrastructure for Healthcare (IIH) Focused Program. Purpose: to develop automated tools to catalyze the growth of the healthcare portion of the National Information Infrastructure (NII); to enable enterprise-wide integration of information among ATP initiatives in healthcare informatics. Development of IIH. Requires: the integration, synthesis, and definition of any information that needs to be shared across the business enterprise; and, the means by which to transport, store, and access information in a way that enhances user productivity. ATP Initiatives in Healthcare Informatics 4
5 ATP and IIH Awarded Projects. Between 1990 and 2001, ATP awarded funds to: 526 projects totaling $3.2B in which industry contributed $1.6B; During 1994, 1995, and 1997, the IIH 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. Advanced Technology Program... ATP vision of healthcare informatics for the 21 st century: seamless continuum of care; evidence-based healthcare; wellness and prevention; privacy and security. ATP Initiatives in Healthcare Informatics 5
6 ATP Vision for Healthcare Informatics. Healthcare informatics will be used: to deliver healthcare to the patient by the most cost effective means, most frequently by medical practitioners other than physicians; for diagnosis and treatment based on evidence of effectiveness determined by the collection of outcomes data. Seamless Continuum of Care.. Information Technologies provide the means for information sharing, knowledge representation and management required to establish a seamless continuum of care; Useful in driving the issues of quality of care and cost-effectiveness; ATP Initiatives in Healthcare Informatics 6
7 Seamless Continuum of Care, Delivery... Delivery of healthcare to local or regional populations will take place through a progressive spectrum of delivery entities: home healthcare; ambulatory clinics; trauma centers; hospitals. Seamless Continuum of Care, Tools... Sensor and actuator software technologies; Communications architectures; Data collection and assessment capabilities; Analysis and response systems. ATP Initiatives in Healthcare Informatics 7
8 Evidence-Based Healthcare... Provides: the best and most current scientific evidence applied at the point of care; the development of practice guidelines; the standardization of care. Evidence-Based Healthcare, Metrics. Healthcare Metrics: enable a healthcare organization to identify areas of high and low operational performance; allow for implementation of risk mitigation strategies; provide customers with informative, accurate knowledge; contribute to the formulation of national policy. ATP Initiatives in Healthcare Informatics 8
9 Wellness and Prevention. Empowers the consumer: through the provision of personalized healthcare information; offering health education information and decisionsupport directly over the Internet, via newsletters, and telemedicine. Wellness and Prevention, Disease Management. Requires intervention at all stages: emphasizing the prevention of acute episodes and complications that could result in expensive and unpleasant hospitalizations. ATP Initiatives in Healthcare Informatics 9
10 Wellness and Prevention, Disease Management Tools.. Physicians guidelines; Monitoring (drug and other treatment interventions); Patient education; and, Behavior modification interventions. Privacy and Security Makes systems and data more accessible outside of the organization where the system and data reside; Increases the need to deliver information directly to the patient to encourage patient involvement in his/her own healthcare decisions. ATP Initiatives in Healthcare Informatics 10
11 Privacy and Security needs Require solutions to link clinical data to personal data; and, Prevent unauthorized access. Conclusions... ATP has contributed to the development of infrastructural technologies in healthcare that provide for: business process reengineering and the automation of current manual processes; the implementation of a Seamless Continuum of Care, Evidence-Based Healthcare and Wellness and Prevention. ATP Initiatives in Healthcare Informatics 11
12 Conclusions, cont. Unobtrusive data capture tools remains an obstacle. Development of such tools will contribute to: the longitudinal patient record; and, knowledge services and clinical repositories. Conclusions, cont. Providing information alone will not serve to improve quality of healthcare delivery; What is needed is intelligent, context-based presentation of information offered to the practitioner in a fashion synergistic to his/her manner of practicing medicine. ATP Initiatives in Healthcare Informatics 12
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