1. National Institute of Standards and Technology Technology Administration U.S. Department of Commerce 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 March 17, 2004

2. National Institute of Standards and Technology Technology Administration U.S. Department of Commerce NIST and Advanced Technology Program... Overview of presentation: Advanced Technology Program (ATP); ATP and the NHII; NIST Efforts in Telehealth; ATP Funded Projects.

3. National Institute of Standards and Technology Technology Administration U.S. Department of Commerce 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. National Institute of Standards and Technology Technology Administration U.S. Department of Commerce 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. National Institute of Standards and Technology Technology Administration U.S. Department of Commerce 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. National Institute of Standards and Technology Technology Administration U.S. Department of Commerce NIST Efforts in Telehealth…

7. 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 Telehealth…

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